UpperLeftPAC Posted October 11, 2018 Share Posted October 11, 2018 Nocturnist in WA state at mid-size urban hospital, Level III trauma center. Current salary is 115,500 base for 120 12-hour shifts per year, get paid $1000 extra per shift. No bonuses but the schedule is amazing. I started practicing two years ago and have been in hospital medicine since graduation. Unfortunately my group is being taken over by Providence and I'm less happy with the new package but giving it time. Base salary will be 107,700 for 124 12-hour shifts a year. 10% bonus for jumping through a bunch of hoops, including attending monthly meetings, being on committees, and educational stuff. Extra shifts paid at a 1.2x differential so will be about the same, $1042 per shift. Ends up being probably around the same amount I make now ultimately but now I have to drive 45 minutes one way to the hospital for a bunch of administrative meetings that will be held at noon once a month as well as being on a committee that will have meetings and take up my time outside of work. Part of the reason I work at night is because I don't want to deal with the admin stuff. Wish it were enough to just come in and do my job well but now a good portion of my income will be based on what equates to busy work in my mind. 1 Quote Link to comment Share on other sites More sharing options...
JMann Posted October 15, 2018 Share Posted October 15, 2018 (edited) ED work. 3 yrs out of school. Completed ED residency. Primary job is ~$120K/yr for 24hrs of coverage/wk at a critical access hospital. Mostly weekend overnights. Midwest area. Also do locums at varying amounts. For this survey, let's say around $20k for this year which is about 5-6 24hr shifts. Edited October 18, 2018 by JMann Correct # of locums shifts Quote Link to comment Share on other sites More sharing options...
PANCSDown Posted October 15, 2018 Share Posted October 15, 2018 7 hours ago, JMann said: ED work. 3 yrs out of school. Completed ED residency. Primary job is ~$120K/yr for 24hrs of coverage/wk at a critical access hospital. Mostly weekend overnights. Midwest area. Also do locums at varying amounts. For this survey, let's say around $20k for this year which is about 10-11 24hr shifts. What was the pay like during the residency. Quote Link to comment Share on other sites More sharing options...
Believe Posted October 15, 2018 Share Posted October 15, 2018 2 hours ago, PANCSDown said: What was the pay like during the residency. resident pay is usually 45-55k/year depending on region. he went to iowa for residency which pays around 55k last time i was looking into it Quote Link to comment Share on other sites More sharing options...
TWR Posted October 17, 2018 Share Posted October 17, 2018 When I graduated in 1986 NYC, pay was $25,000 in FM. Quote Link to comment Share on other sites More sharing options...
JMann Posted October 18, 2018 Share Posted October 18, 2018 On 10/15/2018 at 12:15 PM, Believe said: resident pay is usually 45-55k/year depending on region. he went to iowa for residency which pays around 55k last time i was looking into it Correct. I think when I started at Iowa, pay was $52k/year. Interestingly enough, they pay all their residents monthly. Not sure if that's similar in other residencies. Quote Link to comment Share on other sites More sharing options...
BirdDogPA Posted October 19, 2018 Share Posted October 19, 2018 In my neck of the woods solo coverage ED is about 80-90 hr with some places being as high as 120 hr. Just curious if this is average, above, below... 1 Quote Link to comment Share on other sites More sharing options...
SERENITY NOW Posted October 19, 2018 Share Posted October 19, 2018 (edited) Numbers to know in EM - 35$ collected per RVU for medicaid, up to 100+$ collected per RVU for private insurances. 150$ collected on average per ER patient. You work 150 hours per month X 12 months per year X 2 patients per hour X 150$ collected per patient = 540,000$ per year collected in your name. I'm all for the PA-MD team and clearly the docs earn what they make as well, but it doesn't seem so outrageous that we have some experienced PAs making 200k per year...... Know the numbers. Edited January 9, 2019 by SERENITY NOW 4 4 Quote Link to comment Share on other sites More sharing options...
JMann Posted October 19, 2018 Share Posted October 19, 2018 12 hours ago, BirdDogPA said: In my neck of the woods solo coverage ED is about 80-90 hr with some places being as high as 120 hr. Just curious if this is average, above, below... That's not the norm where I am. Seems to be $65-85/hr around the state. Sure there are outliers, but overall that's what I've found. Also depends on 1099 vs W2. Lots of the places around here don't pay that much more for 1099 which is incredibly frustrating, especially in a state with state income tax. Quote Link to comment Share on other sites More sharing options...
