Private practice >1mil

[GrassrootMaltan]

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Private practice docs making more than a mil, how many patients are they seeing a day? Would seeing 15-20 like an employed community practice onc make >1 mil as a private practice partner, or do they typically see >25 patients a day 5 days a week to make such numbers?

 

[BRCA123]

I'm hitting those numbers as a partner in private practice seeing about 65 patients a week 4 days a week. I also take consults nearly everyday M-F though and have a census between 3-6 patients. I get about 8-10 consults a week average.

Are you part of us oncology?

 

[Plutarch02]

Are you part of us oncology?

No

 

[gutonc]

Private practice docs making more than a mil, how many patients are they seeing a day? Would seeing 15-20 like an employed community practice onc make >1 mil as a private practice partner, or do they typically see >25 patients a day 5 days a week to make such numbers?

Pick some numbers and do the math. We can make it easy with some assumptions.
$100/wRVU (may be a little off one way or the other but a good starting point)
2.2wRVU/pt (again, might be a touch high or low but a reasonable place to start)
4.5d/wk
46wk/y
Ignore inpatient work or other potential compensation from infusion, ancillaries or real estate.

To get to $1M, you would need 22pts a day, every day.

 

[MD46]

For us it is around 22pts a day avg as well to reach 1 mil , we do 4.5 days a week clinic, q3 week hospital call but along with the full day clinics, hospital isnt very busy so we are able to do that.

( also there are people who see believe it or not 44-48 patients a day without an NP making 2mill plus)

 

[gutonc]

For us it is around 22pts a day avg as well to reach 1 mil , we do 4.5 days a week clinic, q3 week hospital call but along with the full day clinics, hospital isnt very busy so we are able to do that.

( also there are people who see believe it or not 44-48 patients a day without an NP making 2mill plus)

I can not imagine a worse lifestyle than that.

 

[BRCA123]

yes

How is the lifestyle? Are you home by 5pm? Do you have time for tumor boards?

 

[MD46]

I can not imagine a worse lifestyle than that.

730-430pm every day, notes all done by the time they leave lol.

 

[ONC2023]

730-430pm every day, notes all done by the time they leave lol.

Maybe this is my fellow perspective, but this seems literally impossible to me. I can't imagine how they have enough time to actually manage side-effects, discuss different treatment options, review imaging, etc unless it's all stage II colon on surveillance and localized prostate on ADT.

 

[osprey099]

As someone who's an employee on partnership track seeing 20-25/day 5 days/week getting my severely underpaid (around 400k total comp), I really hope these numbers are actually true once partnership happens

 

[MifflinDunder]

Maybe this is my fellow perspective, but this seems literally impossible to me. I can't imagine how they have enough time to actually manage side-effects, discuss different treatment options, review imaging, etc unless it's all stage II colon on surveillance and localized prostate on ADT.

Yeah that’s crazy. I can only imagine doing this if you’re just doing GU all day.

 

[MifflinDunder]

For us it is around 22pts a day avg as well to reach 1 mil , we do 4.5 days a week clinic, q3 week hospital call but along with the full day clinics, hospital isnt very busy so we are able to do that.

( also there are people who see believe it or not 44-48 patients a day without an NP making 2mill plus)

What is considered a typical # consults per week?

I'm a fellow inpatient right now, and our list (heme + solid) is at 67 split between 2 fellows. Solid team gets about 8-10 consults a day.

 

[BRCA123]

The hospital component is stressful but it helps build my practice, once I'm full may end up working with group to help offload some consults. Usually I'm rounding and finishing notes after clinic to about 6-7 pm.

How long have you been doing it? I guessing since you are a partner that it has been more than 3 years? 6-7pm everyday seems brutal.

 

[gutonc]

What is considered a typical # consults per week?

I'm a fellow inpatient right now, and our list (heme + solid) is at 67 split between 2 fellows. Solid team gets about 8-10 consults a day.

That will totally depend on the hospital and the culture. Academia consults everyone for everything. Out in the community, it's common that I don't hear about people until they're basically being discharged and they ask "when can they see you in clinic?".