They are taking at least half your pay. But you’re also a resident and they are covering malpractice. I am not doing SNF so I don’t know exact amounts on collections and am just guessing. If you see 4 patients an hour then you are making 160 an hour which is pretty good. Could easily see more if you are really good.
You can always try negotiating to get more. Is that what your asking? 45, 50, 60 per note? I doubt they are going to give you much more, but you can always ask. Could ask for 100% after first 10 patients. But again your not going to have a ton of negotiating power. Also don’t know how much time you are planning on doing per day/week.
Also make sure you won’t owe anything later on a tail depending on the malpractice set up. If you do then may not be worth it. Again I don’t do SNF, but my tail after 2 years is about 14-16 K. If it works differently as a resident, I don’t know.