We analyzed 439 medical practices in Virginia. A typical one is losing an estimated $109,200 to $182,400 a year. Virginia ranks 38 of 51 states (1 = highest loss).
Online booking in Virginia: 49%, 9% more than the national 40%. Front-desk time valued at $22.36 an hour, the Virginia average.
| City | Practices | No online booking | Est. lost / month |
|---|---|---|---|
| Leesburg | 12 | 58% | $9,350–$15,600 |
| Chesapeake | 12 | 50% | $9,300–$15,500 |
| Charlottesville | 14 | 79% | $9,250–$15,500 |
| Arlington | 25 | 60% | $9,150–$15,300 |
| Manassas | 10 | 70% | $9,150–$15,300 |
| Fairfax | 31 | 35% | $9,100–$15,150 |
| Alexandria | 25 | 56% | $9,100–$15,200 |
| Vienna | 11 | 45% | $9,050–$15,150 |
| Virginia Beach | 19 | 53% | $9,000–$15,050 |
| Woodbridge | 10 | 70% | $9,000–$15,050 |
| Reston | 19 | 21% | $8,850–$14,750 |
| Richmond | 19 | 32% | $8,700–$14,550 |
| Midlothian | 11 | 27% | $8,600–$14,350 |
Across 221 medical practices in these communities, a typical practice loses an estimated $9,150 to $15,250 a month, and 54% have no online booking. Towns where we analyzed fewer than 10 practices are counted in the Virginia figures above.
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See your own practice’s numbers: free leak auditA typical medical practice in Virginia loses an estimated $9,100 to $15,200 a month, based on 439 practices we analyzed. Front-desk time is valued at $22.36 an hour, the average for medical front-desk staff in Virginia.
49% do, 9% more than the national figure of 40%. The option most often missing is a chat or message box (87% of websites lack it).
Virginia ranks 38 of 51 for estimated monthly loss per typical medical practice (1 = highest loss).
How these figures were built. From the public websites of 439 medical practices in Virginia 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.