ROI calculator

What is your panel worth in care-management revenue?

Drag the sliders. The model uses 2026 national non-facility Medicare rates for the base CCM, APCM, RPM, and AWV codes, including the new-for-2026 short-month RPM codes, the same rates in our billing cheat sheets.

Medicare patients in your panel1,000Enrolled in CCM30%Two-thirds of Medicare patients have 2+ chronic conditions; CareTrack programs average 65% adoption among eligible patients.Enrolled in APCM20%Modeled at Level 2 (G0557, 2+ chronic conditions). APCM and CCM can't cover the same patient in the same month, so these two sliders should split your panel. QMB patients bill G0558 at a higher rate.Enrolled in RPM20%RPM stacks with CCM or APCM for the same patient in the same month.RPM months meeting full thresholds80%Full months bill 99454 + 99457. New 2026 codes 99445 + 99470 now pay for short months (2–15 reading days or 10–19 minutes) that used to earn nothing.AWV completion rate73%National average is 18%. CareTrack practices average 73%.

Estimated annual Medicare revenue

$694,106

Chronic Care Management: 300 patients × $66.13/mo (99490)
Advanced Primary Care Management: 200 patients × $54/mo (G0557)
Remote Patient Monitoring: 200 patients × $94/mo blended (99454 + 99457; short months via new 99445 + 99470)
Annual Wellness Visits: 730 visits × $137.95 (G0439)

2026 model. Approximate 2026 national non-facility Medicare amounts. Actual payment varies by locality, site of service, and payer; verify with the CMS Physician Fee Schedule look-up tool. Estimates are gross reimbursement before program costs and assume one base code per enrolled patient month. Real panels bill add-on codes too, including the 2026 behavioral health add-ons to APCM (G0568–G0570).

Get this modeled on your real panel

Want the assumptions behind each number? See the 2026 cheat sheets: RPM codes, CCM codes, PCM codes, and the AWV billing guide.