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Financial Impact Assessment
What Is the EEG Gap Costing Your Hospital?
Estimate the annual revenue leaving with EEG-related transfers, the bed days lost to diagnostic delay, and the whole-picture opportunity when pediatric and point-of-care EEG stay in-house. Adjust any input to reflect your facility's actual data.
Choose Your Facility Type
Selecting a facility type loads suggested defaults. All inputs remain editable.
Build Your Program View
Traditional TeleEEG — routine, STAT, and long-term video EEG — is always included. Add expansions to see the whole-picture opportunity.
★ Required — enter your actual data
Customize — adjust to your market
Benchmarks — published benchmark; adjust if needed
Your Facility Inputs
1
EEG-Related Transfers
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Monthly Neurology Transfers Out ★ Required
The average number of neurology patients transferred to another facility each month. Your transfer center or case management team can provide this figure.
pts/mo
Share of Transfers Related to EEG Access Customize
The percentage of neurology transfers driven by the inability to obtain or interpret an EEG locally — seizure workups, altered mental status, and status epilepticus rule-outs. Published analyses identify roughly 20% of tertiary neuroscience transfers as potentially avoidable overall2; the default is a planning assumption for facilities without local interpretation, not a published rate. Validate with your transfer logs: count neurology transfers over 6–12 months with a documented "EEG or monitoring unavailable" reason, and replace this default with your actual share.
%
0%50%100%
Net Revenue Lost Per Transfer Benchmark 1
Definition: the net patient revenue that leaves with each transferred episode — admission, diagnostics, ancillaries, and professional fees, net of contractual adjustments. Published transfer analyses place this above $15,000 per transfer1. For the most conservative view, enter your contribution margin per neurology admission instead (published average ≈ $10,8001). Your finance team can supply either figure by MS-DRG; seizure admissions are MS-DRG 100–101.
$
/transfer
Share Retainable With 24/7 EEG Coverage Customize
A conservative planning factor for the share of EEG-related transfers that could remain local with on-demand interpretation in place. The default of 72% applies only to transfers classified as EEG-related in the field above — when EEG access is the documented reason for transfer, providing that access removes the driver. Some patients will still require tertiary care regardless. Validate with a chart sample: review 20–30 EEG-related transfers and classify each as "transferred solely for EEG access" versus "needed higher-level care anyway."
%
0%50%100%
2
Length of Stay & Throughput
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Monthly EEG Orders ★ Required
Total inpatient EEG studies ordered per month — or, if EEG is unavailable, the estimated monthly demand your neurodiagnostics team believes exists.
/mo
Bed Days Added Per Study by EEG Delay Customize
The average length-of-stay added while patients wait for an EEG or its interpretation. Economic modeling of rapid EEG access documents 1.1 fewer hospital days per patient when the EEG answer arrives sooner4; the default reflects a conservative fraction of that finding.
days
Value Per Inpatient Bed Day Benchmark 7
The combined cost-avoidance and backfill value of a recovered bed day. AHA Hospital Statistics places the average cost per inpatient day near $2,8007; the default is set conservatively below that figure.
$
/day
3
Pediatric / Neonatal EEG
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Monthly Pediatric / NICU EEG Cases Sent Out ★ Required
Pediatric and neonatal patients transferred out — or studies sent to an outside reader — because pediatric EEG interpretation is not available locally each month.
/mo
Revenue Lost Per Pediatric Case Customize
Pediatric transfers frequently involve specialized transport and longer tertiary stays, and each one moves a family's care relationship — deliveries, pediatrics, ED visits — out of your system. Set this to your pediatric case-mix value; the default reflects the episode alone, not the downstream family relationship.
$
