Annual BENCHMARKING SURVEY

In order to protect the confidentiality and validity of the data submitted by ADAM members, we engaged a third party, Carr, Riggs and Ingram, LLC, to ensure that no ADAM member or director had access to the raw data submitted. Their efforts helped us to gather, collate, and produce annual survey results.
For the purposes of this survey, the following reports should be prepared in advance:
1. 2024 Year End Accounts Receivable Reports
  - Aging Report as of 12/31/2024
2. 2024 Annual Financial Activity (Charges, Payments, Adjustments, and Encounters)
  - By provider
  - By payer
  - By Service Type: General Medical, Cosmetic, Surgical (MOHS), Dermapathology, OTC Product Sales
3. 2024 Annual Income Statement
4. 2024 Denial Report
5. 2024 Year-End Payroll Report
  - Include pay rates, hire dates, and years of employment
Provider Staffing: FTE Breakdown and Production

For the purposes of this survey, the following definitions apply:

FTE (Full-Time Equivalent): Calculated by dividing total hours worked by 2,080. A full-time schedule is defined as 32 hours/week for physicians and 40 hours/week for mid-level providers.

Physician: Doctor of Medicine (MD) or a Doctor of Osteopathic Medicine (DO).

Mid-level Provider: Physician Assistants (PA-C) or Nurse Practitioners (NP-C).

Service Line Revenue Categories

To assess how each practice generates revenue, the following primary service categories were used:

General Dermatology: Includes professional clinical services provided by physicians and mid-level providers, excluding services categorized below.

Cosmetic: Encompasses aesthetician services and physician-administered cosmetic procedures (e.g. facial fillers, neurotoxins), and related retail sales.

Dermatopathology: Revenue generated from laboratory pathology services.

Mohs Surgery: Includes traditional Mohs procedures and associated tissue repairs.

Plastic Surgery: Covers both cosmetic and reconstructive procedures involving repair, reconstruction, or alteration.
Email*
example@example.com
1. In which geographic region is your practice?*

New England: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and VermontMiddle Atlantic: New Jersey, New York, and PennsylvaniaEast North Central: Illinois, Indiana, Michigan, Ohio, and WisconsinWest North Central: Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and South DakotaSouth Atlantic: Delaware, District of Columbia, Florida, Georgia, Maryland, North Carolina, South Carolina, Virginia, and West VirginiaEast South Central: Alabama, Kentucky, Mississippi, and TennesseeWest South Central: Arkansas, Louisiana, Oklahoma, and TexasMountain: Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Utah, and WyomingPacific: Alaska, California, Hawaii, Oregon, and Washington
2. How many FTE physicians does your practice currently have?
General Dermatology*
Mohs Surgeon*
Dermatopathology*
Plastic Surgeon*
3. How many FTE Mid-Level providers does your practice currently have?
NP*
PA*
4. How is your practice governed?*

Physician-Owned and Physician-GovernedCorporate-owned by Private Equity with external boardJoint Venture (e.g. MSO/Management Services Organization partnerships)Hospital or academic medical center governanceOther
5. Does your practice offer any of the following benefits to staff (Check all that apply)?*

Health InsuranceRetirement Savings PlansPaid Time Off (PTO)Life InsuranceDisability InsuranceFlexible Spending Accounts (FSAs or Health Savings Accounts (HSAs)Wellness ProgramsProfessional Development/Education Stipends
6. Does your practice have its own Dermatopathology lab?*

YesNo
7. Does your practice offer Superficial Radiation Therapy (SRT)?*

YesNo

ACCOUNTS RECEIVABLE
1. Please list the dollar value of your outstanding A/R at month-end by aging buckets as of 12/31/2024:
0-30 Days*
31-60 Days*
61-90 Days*
91-120 Days*
121+ Days*
2. How did your practice's accounts receivable change in 2024 compared to previous years?*

Decreased by less than 10%Decreased by 10% to 25%Decreased by more than 25%Increased by less than 10%Increased by 10% to 25%Increased by more than 25%No significant changes (+/- 5%)
3. Please indicate the percentage in A/R by pay source as 12/31/2024:
Medicare %*
Medicaid %*
BCBS/Anthem %*
United Healthcare %*
Cigna %*
Aetna %*
Tricare/VA %*
Other Commerical %*
Self-Pay %*
Total A/R %*
Value must equal 100
Value must equal 100
4. Please indicate the percentage of annual total practice Accounts Receivable by service type as 12/31/24:
Medical Dermatology %*
Cosmetic Dermatology %*
Surgical Dermatology %*
OTC Product Sales %*
Total %*
Value must equal 100
5. What percentage of AR did you write off as bad debt in calendar year 2024?*
6. Is the bad debt write off from 2024 more or less than prior year?*

More than 2023Less than 2023
7. What was the average gross revenue per patient in 2024 by service type?
Medical*
Cosmetic*
MOHS*
Plastic*
Dermatopathology*
8. What % of all charges resulted in a denial?*
9. Describe or list your top 2 to 3 denial types or reason code:*

OVERHEAD EXPENSES
Enter total dollar amount for each expense category in 2024:
1. Human resource costs*
All staff members' payroll and benefits such as salaries / hourly wage, payroll taxes, retirement plan / profit sharing contributions, medical and dental insurance premiums, training etc. Do NOT include doctors or mid-level providers such as physician assistants and nurse practitioners.
2. Medical supplies costs*
Medical, surgical and laboratory supply costs
3. Cosmetic supplies costs*
Cosmetic supplies and product costs-all direct costs for these supplies
4. Physical resource costs*
facility and equipment costs including items such as rent, leases, repairs and maintenance, telephone
5. Purchased services costs *
includes items such as outside professional fees – legal, accounting, payroll, Scrub allowance, etc. These costs would also relate to anything a practice could choose to outsource.
6. Information technology (IT) costs*
any cost associated with IT hardware, software or cloud technology services
7. Outsourced billing costs *
includes costs for outsourcing billing, beyond typical EDI billing system and statement costs
8. General and administrative costs*
all other office related costs like office supplies, marketing, advertising, malpractice insurance, printing and copying, scrub allowance

END
Should be Empty:

Mohs Surgery

Enter total dollar amount for each expense category in 2024: