Suboxone clinic part time?

[sweetlenovo88]

What are your thoughts on a part time suboxone clinic since my cap would be 30 patients for the first year? I would have all day Wednesday and then a weekend day to devote to this. I would then hire a medical assistant/LPN part time to work with me to do UDS and maybe that same person to be the secretary?

What would the numbers look like?

During the week, I do telepsych and would not be in that office.

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[wolfvgang22]

You certainly could do that, but you want to make sure you can afford your clinic expenses doing that just 1.5 days per week. People are going to need a lot more details before being able to tell you what the numbers look like. You won't have trouble finding patients.
Are you going to take insurance, cash, see medicaid/medicare patients? What would the location be?

 

[sweetlenovo88]

You certainly could do that, but you want to make sure you can afford your clinic expenses doing that just 1.5 days per week. People are going to need a lot more details before being able to tell you what the numbers look like. You won't have trouble finding patients.
Are you going to take insurance, cash, see medicaid/medicare patients? What would the location be?

Thanks for the quick reply. Location is Miami/South Florida. I'm not quite sure if I should stick to Miami or drive to West Palm where are all rehab programs are. I would only be taking cash as I don't want to use my limited time trying to get paid. What would be a monthly fee for a patient on maintenance and initial fees for beginning treatment? Also, is the UDS a separate charge for the patient or just if it has to be sent out for confirmation?

 

[PistolPete]

Be careful. Florida (maybe south Florida) allegedly has the highest healthcare fraud in the entire nation. I'd do West Palm over Miami.

 

[TexasPhysician]

How would you handle inductions? I generally recommend these patients to come in the next day to evaluate dosage. Day 1 to day 2 can be significant dose changes.

 

[sweetlenovo88]

How would you handle inductions? I generally recommend these patients to come in the next day to evaluate dosage. Day 1 to day 2 can be significant dose changes.

So would working on Saturday/Sunday be better? It is feasible to just do this on the weekend?

 

[surfguy84]

You certainly could do that, but you want to make sure you can afford your clinic expenses doing that just 1.5 days per week. People are going to need a lot more details before being able to tell you what the numbers look like. You won't have trouble finding patients.
Are you going to take insurance, cash, see medicaid/medicare patients? What would the location be?

What kind of profit does a 30 patient practice supply? I understand the government restricts the number of patients a physician can see in, particularly in the first year, but just wondering how profitable this could be for a doc doing this on the side like OP mentioned.

 

[sweetlenovo88]

What kind of profit does a 30 patient practice supply? I understand the government restricts the number of patients a physician can see in, particularly in the first year, but just wondering how profitable this could be for a doc doing this on the side like OP mentioned.

I am wondering the same

 

[nexus73]

Will patients pay $400 for a once a month visit?

 

[TexasPhysician]

Will patients pay $400 for a once a month visit?

Generally no, but it really depends on your region.

Some docs take insurance and do suboxone. I've also seen $300 inductions which include the new eval and a follow-up the next day. Follow-ups in my area are $140-160.

Even after inductions, I require follow-ups at least weekly to get the dose maintained. Then progressively decrease the frequency to once/month with stable patients. 2 days being open will be incredibly difficult to handle problems, difficult inductions, relapses, and screens that test + for benzos. If a follow-up tests + for benzos after unknown use, will you fire them, risk OD by Rx Suboxone, or delay treatment for a whole week? All are poor options imo.

How will you handle relapses? Most good cash clinics have therapists on site to ensure more aggressive therapy occurs with relapses.