RVU Production for podiatrist?

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bloxxeeey

bloxxeeey

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What's the typical wRVU earned for a podiatrist yearly? I've seen all over from 5500-7200. I'm asking for both surgical and non-surgical podiatrist.
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There are a ton of factors... referrals, staff, what services office/clinic offers, DPM's ability and desire to see high vs avg volume, DPM's billing acumen, OR turnover times, if DPM gets credit for DME or rad or etc etc etc.

One of the biggest errors most new grads make is thinking they'll see 25, 30, 40+ per day consistently and right away.
That is almost always not possible as they won't get that pt volume, they won't be able to handle it (staffing, own ability, keep up on notes, etc), won't have clinic or schedule staff support for it, billers are below avg, whatever.

...The best thing to do is talk to current or recent past DPMs who work the job in question and see how it went for them in terms of pts/day or collections or RVU or whatever. 👍
 
bloxxeeey said:
What's the typical wRVU earned for a podiatrist yearly? I've seen all over from 5500-7200. I'm asking for both surgical and non-surgical podiatrist.
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Feli is correct, many factors will determine one’s ability to generate wRVUs. Numbers can be much higher than 7200/yr depending on the variables. I worked for a MSG for several years and it took me about 2 years upon starting to consistently generate my usual numbers. I saw on average about 120 patients per week (4 clinic days) and one full OR day averaging 6-8 cases per week. No RFC or wound care and we had physician extenders doing post op care. In that scenario I was able to consistently generated 750-1000 wRVUs/month. I know of colleagues that generate more.
 
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Feli said:
One of the biggest errors most new grads make is thinking they'll see 25, 30, 40+ per day consistently and right away.
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True. A lot of folks don't realize that high volume practices seeing 30 to 40+ patients a day are all saddled by mostly medicaid patients coming in for wounds, nails, itchy feet from poor hygiene etc. This could be profitable ONLY if you are RVU based but then it gets tiring and overwhelming and leads to burn out.

In residency, we all have that one "busy" clinic attending seeing 50+ patients but that is only possible because he/she has residents to see the patients and also do the notes. Honestly, you don't want to be out by yourself seeing that much volume in clinic. This is not even including surgery and inpatient consults.
 
bloxxeeey said:
What's the typical wRVU earned for a podiatrist yearly? I've seen all over from 5500-7200. I'm asking for both surgical and non-surgical podiatrist.
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Too many factors. Depends on size of hospital and resources. Depends on size of community.

I've had two hospital gigs.

First one was an independent hospital in a town of 60,000. Not bad volume but terrible hospital support and resources. I still did close to 10,000 RVUs my last year there but I was absolutely killing myself

Second gig I am at a 600 bed tertiary referral center in a town of 200,000. Lots of wound care certified nurses to do my ex-fix dressings on the floor. I have two nurses in clinic. I have an APRN who does our inpatient rounding. This frees me up to do as many surgeries as I can. I am currently on pace for 12-13K RVUs this year and I am not nearly stressing out as much as I was when I was at a small community hospital.

Other factor is skill set. Potential productivity depends on skill set. I do everything from toenails to TARs. My practice is more wound care and limb salvage and trauma. I also do elective cases but majority is high risk limb salvage and wounds with trauma that nobody wants to do. Big RVU cases. If you aren't comfortable doing Charcot, ex-fix, muscle flaps, STSG, wounds then you are going to lose a lot of productivity.

RVU system is built for limb salvage. You can really take advantage of these cases and really rack up RVUs if you are willing to do it. Trying to make a killing in RVUs only doing elective cases is going to be a struggle because these elective cases you are fighting for with other podiatrists and even foot and ankle ortho if they are present in our community. But nobody wants to do wounds and diabetic offloading surgeries and charcot, etc
 
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Retrograde_Nail said:
Too many factors. Depends on size of hospital and resources. Depends on size of community.

I've had two hospital gigs.

