Practice Reporting. Prepared for Rowan Bexley on Oct 7, 2026. Whole organization. Filters: payers Statewide Care Program.
November 2025 run · Published
November 2025
Started Dec 3, 2025 by Rowan Bexley. Published Dec 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 $307,644.90athena $307,687.40Difference -$42.50Within tolerance
- 0 to 30 daysOurs $173,690.39athena $173,690.39Difference NoneMatched
- 31 to 60 daysOurs $51,271.08athena $51,271.08Difference NoneMatched
- 61 to 90 daysOurs $27,369.83athena $27,369.83Difference NoneMatched
- 91 to 120 daysOurs $15,427.90athena $15,470.40Difference -$42.50Within tolerance
- Over 120 daysOurs $39,885.70athena $39,885.70Difference 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.
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.
- Practice totalOurs 1,129athena 1,131Difference -2Explained
- Alina Ferris, MDMain Campus, East RegionOurs 296athena 296Difference NoneMatched
- Marcus Delacroix, DOStonebridge, West RegionOurs 320athena 320Difference NoneMatched
- Priya Ramanathan, MDMain Campus, East RegionOurs 284athena 284Difference NoneMatched
- Dana Whitlock, NPStonebridge, West RegionOurs 229athena 231Difference -2Explained
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.
- Practice totalOurs 6.92%athena 6.91%Difference +0.01 pointsWithin tolerance
- Alina Ferris, MDMain Campus, East RegionOurs 7.50%athena 7.50%Difference NoneMatched
- Marcus Delacroix, DOStonebridge, West RegionOurs 4.19%athena 4.19%Difference NoneMatched
- Priya Ramanathan, MDMain Campus, East RegionOurs 5.02%athena 5.02%Difference NoneMatched
- Dana Whitlock, NPStonebridge, West RegionOurs 11.92%athena 11.83%Difference +0.09 pointsWithin tolerance
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
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
- Main CampusEast Region, 2 providers580
- StonebridgeWest Region, 2 providers549
No-show rate
- Main CampusEast Region, 2 providers6.30%39 of 619
- StonebridgeWest Region, 2 providers7.58%45 of 594
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 $307,644.90, 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 1,129 visits, the practice total.
- Payer denials add up to total denials (passed)4 payers account for all 88 denials out of 1,092 claims a payer decided on.
- Provider no-shows add up to the practice total (passed)Providers account for all 84 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)42,978 records fetched across 86 pages, all read.
- Every appointment record athena returned was read (passed)1,314 records fetched across 3 pages, all read.
- The claims pull reaches back past every open balance (passed)The oldest open balance is from a visit on Feb 21, 2024; the pull starts on Dec 1, 2022, more than 30 days earlier, so no older balance was cut off.
- Every booked appointment has exactly one outcome (passed)1,314 booked = 1,129 completed + 84 no-shows + 99 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
- Dec 3, 2025, 5:00 AM EST
- Reporting month
- Nov 1, 2025 to Nov 30, 2025. A/R measured at close of business Nov 30, 2025.
- Claims
- 42,978 read and counted, none unreadableCharges $7,620,845.00. Payments posted $4,747,708.38 and adjustments posted $2,563,181.72, both after reversals. Visits from Dec 1, 2022 to Nov 28, 2025; the oldest unpaid balance is from a visit on Feb 21, 2024.
- Appointments
- 1,314 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, Dec 1, 2022 to Nov 30, 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, Nov 1, 2025 to Nov 30, 2025; booked appointments in range, including cancelled and no-show- Pages and requests:
- claims in 86 pages (42,978 records), appointments in 3 pages (1,314 records), 89 requests in all
- Run reference:
R-2025-11- 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.