I can only speak from my experience but I believe a podiatrists income is multifactorial.
Factor 1:
Purchasing and owning shares in a profitable surgery center. By owning shares you will receive dividends (often quarterly). This varies depending on how many shares you own, and how much of a profit the Surgicenter is able to make (many factors determine the profit). Higher profit equals higher dividends. I know of some podiatrists that earn $50k a year from their surgery center dividends, I know of others that earn $150k a year at another. FYI shares are expensive these days...like $200k-$500k. In my area maybe 50% of podiatrists own shares, and they are all over 40 years old. It will likely take more than a few years to even get the option to buy in.
Factor 2:
Overhead. How lean is your practice? You have to pay the office rent/mortgage, electricity, EHR, staff, supplies, employee benefits, fax and phone lines, etc. This adds up fast. are you in a practice where you can share overhead? Do you have 4 part time employees rather than 2 full time so you can avoid paying benefits? Do you own the building and pay rent to yourself? Do you pay for advertising? Rainy day fund? There are so many things that can cut into your profit. Most podiatrists have an overhead of 50-65%.
Factor 3:
ED call pay. Does the hospital you take call for pay you for taking ED call? This is not as common but there are hospitals that will pay the podiatrist on call for the day somewhere between $300-$600 a day. If you're taking that call for 2-4 weeks out of the year thats another $4,200-$16,800 the Hospital will pay you. Taking ED call has the added financial bonus of being able to round on those inpatients and bill for it. But it takes time away from your life out of the office.
Factor 4:
Insurance/Patient population. Do you only participate with quality insurers? Do you accept medicaid? Is your practice in an affluent area where they nearly always pay the copay? Are you in a lower socioeconomic area where your Accounts Receivable is not so good?
Factor 5:
Production. Are you a new physician seeing 15-20 patients a day? Are you 10 years in seeing 35-45 patients a day? How much are you making per patient? Are there 8,000 podiatrists in your county to compete with?
So lets look at an example:
Morning Office -16 patients
1. Trim single callus (11055) ~$45, Diabetic nails (11721-51 modifier) ~$20
2. New Patient visit (99203) ~$105
3. Diabetic nails (11721) ~$45
4. New Patient visit (99203) ~$105, Ankle XR 3 views (73610) ~$35, Dispense CAM boot DME ~$125
5. Diabetic nails (11721) ~$45
6. 1st MTPJ injection (20600) ~$50
7. Established patient visit (99213) ~$70, Foot XR 3 views (73630) ~$30
8. Trim 2-4 Callus (11056) ~$50, Trim Dystrophic nails (G0127-51 modifier) ~$10
9. Post operative follow up (99204) $0, Foot XR 3 views (73630) ~$30
10. Diabetic nails (11721) ~$45
11. Diabetic nails (11721) ~$45
12. Established patient percutaneous flexor tenotomy (28010) ~$210
13. New Patient visit (99203) ~$105, Foot XR 3 views (73630) ~$30, Dispense OTC orthoses ~$10
14. Partial nail chemical matrixectomy (11750) ~$150
15. Diabetic nails (11721) ~$45
16. Cancelled patient
--Morning revenue = $1,405-- ($87.81 avg per pt)
Afternoon Surgery
Case 1: Retrocalcaneal Exostectomy (28118) ~$400, Secondary repair flexor tendon (28118-59 modifier) ~$150
Case 2: Hammertoe correction (28285) ~$370
Case 3: Endoscopic plantar fasciotomy (29893) ~$410
--Afternoon revenue = $1,330--
Hospital rounding
Subsequent inpatient visit (99221) ~$100
--Daily Revenue = $2,835--
Remember that overhead thing? Suddenly $2,835 becomes something between $1,417 or $992 depending on how lean your practice is.
Oh, and some of those patients wont pay their copay, insurance might not reimburse that office procedure, maybe the insurance doesn't pay what medicare does per the CMS physician fee schedule. All those things out of your control will reduce your revenue another 5-10%. So lets take that revenue multiply it by 4.5 days a week, 49 weeks a year.
This VERY rough breakdown of efficient office and OR production can generate a gross pre tax income between...$196,862 and $296,825
I don't think this is an unrealistic expectation after you've honed your efficiency.
Maybe you can add another $10k from ED call if you're lucky, maybe you had the option to buy surgery center shares to add another $80k a year.
Clearly you can see why its so hard to put a number on a podiatrists income. In most cases, it will take a few years to build your practice and start generating this kind of productivity and revenue (hopefully a few years in you are no longer an associate, but a partner).
Dont forget to pay off that $350k student debt, that $200k buy-in to be partner, that $400k surgicenter buy-in, and your $500k mortgage, good luck.
PS I would love to hear the thoughts of those with multiple years in practice.