Moderator ventana Posted July 5, 2015 Moderator Share Posted July 5, 2015 http://www.medicalpracticeinsider.com/news/how-physicians-compensation-rose-2014 How physicians' compensation rose in 2014 July 02, 2015 | Medical Practice Insider Staff In a newly released nationwide survey, physicians generally expressed dissatisfaction with their compensation and the outsized effort they are putting in to achieve it. The 12th annual survey of physician practice preferences and concerns, conducted by The Medicus Firm, questioned 2,685 physicians, PAs, and NPs for 2014 and found that 34.4 percent were dissatisfied with their income level and felt it should have been higher. Another 5.8 percent said they were either so displeased with their income that they were not sure if medical practice is even worth it. And 19.3 percent said they were satisfied with their income level but felt they had to work too much or too many hours to achieve it. In 2014, physicians' salaries by practice rose almost across the board, if somewhat modestly in most cases, according to the survey. Among the practices with relatively healthy compensation increases was Neurology, rising 6.7 percent, from $253,000 in 2013 to $270,000 in 2014. In contrast, General Surgery salaries declined from $353,000 in 2013 to $349,000 in 2015, a decrease of 1.4 percent. Here is a breakdown of salaries increases by practice in 2014 from 2013: 2014 2013 Anesthesiology $371,000 $362,000Cardiology $443,000 $421,000Emergency Medicine $275,000 $258,000Family Medicine $208,000 $201,000Gastroenterology $424,000 $421,000General Surgery $349,000 $353,000Hospitalist $249,000 $245,000Internal Medicine $239,000 $231,000Medical Oncology $402,000 $401,000Neurology $270,000 $253,000Obstetrics/Gynecology $285,000 $278,000Orthopedic Surgery $499,000 $485,000Pediatrics $199,000 $191,000Psychiatry $225,000 $217,000Radiology $403,000 $395,000Urology $416,000 $414,000 The physicians were not far off the mark in predicting their 2014 salaries. When asked how they anticipated their 2015 income will compare what it was in 2014, 45.3 percent of the physicians said it would remain about the same, 28.7 percent said it would increase somewhat, 11percent said it would decrease somewhat, 10.4 percent said it would increase, and 4.7 said it would decrease significantly. Link to comment Share on other sites More sharing options...
Moderator ventana Posted July 5, 2015 Author Moderator Share Posted July 5, 2015 absurd that Ortho makes Half a million a year..... time to cut specialty pay! Link to comment Share on other sites More sharing options...
Guest Paula Posted July 5, 2015 Share Posted July 5, 2015 Absurd that Family Medicine makes only $208,000 per year. I make a bit less than half of that as a PA. My opinion is that Family Medicine and General Internal Medicine should be the higher paying specialities and if compensated correctly there would be lots more of us and physicians going into it. If that truly happened would the health of Americans improve with preventive measures? Thus leading to less requirement for specialty providers? There is a study out (sorry, can't remember the reference) that says that when a practice hires primary care and general surgeons the costs to medicine go down and the morbidity/mortality go down. When practices hire specialists the cost of care goes up and morbidity/mortality goes up. Long live primary care. Please increase our salary and compensation models!!!! Link to comment Share on other sites More sharing options...
Shazzy1228 Posted July 6, 2015 Share Posted July 6, 2015 Why on earth is ortho so high? I'm trying to understand.... Wow, pediatrics is the lowest. Putting up with some snot-nosed kid who is freaking out because he has got a shot and his psycho mom who thinks a common cold is the end of the world. Screw that. You couldn't pay me a buck of money to do peds. For what its worth, I'm surprised physicians aren't making more noise about their decreasing income and autonomy. Link to comment Share on other sites More sharing options...
