I have been shadowing an FP who runs a family clinic and noticed that he only sees 22-26 patients/day of which only 2-3 are new patients. Almost half of his patients are insured via Medicare while the other half either have private insurance or pay cash. For those who pay in cash, the clinic charges $50 per established or follow-up patient and $100 for the new ones. The doctor occasionally performs pap smears and other little procedures. So, I made a quick calculation in my head and figured out that clinic generates a gross income of 900-1200/day. If the doctor works 5 days/week, 48 weeks/ year, he will collect $216k-288k/year of gross income, which translates into roughly 110-$150k of net income (assuming only 45% of the gross income goes toward overhead costs). Am I missing anything, or this is how little PCP's make? Are there additional ways through which PCP's could generate more income without compromising the quality of care they deliver or working 80 hours/weeks?