Practice Reporting. Prepared for Rowan Bexley on Oct 7, 2026. Whole organization. Filters: sites Stonebridge.
October 2025 run · Published
October 2025
Started Nov 3, 2025 by Rowan Bexley. Published Nov 6, 2025 by Rowan Bexley. 23 numbers: 15 matched, 5 within tolerance, 3 explained.
Provider rows by site (choose one or more)
Practice totals, payer rows and aging are for the whole organization and are never filtered by site.
Payers (choose one or more)
Days in A/R and aging
Days in A/R, version 1: Total open A/R at close of business on the last day of the month, divided by average daily charges over the 30 days ending that day.
A/R aging, version 1: Open balance on each claim at close of business on the last day of the month, grouped by days since the date of service: 0 to 30, 31 to 60, 61 to 90, 91 to 120, over 120.
- Practice totalOurs $296,373.67athena $296,416.17Difference -$42.50Within tolerance
- 0 to 30 daysOurs $169,616.77athena $169,616.77Difference NoneMatched
- 31 to 60 daysOurs $46,382.67athena $46,382.67Difference NoneMatched
- 61 to 90 daysOurs $26,964.21athena $26,964.21Difference NoneMatched
- 91 to 120 daysOurs $12,724.09athena $12,766.59Difference -$42.50Within tolerance
- Over 120 daysOurs $40,685.93athena $40,685.93Difference NoneMatched
Denial rate by payer
Denial rate, version 1: Claims a payer denied the first time it decided on them, divided by all claims a payer first decided on in the month. Resubmissions are not counted again.
- Practice totalOurs 6.63%athena 6.88%Difference -0.25 pointsWithin tolerance
- Silver Creek Health PlanOurs 3.36%athena 3.36%Difference NoneMatched
- Northwind Mutual BenefitOurs 5.62%athena 5.62%Difference NoneMatched
- Cascade Benefit AllianceOurs 4.52%athena 4.52%Difference NoneMatched
- Statewide Care ProgramOurs 12.66%athena 13.50%Difference -0.84 pointsExplained
Visit volume by provider
Visit volume, version 1: Appointments in the month that were checked out or had charges entered, counted under the provider the appointment was scheduled with. An appointment that was checked in but not yet checked out is not counted until it is closed.
No-show and cancellation rate
No-show rate, version 1: No-shows in the month divided by appointments that were either completed or no-shows.
Cancellation rate, version 1: Appointments in the month cancelled for any reason other than a no-show, divided by all booked appointments in the month.
By site, Stonebridge
Each site’s figure adds up its providers’ rows above, every one of which was checked against athena. The site figures are sums, not separately checked against an athena report.
Completed visits
- StonebridgeWest Region, 2 providers598
No-show rate
- StonebridgeWest Region, 2 providers8.56%56 of 654
Internal checks
Before anything is compared with athena, the run has to agree with itself.
- Aging buckets add up to total A/R (passed)Five buckets sum to $296,373.67, which is total A/R to the cent.
- Days in A/R uses the same A/R as the aging report (passed)The days in A/R numerator equals total A/R on the aging report.
- Provider visit counts add up to the practice total (passed)The provider rows sum to 1,275 visits, the practice total.
- Payer denials add up to total denials (passed)4 payers account for all 75 denials out of 1,131 claims a payer decided on.
- Provider no-shows add up to the practice total (passed)Providers account for all 93 no-shows.
- Every rate has something to divide by (passed)All 12 rates have a denominator above zero.
- No value is negative (passed)Every value is zero or more.
- Every claim record athena returned was read (passed)43,095 records fetched across 87 pages, all read.
- Every appointment record athena returned was read (passed)1,521 records fetched across 4 pages, all read.
- The claims pull reaches back past every open balance (passed)The oldest open balance is from a visit on Feb 20, 2024; the pull starts on Nov 1, 2022, more than 30 days earlier, so no older balance was cut off.
- Every booked appointment has exactly one outcome (passed)1,521 booked = 1,275 completed + 93 no-shows + 151 cancelled + 2 still scheduled or checked in.
Where these numbers came from
Enough to prove what was counted, never enough to say who: no patient record was kept.
- Source
- Demo data, made up and shaped like athena’s
- Read from athena
- Nov 3, 2025, 5:00 AM EST
- Reporting month
- Oct 1, 2025 to Oct 31, 2025. A/R measured at close of business Oct 31, 2025.
- Claims
- 43,095 read and counted, none unreadableCharges $7,641,275.00. Payments posted $4,757,496.54 and adjustments posted $2,569,134.79, both after reversals. Visits from Nov 1, 2022 to Oct 31, 2025; the oldest unpaid balance is from a visit on Feb 20, 2024.
- Appointments
- 1,521 read and counted, none unreadable
- Definitions used
- Days in A/R, version 1
- A/R aging, version 1
- Denial rate, version 1
- Visit volume, version 1
- No-show rate, version 1
- Cancellation rate, version 1
- Patient records kept
- None. Records were cut down to dates, amounts, provider, payer, department and status, added up, and thrown away.
For your IT team
- athena report read:
/v1/{practiceid}/claims, Nov 1, 2022 to Oct 31, 2025; service date in the 1,095 days to the A/R as-of date, with transactions, so every claim still carrying a balance is counted whatever its age- athena report read:
/v1/{practiceid}/appointments/booked, Oct 1, 2025 to Oct 31, 2025; booked appointments in range, including cancelled and no-show- Pages and requests:
- claims in 87 pages (43,095 records), appointments in 4 pages (1,521 records), 91 requests in all
- Run reference:
R-2025-10- Software version:
rpt-pipeline 1.1.0
Export this run
The numbers, their checks against athena, and where the data came from, as spreadsheet files. Free, and limited to what you can see.