ENT Reimbursement

[OHMAN0125]

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I've been looking at the avg income of various specialties. I was just wondering if anyone knows if the averages for ENT are accurate as listed in allied health and CEJKA surveys. It's just a bit surprising to me that they'd be on the lower end of surgical specialties salaries considering it's more difficult to obtain when compared to ones like ortho. Is it because they have a better lifestyle or they do less surgeries?
Thanks for any info and help!!

 

[mh82ai3]

http://mdsalaries.blogspot.com/

I don't know how accurate the numbers on this website are but it gives you salaries based on specialty and also on location. Averages only tell you so much since salaries vary so much from place to place even within specialties. Like some people have said, how much you make as a doctor depends more on how good you are as a businessman rather than on how good of a physician you are or what specialty you go into.

 

[TheThroat]

On average, otos make less that ortho and neurosurg, but prob make pretty close to average uro, ophtho, ob, or g-surg.

In my opinion, there are three tiers of subspecialist surgeon doc's, as far as pay:

-Below avg: academic docs and private practice guys who are not as busy as they would like...high 100's to low-mid 200's.

-Average to slightly above: well-established academics (chairmen, etc) and private practice otos who are busy, but not great businessmen...300's to 400's.

-Private practice guys who have figured it out (super busy, super efficient, can make patients love them and see 50+ in clinic, can get hospitals let them run 2 OR's at once, have a finely tuned office staff who are billing experts, have a practice in a "well-insured" community, have busy ancillary services- [allergy, audiology, surgery center])...500's to 7 figures (not kidding). Know a general guy who sees 60 a day in clinic and has a NP seeing 30-40 for him, know a PP H&N'er who can run two OR's at once and works often past 9 pm, know a general oto who has set himself up as a pedi oto who also runs 2 OR's at once, does 20 + cases on his OR days. I don't know what these guys make, but they are all doing some serious "business".

Of course, this is not counting the cosmetic practices, which is a completely different beast.

The fact is that oto, just like any surgical subspeciality, can lead to a wide variety of incomes. I don't think that any oto should be complaining about our income, though. If you want to make serious money, you should have gotten into the investing business, not one where you learn little to no investing or money mgt skills. I hear that hedge fund managers often measure their income in the 6 digits...per month. The fact is that similarly skilled people going into biz or medicine live two different lives: the biz people have a life during their 20's and make more, while the docs can make as much, but don't start until their 30's. Time is money and being 10 years behind with a big med school debt...think about it.

It is late and I have ranted enough. Sum up: don't go into medicine for the money. You can get more elsewhere AND get to spend it when you are young.

 

[resxn]

And there's a guy in Dallas who does only in-office snoring/sleep apnea stuff. He's doing 30 pillar implant patients a week among other things. Charges $2000 of which about $1900 is profit. That's $30k in gross revenue/wk. That's in addition to the other stuff he does which is all in-office only--never goes to the OR. He does septos, turbines, and tonsillotomies in office. He only accepts payment up front--no insurance. He'll bill insurance on behalf of a patient, but if they don't pay the patient back, it's their responsibility to fight it if they want.

That's some serious cash, $120,000 per month, not that I necessarily think this is the route an ENT should pursue.