First one was an independent hospital in a town of 60,000. Not bad volume but terrible hospital support and resources. I still did close to 10,000 RVUs my last year there but I was absolutely killing myself

Second gig I am at a 600 bed tertiary referral center in a town of 200,000. Lots of wound care certified nurses to do my ex-fix dressings on the floor. I have two nurses in clinic. I have an APRN who does our inpatient rounding. This frees me up to do as many surgeries as I can. I am currently on pace for 12-13K RVUs this year and I am not nearly stressing out as much as I was when I was at a small community hospital.

Other factor is skill set. Potential productivity depends on skill set. I do everything from toenails to TARs. My practice is more wound care and limb salvage and trauma. I also do elective cases but majority is high risk limb salvage and wounds with trauma that nobody wants to do. Big RVU cases. If you aren't comfortable doing Charcot, ex-fix, muscle flaps, STSG, wounds then you are going to lose a lot of productivity.

RVU system is built for limb salvage. You can really take advantage of these cases and really rack up RVUs if you are willing to do it. Trying to make a killing in RVUs only doing elective cases is going to be a struggle because these elective cases you are fighting for with other podiatrists and even foot and ankle ortho if they are present in our community. But nobody wants to do wounds and diabetic offloading surgeries and charcot, etc
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This situation is a 1% podiatry experience for what it’s worth. It’s what schools hope everyone will do but only a very few motivated and smart individuals like retrograde actually end up in. That being said, most grads cant do what retrograde does.
 
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For the hospital pods out there, how feasible is it to earn ~350k salary in a wRVU based model? Does this require 'burnout' level of hours/work? Specifically in a limb salvage/inpatient wound care focused practice. Assuming good midlevel/admin support and other foot & ankle surgeons to help with call etc.
 
It's very dependent on what the $ to wRVU rate is and what base you start with BUT 350K should be very reasonable. Assuming full-time and 15-20ish patients a day, with or without surgery, you should exceed 350K.
 
LossToFollowUp said:
It's very dependent on what the $ to wRVU rate is and what base you start with BUT 350K should be very reasonable. Assuming full-time and 15-20ish patients a day, with or without surgery, you should exceed 350K.
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What would be a good dollar amount per wRVU? Assuming the base is 250k for first couple years
 
Last facility I was at, the rate was 38 but then it got negotiated to 45. I think there are pods getting 60s and even 80s but I'm not sure how true that is.
 
LossToFollowUp said:
It's very dependent on what the $ to wRVU rate is and what base you start with BUT 350K should be very reasonable. Assuming full-time and 15-20ish patients a day, with or without surgery, you should exceed 350K.
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Jummy Biffett said:
For the hospital pods out there, how feasible is it to earn ~350k salary in a wRVU based model? ...
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The majority of hospital-employed (DPMs, not MD/DOs) are VA and IHS... so they don't have a bonus. $350k is basically impossible for them. 🙂

Hospital jobs (non govt) are under 10%, prob under 5%, of DPMs overall.
It's a noble goal, but the majority of those jobs are flooded with apps and go to someone with a connection.
 
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Feli said:
The majority of hospital-employed (DPMs, not MD/DOs) are VA and IHS... so they don't have a bonus. $350k is basically impossible for them. 🙂

Hospital jobs (non govt) are under 10%, prob under 5%, of DPMs overall.
It's a noble goal, but the majority of those jobs are flooded with apps and go to someone with a connection.
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At the risk of sounding like an a**hole, the offer is in hand. But in high cost of living area, hence the specific question about 350k potential, which is what I would anticipate needing for family to be comfortable.
 
LossToFollowUp said:
Last facility I was at, the rate was 38 but then it got negotiated to 45. I think there are pods getting 60s and even 80s but I'm not sure how true that is.
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$60’s exists. $80’s may but that’s more than some ortho get so it’s a pipe dream. $40’s is criminal but in some regions it’s unfortunately standard.

$350k in an employed production model isn’t hard unless you’re $40 per wRVU, then it takes around 9,000 wRVU which is top 10-25th percentile production.
 
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What is MGMA data saying now about it? A few years back $53 was average for surgical pods but I don’t have access to that info now, but it might be good to get my our hands on it and use that in your negotiations. Remember, that’s the average, so I would start higher than that and bring up your cost of living etc.
 
I have ortho colleagues at $50. Speaking of production, I recently heard of a few hospitals get rid of their podiatry departments and all of a sudden these pods are scrambling to find jobs as associates in our community. Somehow they never did take call or do inpatient work, and had average surgical volume. I don’t know the details of why the hospitals decided to let them go but it’s scary that they would do that apparently out of nowhere
 
AttackNME said:
I have ortho colleagues at $50. Speaking of production, I recently heard of a few hospitals get rid of their podiatry departments and all of a sudden these pods are scrambling to find jobs as associates in our community. Somehow they never did take call or do inpatient work, and had average surgical volume. I don’t know the details of why the hospitals decided to let them go but it’s scary that they would do that apparently out of nowhere
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Never taking call, or doing inpatient work, having average surgical volume. Sounds like they’re right at place in PP podiatry.

If a hospital employs a podiatrist who can’t see inpatients why are they even there? No outside independent practices should be doing call at a hospital for free when they aren’t employed. The only reason hospital employed podiatrists should exist are to deal with inpatients as needed.

To them I say good riddance. I’d rather have a doctor as my boss than an associate/bachelors grad bean counter who doesn’t know about medicine cutting losses.
 
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AttackNME said:
I have ortho colleagues at $50. Speaking of production, I recently heard of a few hospitals get rid of their podiatry departments and all of a sudden these pods are scrambling to find jobs as associates in our community. Somehow they never did take call or do inpatient work, and had average surgical volume. I don’t know the details of why the hospitals decided to let them go but it’s scary that they would do that apparently out of nowhere
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In the end you are a just a cog in the wheel at these hospitals. If you do not meet up to certain metrics or standards they hold you to, it's an easy decision for them.

A lot of these hospitals will often subsidize the clinics for their specialists, meaning some of the outpatient clinics will have a net operating loss with staffing, overhead, etc. but the surgeon itself will bring volume/coverage to the hospital.

I feel like podiatry would be one of the easiest things to remove due to it being an ancillary service, and maybe their volume wasn't justifying keeping the clinic running.
 
Hybrocure said:
Never taking call, or doing inpatient work, having average surgical volume. Sounds like they’re right at place in PP podiatry.

If a hospital employs a podiatrist who can’t see inpatients why are they even there? No outside independent practices should be doing call at a hospital for free when they aren’t employed. The only reason hospital employed podiatrists should exist are to deal with inpatients as needed.

To them I say good riddance. I’d rather have a doctor as my boss than an associate/bachelors grad bean counter who doesn’t know about medicine cutting losses.
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Bring back baby billy avatar please. Thank you
 
billBOB213 said:
What is MGMA data saying now about it? A few years back $53 was average for surgical pods but I don’t have access to that info now, but it might be good to get my our hands on it and use that in your negotiations. Remember, that’s the average, so I would start higher than that and bring up your cost of living etc.
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Latest MGMA data on this would be super helpful. I've heard median total comp. was around $280k but not sure about the $ per wRVU breakdown
 
Jummy Biffett said:
For the hospital pods out there, how feasible is it to earn ~350k salary in a wRVU based model? Does this require 'burnout' level of hours/work? Specifically in a limb salvage/inpatient wound care focused practice. Assuming good midlevel/admin support and other foot & ankle surgeons to help with call etc.
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350K should be a certainty if you are the only DPM on staff. If not then it should be a certainty after 2 years. There are factors that influence this such starting base pay, dollar per RVU, size of hospital, etc.

First year out of residency at my first hospital job I did not bonus at all just had my base salary which was $240K at the time (7 years ago). Second year I had maybe 60-70K in bonuses. Third and fourth year I was getting 100-150K in bonus and also had my base salary bumped from 240K to 275K during that time. I was only making $45 per RVU at this hospital job which was normal for the region.