JMann Posted October 19, 2018 Share Posted October 19, 2018 11 hours ago, SERENITY NOW said: Numbers to know in EM - 35$ collected per RVU for medicaid, up to 100+$ collected per RVU for private insurances. 150$ collected on average per ER patient. You work 150 hours per month X 12 months per year X 2 patients per hour X 150$ collected per patient = 540,000$ per year collected in your name. Now it doesn't seem so outrageous that we have PAs making over 200k per year...... Know what you are worth. This is huge knowledge to have on hand when negotiating! This info isn't so useful when negotiating with rural/critical access places since production isn't really possible. In those instances it's more about them wanting to have a qualified person on hand. A critical access hospitals opinion of the value of a qualified provider(PA vs MD of any variety) varies widely. I talked to a recruiter at one of the large ED contracting companies back this summer about a rural coverage position- solo provider every other weekend from Friday 7pm- Monday 7am. They wanted to pay $70/hr and using the low pt volumes of 4-5 pts/24 hrs as justification. This was also a 1099 job. Crazy! It would have been like $48/hr after state and federal taxes. When I did push him for more $$, he also told me that they have FM providers come in from outside the area to cover the ED for $90/hr as a 1099. I suspect that was a lie, but you never know. Told him thanks, but no thanks. Quote Link to comment Share on other sites More sharing options...
GPAC1 Posted October 24, 2018 Share Posted October 24, 2018 Florida. Internal Med. 150k straight out of school. 1 2 Quote Link to comment Share on other sites More sharing options...
delco714 Posted October 27, 2018 Share Posted October 27, 2018 Update 45 hours a week (including time for lunch). 1/4 weekend call from 8a-12p only Gu with 1st asst, clinic, hospital coverage in rotation With base, call pay, pt satisfaction bonus, rvu bonus About $208-215k. (Not including benefits). In a state with no income tax5+ years experience. 2 3 Quote Link to comment Share on other sites More sharing options...
jeepgirl Posted October 27, 2018 Share Posted October 27, 2018 2 hours ago, delco714 said: Update 45 hours a week (including time for lunch). 1/4 weekend call from 8a-12p only Gu with 1st asst, clinic, hospital coverage in rotation With base, call pay, pt satisfaction bonus, rvu bonus About $208-215k. (Not including benefits). In a state with no income tax 5+ years experience. Goals. Congrats! 1 Quote Link to comment Share on other sites More sharing options...
SoCal_PA Posted October 28, 2018 Author Share Posted October 28, 2018 4 hours ago, delco714 said: Update 45 hours a week (including time for lunch). 1/4 weekend call from 8a-12p only Gu with 1st asst, clinic, hospital coverage in rotation With base, call pay, pt satisfaction bonus, rvu bonus About $208-215k. (Not including benefits). In a state with no income tax 5+ years experience. No income tax is the part I'm most envious of. California is looking less and less appealing Quote Link to comment Share on other sites More sharing options...
delco714 Posted October 28, 2018 Share Posted October 28, 2018 Vegas is super affordable overall. There is TREMENDOUS bang for buck here No income tax is the part I'm most envious of. California is looking less and less appealing Quote Link to comment Share on other sites More sharing options...
mika Posted November 2, 2018 Share Posted November 2, 2018 Florida IM 150k out of school?!?!? This thread is making me sick. base 94k with 10 yrs exp NICU, all nights, weekends and holidays for 173 hrs a month in FL. I was picking up extra hrs up to 240 hrs a month only getting base plus $5/hr... I need some help Quote Link to comment Share on other sites More sharing options...
Boatswain2PA Posted November 3, 2018 Share Posted November 3, 2018 On 10/27/2018 at 3:07 PM, delco714 said: Update 45 hours a week (including time for lunch). 1/4 weekend call from 8a-12p only Gu with 1st asst, clinic, hospital coverage in rotation With base, call pay, pt satisfaction bonus, rvu bonus About $208-215k. (Not including benefits). In a state with no income tax 5+ years experience. Sweet. Great gig, awesome pay, and no income tax, Maine winters, or Massholes in the summer! Enjoy it!! 1 Quote Link to comment Share on other sites More sharing options...
