What is the highest yearly income you have seen a neurologist make?

[deleted1081396]

• What was their income?
• What was their subspecialty?
• What city/state/region of the country did they live in?
• What was their setting, work week and lifestyle like?

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[DrStephenStrange]

We have plenty of these threads out there already.

 

[Postictal Raiden]

On the website Medicare unmasked, I remember seeing an MS neurologist having the highest Medicare collections of any physician in the county. 15M if I remember correctly.

 

[Telamir]

One hundred billion dollars.

 

[deleted1081396]

On the website Medicare unmasked, I remember seeing an MS neurologist having the highest Medicare collections of any physician in the county. 15M if I remember correctly.

Neuroimmunology fellowship?

 

[xenotype]

Neuroimmunology fellowship?

Fraud.

 

[90sportsfan]

We have plenty of these threads out there already.

Agreed. I'm wondering what is with all of these income questions lately. Especially, like you said, there are already plenty of recent ones with up-to-date information, and the same consensus answer.

 

[deleted1081396]

Agreed. I'm wondering what is with all of these income questions lately. Especially, like you said, there are already plenty of recent ones with up-to-date information, and the same consensus answer.

1. Info regarding specific subspecialties and locations isn't as widespread.

2. The secrets about the positives of neuro, such as potential salary, are starting to get out among med stufents such as myself.

 

[Telamir]

Secrets? Oh god.

Please don't make us the next EM.

 

[GuillainMollaret]

Making 300 to 400K per year is pretty easy in non-academic neurology depending on how hard you want to work and location.

Breaking 400k is doable but harder.

 

[Always_Eating]

1. Info regarding specific subspecialties and locations isn't as widespread.

2. The secrets about the positives of neuro, such as potential salary, are starting to get out among med stufents such as myself.

Is this a joke? Please tell me it is, because every Neurologist I know is looking to escape the indignities of clinical Neurology as soon as possible. If this is not being communicated to current medical students, then we are failing you. I saw 4 functional quadriplegia patients my last shift. That is 4X the number of patients that I gave tPA to during that shift.

 

[deleted1081396]

Is this a joke? Please tell me it is, because every Neurologist I know is looking to escape the indignities of clinical Neurology as soon as possible. If this is not being communicated to current medical students, then we are failing you. I saw 4 functional quadriplegia patients my last shift. That is 4X the number of patients that I gave tPA to during that shift.

We're more aware of the potential for good salary and lifestyle if you want that. We're more attuned to the fact that neuro will probably be more resistant to mid-level encroachment than other non-surgical fields. Among other positives.

That's not the topic of this post though.

 

[scoopdaboop]

On the website Medicare unmasked, I remember seeing an MS neurologist having the highest Medicare collections of any physician in the county. 15M if I remember correctly.

That's a pretty crazy number. Idk how the economics of it work. If you just replace his patient panel with insurance patients, surely his numbers go up way more? And that's assuming 100 percent of his business is medicare.

 

[DerpyNeuroMD]

Agreed. I'm wondering what is with all of these income questions lately. Especially, like you said, there are already plenty of recent ones with up-to-date information, and the same consensus answer.

For us non-attendings early in residency, I love these threads. It's nice seeing what kind of lights there are at the end of the tunnel

 

[Mad Jack]

Secrets? Oh god.

Please don't make us the next EM.

With the rate of residency growth that may be inevitable

 

[Mad Jack]

That's a pretty crazy number. Idk how the economics of it work. If you just replace his patient panel with insurance patients, surely his numbers go up way more? And that's assuming 100 percent of his business is medicare.

Billings do not equal net pay. There could be all sorts of moving parts, such as PAs billing under their name or procedures that largely go to an organization rather than the individual, plus many expensive bills are such due to high overhead

 

[sloh]

Is this a joke? Please tell me it is, because every Neurologist I know is looking to escape the indignities of clinical Neurology as soon as possible. If this is not being communicated to current medical students, then we are failing you.

