2025 telepsych rates

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
8

80wz34

New Member
5+ Year Member
Joined
May 24, 2018
Messages
2
Reaction score
0
What are people seeing these days for hourly rates for some of these telepsych companies like Talkiatry? I just met with a recruiter for a 1099 position at one of these companies and the pay was $120 for 60-minute intakes and $80 for 30-minute follow ups. Seems low, no?
Members don't see this ad.
 
I mean you're doing it from your home without any commute. That's a huge plus for you that you aren't going to find most places nowadays, so yes, they can pay much, much less.
 
Members don't see this ad :)
80wz34 said:
What are people seeing these days for hourly rates for some of these telepsych companies like Talkiatry? I just met with a recruiter for a 1099 position at one of these companies and the pay was $120 for 60-minute intakes and $80 for 30-minute follow ups. Seems low, no?
Click to expand...
That’s low but some people esp NPs may accept it. Iris telehealth rates were significantly higher than that last time I looked

Talkiatry is w2 work and I’ve heard that they pay 3-350k for full time with bonus. They fill your schedule and there is little to no admin time but you get benefits.
 
comp1 said:
I mean you're doing it from your home without any commute. That's a huge plus for you that you aren't going to find most places nowadays, so yes, they can pay much, much less.
Click to expand...
Most people around me commute 10-25 minutes and make dramatically more than these nonsense telepsych companies pay. I'm not sure how huge a plus that is. I work from home when I'm physically ill or if my child is ill and my patient's complete understand since I am in-person 95+% of the time and the relationship is established.
 
You are way better off looking at traditional outpatient jobs and negotiating to a hybrid schedule. You're going to be busy with no admin time in a Talkiatry type job, I don't see a major benefit to working from home all the time, at least not to the point where I would take a significant pay cut.
 
Merovinge said:
Most people around me commute 10-25 minutes and make dramatically more than these nonsense telepsych companies pay. I'm not sure how huge a plus that is. I work from home when I'm physically ill or if my child is ill and my patient's complete understand since I am in-person 95+% of the time and the relationship is established.
Click to expand...
Hey, I totally get it and agree. That said, nearly every position I post, people seem to assume it's 100% virtual even though it clearly says it is not and the salary is the (literal, confirmed) local average. I don't think job applicants quite get that you are often paid a premium to work on a site now over fully virtual.
 
80wz34 said:
What are people seeing these days for hourly rates for some of these telepsych companies like Talkiatry? I just met with a recruiter for a 1099 position at one of these companies and the pay was $120 for 60-minute intakes and $80 for 30-minute follow ups. Seems low, no?
Click to expand...
It seems low because it is low, but this is the reality we live in thanks to the unlimited supply of NPs that can legally see any/all patients without limitations. Ironically though, the best money in psych would come from running your own private practice that employs NPs.

I could see the future of employed psychiatry positions following in the footsteps of anesthesiology with one physician doing their own work while simultaneously having to "supervise" 4 midlevels that each have a full workload.
 
Most states are independent practice. So the ARNPs simply leave and just open their practice or create their own ARNP group practices.
 
With Covid, many psychiatrists went virtual and decided they really like it. This was fine for awhile. Now many patients prefer in person again. The DEA is also pushing to require in-person again for controlled meds. Many pharmacies around me won’t fill a stimulant without seeing a local in-person physician first.

So marketing for a virtual physician of any kind is more expensive than for a physician willing to do either. When the DEA transitions back to restrictions on controlled meds, there will possibly be mass terminations of virtual only physicians.

Additionally the political climate has led many VA psychiatrists (many virtual only) to start looking for PT jobs expecting to be fired from the VA.

This is creating many market forces that are driving reimbursement down for virtual psychiatrists. Psychiatrist demand for virtual jobs far outpaces the supply of positions right now.
 
80wz34 said:
What are people seeing these days for hourly rates for some of these telepsych companies like Talkiatry? I just met with a recruiter for a 1099 position at one of these companies and the pay was $120 for 60-minute intakes and $80 for 30-minute follow ups. Seems low, no?
Click to expand...

assume you saw 11 follow ups and 1 new patient a day, 5 days a week, 48 weeks a year. That translates to 240k a year. That is garbage. Im assuming 4 weeks pto (not counting holidays btw) and that you have zero no shows

you probably could work 25-30 hours a week in person at a job and make the same at that rate
 
psydocc said:
It seems low because it is low, but this is the reality we live in thanks to the unlimited supply of NPs that can legally see any/all patients without limitations. Ironically though, the best money in psych would come from running your own private practice that employs NPs.

I could see the future of employed psychiatry positions following in the footsteps of anesthesiology with one physician doing their own work while simultaneously having to "supervise" 4 midlevels that each have a full workload.
Click to expand...
How is that reality? There are currently 4 positions posted for 40 hour clinical jobs at a good facility in my city (which is a great location) that pay $400k plus benefits. The job posted is just a terrible deal.
 
Members don't see this ad :)
SmallBird said:
How is that reality? There are currently 4 positions posted for 40 hour clinical jobs at a good facility in my city (which is a great location) that pay $400k plus benefits. The job posted is just a terrible deal.
Click to expand...
It is the reality for psychiatrists looking for hourly fully remote telepsych 1099 gigs which is what this thread is talking about, but go off
 
80wz34 said:
What are people seeing these days for hourly rates for some of these telepsych companies like Talkiatry? I just met with a recruiter for a 1099 position at one of these companies and the pay was $120 for 60-minute intakes and $80 for 30-minute follow ups. Seems low, no?
Click to expand...
At least double those numbers (120/hr) in any part of the country, triple in some areas, otherwise dont even talk to the recruiter.
 