Boatswain2PA Posted November 3, 2018 Share Posted November 3, 2018 On 11/1/2018 at 9:37 PM, mika said: Florida IM 150k out of school?!?!? This thread is making me sick. base 94k with 10 yrs exp NICU, all nights, weekends and holidays for 173 hrs a month in FL. I was picking up extra hrs up to 240 hrs a month only getting base plus $5/hr... I need some help Why? Are you in a vacation area in FL, versus others in more rural? Is NICU in your area overwhelmed by NPs? If you don't like it, do something to change it (or just accept it). 1 Quote Link to comment Share on other sites More sharing options...
PACJD Posted November 4, 2018 Share Posted November 4, 2018 20 hours ago, Boatswain2PA said: Why? Are you in a vacation area in FL, versus others in more rural? Is NICU in your area overwhelmed by NPs? If you don't like it, do something to change it (or just accept it). Exactly... As you can clearly see, there are very good offers out there as well as many crappy ones... If you aren't happy where you are, do something about it... Quote Link to comment Share on other sites More sharing options...
Rbnz Posted November 5, 2018 Share Posted November 5, 2018 Rural area in Critical Access Hospital. 3 years out of school. Base 120K 15 dollars per pt visit. Take 2 weeks of call a month for first assist cases only. Average 50 hours a week. Busy with family clinic, first assisting in the OR for all surgeons, and at times wound clinic, surgery clinic and ortho clinic. This year will make around 210K. 1 2 Quote Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted November 6, 2018 Share Posted November 6, 2018 EM: about to move from FT at L3 trauma center making $65/hour as W2 to FT at critical access hospital all nights for $85/hour also W2. PRN at 2 other hospitals: 1 small community, 1 large critical access making $70/hr & $75/hr respectively, both W2. 5 years out. How much I make a function of how many hours I work. 1 Quote Link to comment Share on other sites More sharing options...
PAHull Posted November 7, 2018 Share Posted November 7, 2018 For those making over $130k help a brother out and tell me what field and what part of the US. I have been a PA for 12 years in both urgent care and ER and seen very few PAs make that much or more. I doing something way wrong. Quote Link to comment Share on other sites More sharing options...
sas5814 Posted November 7, 2018 Share Posted November 7, 2018 It is driven by location, experience and demand. I'm in quasi-rural more suburban east Texas big organization UC and my current base is $154k with time and a half OT after 40 hours a week. I happened in here by luck and circumstances. I had to move to get closer to aging parents and a special needs grand daughter and they had lost some providers just before cold and flu season. They needed me just when I needed a job. What was normally a 3 month credentialling process took about a month. In January I'll get another 3% pay raise. Benefits are pretty good too. Every once in a while when I think I am soooooo tired of this crap I am reminded it is a pretty good gig and it certainly pays well. 1 1 Quote Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted November 8, 2018 Share Posted November 8, 2018 Quote For those making over $130k help a brother out and tell me what field and what part of the US. I have been a PA for 12 years in both urgent care and ER and seen very few PAs make that much or more. I doing something way wrong. Emergency medicine, midwest: SW Ohio and Indiana. You can get there easily with 1 FT job and ~3 extra shifts/month with a PT gig. For example, 180 hours/month at $60/hour gets you to $130K. Go above that either on hourly rate or hours/month gets you there. For me 12 hour shifts vs 10 makes a big difference in # days/month I'm working. Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted November 8, 2018 Moderator Share Posted November 8, 2018 12 hours ago, ohiovolffemtp said: Emergency medicine, midwest: SW Ohio and Indiana. You can get there easily with 1 FT job and ~3 extra shifts/month with a PT gig. For example, 180 hours/month at $60/hour gets you to $130K. Go above that either on hourly rate or hours/month gets you there. For me 12 hour shifts vs 10 makes a big difference in # days/month I'm working. even better with 24s as you can get full time hrs in 6 shifts. anything else is gravy. I typically do 9-10 shifts/mo( 3 of those are 12s). Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You can post now and register later. If you have an account, sign in now to post with your account.