I make really good money with pay per visit BUT I have to really hustle, manage my time effectively, and put a lot of energy into effective scheduling. I also have really figured out the right coverage area for me and work with multiple agencies to keep a high enough patient load without having to take patients outside my area.
Hourly can work with a good agency, and can take less mental energy if they are setting your schedule and all you have to do is follow the route you are given. But with a bad agency they can way overbook your day and pay you for 8 hours even though no reasonable human can do the assigned route and documentation/ follow up calls, etc, in less than 11-12 hours.
Also, does the hourly come with benefits, and if so, what are they? That can make all the difference between which one actually pays more in the end.
Benefits are terrible at all of the agencies out here, so pay per visit as a contractor allows me to make my money up front and set aside what I need for healthcare, retirement, vacation days, etc. It’s definitely more work, not for everyone.
Even when I factor in my drive time, charting or calls done outside of my regular workday, and having to pay my own benefits, I still make 15-20% more than I could in an hourly position.