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300 K After Overhead Possible In Alberta Family Med ?


newstudent2016

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It might drop especially with the economic downturn happening there

 

It could still recover as well. Alberta has always been a boom bust economy. With medicine because it is funded by the government you tend to be insulated from the worst of that and it is probably more akin to a hills and valleys kind of economy rather than a mountains and gorges kind. 

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Is 300 k after overhead possible in alberta ?

It's possible. That would essentially be 430k pre-overhead. The most you could reasonably bill per hour would be ~300$ (either three complete billing codes or 3 psych codes with a second call). That's unrealistic but for the math to work , we can go with it.

430k at 300$/hour is 1430 hours per year. That works out to about 5 days a week of 8 hours per day for 36 weeks.

 

It's more realistic to be using 250$/hour which would work out to 1720 hours or 49 full working weeks at 7 hours a day with an extra 1 hour to check your stupid tasks and deal with paperwork that you don't get reimbursed for. The reason why the average billing amount is much lower than that is because most work part-time, something that I'm finding exceedingly annoying to deal with as someone that's just locuming.

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It's possible. That would essentially be 430k pre-overhead. The most you could reasonably bill per hour would be ~300$ (either three complete billing codes or 3 psych codes with a second call). That's unrealistic but for the math to work , we can go with it.

430k at 300$/hour is 1430 hours per year. That works out to about 5 days a week of 8 hours per day for 36 weeks.

 

It's more realistic to be using 250$/hour which would work out to 1720 hours or 49 full working weeks at 7 hours a day with an extra 1 hour to check your stupid tasks and deal with paperwork that you don't get reimbursed for. The reason why the average billing amount is much lower than that is because most work part-time, something that I'm finding exceedingly annoying to deal with as someone that's just locuming.

That's quite attractive. Compared to derm, do you find family med makes more? These numbers look great...

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That's quite attractive. Compared to derm, do you find family med makes more? These numbers look great...

I guess it depends on how you structure your practice, previous threads from people breaking down FM income has shown they can make more if they do additional stuff in obstetrics, emerg, cosmetics..etc

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  • 4 weeks later...

as GIM do we code just A135 or can we bundle up depending on the visit. 

 

For example, 

 

Pt comes in for has problem sleeping, has osteoporosis (do exam of the joint 2 mints) complains of shortness of breath ( do lung and heart refer)

 

is this all one code 

 

can you give me an example where codes are bundles in a 30 mint or shorter visit, or even longer the 75 mint ones 

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  • 1 month later...

That's quite attractive. Compared to derm, do you find family med makes more? These numbers look great...

I don't know what derm makes so I can't compare. Income varies drastically depending on what you do and how much you work. In the last month I've billed $8000 for 5 days in clinic and $14,000 for a rural weekend emerg call that wasn't even busy.

In the end, do what you enjoy as you'll make money no matter what.

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I don't know what derm makes so I can't compare. Income varies drastically depending on what you do and how much you work. In the last month I've billed $8000 for 5 days in clinic and $14,000 for a rural weekend emerg call that wasn't even busy.

In the end, do what you enjoy as you'll make money no matter what.

So you are saying you averaged $1600 a day in an urban clinic and $7000 a day in a not-so-busy rural emergency?

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So you are saying you averaged $1600 a day in an urban clinic and $7000 a day in a not-so-busy rural emergency?

I'm saying that I got paid 14,000$ for 64 hours of call in a small rural town hoping that there wouldn't be a multi vehicle pileup with 3 mangled people in a place that doesn't even have hypertonic saline.

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I'm saying that I got paid 14,000$ for 64 hours of call in a small rural town hoping that there wouldn't be a multi vehicle pileup with 3 mangled people in a place that doesn't even have hypertonic saline.

Can't emphasize this enough - the reason rural FM makes so much is due to ER coverage and the reason that makes so much is due to very long shifts. Both volumes and acuity are highly variable in rural ERs. Some nights you can get a solid sleep in, others you're up all night. Some days it's like covering a well-equipped walk-in clinics, others you're trying to manage severe trauma with very limited staff or resources.

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