what am I worth? negotiating...

It is up to NPs to step up and demand what they think they are worth. Too many NPs just lay back and take whatever because they are afraid to speak up. I suggest you look up average pay, find t what you're bring in, and approach your supervisor. Make sure you have your facts straight and are ready to fight for every penny.

I feel it is a mistake to negotiate based on what the "average" pay for NPs in your area is because that serves to simply maintain the status quo - which is way too low! Besides, how do you find out what "average" really is? The data is really sketchy...There is nothing wrong with asking what you're generating in revenue and how much overhead/expenses you are contributing. The next step is to negotiate for a fair percentage of net revenue. Make an accurate assessment of your degree of independence and contribution. You're experienced - how much guidance do you require? Take into consideration other perks you are getting and assign a dollar value - but remember, those perks are probably included in the "overhead" contribution already. Since you are billing under the doc, there is no Medicare reduction - the practice is getting 100%. Think 60-80% of net revenue (after overhead contribution).

Is there a reason why not being build under your own number? Is the MD seeing the same patient as you on the same day?

You're right Trauma - and that's ok if you're already making a good buck as a cardiologist but not so much if you're trying to earn more as an already underpaid NP. If we just compare our earnings to each other then we will get nowhere. We need to look at revenue we generate and our net contribution to arrive at fair compensation - just my 2 cents....

Start by keeping a spreadsheet of all your billing codes each day. Then do research to find out how much insurances pay for those codes. Then you have a sense of how much revenue you are generating.