Is that really true?

 

[Postictal Raiden]

With the rate of residency growth that may be inevitable

Yup.

Neurology, psychiatry and dermatology have expanded their residency spots very rapidly over the last decade. This in conjunction with the midlevels creep.

Luckily for psychiatry, the shortage of providers is so severe, the critical mass probably won’t be achieved for another 20 years.

For neurology, the field itself has grown significantly. We’re now able to diagnose and treat a lot more conditions than we did 20 years ago. Therefore I’m hopeful this would help absorb the increases influx of providers, at least for the life of my career.

Dermatology is probably less resistant to the upcoming challenges than the other two fields. Another problem they have, that we don’t, is PE.

 

[Postictal Raiden]

Is that really true?

I hope not. However I can attest to the burnout from functional/psychogenic patients. Depending on the subspecialty, one can expect that up to 1/4 of patients they see have non-organic etiologies.

 

[Thama]

I hope not. However I can attest to the burnout from functional/psychogenic patients. Depending on the subspecialty, one can expect that up to 1/4 of patients they see have non-organic etiologies.

I think this is wildly overstated. I'm a movement subspecialist, and only epilepsy has a worse reputation for psychogenic patients. I would estimate that less than 1 out of every 20 to 30 of my new patient visits are ones where I have cause to even seriously consider whether they are functional or not. It is far more common that I receive patients that other physicians have labelled as functional only to find that they have a pretty obvious organic disorder (dystonia being the most common here).

 

[xenotype]

I think this is wildly overstated. I'm a movement subspecialist, and only epilepsy has a worse reputation for psychogenic patients. I would estimate that less than 1 out of every 20 to 30 of my new patient visits are ones where I have cause to even seriously consider whether they are functional or not. It is far more common that I receive patients that other physicians have labelled as functional only to find that they have a pretty obvious organic disorder (dystonia being the most common here).

It isn't the ratio of psychogenic. Hospital neurology tends to get the worst offenders in terms of functional weakness, and they are very irritating because it can be time consuming and expensive to prove it is functional, and the rare patient contains malpractice risk if they are too quickly dismissed. Epilepsy definitely has the highest % psychogenic up to 20-30%, but the diagnosis is straightforward and very exact compared to the functional weakness patients.

 

[Mad Jack]

Yup.

Neurology, psychiatry and dermatology have expanded their residency spots very rapidly over the last decade. This in conjunction with the midlevels creep.

Luckily for psychiatry, the shortage of providers is so severe, the critical mass probably won’t be achieved for another 20 years.

For neurology, the field itself has grown significantly. We’re now able to diagnose and treat a lot more conditions than we did 20 years ago. Therefore I’m hopeful this would help absorb the increases influx of providers, at least for the life of my career.

Dermatology is probably less resistant to the upcoming challenges than the other two fields. Another problem they have, that we don’t, is PE.

I'm hopeful for both of our fields in the near future. For those of us finishing soon, we'll at least have some experience that will give us an edge and some seniority, but the more distant future... It worries me

 

[deleted1081396]

No one's really answered the question. Really wish you could delete SDN threads so ones like this one don't clog up the feed... I guess the only way to get good info is to actually get out there and network.

 

[Kardio]

Really wish you could delete SDN threads so ones like this one don't clog up the feed...

Just lock the thread

 

[Telamir]

Someone’s got a bad case of backpfeifengesicht.

 

[Postictal Raiden]

No one's really answered the question. Really wish you could delete SDN threads so ones like this one don't clog up the feed... I guess the only way to get good info is to actually get out there and network.

The highest pay I saw was what @neurochica reported. 3000-4500 a shift. She does locum. She’s a general neurologist who covers everything walks thru the door. She does both inpatient and outpatient.

Based on the latest MGMA data, stroke neurology has the highest salaries reported. 90th percentile stroke neurologists made over 600k.