Then I got a job in a more favorable area for podiatry at a hospital 5x bigger than the community hospital I had worked at before. I have two other surgical podiatry partners at this new job. Still cranking 1000 RVUs out per month since I do mostly complicate limb salvage cases and trauma nobody wants to do along with some bread and butter podiatry cases. I also do a ton of outpatient wound care.

At this job my base is 325K and $53 per RVU.

It certainly can happen.

DPMs who take jobs at the Kaisers, VAs, or even some really dumpy independent community hospitals may not get there but I will say this. The more pathology you are willing to treat or have the skill set to treat will grossly increase your production potential. If you pick and choose pathology it will not happen. I came from a well known residency program. We never did complex limb salvage or wound care. It was frowned upon. We were "surgeons". Whatever. I jumped right into that stuff my first year out because that is the most common thing you will see and do and be given by ortho, medicine, general surgery, etc. You can't turn that stuff down. In an RVU system it is an absolute money maker. You would be a fool to turn it down but that would be podiatry for you.
 
Retrograde_Nail said:
350K should be a certainty if you are the only DPM on staff. If not then it should be a certainty after 2 years. There are factors that influence this such starting base pay, dollar per RVU, size of hospital, etc.

First year out of residency at my first hospital job I did not bonus at all just had my base salary which was $240K at the time (7 years ago). Second year I had maybe 60-70K in bonuses. Third and fourth year I was getting 100-150K in bonus and also had my base salary bumped from 240K to 275K during that time. I was only making $45 per RVU at this hospital job which was normal for the region.

Then I got a job in a more favorable area for podiatry at a hospital 5x bigger than the community hospital I had worked at before. I have two other surgical podiatry partners at this new job. Still cranking 1000 RVUs out per month since I do mostly complicate limb salvage cases and trauma nobody wants to do along with some bread and butter podiatry cases. I also do a ton of outpatient wound care.

At this job my base is 325K and $53 per RVU.

It certainly can happen.

DPMs who take jobs at the Kaisers, VAs, or even some really dumpy independent community hospitals may not get there but I will say this. The more pathology you are willing to treat or have the skill set to treat will grossly increase your production potential. If you pick and choose pathology it will not happen. I came from a well known residency program. We never did complex limb salvage or wound care. It was frowned upon. We were "surgeons". Whatever. I jumped right into that stuff my first year out because that is the most common thing you will see and do and be given by ortho, medicine, general surgery, etc. You can't turn that stuff down. In an RVU system it is an absolute money maker. You would be a fool to turn it down but that would be podiatry for you.
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Great post. I think there should be more residency emphasis and respect on complex limb salvage rather than frowning on it. It’s where the money is and our calling as a profession to fill an unmet need. And it’s truly the best way to gain respect with MDs and DOs, for those who even care about that stuff.

It’s much more rewarding to save a limb (and by extension possibly a life) than it is to make someone’s arthritis feel better.
 
There are a few hospital based pods we work with in our residency. The highest paid one makes around 600k/year but he is also busier in clinic and surgery. The rest range from 350-500k/year. I believe they make 45 per RVU.
 
Hybrocure said:
Great post. I think there should be more residency emphasis and respect on complex limb salvage rather than frowning on it. It’s where the money is and our calling as a profession to fill an unmet need. And it’s truly the best way to gain respect with MDs and DOs, for those who even care about that stuff.

It’s much more rewarding to save a limb (and by extension possibly a life) than it is to make someone’s arthritis feel better.
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The number of hospital employed podiatrists has increased over the last few decades, but I would not go so far as to say there is an unmet demand. Trust me unlike many specialties that have unfilled positions all over the country podiatry will be able to meet organizational demand for the foreseeable future.
 
