Pain APP $ per RVU vs salary

[specepic]

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Pain APP $ per RVU vs salary??

Do any of you have data on outpatient pm&r / pain NP specifically

Looking for approx $ / rvu for my hosp employed NP who is negotiating with hosp

also feel free to share salary

she sees her own clinic (not a team or shared clinic), works 3-4 days per week

was prev eat/kill, not hosp wants to do straight salary

 

[clubdeac]

If it were me I’d take hrs of MD training and divide it by hrs of NP training. Now divide the MD $/wRVU by that number and that’s their $/wRVU 😊

 

[mdo1738]

If it were me I’d take hrs of MD training and divide it by hrs of NP training. Now divide the MD $/wRVU by that number and that’s their $/wRVU 😊

Can’t divide by zero

 

[buddababa]

Pain APP $ per RVU vs salary??

Do any of you have data on outpatient pm&r / pain NP specifically

Looking for approx $ / rvu for my hosp employed NP who is negotiating with hosp

also feel free to share salary

she sees her own clinic (not a team or shared clinic), works 3-4 days per week

was prev eat/kill, not hosp wants to do straight salary

$0 rvu, and its not APP, its NPP or mid-level

 

[specepic]

Any real answers out there?

 

[Agast]

What kind of RVU generating tasks will she be performing? Mid-levels tend to be clinic visits. Or can she get credit for ordering MRIs as well?

 

[BobBarker]

I think that mine had a conversion factor of around $33 working for the hospital. It is about right when you do the math 4000 to 5000 rvu.

 

[specepic]

What kind of RVU generating tasks will she be performing? Mid-levels tend to be clinic visits. Or can she get credit for ordering MRIs as well?

Pretty much all f/u's 99214 (some 99213 or 5)

Very few procedures (maybe TPI here and there)

Some new pts as well

She is very thorough and excellent with imaging. Often catches MRI findings that rads misses (significant). Very good at ordering the right injection and safe location(s).

 

[Ronin1]

How does it work operationally? She refers to you for procedures only? What’s your benefit?

 

[specepic]

How does it work operationally? She refers to you for procedures only? What’s your benefit?

NP (we also have a per diem PA) sees primarily stable f/u's. Outpatient only/clinic

Can handle most new pts although I triage and review charts on all new referrals first and decide who should see who. They are very good about discussing all cases with me if they suspect they are in over their head

They are able to order fluoro procedures (mostly repeat inj's on pts who I have seen before), and I always review MRI and other relevant imaging on inj's they order (and for that matter ones I order) day of or day before fluoro session. We have a very structured system for ordering guided procedures

My NP is smarter (IQ not training) than a lot of docs and extremely thorough. If you sent your mom to her you would be happy with the care. In the event she isn't sure, she has them see me next or we discuss the case day of.

I understand the APP angst, much of which is well founded. So important to "know what you don't know". I am booking out 4-7 months for non urgents and the hosp does not want to hire another MD/DO. it woule be nice t have another doc at times but I like the current set up. I see the complex pts and do a lot of procedures, in addition to a lot of OMT/Acup

I get no direct or indirect financial benefit. it is really about pt access and sanity

 

[Dr. Ice]

NP (we also have a per diem PA) sees primarily stable f/u's. Outpatient only/clinic

Can handle most new pts although I triage and review charts on all new referrals first and decide who should see who. They are very good about discussing all cases with me if they suspect they are in over their head

They are able to order fluoro procedures (mostly repeat inj's on pts who I have seen before), and I always review MRI and other relevant imaging on inj's they order (and for that matter ones I order) day of or day before fluoro session. We have a very structured system for ordering guided procedures

My NP is smarter (IQ not training) than a lot of docs and extremely thorough. If you sent your mom to her you would be happy with the care. In the event she isn't sure, she has them see me next or we discuss the case day of.

I understand the APP angst, much of which is well founded. So important to "know what you don't know". I am booking out 4-7 months for non urgents and the hosp does not want to hire another MD/DO. it woule be nice t have another doc at times but I like the current set up. I see the complex pts and do a lot of procedures, in addition to a lot of OMT/Acup

I get no direct or indirect financial benefit. it is really about pt access and sanity

No offense to you at all, but why would any person living in the USA wait 4-7 months for anything? Where do you practice? Is this like a doc Hollywood situation?

 

[buddababa]

My NP is smarter (IQ not training) than a lot of docs and extremely thorough. If you sent your mom to her you would be happy with the care. In the event she isn't sure, she has them see me next or we discuss the case day of.

lol can't take you seriously with this comment

 

[mdo1738]

Often catches MRI findings that rads misses (significant).

My NP is smarter than a lot of docs

 

[BobBarker]

Yea, I don’t think that someone with no training in spinal anatomy or radiologic imaging is picking up anything other than what they want to find. A disc bulge (minor) at L3 to find the epidural they are looking for.

 

[specepic]

I was just as surprised as you all are/were

I can’t even tell you how good she is at imaging

I taught her extensively but then she did a ton of self directed learning

One of those personalities that cannot do anything half assed, which I regard is a positive but strangely, some of you seem to regard as a negative or threatening, I guess?

We have a good radiology group and she has bailed them out more times than I can count

They were kind of annoyed by her for a while, and then realized she was on it

strange the negative reaction that gets on this forum

Anyone still wanna try to answer my original question 🙂?

 

[Agast]

Yea, I don’t think that someone with no training in spinal anatomy or radiologic imaging is picking up anything other than what they want to find. A disc bulge (minor) at L3 to find the epidural they are looking for.

I think there are many people who would have kicked butt in medical school but didn’t have the opportunity or means to attend. If someone is really interested in something they could probably turn that passion into real results.

 

[BobBarker]

I think there are many people who would have kicked butt in medical school but didn’t have the opportunity or means to attend. If someone is really interested in something they could probably turn that passion into real results.

Yes, probably more prevalent in PA’s. My next door neighbor was valedictorian and her mom was my calculus teacher. Chose to be a PA.
My example with finding a rad finding to support a procedure is higher function than 95% of nurse practitioners are capable of. So she is doing great for her job.