Moderator ventana Posted July 6, 2015 Author Moderator Share Posted July 6, 2015 ortho - procedure heavy, aging baby boomers, productivity, uses a lot of PAs for the most part, has POPS - therapy practices - VERY focused on income but mostly because MEdicare can't pull their heads out of their Butts and realize a 10 min knee scope is not woth $3200!! Yup that is what a family members insurance paid (they were billed over $4000) for the professional fee (doc fee) for a 10 min scope....... INSANE Honestly the super hush hush board that set the RVU values to the procedures that we all use is the AMA and dominated by specialists..... why not pay a fair rate to the PCPS ( ie more then $65/office visit) and allow them to manage everything up to surgery - ie ordering PT and injections..... instead they (due to productivity pressures to try to see 30 patients a day to try and keep their practice afloat) refer out to the ortho - who does procedures all day and make a half a mill a year..... My solution Double the reimbursement for PCP take 33% off the reimbursement for every ortho, pain, uro, surgery, and surgeon out there........ sorry but the system just stinks.... Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted July 6, 2015 Moderator Share Posted July 6, 2015 Ventana- agree with you with the exception of general surgeons. a lot of these guys work pretty hard for the money and take a lot of call. we don't have GI at any of my rural jobs so the surgeons are also doing all the GI scopes, biopsies, etc. Link to comment Share on other sites More sharing options...
winterallsummer Posted July 6, 2015 Share Posted July 6, 2015 The problem with raising FM and IM pay is that they have much shorter residencies than their specialty counterparts. I agree the discrepancy should not be so large - it is absurd - but at the same time to say a 3 year residency for FM or IM should pay more than some 7 year surgical specialties just doesn't add up. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted July 6, 2015 Moderator Share Posted July 6, 2015 The problem with raising FM and IM pay is that they have much shorter residencies than their specialty counterparts. I agree the discrepancy should not be so large - it is absurd - but at the same time to say a 3 year residency for FM or IM should pay more than some 7 year surgical specialties just doesn't add up. true, but the discrpany shopuld not be so large. pay an fp doc 250-275 and a surgeon/specialist 300-325. stop the crazy 3 million dollar salaries for some spine surgeons, etc Link to comment Share on other sites More sharing options...
MyNameWasUsed Posted July 6, 2015 Share Posted July 6, 2015 Radiology is what amazes me. 400k for sitting in a dark room all day. What a dream that must be. Link to comment Share on other sites More sharing options...
Maverick87 Posted July 6, 2015 Share Posted July 6, 2015 Radiology is what amazes me. 400k for sitting in a dark room all day. What a dream that must be. They sit in a dark room all day just reading images and only have interactions when another provider is freaking out about an ASAP. If they are wrong about an image, they certainly will get sued as well. No thanks lol. Link to comment Share on other sites More sharing options...
Jellyfish135 Posted July 7, 2015 Share Posted July 7, 2015 When they talk about Radiologist salaries, they probably include interventional radiologist pay as well. I'm on my IR elective rotation now and these docs aren't in a dark room all day. They're doing tons of procedures and are on 24/7 call for a week at a time. They do get a good amount of vacation as well but for the training they go through and the complexity of the procedures, they should be compensated well IMHO. Link to comment Share on other sites More sharing options...
Guest JMPA Posted July 7, 2015 Share Posted July 7, 2015 absurd that Ortho makes Half a million a year..... time to cut specialty pay! whats their malpractice? specialists especially surgeons have a much higher malpractice rate Link to comment Share on other sites More sharing options...
CAAdmission Posted July 7, 2015 Share Posted July 7, 2015 whats their malpractice? specialists especially surgeons have a much higher malpractice rate Malpractice insurance rates are needed to intelligently compare across specialties. Link to comment Share on other sites More sharing options...
delco714 Posted July 7, 2015 Share Posted July 7, 2015 Radiology is what amazes me. 400k for sitting in a dark room all day. What a dream that must be.This is likely a salary reflection of INTERVENTIONAL radiologists, which obviously...procedure heavy. They sit in a dark room all day just reading images and only have interactions when another provider is freaking out about an ASAP. If they are wrong about an image, they certainly will get sued as well. No thanks lol. Link to comment Share on other sites More sharing options...