Retrograde_Nail said:
I am a podiatrist. I say it proud. I know my role and have accepted it. I'll fix anything that is referred or dumped on me. All I do now is hunt RVUs.
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Denzel Washington Movie GIF
 
Hybrocure said:
...I think there should be more residency emphasis and respect on complex limb salvage rather than frowning on it. It’s where the money is and our calling as a profession... ...It’s much more rewarding to save a limb (and by extension possibly a life) than it is to make someone’s arthritis feel better.
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It depends. There are pros and cons. It is good to learn it all.
I would say nearly all of our DPM residencies have enough - or even super surplus- of F&A wound/amp exposure (MUCH fewer do enough elective and trauma).

The limb salvage is absolutely the easiest surgery... when compared to trauma (technically hard) or elective recon (high expectation). The expectations are low or even very low with wound/amp cases, and the technical difficulty on wound/amp is low-to-medium (hence "first year case" or why anyone with decent overall training can easily do wound stuff later... yet not so for advanced recon or trauma).

In any form of collections-based PP - from solo to ortho to pod group, you will generally find most of the wound and amp and 'salvage' patients have avg or low or no insurance. The patients are a bear and consume much staff time, resources, fair legal risk, good amount of weekend/urgent problems and surgery... for little in return. Trying to do a TCC in office or a 6pm I&D or a VAC change on the weekend in private practice of any kind is a nightmare you just don't want to see often. Further, they're a legal risk (why every malpractice insurance asks if you do wound care or trials or etc).

I would also say many of the limb salvage patients typically go downhill no matter what (just a bit slower downhill course with skilled surgery/care). We've all seen those stupid CME lectures with 8 Charcot surgeries and two frames just ending up in a bucket or weekly wound care and HBO yet the patient has MI or PE anyways. It is, imo, just not too rewarding when many of those patients re-ulcerate from obesity and neuropathy despite your best surgery or DME effort, they get contralateral wounds, get medical issues due to overall bad health,

The DM wound/amp pts tend to derail your office schedule as a time-consuming add-on or take your lunch for a hospital/ER consult for an infection, or you simply see their account balance get bigger and bigger as their insurance rejects visits and procedures. Even if they have a decent job/insurance for the first hospitalization or amp, coming to the wound center weekly typically lands them on MCA or worse very fast. Some DM wound pts wake up after an amp or wound and start taking care of HbA1c and get shoes and do well for awhile or forever... but they're the minority, and it usually doesn't last very long.

...In PP - which is most DPMs - the office procedures and DME with good payers is what you need to thrive. Sometimes, it's much better to help people who will indeed get (and stay) better... and most of them also contribute to society (job, community role, etc... not just Netflix and Doritos and Coke). It can be better (in many ways) to do an ankle scope/stab for an athlete or fix a bunion for a young adult than to cut a big DM person's gangrene toe off. There is nothing more or less noble about a hospital DPM seeking RVUs from Charcot and flap wound cases... versus a MSG/pod group DPM seeking refers for BCBS bunions and ingrowns. They are both helping people... and what they do most or value primarily will logically follow the reimbursements. 🙂

So yes, in hospital employ wRVU setup, the 'limb salvage' is gold... as is MCA or non-insured trauma that needs big recons, staged surgery, etc. Those are the moneymakers when insurance does not matter. But in any collection-based setup like ortho group or MSG or pod group? Nope... not at all. Those foot infections and wounds are the things other local PP ortho and gen surg groups will try to dump to podiatry or rope podiatry into on-call to get rid of.
 
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Are any hospital employees willing to either state here or DM me what their compensation/benefit package is like? About to negotiate my first contract and I don’t even know where to start
 
PMG03470 said:
Are any hospital employees willing to either state here or DM me what their compensation/benefit package is like? About to negotiate my first contract and I don’t even know where to start
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Started off at 275K. Out produced my contract. Got bumped to 325K. Did 670K gross end of second year. Third year salary is 90% of that so I am at 610K base salary. Have to maintain 80% of target RVU goal (little over 900) for that 610K salary to maintain that pay. If I go over I still bonus. I am still bonusing.

