Across 19 medical practices we analyzed in Richmond, a typical practice is losing an estimated $104,400 to $174,600 a year. That ranks 12 of 13 Virginia cities in our report (1 = highest loss).
| Richmond | VA | U.S. | |
|---|---|---|---|
| Est. lost / month, typical practice | $8,700–$14,550 | $9,100–$15,200 | $9,150–$15,250 |
| Websites with online booking | 68% | 49% | 40% |
| Websites with a way to reach the office after hours | 53% | 25% | 18% |
| Websites with texting the office | 11% | 20% | 21% |
| Websites with a chat or message box | 16% | 13% | 22% |
| Websites with office hours a patient can find | 68% | 60% | 64% |
| Websites with new-patient forms online | 79% | 82% | 74% |
The gap most Richmond practices leave open: texting the office, missing on 89% of websites.
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A typical medical practice in Richmond, Virginia loses an estimated $8,700 to $14,550 a month ($104,400 to $174,600 a year), based on 19 practices we analyzed there.
68% of Richmond medical practices offer real online booking, 20% more than the Virginia figure (49%). 47% of their websites show no way to reach the office after hours.
DocsMD texts every missed caller back within seconds, offers cancelled slots to the practice’s waitlist and invites overdue patients back in, using the exports the practice’s system already produces. Practices can try it free for 30 days, set up online.
How these figures were built. From the public websites of 19 medical practices in Richmond, VA 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.