SuiteMed Solutions Quote Calculator
Practice Specialty Details
Practice Specialty Description*
Health Dept, Family Medicine, Pediatric, etc., select all that apply.
Number of Specialty Training Factor*
Family=2; Health Department=3; Other=1 (i.e. Peds, OB, Allergy, etc.)
How many days is your practice open during the typical work week?*
Number of Office Locations*
Number of computers (total for all offices)*
Count all PCs, Tablets, Servers, Faxes, Etc.
Number of full time physicians (total for all offices)*
Number of PAs and MAs (total for all offices)*
Number of NPs (total for all offices)*
Number of DC/DPM - Podiatrists/PT (total for all offices)*
Number of Chiro/PT/Psychologists/SW (total for all offices)*
Number in your practice who can sign prescriptions (total for all offices)*
Is yours a multilingual practice (other than English and Spanish)?*
If so please select the language(s), select all that apply.
Does your practice offer dental Services?*
Yes
No
Plan to
What Lab Service(s) do you use?*
None
LabCorp
Quest
LabCorp & Quest
Other
Primary Hospital Affiliation*
Does your patient base consist of at least 30% Medicaid or 20% Medicare OR do you not qualify stimulus funding?*
Medicaid
Medicare
No Stimulus
Is your practice 20% Pediatric?*
Yes
No
What is the dollar amount of your Medicare Billing?* Confirms ARRA stimulus funds.
Is your practice in a Federal Class Rural Area?*
Yes
No
Do you participate in the NC Immunization Registry?*
Yes
No
What is your estimated number of patients per day (total for all offices)?*
What is the estimated number of prescription refill requests per day (total for all offices)*
What is the estimated number of Patient Files that get pulled daily that are not seen?*
What is the dollar amount of your annual Malpractice Insurance premiums?*
Do you currently use a Transcription Service?*
No
Yes - In House
Yes - Out Source
