Provider Revenue Impact Calculator.

Providers are focused on protecting and growing revenue through better retention, higher program completion rates, and ensuring every intake investment yields a full care cycle. Use the calculator to estimate annual revenue at risk from patient dropout and how CHESS Health can have a meaningful financial impact on business and clinical outcomes through sustained recovery engagement.

Click each section to open. Enter your annual census and adjust the sliders to match your program’s rates. If you don’t operate a program type, check the skip box.
Medication-Assisted Treatment (MAT) / Opioid Treatment Program (OTP)
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Annual patient census
Enter your annual patient census for MAT / OTP.
Dropout rate (%)
Defaulted to the national average for MAT / OTP (43%). Adjust if your dropout rate differs from the national average.
Revenue per Completed Episode
$2,325$5,720 — 6-mo. Medicaid avg.$21,404
Default reflects a completed 6-month MAT episode at the national Medicaid OTP bundled rate of $220/week (26 weeks × $220). Slide to match your program’s contracted episode revenue.
$5,720
Typical episode length
14 days 90 days — benchmark 365 days
Adjust to reflect your program’s episode length. Per national average, MAT typically runs 6 months or longer.
180 days
Estimated annual patient attrition
Annual census × dropout rate
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Lost Revenue per Patient Dropout
Revenue per completed episode × (episode length ÷ 90-day benchmark)
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Intake replacement cost
Estimated attrition × $350 per patient to screen, onboard, and enroll a replacement
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Medication-Assisted Treatment (MAT) / OTP — estimated annual revenue at risk
(Attrition × revenue at risk per patient) + intake replacement costs
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Intensive Outpatient Program (IOP)
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Annual patient census
Enter your annual patient census for IOP.
Attrition rate (%)
Defaulted to the national average for IOP (50%). Adjust if your attrition rate differs from the national average.
Revenue per Completed Episode
$2,325$11,865 — midpoint$21,404
Default is the midpoint of the $2,325–$21,404 national range (French et al., 2008). IOP is billed fee-for-service — total episode revenue depends on your session frequency and contracted Medicaid rates. Slide to match your program’s actual episode revenue.
$11,865
Typical episode length
14 days 90 days — benchmark 365 days
Adjust to reflect your program’s episode length. IOP programs typically run 60–90 days.
90 days
Estimated annual patient attrition
Annual census × attrition rate
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Lost Revenue per Patient Dropout
Revenue per completed episode × (episode length ÷ 90-day benchmark)
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Intake replacement cost
Estimated attrition × $300 per patient to screen, onboard, and enroll a replacement
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Intensive Outpatient Program (IOP) — estimated annual revenue at risk
(Attrition × revenue at risk per patient) + intake replacement costs
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Residential Treatment
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Annual admissions
Enter your annual residential admissions.
AMA discharge rate (%)
Defaulted to the national average for Residential Treatment (17%). Adjust if your AMA rate differs from the national average.
Revenue per Completed Episode
$2,325$9,766 — national avg.$21,404
Default is $9,766 — the national average adult residential episode cost (NDAS 2022), which falls within the $2,325–$21,404 published range of revenue impact per lost patient (French et al., 2008). Slide to match your program’s contracted episode revenue.
$9,766
Revenue recovered on AMA discharge
0%40% — estimated default80%
AMA discharges typically result in partial billing recovery. Revenue at risk below reflects the unrealized portion of each episode.
40%
Estimated annual patient attrition (AMA exits)
Annual admissions × AMA discharge rate
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Lost Revenue per Patient Dropout (AMA)
Revenue per completed episode × (1 − recovery rate)
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Intake replacement cost
Estimated AMA exits × $450 per patient to screen, onboard, and enroll a replacement
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Residential Treatment — estimated annual revenue at risk
(AMA exits × lost revenue per patient dropout) + intake replacement costs
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Estimated annual revenue at risk by program
Medication-Assisted Treatment (MAT) / OTP—
Intensive Outpatient Program (IOP)—
Residential Treatment—
Total estimated annual revenue at risk
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Estimated Annual Revenue Impact

These figures represent potential revenue protection based on organization specific data provided on tab one and published outcomes from programs using CHESS Health’s recovery engagement tools. Actual impact depends on program implementation following best practices. Outcomes are not guaranteed.

