Guest Ian Wong Posted May 8, 2001 Report Share Posted May 8, 2001 Here's a couple interesting links about the side of medicine not often discussed: the salary. Browsing through the BC Medical Service Plan (the initial link is www.gov.bc.ca/hlth/) reveals the following links. The first link can be used to find a certain region of BC, and the number of each specialist practicing there. The second list is the total amount of MSP billing by that specialty in the region. Naturally, a physician's salary can be increased by doing out-of-pocket procedures, as those are not covered by MSP. (eg. laser eye surgery, cosmetic surgery...) BC Physician Salaries: www.healthservices.gov.bc.ca/msp/paystats/IRM/practitioner.pdf Tables 1 and 2 give distribution numbers of each medical specialty within different regions of BC (you can use this to figure out how many of each specialist practices within a given BC region). Table 3 is particularly interesting, as it has payment ranges for each specialty, and the number of BC physicians in each specialty who are billing in that payment range. eg. ($100,000-$200,000 vs $200,000-$300,000). Some of these numbers look ridiculously out of whack compared with others, including Ophthalmology, Radiology, Pathology, Nuclear Medicine... Here's another link inside that might be of interest to people: What is covered under BC MSP? www.hlth.gov.bc.ca/msp/infoben/benefits.html Ian UBC, MS2 Link to comment Share on other sites More sharing options...
Guest ddmproductions Posted April 27, 2002 Report Share Posted April 27, 2002 Hi Ian, I'm from Ontario, where pathologists are usually on salary and make around 150-250K. Table 3 from the above link indicates that 71 pathologists in BC billed over 600K in 1998/99, which is extremely surprising to me. Is pathology viewed as one of the top billing specialties in BC? If so, what are they doing to make so much cash? Here in Ontario, it is opthalmology, ENT, radiology, and urology that make the big dough, but NOT pathology. What gives?? Thx. Link to comment Share on other sites More sharing options...
Guest Ian Wong Posted April 27, 2002 Report Share Posted April 27, 2002 I believe they and the radiologists are billing in groups, or perhaps not only billing for the read itself, but for the collection, prep and then read (ie. they probably have equipement, supplies, and lab staff/techs overhead built into that huge salary). Otherwise, I have no explanation for what appears to be an obscene annual salary. Ian UBC, Med 3 Link to comment Share on other sites More sharing options...
Guest yingw Posted April 27, 2002 Report Share Posted April 27, 2002 $$$$$ from interest in private labs Link to comment Share on other sites More sharing options...
Guest Ian Wong Posted April 27, 2002 Report Share Posted April 27, 2002 No. These are payments made by the government via the Medical Services Plan. Private money from owning a lab wouldn't show up here. Private money itself doesn't show up here otherwise the plastic surgeons and dermatologists would be showing a huge amount more money (which they make in real life, but which isn't reflected in their billings to the government). Ian UBC, Med 3 Link to comment Share on other sites More sharing options...
Guest Kirsteen Posted April 27, 2002 Report Share Posted April 27, 2002 Hi guys, Regarding private labs, what about those pathologists who drop in to the labs on a weekly/bi-weekly basis to do their work, e.g., provide diagnoses from haematology slides, etc.? We used to have a few that would do just that, at MDS Labs, and they could seemingly manage to rifle through stacks of slides in just one sitting (a couple of hours). A handful of them would shuttle from lab to lab, do their pathology thing, and then return the following week to do the same. This could be a contributing factor to amplified billings due to the huge volume of work available at the labs, but it would depend on whether the pathologists are remunerated from the government, or via private contract. What the norm is here, I don't know--anyone? Cheers, Kirsteen Link to comment Share on other sites More sharing options...
Guest scalpel Posted April 27, 2002 Report Share Posted April 27, 2002 Does anybody know of a link to a comparable chart for Ontario? Link to comment Share on other sites More sharing options...
