We analyzed the public websites of 14,335 medical practices in 51 states. A typical practice is losing an estimated $109,800 to $183,000 a year to patients who couldn’t get through and booked somewhere else.
Share of practice websites offering each option. Every missing option is a patient who can give up before reaching the schedule.
Estimated monthly loss per typical practice, cities with 10+ medical practices in our data.
| # | City | Practices | Est. lost / month |
|---|---|---|---|
| 1 | Hattiesburg, MS | 42 | $10,200–$16,950 |
| 2 | Lafayette, LA | 13 | $9,950–$16,550 |
| 3 | Grand Junction, CO | 15 | $9,750–$16,350 |
| 4 | Flint, MI | 10 | $9,750–$16,300 |
| 5 | Santa Barbara, CA | 24 | $9,650–$16,050 |
| 6 | Huntington Beach, CA | 11 | $9,650–$16,050 |
| 7 | Towson, MD | 15 | $9,650–$16,050 |
| 8 | Paramus, NJ | 13 | $9,650–$16,100 |
| 9 | Statesboro, GA | 12 | $9,600–$16,000 |
| 10 | Williamsville, NY | 13 | $9,600–$16,000 |
| 11 | Cypress, TX | 11 | $9,600–$16,050 |
| 12 | Fremont, CA | 11 | $9,550–$15,900 |
| 13 | Pasadena, CA | 18 | $9,550–$15,900 |
| 14 | Stockbridge, GA | 10 | $9,550–$15,900 |
| 15 | Toms River, NJ | 13 | $9,550–$15,900 |
| 16 | Greenville, NC | 10 | $9,550–$15,950 |
| 17 | Murfreesboro, TN | 10 | $9,550–$15,900 |
| 18 | Garland, TX | 16 | $9,550–$15,900 |
| 19 | McAllen, TX | 18 | $9,550–$15,900 |
| 20 | Webster, TX | 14 | $9,550–$15,900 |
| 21 | Madison, AL | 10 | $9,500–$15,750 |
| 22 | Thousand Oaks, CA | 18 | $9,500–$15,850 |
| 23 | Ormond Beach, FL | 10 | $9,500–$15,800 |
| 24 | Boston, MA | 12 | $9,500–$15,750 |
| 25 | Lufkin, TX | 11 | $9,500–$15,850 |
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See your own practice’s numbers: free leak audit| State | Practices | No online booking | Est. lost / month |
|---|---|---|---|
| Alabama | 230 | 77% | $9,300–$15,450 |
| Alaska | 6 | 67% | $9,450–$15,800 |
| Arizona | 698 | 60% | $9,050–$15,100 |
| Arkansas | 108 | 60% | $9,100–$15,100 |
| California | 1,405 | 68% | $9,300–$15,500 |
| Colorado | 416 | 55% | $9,050–$15,100 |
| Connecticut | 122 | 76% | $9,300–$15,500 |
| Delaware | 90 | 66% | $9,100–$15,150 |
| District of Columbia | 31 | 71% | $9,050–$15,050 |
| Florida | 1,876 | 55% | $9,050–$15,100 |
| Georgia | 669 | 54% | $9,150–$15,250 |
| Hawaii | 9 | 44% | $9,000–$15,050 |
| Idaho | 142 | 54% | $9,200–$15,350 |
| Illinois | 315 | 70% | $9,250–$15,450 |
| Indiana | 158 | 63% | $9,300–$15,550 |
| Iowa | 81 | 73% | $8,850–$14,750 |
| Kansas | 70 | 80% | $9,400–$15,700 |
| Kentucky | 112 | 62% | $9,150–$15,200 |
| Louisiana | 161 | 76% | $9,250–$15,400 |
| Maine | 61 | 46% | $9,200–$15,350 |
| Maryland | 483 | 55% | $9,100–$15,150 |
| Massachusetts | 251 | 54% | $9,250–$15,400 |
| Michigan | 339 | 65% | $9,300–$15,500 |
| Minnesota | 125 | 62% | $8,950–$14,900 |
| Mississippi | 148 | 78% | $9,750–$16,150 |
| Missouri | 107 | 64% | $9,250–$15,450 |
| Montana | 41 | 51% | $9,050–$15,100 |
| Nebraska | 71 | 56% | $9,200–$15,350 |
| Nevada | 203 | 71% | $9,200–$15,350 |
| New Hampshire | 31 | 87% | $9,350–$15,650 |
| New Jersey | 492 | 50% | $9,100–$15,200 |
| New Mexico | 65 | 65% | $9,250–$15,500 |
| New York | 704 | 60% | $9,200–$15,350 |
| North Carolina | 478 | 51% | $9,100–$15,150 |
| North Dakota | 21 | 62% | $9,200–$15,300 |
| Ohio | 302 | 62% | $9,200–$15,300 |
| Oklahoma | 141 | 72% | $9,150–$15,250 |
| Oregon | 131 | 59% | $9,050–$15,050 |
| Pennsylvania | 308 | 64% | $9,250–$15,450 |
| Rhode Island | 25 | 64% | $9,200–$15,400 |
| South Carolina | 344 | 53% | $9,050–$15,050 |
| South Dakota | 14 | 50% | $9,000–$15,000 |
| Tennessee | 272 | 67% | $9,150–$15,250 |
| Texas | 1,461 | 62% | $9,150–$15,300 |
| Utah | 229 | 53% | $8,950–$14,950 |
| Vermont | 21 | 57% | $9,200–$15,350 |
| Virginia | 439 | 51% | $9,100–$15,200 |
| Washington | 186 | 60% | $9,300–$15,450 |
| West Virginia | 32 | 75% | $9,350–$15,550 |
| Wisconsin | 72 | 63% | $9,450–$15,800 |
| Wyoming | 39 | 46% | $8,950–$14,950 |
Across 14,335 medical practices we analyzed, a typical practice loses an estimated $9,150 to $15,250 a month to missed calls that never call back, no-shows that never rebook, cancelled slots left empty and overdue patients, plus the staff time spent chasing them.
40% of the medical practices we analyzed offer a way to book a real appointment online. 82% of their websites show no way to reach the office after hours.
Among cities with at least 10 medical practices in our data, the highest estimated monthly loss per practice is in Hattiesburg, MS; Lafayette, LA; Grand Junction, CO.
How these figures were built. From the public websites of 14,335 medical practices across the United States that we could read clearly. Each site was checked for seven things that decide whether a patient who can’t get through by phone still reaches the schedule. Dollar figures are estimates for a typical independent practice: our working figures for missed calls, no-shows, cancellations and overdue patients, adjusted for what each site offers and valued at the local front-desk wage (U.S. Bureau of Labor Statistics, May 2025). They are estimates, not measurements of any one practice. No practice is named on this page.