Virginia Beach Anesthesia

[Howard888]

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Not to post two topics that are related but this topic much more specific and likely to get answers.

As per the urgent locum topic need, phones are blowing off the hook for locums in Virginia. I was told they need a couple dozen new providers?

Anyone know what’s going on? Did group lose their contract?

 

[aneftp]

Not to post two topics that are related but this topic much more specific and likely to get answers.

As per the urgent locum topic need, phones are blowing off the hook for locums in Virginia. I was told they need a couple dozen new providers?

Anyone know what’s going on? Did group lose their contract?

Usual situation like Ft. Lauderdale and Memphis.

Repeat rinse and recycle.

That’s why I say locums all goes in cycles.

 

[Dabears38]

Does anyone know which hospital or group?

 

[aneftp]

Does anyone know which hospital or group?

Yes

 

[Southpaw]

Yes

Is it a secret? It’ll hit the news soon enough right? I didn’t know there were multiple groups of that size in the area. I knew of Atlantic Anesthesia. As usual very unfortunate. There’s at least one long time poster here who I think works in that area.

 

[AppTrail]

It's atlantic anesthesia. They cover 3 Sentara hospitals, 1 in Norfolk, the other 2 in VA beach. 50ish docs. Everything is changing over to hospital employed (Sentara Medical Group) and existing docs are able to still work there as locums i'm being told. I'd imagine most of those docs will help pick up since rates seem decent.

 

[BLADEMDA]

It's atlantic anesthesia. They cover 3 Sentara hospitals, 1 in Norfolk, the other 2 in VA beach. 50ish docs. Everything is changing over to hospital employed (Sentara Medical Group) and existing docs are able to still work there as locums i'm being told. I'd imagine most of those docs will help pick up since rates seem decent.

Rates are very, very good just ask Aneftp.

 

[AdmiralChz]

Unfortunate situation, bad actors on both sides with unrealistic expectations. Private practice is extremely difficult (impossible?) in 2025 with lack of headway in insurance payments, an out of control CRNA market and more and more production pressure. At some point, the stipend becomes too much of albatross for systems. This has happened in just about every major metropolitan area around the country, same story rinse and repeat.

I know a lot about the area and the options if anyone is interested send me a DM.

 

[Mman]

Virginia as a state has very low rates which makes it impossible to keep up

 

[NumTacos]

I guess they don't have very good Yelp reviews, very sad.

 

[aneftp]

I guess they don't have very good Yelp reviews, very sad.

lol every patient complaint is about money. Has nothing to do with anesthesia

I can’t take google reviews seriously either.

Image restaurant reviewed based on how much they charge. There would no Michelin restaurants left if it were based on money.

 

[aneftp]

Virginia as a state has very low rates which makes it impossible to keep up

Have u seen California reimbursement rates for private practice anesthesia?

 

[Mman]

Have u seen California reimbursement rates for private practice anesthesia?

the west coast is a foreign country to me in terms of anesthesia

 

[aneftp]

the west coast is a foreign country to me in terms of anesthesia

$60/unit commercial if you are lucky. Throw in medi-cal and Medicaid. You will be lucky to be averaging $30/unit blended units. Of course hospitals are subsidizing everything these days. But the basic math says a solo MD doing his own billing at 12k billing units nets him 360k with no subsidy. That’s the average workload. That’s why the California docs work way more than 12k billing units.

Every compensation model is different. You get x amount subsidy from the hospital for each call/trauma/ob call take etc.

Its a different beast out there

 

[sevo00]

whats the locum rate

 

[holdthemayo]

whats the locum rate

I was offered $425. I’m not sure on the details beyond that.

It sounds like a bad situation. Similar to what happened in Michigan earlier this year.

 

[abolt18]

Unfortunate situation, bad actors on both sides with unrealistic expectations. Private practice is extremely difficult (impossible?) in 2025 with lack of headway in insurance payments, an out of control CRNA market and more and more production pressure. At some point, the stipend becomes too much of albatross for systems. This has happened in just about every major metropolitan area around the country, same story rinse and repeat.

I know a lot about the area and the options if anyone is interested send me a DM.

He LIIIIIVEEEEES!!!!!! Long time no see/hear from? Welcome back. This place has changed substantially...