MAT / OTP — Estimated Improvement in Patient Retention
Estimated 30% increase in patient retention.
Calculation: MAT / OTP revenue at risk × 30% estimated retention improvement.
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IOP — Increased Episode Completion and Reduction in Patient Attrition
Estimated 20% improvement in episode completion + 30% reduction in early dropout.
Calculation: IOP revenue at risk × 25% blended improvement rate (20% episode completion increase + 30% early dropout reduction).
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Residential — Reduction in AMA Discharge
Select the number of AMA discharges that could be avoided with consistent recovery support to calculate the cost savings.
Fewer AMA discharges per year
150
5
Revenue protected from reduced AMA discharges
Calculation: Number of AMA discharges avoided × lost revenue per patient dropout (revenue per completed episode × (1 − AMA recovery rate)).
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Estimated total annual revenue impact
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Revenue from alumni referrals, patient recapture (return-to-use), and family support impact on retention — all part of the eRecovery suite of solutions — are not reflected in these calculations.

Calculations

MAT & IOP — Revenue at risk:
Estimated annual attrition = census × dropout rate
Lost revenue per patient dropout = revenue per completed episode × (episode length ÷ 90-day benchmark)
Total risk = attrition × (lost revenue per patient dropout + intake cost)

Residential — Revenue at risk:
Estimated AMA exits = census × AMA discharge rate
Lost revenue per patient dropout (AMA) = revenue per completed episode × (1 − recovery rate)
Total risk = AMA exits × (lost revenue per patient dropout + intake cost)

MAT / OTP — CHESS Health impact:
Revenue protected = MAT revenue at risk × 30% estimated retention improvement

IOP — CHESS Health impact:
Revenue protected = IOP revenue at risk × 25% blended improvement rate (20% episode completion increase + 30% early dropout reduction)

Residential — CHESS Health impact:
Revenue protected = fewer AMA discharges (user-defined) × lost revenue per patient dropout (AMA)

National benchmarks & sources

InputDefaultSource
Revenue per completed episode / Lost revenue per patient dropout$2,325–$21,404French et al. (2008), Journal of Substance Abuse Treatment. MAT default: $5,720 (26 weeks × $220 Medicaid OTP bundled rate; Clemans-Cope et al., 2022). IOP default: $11,865 midpoint. Residential default: $9,766 (NDAS, 2022).
MAT 12-month dropout rate43%SAMHSA (2022); DeLisle et al. (2026), JAMA Network Open — 61.2% retention at 30 days, 41.5% at 90 days, 27.5% at 180 days across 260,000+ Medicaid patients
IOP attrition rate50%SAMHSA (2022); Blodgett et al. (2014) — 40–60% range; 30% withdraw within first 30 days
Residential AMA discharge rate17%Garland et al. (1998); Billings et al. (2019) — national avg. 17%; range 3–51%; SUD patients 3× more likely to leave AMA
Residential episode revenue$9,766National Center for Drug Abuse Statistics (NDAS, 2022)
AMA revenue recovery40%Estimated partial billing recovery on AMA discharge
Episode benchmark90 daysDeLisle et al. (2026), JAMA Network Open — cohort of 260,000+ Medicaid patients across 1,138 OTPs
MAT intake cost$350Program operational estimate
IOP intake cost$300Program operational estimate
Residential intake cost$450Program operational estimate
CHESS MAT retention improvement30%CHESS Health contingency management case study (2026); 294% increase in behavioral health services
CHESS IOP improvement25% blended20% episode completion increase + 30% early dropout reduction; Hussey, Gearhart & Flynn (2017), Case Western Reserve University
CHESS return-to-care reduction24%Oklahoma DMHSAS state contract study (CHESS Health White Paper); patients also stayed in treatment 37 days longer

Data sources

All national benchmarks are drawn from peer-reviewed research and federal data sources cited in the CHESS Health White Paper: The True Cost of Substance Use Disorders in the United States. Estimated CHESS Health impact reflects published outcomes and represents a potential range, not a guaranteed result.