Free calculator

Comp-split calculator for a new PMHNP or therapist hire

Model what a new clinician costs and earns for your practice: revenue split, per-visit, hourly or salary plus bonus, with overhead, payroll costs and a month-by-month ramp-up.

Example values, not benchmarks. Every number pre-filled below is an illustrative example so the calculator works out of the box. It is not a typical or recommended rate. Replace each one with your own figures. Runs entirely in your browser; nothing you type is sent or stored. Not legal or tax advice.

1. Visits and collections

Average collected per visit$What you actually receive, not your feeVisits per week at full volumeWorking weeks per yearAfter vacation and holidays

2. Pay model

Compensation modelClinician share of collections%Pay per completed visit$Hourly rate$Guaranteed hours per weekAnnual base salary$Bonus: share of collections above threshold%Bonus threshold (annual collections)$Bonus is estimated monthly against 1/12 of this

Worker type

W-2 employee 1099 contractor

Classification is decided by the real working relationship. See the guide.

Employer payroll taxes%7.65% = Social Security + Medicare employer share; add state unemployment, FUTA and workers’ comp if you likeBenefits per month$Health, retirement match, CME, etc.

3. Monthly overhead for this clinician

EHR seat$Billing fee (% of collections)%Outside biller or RCM; 0 if you bill in-houseMalpractice (monthly)$Collaborating physician fee$Only where your state requires oneOther (phones, space, software, admin time)$Who pays overhead?Charge-backs reduce clinician pay. For W-2 employees, get legal review first.

4. Ramp-up

Months to reach full volumeStarting volume (% of full)%Payment lag (months)How long until visits turn into cash

Results at full volume

Collections

Clinician pay

Total clinician costpay + employer taxes + benefits

Overhead

Practice net

Practice marginnet ÷ collections

Break-even visits / weekat full-volume economics

Lowest cumulative cashroughly what to have set aside

Cumulative back above $0

Month-by-month ramp (first 12 months)

Mo.	Volume	Visits	Cash in	Clinician cost	Overhead	Net	Cumulative

Figures are per month. Visits per month = visits per week × working weeks ÷ 12. Volume rises in a straight line from the starting % to 100% over the ramp months. Cash in a given month is what was earned the chosen number of months earlier. Split and billing fees are calculated on cash received. Per-visit, hourly and salary pay are owed in the month the work is done. Payroll tax is applied as a flat % (the Social Security wage base and FUTA cap are ignored). This is a planning estimate, not an accounting or tax calculation.

Read the companion guide: Hiring your first PMHNP or therapist: a small-practice playbook, covering W-2 vs. 1099, overhead, credentialing and non-competes.

Disclaimer: This site covers administrative and operational workflows only. It is not clinical, legal, or compliance advice. Pricing and BAA status come from vendor sites or third-party reviews as of the date shown and can change – confirm directly with each vendor and your compliance advisor before using any tool with protected health information.