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salary opinion

paindoc007

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What does a pain doc make generating 6-7k RvU's per year? Reasonable payor mix of 1/2 medicare (small medicaid) and 1/2 commercial.....

In a medium sized city you may be able to get 60$/wrvu range.. So 390 in that example.

I get more than 60, but I work in a rural location. My colleagues in desirable cities make low 50s (I could never get hosed by my employer to that level) but you may be okay w that.
 
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paindoc007

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An obtuse method for hospitals to manipulate salaries of employed physicians

Nope. Wrvu contract is the one good thing we have going for us as employed physicians. I’ll take transparency and clarity over vagueness, really I want no part in anything else. Pro fee Collection based? Denials on the backend? Diff bw asc/in office reimbursement? No thank you. That headache is for PP docs, not for me.
 
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jsaul

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Nope. Wrvu contract is the one good thing we have going for us as employed physicians. I’ll take transparency and clarity over vagueness, really I want no part in anything else. Pro fee Collection based? Denials on the backend? Diff bw asc/in office reimbursement? No thank you. That headache is for PP docs, not for me.

so now there is a wrvu too? in addition to rvu?
 

lonelobo

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Nope. Wrvu contract is the one good thing we have going for us as employed physicians. I’ll take transparency and clarity over vagueness, really I want no part in anything else. Pro fee Collection based? Denials on the backend? Diff bw asc/in office reimbursement? No thank you. That headache is for PP docs, not for me.
I beg to differ I make my contracts and I know exactly what I get paid for them. pretty clear
 
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SSdoc33

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i wouldnt put rvu and transparency in the same sentence. You may get a good salary via rvu but it is due to the SOS differential. Rvus are good for the doc bc you theoretically get paid the same for an esi on medicain vs esi on blue cross
 

paindoc007

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i wouldnt put rvu and transparency in the same sentence. You may get a good salary via rvu but it is due to the SOS differential. Rvus are good for the doc bc you theoretically get paid the same for an esi on medicain vs esi on blue cross

To me, that’s transparency. I know exactly what I earn for what I do. To the dollar. No waiting to obtain collections, hearing about denials down the line, or having to frankly even look or think about insurance when I provide care. I like it this way.
 
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cowboydoc

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What does a pain doc make generating 6-7k RvU's per year? Reasonable payor mix of 1/2 medicare (small medicaid) and 1/2 commercial.....
RVU obviates the need to look at payer mix. All location dependent. $50-70 per rvu is a good range. Popular places on the low end, harder jobs to fill on the high end.
 
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i wouldnt put rvu and transparency in the same sentence. You may get a good salary via rvu but it is due to the SOS differential. Rvus are good for the doc bc you theoretically get paid the same for an esi on medicain vs esi on blue cross

 
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SSdoc33

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The one where I said wrvu based contract is the best thing we have as employed physicians, and you subsequently disagreed. What’s so hard to understand about that? Is English your second language?

knock it off. pick a fight somewhere else

nowhere in this thread did he imply he was employed. if you are going to be punchy, at least have a good reason for it
 

Ferrismonk

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Is median salary really $350K? That seems a bit low, no?
I've been offered between $200K to $425K to start. Average I've seen is about $300K. Actual income long term is all over the board. It really depends on your payor mix, how busy you are (or want to be), which procedures you're willing to do, how much inpatient/administrative/teaching you take on, whether or not you also do anesthesia, any ownership in ancillaries you have, etc.
 
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SommeRiver

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Total compensation in this field is a median of around 425-450, with salary generally around 300-350. Salary is but one number and does not always represent total money coming in...It is very expensive to insure you, pay your malpractice, staff your clinic, match your 401k, purchase equipment, buy your journals and CME, send you to a conference and pay your meals and travel...

You may get bonuses for performance, ASC shares, DME and PT money, profit sharing if partnership occurs...

I've had odd discussions with potential new docs who expect something coming out of fellowship that isn't realistic, and absolutely not deserved.

Many new graduates think (in my limited experience) they deserve partnership status in 12 to 24 months, even if the practice is over 50 yrs old and there are over 20 doctors in the group (in our case).
 

painfree23

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I've been offered between $200K to $425K to start. Average I've seen is about $300K. Actual income long term is all over the board. It really depends on your payor mix, how busy you are (or want to be), which procedures you're willing to do, how much inpatient/administrative/teaching you take on, whether or not you also do anesthesia, any ownership in ancillaries you have, etc.

How do you get paid for admin/teaching? Do schools pay for you to take on residents or med students?
 

cowboydoc

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For a new graduate, what are some ways you can make more starting out?

I.e. if you want to see more patients, are you able to do that? if you want to work saturday, are you able to do that? etc..
You got it. Hustle, do more, move to a "less desirable" location, save/invest. After you do this, hopefully you work on balance and don't burn out.
 
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Total compensation in this field is a median of around 425-450, with salary generally around 300-350. Salary is but one number and does not always represent total money coming in...It is very expensive to insure you, pay your malpractice, staff your clinic, match your 401k, purchase equipment, buy your journals and CME, send you to a conference and pay your meals and travel...

You may get bonuses for performance, ASC shares, DME and PT money, profit sharing if partnership occurs...

I've had odd discussions with potential new docs who expect something coming out of fellowship that isn't realistic, and absolutely not deserved.

Many new graduates think (in my limited experience) they deserve partnership status in 12 to 24 months, even if the practice is over 50 yrs old and there are over 20 doctors in the group (in our case).

Can you expand and elaborate on what you mean by the unrealistic expectations and entitlement to partnership that new graduates demonstrate?
 

SommeRiver

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Can you expand and elaborate on what you mean by the unrealistic expectations and entitlement to partnership that new graduates demonstrate?

...if you're a new graduate and expect a guaranteed path to partner in a short amount of time, you've got unrealistic expectations...
 
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