Total RTM reimbursement before costs

Enter your clinic’s numbers below. We’ll show you projected monthly and annual RTM revenue using 2026 CPT rates — for both the Software-Only and Full-Service models.
Fill in your practice details on the left and click Calculate to see your RTM revenue potential using 2026 CPT rates.
Total RTM reimbursement before costs
After platform cost or revenue share
Projected annual RTM net revenue
| CPT Code | Description | Patients | Rate | Subtotal |
|---|
Same patient volume, same CPT codes. The difference is who does the monitoring and how the revenue splits.
This calculator uses general assumptions. Schedule a 15-minute call and we’ll model your specific payer mix, patient volume, and staffing situation — and give you a number you can take to your partners or CFO.
All projections use 2026 Medicare national non-facility Physician Fee Schedule rates. Commercial payer rates are modeled at comparable levels — actual commercial rates vary by plan and region.
The calculator applies CPT codes based on your engagement and monitoring profile — not a single blended rate. Patients who engage 2-15 days generate different codes than those who hit 16+ days. PTA billing reduction is applied when selected.
You’ll see projections for both Software-Only ($15/patient/month, you keep all revenue) and Full-Service (~55% revenue share, zero staff time) so you can compare them directly against your situation.
Medicare national non-facility Physician Fee Schedule • Updated January 2026
| Code | Description | Standard Rate | PTA Rate (85%) |
|---|---|---|---|
| 98975 | Initial setup & patient education (billed once per patient) | $21.71 | $21.71 |
| 98977 | Device supply, musculoskeletal, 16-30 days | $39.75 | $39.75 |
| 98985 New 2026 | Device supply, musculoskeletal, 2-15 days | $39.75 | $39.75 |
| 98979 New 2026 | Treatment management, first 10-19 minutes | $26.05 | $22.14 |
| 98980 | Treatment management, first 20+ minutes | $53.77 | $45.70 |
| 98981 | Treatment management, each additional 20 minutes | $41.80 | $35.53 |
Projections are estimates based on 2026 Medicare national non-facility Physician Fee Schedule rates and general assumptions about code mix and patient engagement. Actual reimbursement varies by payer, geographic location, payer contract terms, and patient engagement patterns. This calculator does not account for claim denials, adjustments, or collection rates. MovementRx does not guarantee specific revenue outcomes. Consult your billing team before implementing any RTM program.