 

[Maverikk]

3 locums at one of my gigs have signed on there already so it must be decent. Wait until they pull a Michigan and rescind dates with 32 days notice. My friend had 80 hour weeks guarantee, housing travel all setup for 3 months…somebody must’ve offered cheaper. Crnas are smart for the job market/work hours. There are private Facebook locum CRNA groups I’ve seen where they essentially collude for hourly price. Essentially game theory, if everybody holds out they all win but if one person takes 25/hr less he gets a ton of hours and everyone else loses..and they know it on the groups too. I’ve been to places that were 500/hr initially then it slowly declines as more people get credentialed and accept less. The going rate for anywhere metro is 425-450 and 500+ for rural, but people don’t realize that and accept less, and it’s a wide margin depending on need location. I know people getting 450 hourly in LA and PP people getting 275/hr in LA. What I’ve seen is most places nowadays fill with permanent prns, mostly peri-retirement folks who ended their gig early to make the same or more money without call/night shifts. I know Crna’s doing two 24 hour OB shifts a week at very low volume centers (1-3 births/day) making close to 500k for sleeping, working out. It’s all about time spent…wisely

 

[aneftp]

3 locums at one of my gigs have signed on there already so it must be decent. Wait until they pull a Michigan and rescind dates with 32 days notice. My friend had 80 hour weeks guarantee, housing travel all setup for 3 months…somebody must’ve offered cheaper. Crnas are smart for the job market/work hours. There are private Facebook locum CRNA groups I’ve seen where they essentially collude for hourly price. Essentially game theory, if everybody holds out they all win but if one person takes 25/hr less he gets a ton of hours and everyone else loses..and they know it on the groups too. I’ve been to places that were 500/hr initially then it slowly declines as more people get credentialed and accept less. The going rate for anywhere metro is 425-450 and 500+ for rural, but people don’t realize that and accept less, and it’s a wide margin depending on need location. I know people getting 450 hourly in LA and PP people getting 275/hr in LA. What I’ve seen is most places nowadays fill with permanent prns, mostly peri-retirement folks who ended their gig early to make the same or more money without call/night shifts. I know Crna’s doing two 24 hour OB shifts a week at very low volume centers (1-3 births/day) making close to 500k for sleeping, working out. It’s all about time spent…wisely

Funny. I know people getting $375-400/hr in LA and people getting $250/hr in Miami 1099.

It all varies rates to be honest.

But u are right. The consecutive 24 hr ob 1099 are the money maker at low volume centers If you are doing 3 cs overnight at busy ob center as crna don’t 20 epidurals for the 24 hrs. U aren’t gonna to stay awake post call and repeating the same ob call again the next day.

 

[pgg]

whats the locum rate

One of my daily spam texts quoted $425/h with $475/h OT, 8 hour day guaranteed. The call terms weren't especially great.

Sounds messy.

 

[aneftp]

One of my daily spam texts quoted $425/h with $475/h OT, 8 hour day guaranteed. The call terms weren't especially great.

Sounds messy.

The bigger companies take more of a cut

The quote I got was significantly higher for base plus call rates. I wouldn’t fly up to Virginia for $425-/hr (as an out of stater). They may try to get those from northern Virginia to drive down. One of the inova docs in northern virginia is interested.

It’s like Michigan. Some docs got $450/hr. . Some docs got $550/hr The later docs took $400-425/hr.

Locums is just a dirty business like the mortgage industry giving someone 0.5% interest rates higher or lower quotes and that’s just pure profit for them.

 

[narcotics999]

One of my daily spam texts quoted $425/h with $475/h OT, 8 hour day guaranteed. The call terms weren't especially great.

Sounds messy.

Chaos create opportunities.

 

[AdmiralChz]

Chaos create opportunities.

“Never let a good crisis go to waste” - Winston Churchill (maybe), Rahm Emmanuel and the general SDN community.

 

[Maverikk]

Funny. I know people getting $375-400/hr in LA and people getting $250/hr in Miami 1099.

It all varies rates to be honest.

But u are right. The consecutive 24 hr ob 1099 are the money maker at low volume centers If you are doing 3 cs overnight at busy ob center as crna don’t 20 epidurals for the 24 hrs. U aren’t gonna to stay awake post call and repeating the same ob call again the next day.

Exactly: time worked. If it’s a busy tertiary care center and you’re working 18/24 hours for 400/hr it’s 530 per hour worked.

