Pain in DFW TX

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dbleoh7

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I'm anesthesia/pain wanting to open a practice in DFW area (I trained in TX and maintain a TX license) and want to get an idea of what counties are in most need ie best insurance contracts to give myself the best opportunity of success. Are most major insurance carrier panels open for DFW area or are some counties closed? I'm getting the run around from insurance companies and most ghost me. The only way of obtaining this information that I can think of is maybe talking to a credentialer? If anyone knows a good one?
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I grew up in that area. It's unbelievable how much it's grown. My mom lives in Flower Mound, north Tarrant right on the border of Denton county. It seems that that area is still fairly rural seeming but building up quickly. Might be an area that's less saturated than Fort Worth proper or any of the more developed areas like Southlake, Grapevine. Don't know much about the Dallas side of the metroplex. Sorry I know that doesn't answer your insurance question specifically
 
drrosenrosen said:
I grew up in that area. It's unbelievable how much it's grown. My mom lives in Flower Mound, north Tarrant right on the border of Denton county. It seems that that area is still fairly rural seeming but building up quickly. Might be an area that's less saturated than Fort Worth proper or any of the more developed areas like Southlake, Grapevine. Don't know much about the Dallas side of the metroplex. Sorry I know that doesn't answer your insurance question specifically
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I did my family practice rotation and internship at JPS in that area. It's an interesting little corner of the world.
 
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if you dare open up a practice near the border, it’s high reward. I had a physician patient last month who works near Laredo.
 
bedrock said:
Ok but there are other places in america that are not saturated but not right next to the border, which is currently letting anyone walk right through.
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The pay is high because nobody wants to live there. This physician patient of mine would come home to Miami every weekend he could.
 
Doctodd said:
The pay is high because nobody wants to live there. This physician patient of mine would come home to Miami every weekend he could.
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So work for the hospital or some other entity for an inflated day rate? Because the fee schedule is the fee schedule and there is not much regional variation for private practice.
 
BobBarker said:
So work for the hospital or some other entity for an inflated day rate? Because the fee schedule is the fee schedule and there is not much regional variation for private practice.
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exactly. you can make this degree of money in lots of places, where you don't have to worry about cartel members coming to your clinic.
 
bedrock said:
Ok but there are other places in america that are not saturated but not right next to the border, which is currently letting anyone walk right through.
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What does "currently letting anyone walk right through" have anything to do with OP's goal of living in Texas? Also OP wants to stay in TX, not "other places in America".

BobBarker said:
So work for the hospital or some other entity for an inflated day rate? Because the fee schedule is the fee schedule and there is not much regional variation for private practice.
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Its much harder than you would think. I took a look online at several websites, and I cant find one single HOPD job in any of the 4 major metros, or even the surrounding suburbs.
 
Status Sciaticus said:
What does "currently letting anyone walk right through" have anything to do with OP's goal of living in Texas? Also OP wants to stay in TX, not "other places in America".


Its much harder than you would think. I took a look online at several websites, and I cant find one single HOPD job in any of the 4 major metros, or even the surrounding suburbs.
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See post 11
 
Frisco was the fastest growing city in America from 2010-2020. Plano is great too
 
One of my former residents settled in the Ft. Worth/west area and is really happy. He's doing sports. Spine Team Texas seems to have a good coverage of the entire metro (except south?). At least 2 former co-residents are with them. Last I knew, Scott and White was growing substantially and hiring a ton of people. I've been gone from Tx for a decade and can't comment on insurance panels there specifically, but I'd think I35 corridor south of Dallas or further west Ft. Worth and beyond could be a nice place to live and relatively less competition.

This nonsense about the border has little to do with Dallas specifically. It's no where near a border town. The border situation is affecting NY and Chicago as much as it is Dallas. Laredo and the Rio Grande Valley are another world entirely.
 
Doctodd said:
if you dare open up a practice near the border, it’s high reward. I had a physician patient last month who works near Laredo.
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I'd assume there are favorable contracts there. I wonder if you opened a clinic along the border, secured "good" contracts with insurers and then immediately move the practice to DFW if they'd allow you to keep the higher rates
 
drrosenrosen said:
I grew up in that area. It's unbelievable how much it's grown. My mom lives in Flower Mound, north Tarrant right on the border of Denton county. It seems that that area is still fairly rural seeming but building up quickly. Might be an area that's less saturated than Fort Worth proper or any of the more developed areas like Southlake, Grapevine. Don't know much about the Dallas side of the metroplex. Sorry I know that doesn't answer your insurance question specifically
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My in-laws moved from Southlake to Argyle about a decade ago. It was pretty rural back then, but it is very upscale and developed now. The DFW market was insanely saturated when I looked a couple years ago, but that Argyle/Roanoake area has absolutely boomed and a doc would probably do pretty well there.
 
Status Sciaticus said:
I’m looking in the Irving/richardson/Plano areas myself.
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Have you looked into the different counties and insurance contracts to see which counties reimburse better? Or have you heard they're all similar around DFW
 
dbleoh7 said:
Have you looked into the different counties and insurance contracts to see which counties reimburse better? Or have you heard they're all similar around DFW
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More or less. Picking a place that with the best catchment area will overlook the few dollar differences in reimbursement, I think.
 
I'm not a pain doc, but i'm in one of the mega radiology groups that services the DFW area. The areas that are growing the fastest (and/or are currently underserved) are going to be the northern suburbs.

Frisco is growing like gangbusters and is pretty much already what Plano was 10-15 years ago. Baylor is planning to put a large new campus in Frisco to eventually be a new BUMC (Baylor downtown). Methodist is building in Celina. Texas Health has land scoped out in Melissa or Anna if I'm not mistaken, but hasn't broken ground yet. On the Fort Worth side, Alliance is a fast growing suburb.

Closer to Dallas... or going into more established suburbs like Plano/Richardson there's prolly going to be a lot steeper competition.
 
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