6 weeks PTO
Holidays off
Hospital covers 80% of my benefits (medical insurance/dental insurance)
Reimbursement for gas for outreach
403B with 5% match
Retention bonus 15K per year

EDIT (forgot)

75k signing bonus
No moving stipend
5k CME annually
 
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Retrograde_Nail said:
Started off at 275K. Out produced my contract. Got bumped to 325K. Did 670K gross end of second year. Third year salary is 90% of that so I am at 610K base salary. Have to maintain 80% of target RVU goal (little over 900) for that 610K salary to maintain that pay. If I go over I still bonus. I am still bonusing.

6 weeks PTO
Holidays off
Hospital covers 80% of my benefits (medical insurance/dental insurance)
Reimbursement for gas for outreach
403B with 5% match
Retention bonus 15K per year
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Pre-pods, pod students, residents.. this is what you call an outlier.
 
Retrograde_Nail said:
Started off at 275K. Out produced my contract. Got bumped to 325K. Did 670K gross end of second year. Third year salary is 90% of that so I am at 610K base salary. Have to maintain 80% of target RVU goal (little over 900) for that 610K salary to maintain that pay. If I go over I still bonus. I am still bonusing.

6 weeks PTO
Holidays off
Hospital covers 80% of my benefits (medical insurance/dental insurance)
Reimbursement for gas for outreach
403B with 5% match
Retention bonus 15K per year
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What part of the country are you in? Metro or rural?
 
PMG03470 said:
Are any hospital employees willing to either state here or DM me what their compensation/benefit package is like? About to negotiate my first contract and I don’t even know where to start
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300k base, 30k signing bonus with 18 month retention to not have to pay it back. Base increases 20k per year for the first 5 years then a renegotiation after 5 years to see where it'll sit. As retro said above it'll be some % level of previous year but I'll always have a base. $52/rvu, can bonus if I go over base.

4 weeks of PTO to start, increases to 6 over the first 5 years
Have to use PTO for holidays unless I'm in the hospital for a call
Call is "available" aka if I'm here and want it I take it, otherwise it's sent out (critical access hospital)
403b with 4% match, 457b available. 2k per year in HSA if you choose HDHP
Up to 30k bonus for community talks throughout the year, 85% press-ganey scores 4 or 5, and % of no repeat admissions/unplanned sx (don't remember the percent or timelines on those specifically)
4k of CME yearly, can carry over 2k for max of 6k per year. CME time off is separate from PTO
 
PMG03470 said:
What part of the country are you in? Metro or rural?
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Dude lives in 2300. Hyperinflation has set in. BTC is $15,000,000 a coin. Diabetes is prevalent in 50% of Americans as ozempic was shown to cause diabetes after chronic use.
 
I live in present time

My salary and benefits are real

I told you all about crypto and it’s playing out how I told you. Everyone missed the boat or didn’t get the message….because podiatry

I will see you all on the moon when BTC pumps to Valhalla after Trump gets into office in a few days.
 
Retrograde_Nail said:
I live in present time

My salary and benefits are real

I told you all about crypto and it’s playing out how I told you. Everyone missed the boat or didn’t get the message….because podiatry

I will see you all on the moon when BTC pumps to Valhalla after Trump gets into office in a few days.
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Pretty good day for the markets that’s for sure
 
Retrograde_Nail said:
I live in present time

My salary and benefits are real

I told you all about crypto and it’s playing out how I told you. Everyone missed the boat or didn’t get the message….because podiatry

I will see you all on the moon when BTC pumps to Valhalla after Trump gets into office in a few days.
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Too bad I had no money to invest during that time while I was slowly wasting away in pod school and residency (barely made enough to support family). Totally missed the boat on that one.
 
PMG03470 said:
Are any hospital employees willing to either state here or DM me what their compensation/benefit package is like? About to negotiate my first contract and I don’t even know where to start
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Was $30k signing bonus and $300k base with $54/wRVU on anything past 400-ish wRVU each month.

Now I’m $60/wRVU. Straight production, no base.

