National Payor Scorecard

Compare your revenue cycle KPIs by payor category with the latest KPIs from your national peers.

Jun 5, 2024

Matt Szaflarski

Director, Revenue Cycle

Revenue Cycle KPI Benchmarking All-Payor Scorecard

PMI Payor Group

Gross revenue

Bad debt % of GPSR

Final denial write-offs

Final denial write-offs w/ admin adj.

Initial denial rate

Medicare (Traditional)

$187,809,239,978

0.4%

2.0%

3.3%

4.1%

Medicare (Managed Care)

$178,526,481,280

0.3%

4.5%

5.9%

10.1%

Medicaid (Managed Care)

$133,723,188,666

0.1%

5.2%

6.7%

13.5%

Commercial Managed Care

$114,450,181,363

1.9%

1.8%

2.8%

13.4%

Note: the information in this document, including text, graphics, images and information, contained in this document are not—and are not intended to be—advisory, risk, performance, consulting, business, legal, or other professional advice. The information is general in nature, based on existing authorities, and is subject to change. The information is not a substitute for professional advice or services, and you should consult a qualified professional advisor before taking any action based on the information. Kodiak Solutions LLC is not responsible for any loss incurred by any person who relies on the information discussed in this document. March 2023 - Feb 2024

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Matt

Szaflarski

Matt leads Kodiak’s Revenue Cycle Intelligence team, which focuses on building analytic solutions to help customers target, quantify, and solve their most challenging issues. He oversees Kodiak’s benchmarking service offerings, which measure revenue cycle performance across more than $1 trillion in annual gross revenue. Matt has more than 15 years of revenue cycle experience focused on supporting customer performance improvement efforts. Matt routinely shares market insights through a variety of channels, so be sure to follow him on LinkedIn.