/case
Share Retainable With Pediatric Coverage Customize
Set conservatively below the adult retention factor — some pediatric and neonatal cases genuinely require tertiary or children's hospital care regardless of local EEG access.
%
0%50%100%
4
Point-of-Care EEG
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Monthly Suspected-Seizure Presentations ★ Required
ED and ICU patients each month with altered mental status or suspected seizure where an EEG answer would change management. Electrographic seizures are detected in roughly 19% of monitored critically ill patients, and most are nonconvulsive — invisible without EEG6.
/mo
Share Where Bedside EEG Informs Care Customize
In the multicenter DECIDE trial, point-of-care EEG changed clinical management in approximately 40% of patients with suspected seizures5. The default is set below the trial finding as a conservative planning assumption.
%
0%50%100%
Savings Per Informed Case Benchmark 4
Peer-reviewed economic modeling found rapid-access EEG saved $5,633 per use case, driven by 1.1 fewer hospital days and 0.5 fewer ICU days per patient — largely from avoided empiric treatment and unnecessary ICU escalation4. Point-of-care EEG has also been shown to shorten ICU length of stay versus conventional EEG in multicenter trial data3.
$
/case
Monthly Transfers Avoided by Bedside Rule-Out Customize
Patients who would otherwise transfer for "possible seizure" who stay when a bedside EEG answers the question in minutes. Valued at your revenue-lost-per-transfer figure from Section 1.
/mo
5
Program Investment (Optional)
▼
Estimated Annual Program Investment Customize
Optional. Enter an estimated annual program cost to see net annual impact, return multiple, and payback period. Leave at zero to view the gross opportunity only.
$
/yr
Estimated Annual Financial Impact
Transfer Revenue Retained
...
EEG-related transfer cases kept in-house annually
Bed Days & Throughput Recovered
...
Value of bed days lost to EEG diagnostic delay
Pediatric / Neonatal Retention
...
Pediatric cases — and families — kept in your system
Point-of-Care Utilization Avoided
...
Avoided ICU escalation, empiric treatment, and rule-out transfers
Net Annual Impact
...
Total Annual Opportunity
...
Estimated annual retention and efficiency opportunity with TeleEEG in place
What Drives This Estimate
How This Is Calculated
Annual Opportunity by Program Module
Traditional TeleEEG — routine, STAT, and long-term video EEG — is the base program. Pediatric/Neonatal and Point-of-Care are opt-in expansions that run on the same implementation, workflow, and clinical team. Toggle modules above to include them.
ModuleDriverAnnual Value
Why Studies Leave — and What Keeps Them
Without on-demand interpretation, an EEG order becomes a transfer decision. Nearly 20% of transfers to tertiary neuroscience services have been identified as potentially avoidable2, and among critically ill patients, most seizures are nonconvulsive — undetectable without an EEG at the bedside6. Every study read in-house keeps the patient, the episode revenue, and the downstream relationship — epilepsy and seizure patients alone generate an average of $8,388 in downstream reimbursement per patient8 — inside your walls.
For Your CFO — "What does this do to margin?"
For Your CEO — "What does this do to our market?"
For Your COO — "What does this do to throughput?"
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Get your assessment.
Enter your name and email to receive a branded PDF of these results. Figures are illustrative planning estimates.
Benchmark Sources
  • 1 Transfer economics: the default reflects net patient revenue per transferred episode. Published interfacility transfer analyses, 2024–2025, place combined transfer cost and lost episode value above $15,000; published average contribution margin per inpatient admission — the most conservative measure of loss — is approximately $10,800. Substitute your facility's net revenue or contribution margin by MS-DRG (seizure admissions: MS-DRG 100–101).
  • 2 Identification and Cost of Potentially Avoidable Transfers to a Tertiary Care Neurosurgery Service: A Pilot Study. Neurosurgery. 2016. (Nearly 20% of transfers identified as potentially avoidable; $1.46M direct transport cost over two years.)
