Optometry Key Metrics That Will Save Your Practice (and Your Sanity)

August 20, 2025
Topics: Vision
Written by: Keilani

Why Most Optometrists Are Flying Blind

Here’s a brutal truth: most optometrists don’t know their numbers.
They know they’re “busy,” but busy doesn’t always mean profitable.

It’s like trying to measure visual acuity without a phoropter—you’re just guessing. And in business, guessing will eat your profit margins alive.

The real winners? They’re tracking optometry key metrics religiously. They know exactly:

  • What their average revenue per patient is

  • How many no-shows they have a month

  • What percentage of patients are coming back

  • How much recurring revenue they’re stacking


How One Practice Went From ‘Break-Even’ to ‘Break-Out Growth’

Take Vision Plus Optometry. Two years ago, their waiting room was full, but their bank account wasn’t.

The problem? They didn’t know their numbers.
Once they started tracking:

  • MRR (Monthly Recurring Revenue)

  • ARR (Annual Recurring Revenue)

  • Patient Lifetime Value

  • Recall Rate

… they realized their real bottleneck was low recall rates and low average revenue per patient.

The solution?
They launched a BoomCloud™ membership plan at $30/month. Members got:

  • Annual exams

  • Exclusive discounts on eyewear

  • Priority scheduling

In 12 months:

  • MRR jumped to $9,200

  • ARR: $110,400

  • Patient lifetime value increased by 3.1x

  • Membership patients spent 2–4x more annually


The 7 Optometry Key Metrics You Must Track

Tracking these numbers isn’t optional—it’s the difference between running a business and running a charity.


1. Average Revenue Per Patient (ARPP)

This is your North Star.
Formula: Total Revenue ÷ Total Active Patients
Membership programs can skyrocket this number because patients buy more when they feel invested.


2. Monthly Recurring Revenue (MRR)

How much money is on autopilot every month?
Formula: Number of Active Members × Monthly Fee
BoomCloud™ makes this metric brain-dead easy to track.


3. Annual Recurring Revenue (ARR)

Same as MRR, but annualized.
Formula: MRR × 12
Pro tip: Use ARR to forecast hiring, marketing budgets, and expansion.


4. Recall Rate

Percentage of patients who return for their annual exam.
Goal: 85%+
Automated recalls + membership plans = recall rate magic.


5. Patient Lifetime Value (LTV)

How much an average patient spends over their lifetime.
Formula: ARPP × Number of Years Retained
Boost retention, boost LTV.


6. No-Show Rate

Every missed appointment is a hole in your revenue bucket.
Goal: <5%
Use SMS/email reminders and prepaid memberships to cut this in half.


7. New Patient Acquisition Cost (NPAC)

How much you spend to get a new patient in the door.
Formula: Total Marketing Spend ÷ New Patients
Track this to ensure your marketing is actually profitable.


Quick Wins to Improve Key Metrics

  • Launch a membership program to boost ARPP & MRR

  • Automate recalls to improve recall rates

  • Use BoomCloud™ dashboards for real-time MRR/ARR tracking

  • Send SMS reminders to reduce no-shows

  • Track NPAC to avoid wasting ad spend

  • Upsell specialty lenses or multiple pairs to increase ARPP


Why Membership Patients Are Your Secret Weapon

Here’s the “aha” moment: you don’t need more patients to grow—you need to make your current patients more valuable.

When a patient joins your membership plan, you’re not just securing one visit—you’re securing predictable revenue and loyalty.

Membership patients:

  • Come in more often

  • Spend more per visit

  • Refer more friends
    It’s a compounding effect that transforms your MRR and ARR without doubling your workload.


Case Study: BoomCloud™ + Metrics = Growth on Steroids

ClearSight Optometry started tracking their metrics and launched a BoomCloud™ plan at $25/month.

Before:

  • ARPP: $210/year

  • Recall Rate: 62%

  • MRR: $0

After 14 months:

  • ARPP: $630/year

  • Recall Rate: 87%

  • MRR: $7,500

  • ARR: $90,000

The kicker? They cut their marketing budget by 30% because their patient referrals skyrocketed.


By the Numbers: Why This Works

  • Practices tracking metrics grow 2x faster (Harvard Business Review)

  • Membership patients spend 2–4x more annually (BoomCloud™ data)

  • Automated recalls reduce no-shows by up to 41%

  • Increasing ARPP by just $50 can add tens of thousands in annual revenue


FAQs: Optometry Key Metrics

What’s the #1 optometry key metric to track first?
Average revenue per patient—it’s the easiest lever to pull for growth.

How often should I review my metrics?
Monthly for MRR/ARR, quarterly for LTV, recall rate, and NPAC.

Do I need special software?
BoomCloud™ for memberships + a practice management system with reporting.

What’s a good recall rate?
Aim for 85%+—anything less is leaving money on the table.

Can I increase ARPP without raising prices?
Yes—upsell premium lenses, offer multiple pairs, and add a membership program.


Stop Guessing, Start Tracking

The fastest way to grow your optometry practice isn’t more hustle—it’s more precision. Tracking your optometry key metrics gives you the clarity to make smarter decisions, boost loyalty, and increase patient value.

The math is simple:
Better metrics → Better actions → Bigger profits.


Take Action Now:

  • Download the million-dollar membership plan ebookClick Here

  • Take The Six-Figure Patient Membership Plan CourseClick Here

  • Schedule a Demo of BoomCloud™Click Here

  • Create Your BoomCloud™ Account For FREEClick Here

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Jordon Comstock

Author Bio

Jordon Comstock is the Founder & CEO of BoomCloud™, a software that allows practice, clinic & spa owners to build, manage and scale a membership program. This helps practice & clinic owners to create recurring revenue & improve loyalty via membership programs. Jordon is passionate about Music, Hawaii, Healthcare businesses like: dentistry, optometry, med spas and massage spas. Schedule a demo of BoomCloud™ and learn how membership programs can improve your business. Here are more dental books to improve your practice

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