We believe in transparent pricing that scales with your communication needs—no hidden fees, and no markup from us. These fees support your ability to reliably reach patients through carrier-compliant text messaging and are only applied when your usage grows.
SMS Messaging
Each Practice by Numbers bundle includes a generous monthly allotment of SMS messages to support patient communication:
Core – 500 texts/month
Flow – 2,500 texts/month
Scale – 5,000 texts/month
Thrive – 15,000 texts/month
If your automated or bulk text usage exceeds the monthly limit, simple pricing for additional messages ensures continued delivery without interruption:
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: $0.013 per text
This tiered structure helps you stay in control of costs while still enabling high-volume patient outreach when needed.
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, and Practice by Numbers does not profit from them. We simply pass through the required costs so your campaigns are compliant and uninterrupted.
Low Volume Messaging (under 500 custom/bulk messages per day, per location):
One-time registration fee of $20 per location.High Volume Messaging (over 500 custom/bulk messages per day, per location):
One-time registration fee of $60 per location (includes $20 standard fee + $40 secondary vetting).Upgrading from Low to High Volume:
If you switch to high volume later, a $40 per location secondary vetting fee applies. No additional $20 fee is charged.Ongoing Monthly Fee:
$10/month per location for A2P campaign maintenance.
Fair Usage Policies
Practice by Numbers includes generous allowances for essential communication services. These limits are designed to accommodate typical practice usage patterns, and we expect only the busiest offices to exceed these thresholds. Most practices will never reach these limits during normal operations.
VoIP Phone Minutes
Included: 5,000 minutes per month (all bundles)
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 combined)
Overage: $0.08 per page
*Covers typical medical office faxing needs including patient records, insurance forms, and referral communications.*
Email Campaigns (Communication Bundles)
Included: 10,000 emails per month
Overage: $0.001 per email
*Available with Grow, Engage, Analyze, Core, Flow, Scale, and Thrive bundles. Supports extensive patient outreach and marketing campaigns.*
Call AI Analysis (Call AI Bundle)
Included: 5,000 minutes per month
Overage: $0.04 per minute
*AI-powered call transcription and analysis for approximately 83 hours of calls monthly—ideal for comprehensive call monitoring and insights.*
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
• Pay-as-you-scale model that grows with your practice
Most practices operate well within these limits during normal business operations. The overage pricing is designed to be fair and reasonable for practices that require higher usage volumes while maintaining service quality for all users.