Difference in starting salaries for IM PCP vs FM PCP?

[KeikoTanaka]

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Is there a difference? What would contribute to these differences?

 

[deleted87716]

Is there a difference? What would contribute to these differences?

No difference, at least not for us. Main variables are work setting (e.g., inpatient/outpatient) and prior experience.

 

[VA Hopeful Dr]

No difference, at least not for us. Main variables are work setting (e.g., inpatient/outpatient) and prior experience.

My wife (IM) and I work for the same group. Same starting, same RVU rate, same CME and so on.

 

[hsmooth]

At my group, I am the only FP working with a bunch of IM docs. We share the same patients. My rvu conversion rate is about $3 less per rvu.

 

[VA Hopeful Dr]

At my group, I am the only FP working with a bunch of IM docs. We share the same patients. My rvu conversion rate is about $3 less per rvu.

I'd get that changed when it's time to renew your contract.

 

[deleted87716]

At my group, I am the only FP working with a bunch of IM docs. We share the same patients. My rvu conversion rate is about $3 less per rvu.

Why...? I'd like to hear their justification for that. IMO, you're being screwed.

 

[hsmooth]

Why...? I'd like to hear their justification for that. IMO, you're being screwed.

My rate is the same as all the other FMs in our system that are at other clinics (but I'm the only FM at our IM clinic). I didn't even know IM had a higher rvu rate until recently. I'm site lead and was reviewing the clinic finances and all the provider production reports and noticed the difference in rates. Will definitely ask about this come contact extension time.

 

[VA Hopeful Dr]

Why...? I'd like to hear their justification for that. IMO, you're being screwed.

I know nationwide IM's median wRVU rate is a few bucks higher than ours, but in the same office that's just insulting.

 

[yunsenb]

Does the FM salary change if they're seeing a higher proportion of peds patients?

 

[deleted87716]

Does the FM salary change if they're seeing a higher proportion of peds patients?

Depends on the complexity of the visits, I suppose. It's likely, however, that adults will generate a higher number of complex visits than children (e.g., higher wRVUs), so theoretically, an internist seeing nothing but adults might end up earning more than an FP seeing a mix of kids and adults, assuming equivalent visit volumes and payer mix. Shouldn't change the amount you're paid per wRVU, though. That's pure discrimination.

 

[Bacchus]

Depends on the complexity of the visits, I suppose. It's likely, however, that adults will generate a higher number of complex visits than children (e.g., higher wRVUs), so theoretically, an internist seeing nothing but adults might end up earning more than an FP seeing a mix of kids and adults, assuming equivalent visit volumes and payer mix. Shouldn't change the amount you're paid per wRVU, though. That's pure discrimination.

There’s a lot of wRVUs to rack up on all that vaccine counseling though.