Psychiatris: Addiction med pay vs Addiction psych pay?

[Ándale]

I am finishing psych residency in about 10mos. going to do an addiction med program (simply because there is not a single addiciton psych program in the state i would like to practice in).

Is there a pay difference in pay between psychiatrists boarded in addiction med vs addiction psych?

---

Members don't see this ad.

 

[TexasPhysician]

Not that I’ve ever seen.

 

[littlefred]

I'm an addiction psychiatrist> No difference in pay from my experience.

The difference is that you can still do the pathway for addiction medicine without the fellowship (not the same with regards to training, but hey you can make attending money while you do the pathway).

 

[comp1]

Concur, no.

 

[painballer27]

How much does addiction medicine pay?

 

[surfguy84]

How much does addiction medicine pay?

One million dollars

 

[painballer27]

One million dollars

Awesome. Sounds fun

 

[shoomer]

I'm an addiction psychiatrist> No difference in pay from my experience.

The difference is that you can still do the pathway for addiction medicine without the fellowship (not the same with regards to training, but hey you can make attending money while you do the pathway).

Can you clarify what you mean by "pathway"?

 

[Bartelby]

There is the addiction medicine "practice pathway" which allows you to become board certified without doing the fellowship. That involves working a sufficient number of hours in an addiction-specific treatment program / clinic. Addiction psychiatry does not have a similar option presently (and likely will not at any point in the future). The plan is to phase out the practice pathway option for addiction medicine as well, though that phase out has been delayed.

 

[painballer27]

A reddit user said they know an addiction specialist who makes 7 figures and only works 9-2 5 days a week. What do you guys think about this?

 

[jbomba]

A reddit user said they know an addiction specialist who makes 7 figures and only works 9-2 5 days a week. What do you guys think about this?

I think you should pursue addiction medicine.

 

[painballer27]

I think you should pursue addiction medicine.

Why is that?

 

[dl2dp2]

A reddit user said they know an addiction specialist who makes 7 figures and only works 9-2 5 days a week. What do you guys think about this?

I can probably make 7 figures if I see patients non-stop between 9-2 5 days a week, but I don't see nearly enough patients to fill 25 hours a week.

First off, I like to lunch at noon. Second off, I like to go to the gym at 10AM on a Thurs. Third off, the more I look around the more I realize that most people are not me and probably won't be me no matter how hard they tried. That's what I think about this.

 

[painballer27]

I can probably make 7 figures if I see patients non-stop between 9-2 5 days a week, but I don't see nearly enough patients to fill 25 hours a week.

First off, I like to lunch at noon. Second off, I like to go to the gym at 10AM on a Thurs. Third off, the more I look around the more I realize that most people are not me and probably won't be me no matter how hard they tried. That's what I think about this.

Wow. Just dropped the mic. But do you do strictly addictions or are you just cash only general psychiatry serving the wealthy? You must be charging somewhere in the neighborhood of 7-800 an hour. That is tremendous though.

 

[jbomba]

Wow. Just dropped the mic. But do you do strictly addictions or are you just cash only general psychiatry serving the wealthy? You must be charging somewhere in the neighborhood of 7-800 an hour. That is tremendous though.

In the right market you should relatively easily be able to charge $1600-2000/hr if focusing on pediatric chronic pain psychosomatic interventional medicine. It's a very niche, high end field. But if you filled out your schedule you should be able to generate 4-5M a year without much effort.

 

[painballer27]

In the right market you should relatively easily be able to charge $1600-2000/hr if focusing on pediatric chronic pain psychosomatic interventional medicine. It's a very niche, high end field. But if you filled out your schedule you should be able to generate 4-5M a year without much effort.

Lol alright.

 

[painballer27]

In the right market you should relatively easily be able to charge $1600-2000/hr if focusing on pediatric chronic pain psychosomatic interventional medicine. It's a very niche, high end field. But if you filled out your schedule you should be able to generate 4-5M a year without much effort.

But I need to know for real. Stop with the jokes please

 

[forchinet121]

I can probably make 7 figures if I see patients non-stop between 9-2 5 days a week, but I don't see nearly enough patients to fill 25 hours a week.

First off, I like to lunch at noon. Second off, I like to go to the gym at 10AM on a Thurs. Third off, the more I look around the more I realize that most people are not me and probably won't be me no matter how hard they tried. That's what I think about this.

Can you elaborate on your practice setup? You make 1M+ working 25 hours a week?

 

[painballer27]

Can you elaborate on your practice setup? You make 1M+ working 25 hours a week?

This person is a baller. Used to go by different name, not going to say what name. They've talked about it before you just likely haven't been around. They do private practice, wealthy clientele.

 

[dl2dp2]

Can you elaborate on your practice setup? You make 1M+ working 25 hours a week?

My model is not easily replicable. I don’t work 25 clinical hours a week and don’t make anywhere close to 1M a year. If I *wanted* to do that I can *probably* do it in a number of years if I structured my life in a certain way but this is not where it is all going at the moment.

This person is a baller. Used to go by different name, not going to say what name. They've talked about it before you just likely haven't been around. They do private practice, wealthy clientele.

Not all my patients are wealthy.

 

[nexus73]

8 suboxone patients per hour billed as 99214s, + therapy add-on, 40 pt's per day, 200 patients per week at $200 via commercial insurance, and take 6 weeks vacation you're north of 1.8 million/year easy

Everyone will have opoid use disorder, plus they're all smokers or former smokers, so for 2nd diagnosis nicotine use disorder +/- severity or in remission, and supportive psychotherapy to stay/get sober. Two dx for 99214--> Easy.

only problem is the DEA, always nosing around

 

[nexus73]

Also, American Osteopathic Association (AOA) is an alternative medical board to ABPN typically for osteopaths. But I believe they have a practice pathway for addiction medicine open to DOs or MDs, if the MDs can tolerate AOA board certification for a subspecialty that will bring them fame and fortune.

 

[painballer27]

8 suboxone patients per hour billed as 99214s, + therapy add-on, 40 pt's per day, 200 patients per week at $200 via commercial insurance, and take 6 weeks vacation you're north of 1.8 million/year easy

Everyone will have opoid use disorder, plus they're all smokers or former smokers, so for 2nd diagnosis nicotine use disorder +/- severity or in remission, and supportive psychotherapy to stay/get sober. Two dx for 99214--> Easy.

only problem is the DEA, always nosing around

Don't you have to spend at least 16 mins on therapy to bill the add on? You couldn't do that seeing 8 an hour. Also I assume patients are seen about every month. Can't you only have 275 suboxone patients at a time?

 

[heartsink]

Don't you have to spend at least 16 mins on therapy to bill the add on? You couldn't do that seeing 8 an hour.

Sure you can. Just stick them in little cubicles like you're stocking meat, then they interact with a zoom screen showing you as you talk to all 8 of them at once. They're probably all saying about the same thing anyway so who cares, the point is $$$$ right? /s

 

[adiradirim]

In the right market you should relatively easily be able to charge $1600-2000/hr if focusing on pediatric chronic pain psychosomatic interventional medicine. It's a very niche, high end field. But if you filled out your schedule you should be able to generate 4-5M a year without much effort.

I'm a child psychiatrist who trained in pediatric pain management... this is probably true.