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Lolo9008

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BobBarker said:
there isn’t enough money coming in to provide a higher salary. They are trying to incentivize him to work harder. This is the carrot before the stick.
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But if he’s earning a bonus now, why is he getting a lower salary with the new contract? Surely the bonus is structured taking into account his overhead is already paid
 
Do the 400 patients per month include the 200 fluoro procedures. If it does then that pay is about right. But if you’re seeing 400 clinic visits AND doing 200 fluoro procedures per month then you are significantly underpaid

(400 x 2) + (200 x 2.5) =1,300 wRVUs/month. That should generate an income of around 1 million
 
Ronin1 said:
If you are truly doing 8600 wrvu and it’s a HOPD job you are underpaid based on average wrvu value.

If private probably average for the volume.
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Agreed. OP you need to specify if this is PP or HOPD. If this is HOPD you are being ripped off. Your best year you make $485,000 (including your 135K bonus) at 8,600 RVU. That is $56.39 RVU in the year 2025 which is extremely low.
 
hopefulgasman said:
Agreed. OP you need to specify if this is PP or HOPD. If this is HOPD you are being ripped off. Your best year you make $485,000 (including your 135K bonus) at 8,600 RVU. That is $56.39 RVU in the year 2025 which is extremely low for your geographic local
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Fixed it for you. Those numbers even for hopd are likely accurate in other parts of the country
 
Dr. Ice said:
In the south..I presume nowhere. You would see that more likely in the northeast or west coast. That’s why I said other parts of the country
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Original response was to their question. They are getting ripped off, that’s the bottomline. The fact that $56 may be the norm along the coasts doesn’t help OP one bit.
 
it does when OP sees numbers that people - from the NE or W - post and assumes that those numbers are what they should expect.

go to any job in the NE and demand $65+ per hour and the response will be an almost immediate "good luck on your job search".


see if they will allow you to continue on your original model if that is what you prefer or see if they will go up to 50% but not of collections.
 
BobBarker said:
Not enough office visits. You don’t need a PA if your office visits are so low.
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I work 4 half days a week in procedures and 5 half days a week in clinic (procedures interspersed). I am seeing 10-12 patient's per half day of clinic and 14-18 procedures per half day of procedures.
 
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hopefulgasman said:
Agreed. OP you need to specify if this is PP or HOPD. If this is HOPD you are being ripped off. Your best year you make $485,000 (including your 135K bonus) at 8,600 RVU. That is $56.39 RVU in the year 2025 which is extremely low.
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Private practice
 
Lolo9008 said:
Hi. I am 4 years out of fellowship (anesthesia trained) and work as the sole physician (W2) in a single specialty interventional pain practice in the south with one PA.

I am currently under contract negotiations. They have offered a new bonus model (40% of all collections) that would effectively bring my total salary down to $400k. This seems very low to me. I do have the 2021 MGMA data that shows median total compensation for my area is $510k.

A little bit about the practice:

Clinic is open 8-5 Monday-Thursday and 8-12:30 on Friday. I am performing between 50-60 in office procedures per week, see about 3 patients per hour in clinic (mostly NPVs, occasional med or procedure f/u). I work about 42 hours per week.

In regards to totals, I see about 350-400 patients per month and 150-200 procedures per month.

I am collecting near $1M and 8600 wRVU per year. I get 4 weeks off PTO. I am currently making $350k base salary and make about $100-135k bonus a year.

I wanted to see how many hours per week you work, total patients you see per clinic day, collections, wRVUs, base pay, average total compensation, amount of PTO so I can see what people are doing in the real world.

Thank you.
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Rough numbers: You collect $1M
IF your practice is exceedingly well run, your overhead is 50%. It's probably closer to 60% and likely even knocking on 70%. So, you've got to back that out: Other cost drivers include inflation, SALT, med-mal, and rising labor costs.

On a $1 million production effort per year (without accounting for any office ancillary fees, health plan quality bonus incentives, or stipend for supervising the PA), the BEST scenario for you is a TOTAL compensation package of $500K in value. You can divide up the 500K anyway you like--salary, bonus, benefits, deferred comp, CME, PTO, etc. But that's the meat on the bone you have available to eat.
 
Lolo9008 said:
I work 4 half days a week in procedures and 5 half days a week in clinic (procedures interspersed). I am seeing 10-12 patient's per half day of clinic and 14-18 procedures per half day of procedures.
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That volume in HOPD will get you 750-900k
 
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