To make $1M as HOPD employed depends on your hospital system in some ways more than you.
1. Do you have a cap on income or a diminished return (lower conversion factor) on units past 10,000? I have seen both terrible problems many, many times.
2. Will the system allow you to see enough patients? No double booking, no work ins, cancel patients 1 min late, 20 min appt slots do more to cripple your productivity than any personal physician factor.
3. Will the OR allow you to do more than 2-3 procedures per hour? Will you be given time to do an implant or even be allowed to do an implant, SI fusion, vertiflex due to hospital territorial/cultural issues? I made much, much more money doing implants hospital employed than I do now. I lived off the big, giant RVU cases.
4. Will patients get scheduled in a timely manner? Probably 30-40% of procedures I ordered were never done due to being lost in scheduling/prior auth limbo. 98% of them eventually happen in my office as I have the always affordable cash price if it is actually denied. Humana/Medicaid auths are nearly instant in the office but would take 6 weeks at the hospital.
5. Lost units. This happened, it wasn’t malicious. But required vigilance.
So if you can overcome or not be challenged by these 5 factors, anyone with reasonable skills and EQ can do great at the HOPD.