80wz34 said:
What are people seeing these days for hourly rates for some of these telepsych companies like Talkiatry? I just met with a recruiter for a 1099 position at one of these companies and the pay was $120 for 60-minute intakes and $80 for 30-minute follow ups. Seems low, no?
Click to expand...
This is low even for these tech companies (which talkiatry isn't a tech company and they don't pay this bad- though they are a PE backed company which probably won't last too long as they're already failing). Though 60minute intakes and 30 minute follow ups are atypical for these kinds of roles. It's usually 40mins for intakes and 20minutes for f/u which is more grind but is more like $240/hr. Telehealth gigs tend to pay a lot less than in person (otherwise there is no incentive for people to come to the office/hospital/prison etc) but no one should be accepting $120/hr for seeing patients. Even UM gigs pay more than that and don't involve patient care.
 
psydocc said:
It is the reality for psychiatrists looking for hourly fully remote telepsych 1099 gigs which is what this thread is talking about, but go off
Click to expand...
I just got emailed about a fully remote 1099 gig at $230/hr, requires CA license but can be located anywhere.
 
psydocc said:
It is the reality for psychiatrists looking for hourly fully remote telepsych 1099 gigs which is what this thread is talking about, but go off
Click to expand...
I can assure you as well that $120/hr is very far from realistic. The f/up rate of $160/hr is more in line with what I’ve seen from outpt telepsych positions which typically range from $150-200/hr.

I would also argue that anyone looking to pigeon-hole themselves into a 100% telehealth 1099 position who is unwilling to consider other options probably made a poor decision going into medicine in the first place…
 
shoomer said:
You are way better off looking at traditional outpatient jobs and negotiating to a hybrid schedule. You're going to be busy with no admin time in a Talkiatry type job, I don't see a major benefit to working from home all the time, at least not to the point where I would take a significant pay cut.
Click to expand...

So the Talkiatry job pays significantly better than the local jobs around me. I know for sure because I know someone who left local jobs for Talkiatry, and after 5 months he started making more. He was not a rush to fill his schedule and thought he could've filled faster if he wanted. Location plays a massive role in salaries. Saying someone's offer is bad because there are 400k offers in X city is not very helpful. Around me, to get 400k you would have to supervise A BUNCH of NPs and go in the very grey zone of ethics and legality. Ofc that is considering employees positions, I am sure people break that and more being in their own PP, but salaries themselves are not good.
 
comp1 said:
I mean you're doing it from your home without any commute. That's a huge plus for you that you aren't going to find most places nowadays, so yes, they can pay much, much less.
Click to expand...

No. This type of thinking is why I sometimes see a psychiatrist get paid less for the same or greater amount of work.

Anyway, do we even know whether OP is an NP or a doctor? I mean, OP dropped a stinker on some psychiatrists and then skipped off into the sunset... tee, hee. That's kinda what NPs like to do.

brosa said:
So the Talkiatry job pays significantly better than the local jobs around me. I know for sure because I know someone who left local jobs for Talkiatry, and after 5 months he started making more.
Click to expand...

My understanding is these nationwide telepsych corporations are about 3 patients/hr, which is actually more work and less pay than 2 patients an hour with 90833, or even PP 3-4 patients/hr.
 
psydocc said:
It seems low because it is low, but this is the reality we live in thanks to the unlimited supply of NPs that can legally see any/all patients without limitations. Ironically though, the best money in psych would come from running your own private practice that employs NPs.

I could see the future of employed psychiatry positions following in the footsteps of anesthesiology with one physician doing their own work while simultaneously having to "supervise" 4 midlevels that each have a full workload.
Click to expand...

The future is already here. A percentage of Big Box shops require psychiatrists to provide collaboration.

And comrade, please don't use the terms "supervise" or "midlevel." We collaborate with our APP colleagues. The term "supervision" is only acceptable in the context of a malpractice suit against an APP (i.e., the physician was negligent in supervising the nurse). And unlike anesthesiologists, we will accept much less pay to see our own patients, in additional to collaborating. Because we care.
 
Candidate2017 said:
No. This type of thinking is why I sometimes see a psychiatrist get paid less for the same or greater amount of work.

Anyway, do we even know whether OP is an NP or a doctor? I mean, OP dropped a stinker on some psychiatrists and then skipped off into the sunset... tee, hee. That's kinda what NPs like to do.



My understanding is these nationwide telepsych corporations are about 3 patients/hr, which is actually more work and less pay than 2 patients an hour with 90833, or even PP 3-4 patients/hr.
Click to expand...

Talkiatry is 30min FU, so 2 pts/h. I talked to other tele companies that were also 30min FU. I did find others that had 15min FU. Weirdly, I found none at 20 min FU lol
 
People who drive in to some location, for any reason, should be paid more. I agree that psychiatrists are being asked to take less pay, but the less pay end is for the in office workers.
 
You must log in or register to reply here.

Similar threads

Stagg737
Telepsych and No-Shows/Late Starts
Replies
21
Views
2K
aim-agm
A
N
State of telepsych and warning
Replies
19
Views
2K
ridethecliche
ridethecliche
calvinhobbes
Match 2025
Replies
17
Views
2K
MedMan80
MedMan80
MedMan80
Part time telepsych gigs?
Replies
10
Views
1K
Stagg737
Stagg737
A
Rvu rates
Replies
25
Views
2K
psych_0
psych_0
Top