Patients without a portal account had on average fewer outpatient visits per month (0.31 vs 0.89, P<.001) and fewer inpatient visits per month (0.007 vs 0.059, P<.001), but had more ER visits per month than patients who were active with the portal (0.047 vs 0.014, P<.001). The difference between no-show appointments was not significant..