Guest RAK2005 Posted April 27, 2002 Report Share Posted April 27, 2002 The OMA has some stats that I can post if you want... the formatting may not come through but here goes: Avg OHIP Billings 2000/01 Physician Income Characteristics Code Specialty Average Gross Billings Average Gross > $50K Median Billings 75th Percentile OHD/Gross ---------- ($000s) ---------- (%) [Avg] [Avg>50k][Medn][75ptile] [% OHD] 00 General Practice $167.8 $197.8 $165.4 $240.5 41.0 01 Anaesthesia $212.1 $231.4 $217.0 $273.4 18.1 02 Dermatology $268.5 $292.9 $274.2 $372.3 41.9 03 General Surgery $260.5 $303.6 $266.0 $371.5 35.8 04 Neurosurgery $270.2 $308.7 $271.7 $389.6 41.5 06 Orthopaedic Surgery $263.2 $298.6 $279.4 $386.9 36.8 07 Geriatrics $93.0 $148.4 $69.6 $149.0 33.7 08 Plastic Surgery $224.6 $256.2 $242.9 $310.8 43.0 09 Thoracic & CV Sx $445.5 $463.0 $407.3 $581.9 26.5 12 Emergency Medicine $104.0 $134.1 $86.1 $142.3 21.8 13 Internal Medicine $253.6 $302.4 $204.1 $360.6 35.4 18 Neurology $219.5 $253.4 $189.7 $331.0 34.8 19 Psychiatry $146.7 $174.7 $138.5 $206.3 28.6 20 ObGyn $280.9 $314.4 $289.9 $398.8 40.9 23 Ophthalmology $352.3 $396.7 $357.7 $471.4 35.3 24 Otolaryngology $328.1 $361.8 $344.0 $466.3 44.8 26 Paediatrics $175.8 $224.5 $170.0 $266.1 41.3 28 Lab Medicine $52.6 $207.8 $8.2 $41.0 18.9* 31 PM&R$162.2 $189.4 $133.2 $215.1 37.6 33 Diagnostic Radiology $732.9 $768.7 $709.6 $1,000.1 76.2* 34 Therapeutic Radiology $92.8 $103.5 $92.5 $113.5 15.9* 35 Urology $293.0 $321.6 $322.1 $396.9 39.0 41 Gastroenterology $363.0 $373.8 $384.8 $455.3 32.0 47 Respiratory Diseases $342.6 $371.2 $321.4 $432.8 32.2 48 Rheumatology $166.3 $178.6 $174.8 $213.7 37.8 60 Cardiology $496.0 $537.6 $464.9 $655.2 29.4 61 Haematology $143.8 $173.2 $149.6 $204.2 27.4 63 Nuclear Medicine $875.3 $918.0 $835.3 $1,152.7 76.2* 64 General Thor Sx $263.8 $298.2 $277.7 $372.5 32.8 a Specialists Only $271.5 $319.0 $217.6 $364.4 33.3* b All $219.8 $259.1 $185.1 $287.3 37.4* Notes: [1] Net Income Before Taxes are calculated based on OHIP Average Gross Billings. * Estimates of OHD/Gross Expense Ratio. MOHLTC datatapes INCLUDE threshold adjustments, and any clawbacks associated with technical fees. Sources: 1) OHIP Billing Data are from the MOHLTC Data Files for the fiscal year 2000/01 extracted by Deptment of Economics, January 16, 2002 2) Statistics Canada: OHD/Gross Ratio for Self-Employed Physicians, 1997 Tax Year. Link to comment Share on other sites More sharing options...
Guest yingw Posted April 27, 2002 Report Share Posted April 27, 2002 Private labs bill the MSP, the patients do not pay out of their own pockets for the lab tests ordered; these labs are privately own but their billings are to the gov't, a patient always has the option to go to the out patient clinics/labs situated in the various hospitals for the test ordered by their doctors, but most don't and instead go the private labs and one of the reason why this is so is b/c of convience of location either to their doctor's offices or to their home, place of work etc. as there are many many collection centers all over the city. Plastic surgeons $$ are entirely different as the gov't does not cover their elective procedures and thus their private billings are not reflected here; MSP covers almost all lab tests ordered wherever they are done. Link to comment Share on other sites More sharing options...
Guest Ian Wong Posted August 17, 2005 Report Share Posted August 17, 2005 Floating to the top... Ian Link to comment Share on other sites More sharing options...
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