Practice grosses......

[TWR]

Wondering if there is a way to find out what a practice grosses. Administrator cries the blues and says SP does not even get a salary. BUT we have just hired 3 more NPs! We are one of the few practices taking obama care and new patients has jumped by the thousands!!! At my requested 1 year review, he thanked me for my hard work and ideas for the practice BUT there will be no raises for 2-3 years. Seeing about 28=30 patients in 7 hours, (no breaks). I believe the average reimbursement per patient is more than $85. He says all the "profit goes back into the practice. I suspect they are trying to build a huge practice and sell to a hospital network.

 

He drives a MB suv and her a new Honda Oddysey.

 

PS Whew!! Just venting but would sure like to know what this practice does. I am sure it is way over 1 million annually.

[SocialMedicine]

some of the obamacare (hate that word sorry) plans  unless you are part of a negotiated system like a univ hospital provider network are on the lower side. maybe only 50+ avg a visit.    can you review through your elec record how much the patients account is ?  you can get an idea. 

 

What is your salary ?

 

And a honda odyssey does not sound that nice ha 

[ventana]

medicare released 2012 data here http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Physician-and-Other-Supplier.html

 

you should be able to come up with an idea of what % is medicare patients (and remember this does not include the 20% co insurance) and then figure out what each doc gets....  be aware that this is 2012 data, and it is only for medicare

 

don't be surprised if NONE of the PA NP are listed in the data- many practices only bill under the doc.....

[Gordon, PA-C]

In my state Obamacare pays less than Medicaid.

[EMEDPA]

umm, you know they are generally the same thing, right?

[68W2PA]

In my state Obamacare pays less than Medicaid.

 

Huh? Are you saying that in your state, there are policies individuals have purchased from private (for-profit or non-profit) insurance agencies that pay less than Medicaid?

 

Or are you saying that the people that qualified for the Medicaid extension and are now on Medicaid are somehow reimbursing less than Medicaid?

[EMEDPA]

it's not what the practice bills, it's what they collect. I used to do some shifts at an urgent care that billed my services( + lab/xray/nursing interventions) out at $90,000/16 hr shift of which I saw....800 dollars...they probably collected 40% of what they billed as that place had a high self pay(no-pay) and Medicaid population.

[ventana]

In my state Obamacare pays less than Medicaid.

 

this comment makes not sense

 

First lets call it what it really is - the Affordable Care Act - ACA

 

 

Second - the states that did not start a state funded exchange has some of the worst Medicaid reimbursements out there, and the private insurance companies that are providing insurance are likely far above the medicaid rates. 

 

In MASS - my state - the reimbursement rates for ACA policies are the same as the previously negotiated rates - at least from the companies that approached me to credential with them.

 

 

the failure of states to start a state exchange truly boggles my mind - they all talked about how much it would have cost the state - but go look at the ACA and figure out how much the federal gov't was going to pay of the costs - yup starting at 100% and I think it worked its way down to a huge 90 or 95%. It was not about money, it was simply a political chess game where the common working person gets hurt.  (I have family in both states that have and exchange and those with out and those with out are FAR behind the ones that did and exchange.)

[GetMeOuttaThisMess]

^^^ And the majority of same who didn't are in my neck of the woods as I recall.  We need to pull a California and divide up the U.S. along blue/red lines since that is how it functions present day anyway (seem to recall that this idea was previously attempted).  Wow, I just made a political statement!

 

Pulling tongue back out of cheek, I know that while our unemployment rate is one of the lowest, as I understand it, it is quantity over quality, with a large number/percentage being uninsured.  No, from what I've read, it isn't due to what most folks blame it on, and that being the revolving border door.

[Acebecker]

Remember that a lot of a practice's income goes into overhead.  Inefficient offices run around 75% overhead (maybe more).  That means that if you guys collect $1,000,000, only $250,000 is left for salaries.  I'm certain you collect more than that.  I think the average collections for a high medicare/Medicaid population is around $300,000 per provider.  You can do the math. 

[TWR]

Based on what appears to agreed upon by all parties, we average $85 per patient. This includes "necessary? tests". Based on that, I bring in close to $500,000. Overhead includes salaries as it should. It is a cost of doing business. Profit is 25%.

[ventana]

typically the PA gets about 38-40 of gross receipts in salary

typically doc gets upwards of 52% (gotta love them making money off us)

 

so i always aim for 50% into salary - then bennies on top of this.....

[JohnnyM2]

First lets call it what it really is - the Affordable Care Act - ACA

 

Really, that's what it isn't, though it may be the official name which is b.s. I am now paying more for less.

 

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