The Bulk Billing Practice Incentive Program (BBPIP) launched 1 November 2025. Practices that register and bulk bill every eligible patient for every eligible service receive an additional quarterly 12.5% incentive payment on every dollar of MBS benefit paid for eligible services. The 12.5% is split 50/50 between the GP and the practice. BBPIP is on top of existing MBS benefits and bulk billing incentives (BBIs).

How is the BBPIP payment calculated?

BBPIP = 12.5% of total MBS benefits paid for eligible services × 50% to GP + 50% to practice. For example: if a GP earns $400,000/year in MBS benefits for BBPIP-eligible services, the total BBPIP payment is $50,000/year ($400,000 × 12.5%), split as $25,000 to the GP and $25,000 to the practice. Payments are made quarterly.

BBPIP Calculator

Estimate your annual earnings from the Bulk Billing Practice Incentive Program — launched 1 November 2025

📋 Source: Australian Government Department of Health, Disability and Ageing — Bulk Billing Practice Incentive Program (BBPIP), launched 1 November 2025. Verify current rules, eligible items, and payment details at health.gov.au/BBPIP. MBS benefits used in this calculator are estimates — use your actual claiming data for accurate projections. This calculator is for planning purposes only and does not constitute financial advice.

How BBPIP works: Practices that register and bulk bill every patient for every eligible service receive an additional 12.5% quarterly incentive on all MBS benefits paid for eligible services. The 12.5% is split 50/50 — half to the GP, half to the practice. This is on top of your normal MBS benefits and existing bulk billing incentives.

Your role — who is using this calculator?

GP (individual) Practice owner / manager

Annual MBS benefits for eligible GP services ($)

This is the Medicare rebate amount paid by the government for your GP services — not the fee you charged the patient. It's also called your "MBS billings" or "Medicare benefits". Find it in Best Practice under Reports → Provider Statistics, or ask your practice manager. A typical full-time GP earns $250,000–$450,000 in MBS benefits per year.

Number of GPs at the practice

Current bulk billing rate

100% — we never charge gap fees ~80% — most patients bulk billed, some pay a gap ~50% — roughly half bulk billed, half private Mostly private — most patients pay a gap fee

BBPIP eligible services are unreferred GP services — essentially all standard GP consultation items and related services. This includes: standard consultations (items 23, 36, 44), telehealth (phone and video), chronic condition management items, mental health treatment plans (under the new arrangements), health assessments (715), after-hours items, and residential aged care attendances. Specialist services, diagnostic services ordered by the GP (pathology, imaging), and allied health services under a care plan are billed by the respective providers and are not affected.

BBPIP payments are made quarterly by Services Australia. The GP share goes directly to the GP's bank account registered with Medicare. The practice share goes to the practice. Both must have current bank account details registered with Services Australia (via HPOS or the Health Professional Online Services portal).

First quarterly payments were processed in January 2026 for the period November–December 2025.

BBPIP is all-or-nothing at the practice level. Every GP at the practice must bulk bill every eligible patient for every eligible service. If any GP at the practice charges a gap fee for any eligible service in a quarter, the entire practice loses the BBPIP payment for that quarter. This is an important consideration for practices with mixed-billing GPs or GPs who wish to maintain private billing for certain patient groups.

BBPIP — Bulk Billing Practice Incentive Program. A new government bonus payment that started November 2025. If your whole practice agrees to bulk bill every patient, the government pays you an extra 12.5% on top of your normal Medicare payments.

MBS benefits — The Medicare rebate the government pays for each GP consultation. For example, a standard Level B consultation (item 23) has an MBS benefit of $45.05. This is separate from any gap fee the patient pays.

Bulk billing — When the GP accepts the Medicare rebate as full payment, so the patient pays nothing out of pocket.

Gap fee — The difference between what the GP charges and what Medicare pays. If your fee is $80 and Medicare pays $45.05, the patient pays a $36.10 gap.

12.5% incentive — On top of your normal MBS payments, you get an extra 12.5% for every eligible consultation. This is split: half goes to the GP, half to the practice.

50/50 split — The BBPIP payment is divided equally between the individual GP and the practice owner. Both need to have their bank details registered with Services Australia to receive payments.

Quarterly payments — BBPIP is paid every 3 months (January, April, July, October) by Services Australia, not as each consultation is billed.

The key calculation: compare what you earn from gap fees versus what you'd receive from BBPIP. If your average gap per consultation is $30 and you see 20 patients per day, your daily gap revenue is $600 ($156,000/year). If your annual MBS benefits are $350,000, your BBPIP GP share would be $21,875/year — significantly less than the gap revenue foregone. However, if you are already bulk billing most patients, the additional BBPIP income is essentially free money. Most practices with current bulk billing rates above ~80–85% will likely benefit from BBPIP.