-5 weeks PTO, 5 sick days, 5 paid days for CME
-$5k CME
-$3k for licensing/board cert dues
-$15k per year in student loan assistance/repayment
-we have a pension plan if you put in enough years I just don’t remember what it is
-hospital pays 100% of any employee health insurance premiums and they will pay something like $2k per year into an HSA if you choose a plan that qualifies.
-some employer match % for 401k/403b contributions that ends up getting me $20-25k in employer contributions annually

There are more fringe benefits but that’s the meat and potatoes of it
 
Good examples above...

Most of the hospital jobs have to work pretty hard to do that level of wRVUs (wRVU amounts on CPTs are a bit under half NF RVUs typically... but wRVU get paid slightly to significantly per RVU more, per contract). So, if you're coming from collections-based PP pod/ortho/msg to hospital on wRVU setup, basically calc your PP monthly collections, divide by 40 (per NF rvu rate), and then 1.5x or 2x that... that's roughly the wRVU you need to do the same output. There is a fudge factor for the no/slow/reduced pays in collections-based.

You'll be doing totally different stuff hospital versus PP, though.
[It very quickly becomes obvious that surgery and wound care are the way to go in hospital wRVU... not so much in PP with NF rvu and insurances mattering]

The REAL beauty of hospital FTE pod work is that you just have to do the stuff... no worry as to whether it's paid/collected or when or what insurance. Again, surgery and inpatient work and wound care become the way to rack up wRVUs (but those are the same things that would normally drag you down and be inefficient in collections-based system as many of those pts have bad/no insurance). GL with contracting.
 
I’m paid straight wRVU about $51 ish, 450k gross this last year. 2025 salary based off wRVU total for 2024, about the same. Unlimited PTO but if I don’t make up lost wRVU then following year salary will take a dip. As a partner lots of bonus and overage paid out throughout the year. Around $80k extra in 2024 on top of 401k, 10k CME allowance, a separate pension plan, other incentive/metrics for additional $20k ish.

$2000 per year if board certified

Licensing/DEA covered, separate from CME funds

I have PAs that can triage stuff and I can see it next day if need be. They book trauma cases for me and add to my block

I can track all my CPT codes and corresponding wRVU to ensure accuracy. Good luck having PP owners showing you the books

I would try to negotiate a higher sign on bonus, higher wRVU tier if that’s an option like Dtrack, more CME money, if they want you to do outreach clinics then maybe gas/mileage reimbursement. Moving/relocation reimbursement, most I’ve seen are around 10k.
 
Job posted at 280k salary 20k signing
HCOL state but local area MCOL.
Asked and got 300k base 12-18 months 30k signing then production at 49 per RVU. Can come of guarantee early if I am outproducong
17k moving stipend
5k CME
5 weeks PTO on guarantee
Paying off remaining 36k in student loans but not until I am on production
Very Good health within system which is large I pay 500 a month in a HDHP and they pay 4kish towards HSA ( I will pay cash for medical services). If me only or me and child would be free so my wife is costing me 500 a month
They cover dental/vision
7500 a year for managing an APP if I get one (they say I will if produce).
5 percent match but maxs out at 350k so like 17500 match.
Only 403, no 457 or other retirement plan.
STD 3k a week
LTD 10k monthly non taxed (I will carry a separate policy around 11k non taxed)
No call
No pods within 40 miles, no foot ankle Ortho
 
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MortonExtension said:
I feel like hospital podiatry would burn you out quickly but the above examples have plenty of PTO
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It basically comes down to if your supervisor(s) like chiefs/admins/HR - and your dept colleagues - are cool or not.
Those people can make or break your clinic supplies/staff, call schedule, your productivity, overall job frustrations.

...and that stuff's unfortunately dynamic as hospital admin/HR/pods change (sometimes very often).
 
Again, I could pull up 20 people ony phone hospital employed making 350k plus a year right now. We love to complain. The reality is most posters on here are hospital employed and do significantly better than most. In fact I don't know if I know anyone making 120k in PP. I honestly only know a handful of people in PP and they all own.
 
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