How many patients a day?

[Mass Effect]

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Those of you earning over 300K outpatient, how many patients a day are you expected to see? Someone I know is trying to recruit me for private practice and before I even open the discussion, I'd like to get a sense of what others are doing, what's reasonable, etc. Also what's typical for vacations/sick days these days?

 

[PikminOC]

What are vacation and sick days?

 

[Mass Effect]

Well, this is assuming a private practice group rather than solo private practice. This opportunity would be a group practice in a metro area with 4 other psychiatrists, 4 social workers/therapists, and 3? psychologists.

The salary is more than I'm making now, but from very, very preliminary discussions in passing (this person is a friend of mine), seems the caseload is high. Some are doing 15-min f/u and 40 min intake with double-bookings possible depending on clinician choice. This is not something I would be interested in, but if I ask for 30 min/60 min and no double-bookings, I'm thinking it will affect salary. Hence, the question about how many patients is typical for that particular salary.

 

[Sushirolls]

It's way too variable to say how many patients. Historically I had set up a group med checks for OUD/buprenorphine management so some days I was seeing like 30-40 patients for just one day.
What's the insurance payor mix and what are the contract rates? That effectively determines the per hour rate. What's the collection rate? What's the overhead of the practice, which would drag down the per hour rate?

There are so many variables.

If/when my practice grows, and I drop two lower payer insurance panels, I could surpass the 300K take home with 6 hour clinical days (30 min follow ups, i.e. 12 patients per day).

If I only saw patients from one insurance company, and were to some how build up a panel only from the one company, 25 clinical hours per week could pass that 300K threshold you seek.

Need to know the details.

 

[Mass Effect]

Unfortunately, I don't have any of those details yet. We spoke only in passing. I'm going to be speaking to my friend about it in greater detail in a few weeks. I just don't know what to ask for or how to figure out if it's a good deal because I don't have a reference point.

 

[TexasPhysician]

Too many variables. If cash only, 1 new eval or 2 FU per hour. If insurance based, new eval q40 minutes and 3-4 follow-ups per hour on rough average. Quality of insurances and contract negotiations is variable. If Medicaid, 6 follow-ups per hour or 2 new evals/hr.

 

[calvnandhobbs68]

Too many variables. If cash only, 1 new eval or 2 FU per hour. If insurance based, new eval q40 minutes and 3-4 follow-ups per hour on rough average. Quality of insurances and contract negotiations is variable. If Medicaid, 6 follow-ups per hour or 2 new evals/hr.

lol 6 follow ups per hour good god

 

[psychapp121]

6 f/u per hour I hope you’re making 800k..

 

[TexasPhysician]

6 f/u per hour I hope you’re making 800k..

If Medicaid, maybe $300k. Medicaid rates are so low, it isn’t worth pp at all.

 

[dl2dp2]

Those of you earning over 300K outpatient, how many patients a day are you expected to see? Someone I know is trying to recruit me for private practice and before I even open the discussion, I'd like to get a sense of what others are doing, what's reasonable, etc. Also what's typical for vacations/sick days these days?

My sense talking to colleagues is 20min f/u and 45min eval is pretty standard in insurance-based PP.

99214 is ~$100 per Medicare. 99205 ~ $200 Take out 40% overhead. You do the rough math. Need about 35 hours of clinical to roughly break even. It's a tough job.