Is starting your own PP financially worth it?

[BobBarker]

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Lots of Medicare and Medicaid. That is normal in our field.

No, my personal collections are much higher.

Yes, I have another Dr that works for me/with me. We trade patients back and forth as we are compensation blind.

 

[Ducttape]

How do they pay a pension and not a 403b. Do you work in the last century?

i have been working for this system for 15 years...

and technically, i had an employee number in this system dating back to 1991.

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bob, why do all of your dates start with July 1?

for example, does "July1-Feb28 $488,167" mean that you made 488k from july 1 to feb 28, and that you made $900k from march 1 to june 30?

 

[BobBarker]

Yes. I’m showing how it takes time for the insurance to roll in and the practice to get more full.

 

[Drhappyface]

Yes, a Medicare RFA patient adds up to $2500 and maybe $3200 if they might benefit from a LSO.

Sorry
How are you getting at $2500 for an RFA? Reimbursements from 2024 show reimbursement of $430.50. What other fees or codes do you add? Or is the reimbursement for just one level? ( eg x6 for bilateral l3-4, l4-5, l5-s1 would equal around 2500?)

 

[BobBarker]

1. Consult
2. LSO - I don’t actually give these patients an LSO but it is allowed
3. Bil two level mbb
4. F/U
5. Bil two level mbb
6. F/U
7. Bil two level RFA
8. F/u


That is probably over $2500

Then 6-12m later you might get another round
9. F/U
10. 2nd bil two level RFA
11. F/U



Ok, now time for their neck.

 

[Drhappyface]

Gotcha
Thats the total patient. I was thinking on it was one visit

What percentage of a typical practice are medicare vs medicaid vs commercial? I would assume being mostly Medicare or medicaid would make it difficult for a practice to stay afloat.

Do you perform advance procedures also in a ASC? Maybe not your own but contracted to one?