Your salary should absolutely not be based on billing if you see a large proportion of medicaid patients in a practice setting. In the regions I've looked, Medicaid pays about 50% less per code than private insurance. Add that to the fact that you can't charge Medicaid patients no-show fees (or fees for anything really) and quite honestly Medicaid is more of a money loser than it's worth for most practices unless you're getting some sort of government support/extra funding. This ends up then translating into stuffing patients into 15min slots to make the same amount of money (barely) you would for seeing private insurance patients in 30min slots and hoping some no-show since your salary isn't usually based on any productivity incentive.