MyNameWasUsed Posted July 7, 2015 Share Posted July 7, 2015 But...i like dark rooms... and computers.... =/ lol edit: and yeah you're right they're probably procedure heavy. that's how the rads are where i work. Still not bad though. Link to comment Share on other sites More sharing options...
goose37 Posted July 7, 2015 Share Posted July 7, 2015 Don't know what ortho that is...can assure that my SP doesn't make that, and we do over 450 cases a year. Absurdity is the physician reimbursement for a total joint (3hr procedure which we are one of two with 100 miles that do it) is in the range of 2500 and the reimbursement for a scope with biceps tenotomy (literally a 8 min ordeal) is 1000. A cuff repair pays as its own entity, regardless if its a small pinhole tear or a massive 3 tendon repair. The shady part is that a lot of ortho docs will charge a chondroplasty, labral debridement, bursectomy, synovectomy, biceps debridement, and cuff debridement on a shoulder that probably lacked the proper indications for surgery anyway. Link to comment Share on other sites More sharing options...
delco714 Posted July 8, 2015 Share Posted July 8, 2015 Don't know what ortho that is...can assure that my SP doesn't make that, and we do over 450 cases a year. Absurdity is the physician reimbursement for a total joint (3hr procedure which we are one of two with 100 miles that do it) is in the range of 2500 and the reimbursement for a scope with biceps tenotomy (literally a 8 min ordeal) is 1000. A cuff repair pays as its own entity, regardless if its a small pinhole tear or a massive 3 tendon repair. The shady part is that a lot of ortho docs will charge a chondroplasty, labral debridement, bursectomy, synovectomy, biceps debridement, and cuff debridement on a shoulder that probably lacked the proper indications for surgery anyway.All the ortho..joint and trauma.. make over 500 at our small rural level 2 trauma center Link to comment Share on other sites More sharing options...
TWR Posted July 8, 2015 Share Posted July 8, 2015 Delco714, WHY? Are they hospital salaried or private group. It came to my attention yesterday that a FP doc I knew of was seeing 30 patients a day. He sees 15 from 9-12 and 15 in the afternoon. He has cut back to 2 days a week. Did I mention he is 78 years old? I think that what has happened over time is a chase for the almighty dollar. More is better?? Of course you could change the players to sports and say who is worth $100,00,000 over five years or less to swing a bat or throw a football. None of them work the hours we do. Just sayin'. Link to comment Share on other sites More sharing options...
BruceBanner Posted July 8, 2015 Share Posted July 8, 2015 Procedures pay, the question is why do they pay so disproportionately? There are complex cost structures for any surgery, but even taking out the hospital/surgical center fees, anes fees, and equipment/tech fees, the surgeon's professional fees can be insane. Part of me feels they deserve it---if you go through a 4-5 year residency and a fellowship---and work a ton of hours and take a ton of call as an attending, you deserve $500,000 a year. But I agree with others who have said the disparity between surgeons and PCP pay is unacceptable. The major problem with primary care is poor reimbursement from insurers. They can quibble just about any cost they want. We fight tooth and nail to get paid for a simple office procedure or to get paid for a 99215....spend half our day doing prior auths...and have to see upwards of 15-20 PPD just to pay our own way. Meanwhile a surgical procedure is guaranteed pay. Insurers---including Medicare and Medicaid---are in the business of profit, much like a casino. They cant pay everyone out and come out in the green. That's why every dollar is accounted for, and why the house always wins. Link to comment Share on other sites More sharing options...
delco714 Posted July 9, 2015 Share Posted July 9, 2015 Delco714, WHY? Are they hospital salaried or private group. It came to my attention yesterday that a FP doc I knew of was seeing 30 patients a day. He sees 15 from 9-12 and 15 in the afternoon. He has cut back to 2 days a week. Did I mention he is 78 years old? I think that what has happened over time is a chase for the almighty dollar. More is better?? Of course you could change the players to sports and say who is worth $100,00,000 over five years or less to swing a bat or throw a football. None of them work the hours we do. Just sayin'."Rural". Hospital system owned practice. Gotta bring the green to get the team. Accept it's definitely not proportional for us PA s Link to comment Share on other sites More sharing options...
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