The Hidden Question in Medicine: Are you really being paid what you're worth?

Service Line Analysis for Physicians

The Hidden Question in Medicine

Most physicians know what their practice’s total collections look like. They see the monthly deposits, and maybe they even keep an eye on payer reports. But here’s the uncomfortable truth. Very few know how they are actually being compensated: for their time, their effort, their skill, and for each individual procedure.

Which procedures is your practice performing the most? And the real kicker: are you performing them out of habit, or strategy? And are these procedures causing you to lose money? Most doctors would be surprised to know how little they’re reimbursed for their time.

Without this knowledge, it’s impossible to understand whether your practice is operating at peak efficiency—or if hidden losses are quietly eating away at your bottom line.

That’s where the service line analysis comes in.

Most Doctors Are Trained to Heal, Not to Crunch Numbers

Most medical practices are led by physicians—skilled experts in diagnosis, treatment, and patient care. Patients don’t come to you for financial analysis or contract negotiation. They come for your clinical expertise. That’s how it should be.

But here’s the tension: a practice is also a business.  Like any business, it has revenue streams, cost centers, overhead, and opportunity costs. And if you don’t understand how those pieces fit together, your practice may be working harder without ever getting healthier.

The reality is:

• Medical school and residency don’t prepare you to analyze payer contracts or track     procedure profitability.
• Many practices operate on the assumption that being busy equals being profitable—only to find that low-reimbursing procedures are quietly dominating the schedule.
• Physicians often delegate billing oversight to staff or EHR dashboards that only provide surface-level data, leaving critical insights hidden.

This is not a shortcoming of doctors—it’s a symptom of the system. You trained to treat patients, not manage spreadsheets. But without clarity on the business side, your time and effort may not be rewarded the way they should. The good news is: you don’t have to choose between medicine and business

This is where a Service Line Analysis comes in. It’s not about turning doctors into CFOs—it’s about giving you the data you need in an operational format so you can make decisions with confidence.

With the right insights:

• You can keep focusing on patient care while knowing your practice is financially sound.
• You can spot where your time is undervalued and shift toward higher-return services without sacrificing quality.
• You can negotiate with payers armed with facts, not assumptions.

In other words, you stay the physician—while your practice starts running like the business it is.

What Is a Service Line Analysis?

A Service Line Analysis breaks down your practice’s revenue streams by procedure, visit type, payer, and provider. Instead of looking at billing as a monolithic “revenue bucket,” it asks:

• How much is each procedure really worth, after contractual adjustments and denials?
• Which service lines (injections, imaging, consults, follow-ups, ancillary services, etc.) drive the bulk of revenue?
• Where are you spending the most time…and is it profitable?
• Are certain payers consistently undervaluing your services compared to others?

Think of it as putting a stethoscope to the financial heartbeat of your practice.

Why Service Line Analysis Matters

1. Uncover Hidden Losses
       Practices often discover they’re losing thousands per month on procedures that take up significant provider time but barely cover costs after adjustments.
2. Spot Underperforming Payers
       Some insurers reimburse dramatically less for the exact same work. Without analysis, you’re flying blind when negotiating contracts—or worse, quietly absorbing losses.
3. Prioritize High-Value Services
       Not all hours are equal. A service line analysis reveals which services deliver the highest return on your time, so you can align staffing, scheduling, and investment accordingly.
4. Plan for Growth
       Expansion into new services or locations should be driven by data. If you don’t know your margins today, how will you predict tomorrow’s?

Case Study:  

A mid-sized pain management clinic discovered through a service line analysis that:

• 40% of physician time was dedicated to procedures reimbursing at below Medicare cost after payer adjustments.
• Ancillary services (imaging and PT referrals) represented only 12% of total visits but generated 35% of net revenue.
• One commercial payer reimbursed 22% less than its peers on spinal injections—the clinic hadn’t realized because the volume masked the discrepancy.

After realigning scheduling priorities and renegotiating contracts, the practice increased net collections by 18% in a single quarter.

How Accrete Concierge Approaches Service Line Analysis

Unlike surface-level billing reports, Accrete Concierge:

• Tracks procedure-level revenue after adjustments and denials.
• Maps physician/provider time against net reimbursement to calculate true ROI.
• Benchmarks payers across the same CPT codes to expose gaps.
• Provides actionable recommendations—whether renegotiating payer contracts, restructuring clinic flow, or investing in more profitable service lines.

This isn’t just billing. It’s business intelligence tailored to your practice.

Stop Guessing, Start Knowing

Your time is your most valuable asset. If you don’t know how it translates into revenue—down to each service line—you’re running your practice on assumptions, not data.

A Service Line Analysis doesn’t just answer “how much am I making?” It answers the more important question: “Is my time being valued the way it should be?”

Taking control of your practice, knowing your finances, and growing your practice starts with knowing how you’re reimbursed. If you want to stop guessing and start knowing, contact Accrete Concierge for a free Service Line Analysis.

Click here to fill out Accrete Concierge’s inquiry form or fill out the contact form to the right!