MGMA?

[TeslaCoil]

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What would this look like?

If you’re going off MGMA metrics, average base salary is about $500-550k per year. New grads may get a little less, whereas an experienced physician may get more. Typically the base salary is fixed for 1-2 years (typically 2 years), and then there is a wrvu threshold after which you start earning a bonus. My interpretation of the numbers is that the median wrvu threshold is 7500. And anything above that level of production is paid out at $70 per rvu median, nationwide. That is the typical setup in a hospital setting.

In pp, the typical pay structure for a non-partner should be a fixed salary for a period, then after that period 50% of collections. For a partner, it varies but typically you eat what you kill after overhead is paid.

 

[po_boy]

Median wRVU $70. I think median pay was around $650k if I a remember correctly

The MGMA data via Marit shows "average total comp" at $468,100. The Marit average shows $539,776.

How are we getting $650k?

 

[clubdeac]

The MGMA data via Marit shows "average total comp" at $468,100. The Marit average shows %539,776.

How are we getting $650k?

It's b/c the mean total wRVU for nonanesthesia pain is only 7,469 and median is 7,858. According to MGMA 2024 numbers, median wRVU is $71.93 and mean is $79.09! Most guys on here are doing well above 7,500 wRVUs in a year.

Biggest piece of advice is to not settle for anything below $70/wRVU if hospital based. They're making a killing off you. Guys who settle for low wRVU conversion factors devalue our work for everyone giving big hospital conglomerates more negotiating power

 

[lobelsteve]

It's b/c the mean total wRVU for nonanesthesia pain is only 7,469 and median is 7,858. According to MGMA 2024 numbers, median wRVU is $71.93 and mean is $79.09! Most guys on here are doing well above 7,500 wRVUs in a year.

Biggest piece of advice is to not settle for anything below $70/wRVU if hospital based. They're making a killing off you. Guys who settle for low wRVU conversion factors devalue our work for everyone giving big hospital conglomerates more negotiating power

But they will never love you back....

I'm here for the pension.

 

[clubdeac]

But they will never love you back....

I'm here for the pension.

I can understand that but new grads devaluing our work is a big problem

 

[Ducttape]

I can understand that but new grads devaluing our work is a big problem

so you would have them not work at all?

hint there is no solution for us.

it is a captive system we live in, corporations in the public sector and billionaires in the private sector own it.


and if you say "go private practice", you are deluding yourself in to thinking that you are breaking the system. the system allows a few people to believe they are self-sufficient, but anyone and everyone can be bought out or forced out.

 

[clubdeac]

so you would have them not work at all?

hint there is no solution for us.

it is a captive system we live in, corporations in the public sector and billionaires in the private sector own it.


and if you say "go private practice", you are deluding yourself in to thinking that you are breaking the system. the system allows a few people to believe they are self-sufficient, but anyone and everyone can be bought out or forced out.

It’s a broken system no doubt. Admin costs have increased 3000% over the last what 20yrs yet they keep devaluing our work. This is part of what’s wrong in healthcare. I’m just discouraging an enabler mentality.

 

[drusso]

It's b/c the mean total wRVU for nonanesthesia pain is only 7,469 and median is 7,858. According to MGMA 2024 numbers, median wRVU is $71.93 and mean is $79.09! Most guys on here are doing well above 7,500 wRVUs in a year.

Biggest piece of advice is to not settle for anything below $70/wRVU if hospital based. They're making a killing off you. Guys who settle for low wRVU conversion factors devalue our work for everyone giving big hospital conglomerates more negotiating power

Does anyone else see the irony in this remark, "Guys who settle for low wRVU conversion factors devalue our work for everyone, giving big hospital conglomerates more negotiating power."

 

[drusso]

so you would have them not work at all?

hint there is no solution for us.

it is a captive system we live in, corporations in the public sector and billionaires in the private sector own it.


and if you say "go private practice", you are deluding yourself in to thinking that you are breaking the system. the system allows a few people to believe they are self-sufficient, but anyone and everyone can be bought out or forced out.

The current equilibrium exists only because enough people comply with it. Captive systems persist when skilled labor behaves like a commodity. They weaken when it asserts scarcity.

The argument is that new grads should not discount themselves preemptively. A physician who produces far above the median and accepts a substandard rate is not trapped. They are signaling.

Private practice is not an escape hatch. It is a constraint on exploitation. Its mere existence creates outside options and benchmarks that employed physicians benefit from, whether they use them or not.

Demand transparency in costs and site of service pricing. Allow real competition across ownership models. Remove policies that protect incumbents while suppressing alternatives. Let prices reflect risk and productivity again.

 

[TeslaCoil]

Update: I got a competing offer for $77/rvu. Thats what im taking.

 

[clubdeac]

Update: I got a competing offer for $77/rvu. Thats what im taking.

Good work! Way to wait it out. Many could learn a thing or two from you

 

[TeslaCoil]

Good work! Way to wait it out. Many could learn a thing or two from you

You know honestly, this whole process has shown me just how scummy practices and hospitals can be. I had one hospital give this ridiculous contract. $62 per rvu. Riddled with fine print. Totally predatory. They should be ashamed of themselves.