googs

I live in the NYC metro area, high cost of living. Can I ask for the 20% AND benefits as well? the 20% would be more than the physicians in the practice are making. So I don't know if this makes sense. I don't have another job lined up except for a possible full-time online telemedicine job, but can't walk away right now. So should I not ask for a raise if I'm not ready to walk away?

Nice, so you bring in well over $300k a year! In my case, should I not ask for 20% of my total billing? Is that not standard? I'd have to ask for 20% if I go over a certain threshold? Also, do you get benefits?

Again, I'm not positive about their exact salary. But they also get unlimited RVUs so at the end of the day they probably earn another 50-60k on top of that or more, I'm not exactly sure. What I planned on doing was adding up the value of the benefits (about $38,000 per year) that I'm offered and adding them to my base salary ($125,000). That comes out to around $162,000. I'm still $80,000 short of earning 20% of my net collections, which I think is the standard. What I'm not sure of is, do people who earn based on collections also get benefits? I'm also not sure whether to negotiate a larger raise or a better RVU bonus structure. The current RVU structure doesn't pay NPs who earn $130k or over.

I see between 14-18 patients per day but I have a high percentage of 99214 and 99204 because of good coding/documentation.

I’m sorry, that was for the fiscal year that started in July. So double that for a whole year: 1.2 million. So am I right going in and asking for 240k? Should I subtract the benefits and ask for that? I’m pretty sure the physicians In my practice get around 220k plus RVUs and their benefits.

Why would 20% of the net be 124k? I bill 2.4 million in a year. About half is collected. Can you explain how you got this number?

Hey all, I work in primary care for a hospital-owned medical group. I have a meeting Friday with the director of our medical group. Our RVU policy is currently garbage. Maximum amount that can be earned is $30,000 per year for NPs (Physician RVU is unlimited) and if one makes over $100k, the RVU is prorated. So if you make $130k, you get no bonus at all. I just ran my numbers in Epic. This fiscal year, which doesn't even include the rest of December, I've billed $1,182,026 and $621,000 of that was collected. At this rate, I earn over $1.2 million a year for the practice. I currently make $125k/ year plus a $5k bonus. I get 216 hours of PTO, $2500 and 5 days for CME and health insurance (I still have to pay premiums, they just cover part of it), as well as STD and LTD, etc. I've read that we should try to get 20% of what we bring in to the practice. Is this correct? Based on that, I should be earning $250k/year. With what I'm bringing in, would I be considered extremely productive? I earn 50-100% over my required RVU targets. Can I go into this meeting and show them what I'm bringing to the table and ask for a raise or at least an improvement in RVU structure to be unlimited. If I subtract the total cost of all my benefits (about $35,000 a year), I'm still WAY under the $250k/ year, if it is reasonable to ask for 20% of what I bring in. What do you think? Is the 20% thing only when one doesn't get offered benefits? Any insight would be appreciated as I have this meeting on Friday.

Yogagal. I totally agree with you! I'm a firm believer that we should receive 85% of physician pay, since that is what we bill for, but if we aren't all in this together, we will never get this. We have a huge, powerful lobbying presence and we need to use it to get what we deserve! Physician wages are elevated because of how selective medical schools are and they artificially limit the amount of graduates and residency spots to skyrocket the salaries. NP schools need to have more stringent entrance requirements so that not just anyone can become an NP. The curriculum needs to be more rigorous with less fluff such as "nursing theory" and more medicine. In terms of the job-they countered and I accepted the offer of $120k/yr plus productivity. The benefit package is very attractive compared to the private office that was only offering $125k with poor benefits. I'll have over 6 weeks of PTO, 2% automatic 403b contribution plus another 2.5% matched if I contribute 5%, good, reasonably priced health insurance, disability, etc. While I agree that the salary is not as high as I would have liked, I plan on looking around continually. I think that if an internal medicine physician earns $225k/year, we should get something like $180k, especially seeing that we often see the same number of patients. Also, I hate the "consultation" argument...that we have to have the doctor there to ask questions. The doctors ask each other questions all the time and are not penalized in their salaries for that. And I wouldn't say we ask more questions than we do.

Thanks for the 100 views and no votes or comments! Almost at the end of the day.

I need to get back to an employer today about a job offer. I currently have been working in internal medicine and urgent care as well as ED for 3 years as an NP with 5 years of ED RN experience prior to that. I started at 109,000 as an NP and haven't received a raise in 3 years due to budget issues at the hospital (a large Catholic health organization). I recently found a job closer to home in internal medicine and have been made an offer. Benefits are similar since it is another large Catholic health organization. The offer was $115,000 and the hiring manager knows I'm making $110,000 now. I received an offer of $125,000 at a private office with worse benefits. Salary.com says my fair market value is $115,000 up to $120,000 at the high end. Glassdoor's new "Know your Worth tool" says I'm worth $122,000 base salary and that salaries of FNPs in the city range from $122,000 to $155,000. I don't want to counteroffer today that makes them rescind the offer because I like the location and the office, but if I ask for $125,000 and mention that I was offered that in another office and the fact that I speak 3 languages is it likely that I will have that offer accepted? I don't want to lose this opportunity but I want to make at least $120,000 since I've been stuck around $110,000 for 3 years. Any advice? I have to let her know by the end of the day.

Does your position and cousin's position include benefits on top of that hourly rate? And you're saying you get $1000-1500 per SHIFT on top of $80/hr if a crisis shift? That's crazy. I'm in CT and I've never seen anyhting like it. An ED I work at run by GARBAGE Emcare pays $70/hr and offers NO BENEFITS except for crappy health insurance. No retirement match. NOTHING.

This is the best post I've ever read!!

This is the best post I've ever read!!!

Hi! Sorry for dragging out an old post. What do they charge per credit? I'm looking to do an MSN/FNP to DNP bridge. Thank you!

I chose fnp and I haven't regretted it!