FOLIO 03 · Healthcare
← Back to register
23% / JAMA 2022 / 5.9M appointments

Medical practice register.

Primary care, specialist, internal medicine, OB/GYN, surgery. Six segments with MGMA 2024 benchmarks pre-filled. JGIM 2016 reasons-data, BMJ 2019 outcomes evidence.

23%
avg rate, JAMA 2022
$150B
US annual loss

Medical practice register

Pick a specialty. Rates and revenue are pre-filled from MGMA 2024 data.

Live entry
Slot inputs
460
1%55%
$80$1,200
Daily reading

3.8 no-shows per day average. Your 19% rate is near median for Primary Care.

Annual totals
Annual no-show entry
$350,550
Direct + staff + opportunity
$190,000
Revenue
$42,750
Staff
$117,800
Opportunity
SMS reminder ROI
33% rate reduction saves$62,700/yr
Typical reminder platform-$4,800/yr
FOLIO 04 · Causes

Why patients no-show (JGIM 2016)

60%
Forgot the appointment
SMS + email reminders, 48hr + 2hr
10%
Competing obligation or work conflict
Same-day scheduling buffer, flexible hours
10%
Intentional avoidance or changed mind
Pre-visit outreach, care gap reminders
5%
Scheduling error or confusion
Confirmation with full details, EHR sync

Source: Cooper JG et al. Characteristics and outcomes of patients with non-attendance. Journal of General Internal Medicine, 2016.

FOLIO 05 · Outcomes

The cost beyond dollars

“Patients who missed two or more appointments had a 1.5x higher all-cause mortality rate over five years compared with patients who attended all scheduled appointments.”

BMJ 2019, retrospective cohort, n = 800,000 UK patients

For patients with chronic conditions, a missed appointment is a missed medication review, a missed lab result, a missed care-gap intervention. Health Affairs literature on access equity documents that no-shows compound health disparities, with transportation-barrier patients disproportionately represented.

Full citation archive →
FOLIO 06 · MGMA 2024

Benchmarks by specialty

SpecialtyAvg rateTop quartileRevenue / visit
Family Medicine / Primary Care19%12%$185 to $220
Internal Medicine21%13%$200 to $240
Pediatrics17%11%$160 to $190
OB/GYN18%12%$220 to $280
Cardiology11%7%$280 to $350
Dermatology12%8%$250 to $320
Orthopedics10%6%$300 to $420
Surgery8%5%$500 to $900

Sources: MGMA 2024 DataDive Cost and Revenue Survey. Revenue per visit from Medscape Physician Compensation 2024 and CMS fee schedule. Full benchmark folio →

Margin notes

What is the average no-show rate in healthcare?+
A JAMA 2022 meta-analysis of 5.9 million appointments found an average healthcare no-show rate of 23%. By segment: primary care 19%, behavioral health 30 to 40%, dental 15 to 25%, specialist 10 to 12%.
How much does a no-show cost a medical practice?+
A primary care practice with 20 slots/day at $200/visit and a 23% no-show rate loses $230,000 in direct revenue annually. Adding wasted staff time and opportunity cost brings the total to $280,000 to $350,000.
Why do patients no-show?+
According to a 2016 JGIM study: forgot the appointment (60%), transportation barriers (15%), competing obligation (10%), intentional avoidance (10%), scheduling error (5%). Forgetting is dominant, making SMS reminders the highest-ROI intervention.
What is the MGMA benchmark for no-show rates?+
MGMA 2024 data shows top-quartile primary care practices achieve no-show rates below 12%. The median is approximately 19% for primary care. For surgical specialties, medians are 8 to 10%.

Register entries verified 2026-04-28