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DocGina said:Agreed. Taj - I hope I answered your original question about MD versus DO salaries and I hope that you enjoy your career as a physician if that is ultimately what you end up doing.
I am starting my DO/MBA program in August. I have been in healthcare finance for the last 8 years doing financial assessments of hospitals and physician practices. I have consulted with the managers, hospital CEO's and CFO's, and physician owners to thoroughly understand how they manage their businesses. Ultimately, I will end up in my spare time volunteering on a hospital's board of directors and consulting for other physicians as to put this knowledge to good use. So here we go:
How much money you will make as a physician will depend on:
1.) Whether or not you decide to work for a hospital or have your own practice.
2.) If you have good business and people skills, then you will most likely make more money having your own practice.
3.) If you go into a specialty, most likely you will make more money but again, this all has to do with how well you manage your practice. If you can't collect the cash from insurance companies, than you won't have the cash on hand regardless if you billed for it 3 months prior. I recommend hiring a good billing manager or factoring your receivables. That way, you won't spend time trying to collect from insurance companies, which can be difficult.
4.) Both DO/MD's bill insurance companies the same amount of money for the same procedure. Hence, the money that you make depends on how many patients you see, what type of case mix you have (eg, what type of procedures you do), and the amount of operating expenses you incur (eg, equipment expenses, staff and employee benefit expenses, supply expenses, malpractice insurance premiums, rent expense, etc.).
5.) There is no set difference in salaries that hospitals pay for physicians. The hospital annually budgets a certain amount for physician salary expense. They do not have separate budgets for DO salaries versus MD salaries. Ultimately, the salary of the physician (MD or DO) is determined by the negotiating skills of the physician and hospital during the hiring process.
6.) Also I will expand on location a little bit. If you set up a location in an area where there are many physician practices, you will have to compete for patients. There are many factors that will determine the intensity of competition including population size, participation in insurance networks that you are in, etc. However, if you set up shop as a specialist in an area that has no other or very few other physician practices of your specialty, you will probably make more money because many patients will go to the closest doctor for convenience. Some people will travel, but many people will go to a doctor who is near their job or home. Also, you need to find out what types of insurance networks are most popular in the area where you set up your practice. Many people call their insurance companies to find a doctor in their area. If you participate in their plans, then you will get patient referrals from insurance companies in your area.
5.) Specialists usually make more money because they can bill more for procedures they perform.
6.) If you go into family practice, you will most likely end up doing procedures that you will bill less for, so you will have to make it up by seeing more patients or doing more complex procedures. Additionally, if you are located in urban areas or rural areas, you can become a designated rural care provider or disproportionate share provider so you automatically get to bill a higher rate versus the allotted DRG ("Diagnostic Related Group", aka, set amount of money that Medicare will pay for a specific procedure).
Hope that helps answer your question a little more precisely.
wow thanks for replying, that was good info. good luck to you!!