Low OB volume 3 epidurals should be about 30-60 min of work depending on your speed. At 250/hr a 24 hr shift is 6000 per hour worked. Yes the absolute number is lower, but maybe you want to drive to the beach the next day, go to the gym or work more

 

[sevo00]

Exactly: time worked. If it’s a busy tertiary care center and you’re working 18/24 hours for 400/hr it’s 530 per hour worked.

Low OB volume 3 epidurals should be about 30-60 min of work depending on your speed. At 250/hr a 24 hr shift is 6000 per hour worked. Yes the absolute number is lower, but maybe you want to drive to the beach the next day, go to the gym or work more

If you have to stay in house for the the full 24 hrs then it’s still 250 hr no matter even if it’s zero epidurals. Looking at it any other way is moot. You can’t do anything else those 24 hrs besides rot in a call room

 

[Gern Blansten]

If you have to stay in house for the the full 24 hrs then it’s still 250 hr no matter even if it’s zero epidurals. Looking at it any other way is moot. You can’t do anything else those 24 hrs besides rot in a call room

While true, I think most would find that 24 hours of light work with a lot of downtime to be way more satisfying than 24 hours of non stop work. If you can catch some sleep, you can still have the next day to be productive. If you work 24 straight, you will likely spend half the next day in recovery mode.

 

[Anew4215]

Is anyone going to VA or being presented? I'm not finding much of any info about it online. If they'd be wiling to wait for me to get a license, I'd be interested...

 

[Snu82]

Is anyone going to VA or being presented? I'm not finding much of any info about it online. If they'd be wiling to wait for me to get a license, I'd be interested...

450/hr offered here and wanted to present me, im not a full time locums and VB is a ways away. im not ready to commit

 

[aneftp]

450/hr offered here and wanted to present me, im not a full time locums and VB is a ways away. im not ready to commit

Medicus offered my friend $380/hr for Virginia Beach. Lol. Low ball. I’m sure the hospital is giving up upwards to $560-600/hr for locums agency (before expenses) and they pay out of that pot for travel and housing

These locums companies are sleazy. The original rate is a lot higher than $425/hr plus 6% Virginia state income taxes (for those who …who actually pay taxes when working out of state)

 

[gator2886]

The hospital systems seem to make the same mistakes....Fire the Anesthesia group. Hire locums, sometimes the exact same docs at much higher rates. Idgaf about the hospital systems, but it is very disruptive to patients and of course the docs and CRNAs

 

[aneftp]

The hospital systems seem to make the same mistakes....Fire the Anesthesia group. Hire locums, sometimes the exact same docs at much higher rates. Idgaf about the hospital systems, but it is very disruptive to patients and of course the docs and CRNAs

It’s becuase they all attend the same executive or similar business conferences how to run anesthesia

It’s the equivalent of docs asking for mgma data.

The data is always 3 years behind these days.

If the group is asking for a 20 million subsidy for 3 hospitals. And hospital is only giving them 15 million and contract falls apart

It will end up costing the hospital double immediately to bring in a new locums team

Grand Rapids was bleeding 5 million A MONTH. To put things in perspective

Just pay the private group what they want. Or it will cost the hospitals much more.

 

[gator2886]

If they all attend the same business conferences you would think they would learn what a costly mistake it is to fire your Anesthesia group

 

[gator2886]

Medicus offered my friend $380/hr for Virginia Beach. Lol. Low ball. I’m sure the hospital is giving up upwards to $560-600/hr for locums agency (before expenses) and they pay out of that pot for travel and housing

These locums companies are sleazy. The original rate is a lot higher than $425/hr plus 6% Virginia state income taxes (for those who …who actually pay taxes when working out of state)

That is a joke. You can find that anywhere today. Day time rates. Memphis was getting $10k for 24 hr call

 

[aneftp]

That is a joke. You can find that anywhere today. Day time rates. Memphis was getting $10k for 24 hr call

There are suckers willing to do it. It’s like buying an ugly house. Just takes one buyer.

Unfortunately may docs are “street smart” with this. And the crnas run circles around us cause most won’t work for low wages any more.