  • 3 Evaluating the Impact of Point-of-Care Electroencephalography on Length of Stay in the Intensive Care Unit: Subanalysis of the SAFER-EEG Trial. Neurocritical Care. 2024.
  • 4 Ney JP et al. Modeling the economic value of rapid response EEG in the inpatient hospital setting. Journal of Medical Economics. 2021. ($5,633 saved per use case; hospital LOS reduced 1.1 days; ICU LOS reduced 0.5 days.)
  • 5 Vespa PM et al. Evaluating the Clinical Impact of Rapid Response Electroencephalography: The DECIDE Multicenter Prospective Observational Clinical Study. Critical Care Medicine. 2020. (Point-of-care EEG changed clinical management in ~40% of patients.)
  • 6 Claassen J et al. Detection of electrographic seizures with continuous EEG monitoring in critically ill patients. Neurology. 2004. (Seizures detected in 19% of monitored patients; 92% nonconvulsive.)
  • 7 AHA Hospital Statistics. 2024. (Average cost per inpatient day approximately $2,800.)
  • 8 Callaghan BC et al. Downstream Revenue Generated After Visits to Neurologists. Neurology Clinical Practice. 2025. (Epilepsy/seizure downstream reimbursement: $8,388 mean per patient; Medicare claims analysis, 2015–2019.)
Important note: This calculator produces illustrative estimates based on published benchmarks, planning assumptions, and user-entered inputs. Results are provided for informational and planning purposes only; they do not constitute a financial projection, a guarantee of savings or revenue, or financial, legal, reimbursement, or clinical advice. Actual results will vary based on facility volumes, payer mix, market conditions, and program configuration. Cited benchmarks reflect the referenced publications and may not represent your facility's experience. Please validate all figures against your own data before use in budgeting or formal decision-making.  |  866.785.7769  |  marketing@tstelemed.com  |  tstelemed.com  |  © 2026 TeleSpecialists®. All Rights Reserved.
Financial Impact Assessment
EEG Financial
Impact Assessment
Prepared For
Email
Date
Facility Type
Program scope:
Total Annual Opportunity
Results Summary
What Drives This Estimate
How This Is Calculated
Executive View
For Your CFO — "What does this do to margin?"
For Your CEO — "What does this do to our market?"
For Your COO — "What does this do to throughput?"
Your Inputs
InputTypeValue
Benchmark Sources
  1. Transfer economics: the default reflects net patient revenue per transferred episode. Published interfacility transfer analyses, 2024–2025, place combined transfer cost and lost episode value above $15,000; published average contribution margin per inpatient admission — the most conservative measure of loss — is approximately $10,800. Substitute your facility's net revenue or contribution margin by MS-DRG (seizure admissions: MS-DRG 100–101).
  2. Identification and Cost of Potentially Avoidable Transfers to a Tertiary Care Neurosurgery Service: A Pilot Study. Neurosurgery. 2016.
  3. Evaluating the Impact of Point-of-Care Electroencephalography on Length of Stay in the Intensive Care Unit: Subanalysis of the SAFER-EEG Trial. Neurocritical Care. 2024.
  4. Ney JP et al. Modeling the economic value of rapid response EEG in the inpatient hospital setting. Journal of Medical Economics. 2021.
  5. Vespa PM et al. The DECIDE Multicenter Prospective Observational Clinical Study. Critical Care Medicine. 2020.
  6. Claassen J et al. Detection of electrographic seizures with continuous EEG monitoring in critically ill patients. Neurology. 2004.
  7. AHA Hospital Statistics. 2024.
  8. Callaghan BC et al. Downstream Revenue Generated After Visits to Neurologists. Neurology Clinical Practice. 2025.
Important note: This assessment produces illustrative estimates based on published benchmarks, planning assumptions, and user-entered inputs. Results are provided for informational and planning purposes only; they do not constitute a financial projection, a guarantee of savings or revenue, or financial, legal, reimbursement, or clinical advice. Actual results will vary based on facility volumes, payer mix, market conditions, and program configuration. Please validate all figures against your own data before use in budgeting or formal decision-making.  |  866.785.7769  |  marketing@tstelemed.com  |  tstelemed.com  |  © 2026 TeleSpecialists®. All Rights Reserved.

