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California · October 2026

California medical practices: what missed calls and empty slots cost

We analyzed 1,405 medical practices in California. A typical one is losing an estimated $111,600 to $186,000 a year. California ranks 8 of 51 states (1 = highest loss).

$9,300–$15,500estimated lost each month by a typical practice
68%of practice websites don’t offer real online booking
87%of practice websites don’t show a way to reach the office after hours

What patients can do on California practice websites

Online booking
32%
A way to reach the office after hours
13%
Texting the office
24%
A chat or message box
23%
Office hours a patient can find
67%
New-patient forms online
60%
Tap-to-call on a phone
84%

Online booking in California: 32%, 7% fewer than the national 40%. Front-desk time valued at $27.09 an hour, the California average.

Cities in California

CityPracticesNo online bookingEst. lost / month
Santa Barbara2475%$9,650–$16,050
Huntington Beach1191%$9,650–$16,050
Fremont1173%$9,550–$15,900
Pasadena1878%$9,550–$15,900
Thousand Oaks1878%$9,500–$15,850
Torrance2576%$9,450–$15,700
Temecula1377%$9,450–$15,750
Chula Vista1486%$9,450–$15,700
Fresno2374%$9,400–$15,650
San Francisco3656%$9,400–$15,600
Roseville1275%$9,400–$15,600
Bakersfield2665%$9,350–$15,550
Beverly Hills5975%$9,350–$15,500
Burbank1553%$9,350–$15,550
Riverside1878%$9,300–$15,500
San Diego5167%$9,300–$15,450
Encino1457%$9,300–$15,450
Los Angeles10378%$9,300–$15,500
Pomona1164%$9,250–$15,450
Sacramento2378%$9,250–$15,400
Fountain Valley1362%$9,250–$15,400
Santa Monica1861%$9,250–$15,350
Newport Beach4766%$9,200–$15,300
Irvine3247%$9,200–$15,250
Monterey1040%$9,200–$15,250
Long Beach1765%$9,150–$15,250
Encinitas1443%$9,050–$15,000
San Luis Obispo1050%$9,000–$14,950
San Jose1839%$8,950–$14,900
Walnut Creek1070%$8,950–$14,900
Glendale1155%$8,850–$14,750
Mission Viejo1471%$8,700–$14,450

Smaller towns and rural California

Across 666 medical practices in these communities, a typical practice loses an estimated $9,350 to $15,550 a month, and 67% have no online booking. Towns where we analyzed fewer than 10 practices are counted in the California figures above.

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Questions

How much do medical practices in California lose to missed calls and no-shows?

A typical medical practice in California loses an estimated $9,300 to $15,500 a month, based on 1,405 practices we analyzed. Front-desk time is valued at $27.09 an hour, the average for medical front-desk staff in California.

Do medical practices in California offer online booking?

32% do, 7% fewer than the national figure of 40%. The option most often missing is a way to reach the office after hours (87% of websites lack it).

How does California rank?

California ranks 8 of 51 for estimated monthly loss per typical medical practice (1 = highest loss).

How these figures were built. From the public websites of 1,405 medical practices in California 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.

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Missed-Patient Report · updated October 2026