 

[narcotics999]

Medicus offered my friend $380/hr for Virginia Beach. Lol. Low ball. I’m sure the hospital is giving up upwards to $560-600/hr for locums agency (before expenses) and they pay out of that pot for travel and housing

These locums companies are sleazy. The original rate is a lot higher than $425/hr plus 6% Virginia state income taxes (for those who …who actually pay taxes when working out of state)

Avoid big agencies. Comphealth, Weatherby, LT, Medicus, etc. Medicus used to be Ok but is getting nasty and greedy. The bigger agencies offer lower lates, are actively replacing you if you are 25$ more expensive. They have a large pool of contractors.

 

[psychbender]

If they all attend the same business conferences you would think they would learn what a costly mistake it is to fire your Anesthesia group

Each one thinks, "but I'm smarter! This time, it will be different." The CEO of my last hospital system was having lunch with the CEO of a larger system in the wealthier metro area an hour away. That other CEO gave him the advice "don't **** with your anesthesia group," as that system was going through a great deal of turmoil after kicking out the AMC. What did he do about a year after that lunch? That's right, he ****ed with his anesthesia group. I, a few of my former partners, and many of our CRNAs now no longer work there.

 

[aneftp]

Avoid big agencies. Comphealth, Weatherby, LT, Medicus, etc. Medicus used to be Ok but is getting nasty and greedy. The bigger agencies offer lower lates, are actively replacing you if you are 25$ more expensive. They have a large pool of contractors.

That’s a misconception. The locums agency is pocketing the money. The hospital pays the same global rate to the agency.

U really think an agency telling you to take $25/hr less is saving the hospital? Nope. It goes straight to the agency profits

 

[Status Sciaticus]

Avoid big agencies. Comphealth, Weatherby, LT, Medicus, etc. Medicus used to be Ok but is getting nasty and greedy. The bigger agencies offer lower lates, are actively replacing you if you are 25$ more expensive. They have a large pool of contractors.

Its all a big racket. I actually started an agency to compete with the larger orgs. Got several interested physicians, but the issue is getting hospital contracting or on the vendor management system that they all use (Locumsmart). Interestingly enough, its owned by CHG which also owns Weatherby, Comphealth, etc.

That’s a misconception. The locums agency is pocketing the money. The hospital pays the same global rate to the agency.

U really think an agency telling you to take $25/hr less is saving the hospital? Nope. It goes straight to the agency profits

Right, but his point still stands that they will go to the cheapest option.

 

[aneftp]

Its all a big racket. I actually started an agency to compete with the larger orgs. Got several interested physicians, but the issue is getting hospital contracting or on the vendor management system that they all use (Locumsmart). Interestingly enough, its owned by CHG which also owns Weatherby, Comphealth, etc.


Right, but his point still stands that they will go to the cheapest option.

I don’t think so all
The time. They keep paying my friend $450/hr x 12 hr all guranteeed on beeper call and I can’t get them above $400/hr for beeper. All guranteee as well.

Same company.

It’s all a racket. So sometimes they don’t care about being the cheaper option.

 

[narcotics999]

I don’t think so all
The time. They keep paying my friend $450/hr x 12 hr all guranteeed on beeper call and I can’t get them above $400/hr for beeper. All guranteee as well.

Same company.

It’s all a racket. So sometimes they don’t care about being the cheaper option.

Total work hours difference?

 

[aneftp]

Total work hours difference?

All all gurantee bruh. Doesn’t matter if u work zero hours or 12 hrs. This is for night time call where there is. 80% of not working past 9p. So 2 hr of work for $4800 or $5400. Sometimes zero hours worked and still get paid $4800 or $5400.

So I’m still $600 cheaper per 12 hr and they don’t care.

There are other docs with no gurantee either. Just standard beeper plus call back.

 

[narcotics999]

Its all a big racket. I actually started an agency to compete with the larger orgs. Got several interested physicians, but the issue is getting hospital contracting or on the vendor management system that they all use (Locumsmart). Interestingly enough, its owned by CHG which also owns Weatherby, Comphealth, etc.


Right, but his point still stands that they will go to the cheapest option.

Aya owns doccafe. Locumsmart collects 15000+ 3.5% fee. $$$.

 

[narcotics999]

All all gurantee bruh. Doesn’t matter if u work zero hours or 12 hrs.

Of course if matters. Your friend 12X5, every week for 3months vs you 12hours x2 per week, one week per month.

 

[aneftp]

Of course if matters. Your friend 12X5, every week for 3months vs you 12hours x2 per week, one week per month.

I offer the same. It’s so random who they schedule