At Practice by Numbers, we believe in transparent pricing that scales with your communication needs — with no hidden fees and no markup from us.
Carrier-mandated and usage-based fees help you reliably reach patients through compliant communication channels. These charges apply only if your usage exceeds the included monthly allowances, ensuring you pay more only when your communication volume increases.
SMS Messaging
Each Practice by Numbers bundle includes a generous monthly allotment of SMS messages to support patient communication.
Included SMS Messages Per Bundle
Bundle | Included Texts per Month |
Core | 500 |
Flow | 2,500 |
Scale | 5,000 |
Thrive | 15,000 |
If your automated or bulk text usage exceeds your monthly limit, additional messages are billed using the tiered structure below to ensure continued delivery without interruption.
SMS Overage Pricing
Additional Text Volume | Cost |
0–1,000 texts | $25 |
1,001–2,500 texts | $42 |
2,501–3,000 texts | $54 |
3,001–5,000 texts | $75 |
5,001–7,500 texts | $99 |
7,501+ texts | $0.13 per text |
This tiered structure allows high-volume patient outreach while helping you maintain cost control.
A2P 10DLC Compliance
Required by Carriers, Managed for You
To ensure your messages are delivered securely and reliably through mobile carriers, all accounts must be registered for A2P 10DLC compliance.
These fees are mandated by carriers. Practice by Numbers does not profit from them — we simply pass through the required costs to ensure your campaigns remain compliant and uninterrupted.
One-Time Registration Fees (Per Location)
Low Volume Messaging
(Under 500 custom/bulk messages per day, per location)
$20 one-time registration fee per location
High Volume Messaging
(Over 500 custom/bulk messages per day, per location)
$60 one-time registration fee per location
Includes:
$20 standard registration fee
$40 secondary vetting fee
Upgrading from Low to High Volume
If you initially register as Low Volume and later upgrade:
$40 per location secondary vetting fee applies
No additional $20 registration fee is charged
Ongoing Monthly Fee
$10 per month, per location
Covers A2P campaign maintenance
VoIP Phone Minutes
Included (All Bundles):
5,000 minutes per month
Overage:
$0.01 per minute
This covers approximately 83 hours of talk time monthly — sufficient for most practice phone communication needs.
Fax Services (VoIP Bundle)
Included:
500 pages per month
Sent and received pages combined
Overage:
$0.08 per page
Covers typical medical office faxing needs, including patient records, insurance forms, and referral communications.
Email Campaigns
(Communication Bundles)
Available with:
Grow
Engage
Analyze
Core
Flow
Scale
Thrive
Included:
10,000 emails per month
Overage:
$0.001 per email
Supports extensive patient outreach and marketing campaigns.
Call AI Analysis
(Call AI Bundle)
Included:
5,000 minutes per month
Overage:
$0.04 per minute
Includes AI-powered call transcription and analysis for approximately 83 hours of calls monthly — ideal for comprehensive call monitoring and insights.
Fair Usage Policies
Practice by Numbers includes generous allowances for essential communication services. These limits are designed to accommodate typical practice usage patterns.
We expect only the busiest offices to exceed these thresholds. Most practices will never reach these limits during normal operations.
Why Fair Usage Works
Our fair usage approach ensures:
Predictable costs for typical practice operations
Transparent overage pricing with no surprise fees
Generous allowances that accommodate growth
A pay-as-you-scale model that grows with your practice
Most practices operate well within these limits during normal business operations.
Overage pricing is structured to remain fair and reasonable for practices requiring higher usage volumes, while maintaining service quality for all users.