Nattasha Acevedo, MD

Dr. Acevedo received her medical degree from the Ponce School of Medicine in Puerto Rico and did her neurology residency at Montefiore Medical Center in New York. She went on to do a clinical neurophysiology fellowship at Emory School of Medicine in Atla nta, Georgia and then joined private practice in Fort Myers, Florida. She currently resides in San Juan, Puerto Rico. She likes running, paddle boarding and spending time with family.
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Bernadette Borte, MD

Dr. Borte received her medical degree from St. Matthew’s University School of Medicine in Grand Cayman. She completed her neurology residency at the University of Iowa Hospitals and Clinics in Iowa City, Iowa. Her areas of interest include inpatient neurology and acute stroke. When not working, she enjoys spending time outdoors with her family. Dr. Borte joined the TeleSpecialist family in March of 2019.
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Mazen Almidani, MD

Dr. Almidani is board certified in pediatrics by the American Board of Pediatrics and board certified in epilepsy, as well as neurology with special  qualification in child neurology by the American Board of Psychiatry and Neurology.  Dr. Almidani is happily married with 4 children. His oldest son has autism and his daughter has complicated seizures; both were a drive for him to become a neurologist. Dr. Almidani enjoys soccer, running and spending time with his family. He is very involved with his sons’ therapy and helping with daily challenges. He is double board certified in Pediatric and Adult Neurology and Epilepsy. He sees children and adults. He also participates in charities for children in Syria who may be underprivileged and/or affected by the war. Dr. Almidani joined TeleSpecialists in August 2020.
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Amanda Cheshire, MD

Dr. Cheshire received her medical degree from the University of Louisville School of Medicine in Louisville, Kentucky. She completed her neurology residency at the University of Cincinnati Medical Center in Cincinnati, Ohio. She did a fellowship in neurophysiology at the University of Michigan Medical School in Ann Arbor, Michigan. Dr. Cheshire is double board certified in neurology and clinical neurophysiology. She enjoys traveling, reading and music. She currently resides in Viera, Florida.  Dr. Cheshire joined TeleSpecialists in June 2019.
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Jessica Floyd, MD

Dr. Floyd completed her neurology residency at Mayo Clinic in Jacksonville, Florida followed by fellowship training in clinical neurophysiology with focus in EEG and epilepsy at the Medical University of South Carolina in Charleston, South Carolina. She has particular interest in hospital neurology and patient education as well as the blossoming specialty of lifestyle medicine. She strives to take advantage of every encounter with patients and medical staff to empower them to do their own research into how daily thoughts, choices, and habits can add up to create greater and longer-lasting brain and neurologic health for ourselves and our loved ones. She lives in Florence, South Carolina with her awesome husband of 13 plus years and three beautiful children. She is an avid yogi, astrologer, and lover of food and all things neurology! Dr. Floyd joined the TeleSpecialist family in July 2017.
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Nancy Futrell, MD

Dr. Futrell received her medical degree from the University of Utah in Salt Lake City, Utah. She also did her neurology residency at the University of Utah as well as a research fellowship in cerebral vascular disease at Jackson Memorial Hospital in Miami, Florida. She currently resides in Salt Lake City, Utah. She has authored 2 books and 50 peer reviewed papers. 
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Rebecca Jimenez-Sanders, MD

Dr. Jimenez Sanders received her undergraduate degree from Emory University, and her medical degree from the San Juan Bautista School of Medicine in Puerto Rico. She completed her neurology residency at the University of South Florida in Tampa, Florida, where she also did a specialized headache medicine and facial pain fellowship. She currently resides in Tampa, Florida with her husband and her two daughters. She is also fluent in Spanish and Italian languages, and enjoys photography, baking, boating, and biking.
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Cory Lamar, MD

Dr. Lamar received his medical degree from Meharry Medical College in Nashville, Tennessee. He completed his internship and residency at Wake Forest Baptist Health in Winston Salem, North Carolina. Following residency, he completed a clinical fellowship in neurophysiology, with a concentration in epilepsy. He currently resides in Florida and enjoys outdoor activities.
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Clifford Meyers, MD

Dr. Meyers received his medical degree from Brown University in Providence, Rhode Island and his MBA from the Simon School of Business at the University of Rochester in Rochester, New York. He completed his neurology residency at the University of Rochester, where he also did a neurophysiology fellowship. Dr. Meyers resides in Webster, New York with his wife and daughter. When not doing teleneurology, he enjoys playing sports with his wife and daughter.
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Tao Tong, MD

Dr. Tong received her medical degree from the University of Miami School of Medicine in Miami, Florida. She completed her neurology residency at Jackson Memorial Hospital in Miami, Florida, where she also did a neuromuscular/EMG fellowship.  She currently resides in College Station, Texas. Dr. Tong is married with two boys. She enjoys spending time with her family, traveling and reading.
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Shubhangi Chumble, MD

Dr. Chumble attended BJ Medical School. She is a board certified neurologist with a subspeciality interest in sleep medicine. Dr. Chumble did her residency at Howard University in Washington DC and has practiced neurology since 2001 in private and corporate settings. She lives in Melbourne, Florida and loves the sunshine state. Her hobbies include yoga, meditation, cooking , traveling and meeting new people. She also loves to do stained glass, pottery and painting. She joined TeleSpecialists in June 2019.
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