Los Angeles Incomes

[halodoctor]

I know a number of sites post FP "salary" at around $160, but I'm much more interested in FP "income" because this includes private practices.

Please help me out if you are from the Los Angeles area by posting what you make and what a prospective FP might make in the future.

I'm having really big issues going into family because I want to make more money. The whole health care system is backwards. I will be in debt by $300,000 and I'm sorry for making money a factor, but in the end I have to take it into consideration.

Thanks to all who reply in advance!

PS. can you also mention if you moonlight in the er???

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[YouDontKnowJack]

stop apologizing for talking about money. Money should always be a big factor in our career decision. how else are we supposed to buy our required german lux automobile?

we are all supposed to be businessmen.

In los angeles, you can't make enough...

 

[Faebinder]

You need to understand that FM makes the gold not in the large cities... go as urban as possible... leave LA.

You will be able to pick up also more loan forgiveness serving an underserved location... so not only better pay, but also less loans.

If you want to stay in LA/NYC/Miami City and make high income then FM may not be the specialty for you... it is not impossible but it is less likely.

 

[bkpa2med]

Maybe I'm confused, isn't urban = city?

Also, there are many underserved area in NYC that will give loan repayment if you work in those areas.

Faebinder,
So, would you conclude that IM is better suited for big cities?

 

[deleted87716]

In any metropolitan area, your income will be determined by your payor mix, how many patients you see, how efficiently you code/bill, and any additional procedures or ancillary services that you provide. I'm sure you can find FPs who are doing very well in the L.A. area, and those who aren't doing so well. It's the same everywhere.

 

[Faebinder]

Maybe I'm confused, isn't urban = city?

Also, there are many underserved area in NYC that will give loan repayment if you work in those areas.

Faebinder,
So, would you conclude that IM is better suited for big cities?

It's not that IM is better.... Honestly, IM is not better.... but... there is a surplus of specialists in urban setting... and you have to understand what FM is... the jack of all trades.... if all trades are available then the jack becomes unnecessary... IM is more protected in a city setting because they are hospitalists a lot more than ambulatory clinicians. Hospitals will continue to provide them with steady flow of patients.

Underserved NYC maybe underserved primary care wise... but in NYC is easy to maneuver around and if you need to see someone about something, it is easy to get in the subway and head to whereever you wanna go.

 

[bkpa2med]

True.

 

[deleted87716]

you have to understand what FM is... the jack of all trades.... if all trades are available then the jack becomes unnecessary.

Nonsense. Most specialists do everything they can to protect themselves from silly self-referrals. Every specialist I ever worked with grumbled and cursed under their breath every time they had to see a patient with some common, easily-treatable problem who hadn't even seen a primary care doc yet. It's quite literally a waste of their time, and it doesn't pay nearly as well as the more complicated stuff.

And none of them want to coordinate care or manage problems outside their scope. That's why they became specialists.

 

[Faebinder]

Nonsense. Most specialists do everything they can to protect themselves from silly self-referrals. Every specialist I ever worked with grumbled and cursed under their breath every time they had to see a patient with some common, easily-treatable problem who hadn't even seen a primary care doc yet. It's quite literally a waste of their time, and it doesn't pay nearly as well as the more complicated stuff.

And none of them want to coordinate care or manage problems outside their scope. That's why they became specialists.

It's not complete none sense... you have to agree with some of what i said... specialists will always grumble about seeing common problems... primary care has its role but in large cities.. people are more likely to be without insurance...and thus they foolishly bypass primary care.

 

[halodoctor]

This is really encouraging. I would like to thank everyone here who is posting not only for this post but for the hundreds of other posts I've read from you guys. It's a bit difficult to dive into a FP residency because there are so many factors that the other residencies don't have to deal with.

Anyone in sports medicine? I'm kindof excited about that aspect of FP. I've always been into sports and I'm wondering what an average day of sports medicine entails? Splinting? Any casting? Injections? What else?

 

[deleted87716]

in large cities.. people are more likely to be without insurance...and thus they foolishly bypass primary care.

Maybe so, but they aren't going to bypass it in favor of seeing a specialist. They'll more likely wind up in the ED.

 

[Faebinder]

Maybe so, but they aren't going to bypass it in favor of seeing a specialist. They'll more likely wind up in the ED.

dats right... hence see the specialists (IM on the floor, neurologist consult, nephrologist consult, etc etc etc) and foolishly skip their primary care.

Better in the rural or not so large urban setting where FM is not skipped as much... No one is denying the need for primary care... it's just that people are without insurance and more likely to go to the ED in the urban setting... thank you FEMLA which wont deny anyone the 2000 dollar work up.

 

[deleted87716]

thank you FEMLA which wont deny anyone the 2000 dollar work up.

Do you mean "EMTALA?"

And you're certainly not guaranteed to see a specialist when you present to the ED, or even get admitted to the hospital. In the ED, you're likely to wind up being seen by a PA if you have a typical primary care-type complaint, and if you get admitted without insurance to a teaching hospital, you'll probably get treated by an IM intern.

 

[Faebinder]

Do you mean "EMTALA?"

And you're certainly not guaranteed to see a specialist when you present to the ED, or even get admitted to the hospital. In the ED, you're likely to wind up being seen by a PA if you have a typical primary care-type complaint, and if you get admitted without insurance to a teaching hospital, you'll probably get treated by an IM intern.

DUH... remind me to sleep before posting. EMTALA is what I ment but I disagree.. the ED will force some poor specialist to come see them.. they cant discharge them in all cases without seeing one... would be considered risky. Of course in some cases it will be an In-And-Out action.