Salary for New Primary Care PNP

Specialties NP

Published

I was recently offered a job and have no idea what kind of salary to ask for. What should I expect as a salary for a new, primary care PNP in Boston? Also, in other people's experience, is it a lot to work 5 days a week? Should I stick to 4? Thanks

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Specializes in Author/Business Coach.

Did they give you any inkling of what they were offering, or do they want you to state a number first?

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Specializes in Adult Internal Medicine.

You should be looking for 85-95k/yr for your first year base plus vacation, 2-3k CME + week, and hopefully a productivity bonus. Push for 4 days/wk.

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Thanks. They want me to state what I'm looking for first. There would be no on-call hours or rounding.

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Specializes in Adult Internal Medicine.

The average salary in MA for NPs is $91,796.

As a new grad I would shoot for $90k, and I wouldn't drop much below $85k unless there was some sort of bonus structure that was appealing.

Figure at 6-8 patients a day you will bring in about $120k in revenue for the practice, and most NPs see far more than that.

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Specializes in Pediatric Pulmonology and Allergy.

How do you figure $120k in revenue? What do you collect per visit?

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Specializes in Adult Internal Medicine.
How do you figure $120k in revenue? What do you collect per visit?

Take a low volume low billing scenario:

The average payment on a 99213 visit is something like $68 plus copay, figure $78 conservatively. Average 7 of these a day, 5 days per week, works out to $140k per year in revenue. Figure vacation and CME and about $120k in revenue.

I am applying adults to peds but it should be a rough estimate....

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Sites such as Indeed jobs usually list salaries and benefits so that might give you an idea.

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Specializes in Pediatric Pulmonology and Allergy.
Take a low volume low billing scenario:

The average payment on a 99213 visit is something like $68 plus copay, figure $78 conservatively. Average 7 of these a day, 5 days per week, works out to $140k per year in revenue. Figure vacation and CME and about $120k in revenue.

I am applying adults to peds but it should be a rough estimate....

I guess if the majority of your clientele has private insurance...

More like $30 for 99213 and $50 for 99214 for the Medicaid population.

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Specializes in Adult Internal Medicine.
I guess if the majority of your clientele has private insurance... More like $30 for 99213 and $50 for 99214 for the Medicaid population.

If you have a 100% Medicaid panel then the revenue would be much lower and the salary offered would be much lower, though I am sure in that case the provider would qualify for loan reimbursement. Even at 50% Medicaid and a typical billing profile a NP would easily cover their salary at $85-90k.

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Take a low volume low billing scenario:

The average payment on a 99213 visit is something like $68 plus copay, figure $78 conservatively. Average 7 of these a day, 5 days per week, works out to $140k per year in revenue. Figure vacation and CME and about $120k in revenue.

I am applying adults to peds but it should be a rough estimate....

Its right as far as it goes. 99213 is 2.13 RVUs so around $73 here. So $511 per day. $2555 per week. 48 weeks (four vacation/CME) comes out to $122640 a year so spot on. Now figure salary at $90k. Add 30% for benefits and you're at $120k. So you have $2600 to pay for office staff, the lights exam paper etc.

Now if you can up the ante to 14 patients a day (one every thirty minutes for 7 hours) you are bringing in north of $240k. Even then at best you are breaking even/probably losing money. The real tragedy is that Medicaid (many kids) is paying a third of this so even if you saw 21 kids per day you probably wouldn't break even.

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Specializes in Pediatric Pulmonology and Allergy.
Its right as far as it goes. 99213 is 2.13 RVUs so around $73 here. So $511 per day. $2555 per week. 48 weeks (four vacation/CME) comes out to $122640 a year so spot on. Now figure salary at $90k. Add 30% for benefits and you're at $120k. So you have $2600 to pay for office staff, the lights exam paper etc.

Now if you can up the ante to 14 patients a day (one every thirty minutes for 7 hours) you are bringing in north of $240k. Even then at best you are breaking even/probably losing money. The real tragedy is that Medicaid (many kids) is paying a third of this so even if you saw 21 kids per day you probably wouldn't break even.

$2600 for office staff? Are you kidding me? Minimum wage is about $12000 and office staff makes a bit more than that (I hope).

You are absolutely correct that a practice that primarily treats Medicaid kids will be barely breaking even. The only way to keep the doors open is by offering additional tests/services, thus driving up the cost of healthcare.

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