NP Salaries/Location/Specialties

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by tsipareht tsipareht Member Nurse

Has 3 years experience.

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harmonizer

harmonizer

248 Posts

I'm a psych np. Graduated last year. Work in telepsych as an independent contractor. Charge $125/hr. Work 40 hrs a week. 46 weeks out of the year. Make around $230K before taxes.

May I ask how many patients are you seeing per hour?

limerick1913

limerick1913

Specializes in Surgery NP. Has 5 years experience. 59 Posts

Hi everyone, new grad NP here.

Specialty: Colorectal

Salary: 115k

Location: Long Island, NY

flowingoan

flowingoan

6 Posts

New Grad here in Houston, TX.

Outpatient Pedi Pulmonary- 102K with full benefits.

No call, weekends, 1 admin day per week. 8-10 pts per day.

Riburn3, BSN, MSN, APRN, NP

Specializes in Internal Medicine. Has 15 years experience. 3 Articles; 551 Posts

Updating mine since I've changed jobs since I got my FNP in 2014.

Specialty: FNP (also finishing my AGACNP) working in an outpatient CHF/Valve clinic attached to a large hospital. I also round for an internal medicine physician in a couple of nursing homes on the side.

Salary: $110k for the CHF clinic plus I got a $15k bonus on my first check and another at the start of my 2nd year. Benefits are amazing. I get a percentage of the billing receipts for the nursing home work, which should amount to $65-70k by the end of the year.

No weekends, no call, 4 weeks PTO now that rollsover if unused, 6 weeks after 2 years. In the CHF clinical I'll see at most 10 patients a day. In the nursing homes I'll round on 20-30 a day but each visit takes a couple of minutes.

My advice to any new NP is learn what medicare/insurance reimbursement rates are in your area, what EM codes are more common, and how many visits your provider wants you to see. If you're expected to code 99213 or 99214 for most of your visits in a primary clinic that's wanting you to see 20 patients per day, you'll easily pull in more than half a million in a year. Doesn't make sense to let them start you at $80k a year.

harmonizer

harmonizer

248 Posts

I am so doing telepsych as well. You rate is great. How many patient do you have to see per hours and how many patient per days on average? I only make $90/hr for contract rate for about couple years now and am thinking that I should negotiate or do something else better. It is contract-- no insurance and benefit and $90 is not that much. I can survive coz the cost living is not too high. I have not left yet because the workload is still reasonable. I am seeing 30 min follow-up with one hour initial and 1/2 hour paperwork with some no-shows or cancellation and no "same day waiting list. (or at least not getting to that point yet)" So ending up being about 10 patients on average-- it's less before and now the workload is growing... so I don't know if workload will continue to be sustainable for the compensation... I know people are getting more but if I get paid like > $100/hr and having to see 4 patients per hour with 15 min med checks with crazy workload, I probably would stay where I am at for now. Also I have seen these patients for a long time and I know them... looking for something better but hesitant...

I'm a psych np. Graduated last year. Work in telepsych as an independent contractor. Charge $125/hr. Work 40 hrs a week. 46 weeks out of the year. Make around $230K before taxes.
Neuro Guy NP

Neuro Guy NP, DNP, PhD, APRN

Specializes in Vascular Neurology and Neurocritical Care. Has 10 years experience. 374 Posts

I make 140,000 + % of billings that varies on whether it's OR time billed, consults, overnight/emergent consult, office visit, output pre-op planning, etc.

So in total I make 221,000 give or take for patient volume fluctuations

harmonizer

harmonizer

248 Posts

Location: Southeast. (need collaterbation/supervision) non-independent practice.

Specialty: Psych

Compensation: Two contract jobs: telepsych and local contracts- working 5 days per week. $182,000 but I took 7 weeks off (35 working days) this tax year. But.. this is contract with no benefit so comparable salary would only be around 150k- 160k I think (deducting the health insurance and self-employment tax and no 401k matching). No one paying that much here for salary so I continued with 1099 for a while now. I know.. this is below average comparing to what is posted here. I am surviving but in long-term, I would like relocate to NW or better paying states.

Jules A

Jules A, MSN

Specializes in Family Nurse Practitioner. 8,863 Posts

this is below average comparing to what is posted here. I am surviving but in long-term, I would like relocate to NW or better paying states.

Don't bother our rates are tanking. If you are grossing $182,000 even as 1099 you are doing far better than many psych nps in this area now and its only getting worse.

harmonizer

harmonizer

248 Posts

Don't bother our rates are tanking. If you are grossing $182,000 even as 1099 you are doing far better than many psych nps in this area now and its only getting worse.

Thanks. Jules. Nothing last forever. All about supply and demand in every field. More supply. The class size at our local university doubles 3 years ago and we have more post-master students now. Regardless, here our rates are better now but it has been much lower before. Hope I save enough and figure out what to do before it gets worse :)

nursebay

nursebay

15 Posts

How does one become a psych NP? I am graduating as an FNP soon and there is nothing but psych NO jobs available

missdeevah

missdeevah, NP

318 Posts

How does one become a psych NP? I am graduating as an FNP soon and there is nothing but psych NO jobs available

I'm still in school, but my guess is that you could do a post-masters certificate in psych.

harmonizer

harmonizer

248 Posts

How does one become a psych NP? I am graduating as an FNP soon and there is nothing but psych NO jobs available

Post-master certificate. In some states, only DNP option is available so you can do DNP with psych concentration. I would not pursue only for job availability though, only if you like it. It has its own stress. Like Jules said, our rate are decreasing as well. There are more graduates now thanks to increasing class size. In some areas of the country, it does not even pay that good, maybe just a bit easier to find job in some areas. Just like anything, the demand won't last. I still like psych enough to do at least part-time if the pay get worse and the field get saturated and then find some other things that pay better or worth my time to supplement income. Just hopefully not too soon...

Edited by harmonizer