Members are discussing various aspects of nurse practitioner (NP) programs, salaries, and job satisfaction. Some members are sharing their personal experiences with NP programs and salaries, while others are referencing reports on NP salaries by state and specialty. Additionally, there is a conversation about the perception of certain cities and the impact of location on salary and job satisfaction.
Hi everyone. I'm curious as to see what an actual paycheck (before taxes) looks like from an NP. I find salary websites to be not very helpful. So...
What type NP are you?
Where (state)(rural/urban) do you practice?
Are you independent or in a group?
How many years experience?
What is your before tax paycheck amount?
Monthly or bi-weekly?
Salary/hourly/other(explain)?
Avg hours on check?
What are the perks of your contract? (ie. PTO/vacation/bonuses)
I know this is very personal, but if you are able to provide input, I would appreciate it! I'm mainly interested also to see after the gov/operational costs etc have taken their share, how much are you left with?
base salary is $95k, my W2 was ~$125 in 2017 includes my quarterly bonuses
Monthly or bi-weekly?
bi-weekly base salary + quarterly bonus
Salary/hourly/other(explain)?
salary
Avg hours on check?
well, it's salary but I work ~52 hrs/week
What are the perks of your contract? (ie. PTO/vacation/bonuses):
quarterly bonuses based on RVUs, 5 days & $1000 CME, cost of licensing, malpractice insurance (but I also carry my own), 3 weeks vacation, health insurance for myself with no monthly premium, length of contract is 2 yrs with a $1500 fee if I break early, and a 2 yr 5 mile radius non-compete clause for other family practice settings
My gig is not too bad, probably middle of the road not the best but not the worst.
I'm hoping I read or added wrong because if my math is correct at 52 hours a week you are only making $46 an hour and that includes your bonus.
Yeah but you forgot the most important part of that, you'd have to live in Oakland. lol.
When I worked at Stanford in Palo Alto people talked about Oakland as in "stab city" and I constantly got recruiters asking me to work 48hr a week contracts paying over $3,000. A traveler friend of mine brought his kid to that assignment and he had to cancel it and leave because his teenage girl didn't feel safe in the town. The cost of living is at least a lot cheaper than San Fran in Oakland so your $150K a year would take you farther.
I find this comment offensive. Please be mindful of your racially motivated biases about a city that has the negative reputation of violence because of its racial demographics. If you look at the statistics, San Francisco ranks amongst the top cities for violent assaults. The person who felt "unsafe" may have felt that way from her own internalized perceptions of Oakland. As a person who lived in Oakland for 5 years, it was a culturally-rich, and very beautiful city to live in. I felt very safe walking the streets both morning and night. Not all of Oakland is "stab city".
I know this isn't about the pay, and I know this comment was written a couple of years ago, but it needed to be said.
According to this report, national average NP salary in family practice is only $100,899. And in all other categories in this survey, my salary exceeds the national average.
I can't speak to the accuracy of these reports, or their sampling methods, etc. However, after skimming over them, many of the above posters seem to enjoy exceptionally high salaries. The PMHNPs definitely have the financial advantage!
So, anyway now I am really perplexed as to whether I should be asking for more money lol...
It's all perspective. It can fluctuate with where you work just as much as who you work for. I like this thread for gauging where I should shoot for-profit but if the bills are paid and my lifestyle of positively impacted, then I'm generally happy.
According to this report, national average NP salary in family practice is only $100,899. And in all other categories in this survey, my salary exceeds the national average.
I can't speak to the accuracy of these reports, or their sampling methods, etc. However, after skimming over them, many of the above posters seem to enjoy exceptionally high salaries. The PMHNPs definitely have the financial advantage!
So, anyway now I am really perplexed as to whether I should be asking for more money lol...
I have no idea what your area will support but the first thing that stuck out is it doesn't appear you are even being compensated with 1.5 time for your hours over 40.
If you haven't networked with your local peers you don't have the information you need. The salary estimates have always been useless to me. My base is over $65,000 more than the NP-PA survey for my specialty and $49,000 more than the figure listed as top 10% in my state. Due to working off hours and taking extra call my actual gross is $95,000 and $79,000 more than the salaries in those links. Knowing what my fellow NPs and physician colleagues are making has been invaluable to negotiate a top rate.
I don't want to make you feel badly about your work, but around $50 per hour is definitely underpaid. I made that as an RN in 2005.
Texas, Missouri, and Florida are unfortunately completely physician controlled and difficult environments for NPs. One really can't base pay on salaries. As this thread has detailed, NP salaries are extremely low. If you actually saw the superbills and reimbursement you were pulling in for the practice, you would be astounded. While many insurances do reimburse NPs lower than physicians, the discrepancy is not that large in most cases.
One patient an hour would pull in at minimum about $65 for a typical outpatient visit. Obviously, reimbursement fees are difficult to pin down, because they vary by insurance, state, and even individual outpatient practice.
The takeaway is to remember that NP salaries are arbitrary and artificially low. Why would an NP make $125,000 and a physician $275,000+ if the difference in reimbursement is so low? Then one looks at practices which also take cash patients and there is absolutely no difference. The physician who owns the practice is literally siphoning all the money the NP made for the practice. In return, the NP ends up with perhaps 30% of their gross billing.
I don't want to make you feel badly about your work, but around $50 per hour is definitely underpaid. I made that as an RN in 2005.
Texas, Missouri, and Florida are unfortunately completely physician controlled and difficult environments for NPs. One really can't base pay on salaries. As this thread has detailed, NP salaries are extremely low. If you actually saw the superbills and reimbursement you were pulling in for the practice, you would be astounded. While many insurances do reimburse NPs lower than physicians, the discrepancy is not that large in most cases.
One patient an hour would pull in at minimum about $65 for a typical outpatient visit. Obviously, reimbursement fees are difficult to pin down, because they vary by insurance, state, and even individual outpatient practice.
The takeaway is to remember that NP salaries are arbitrary and artificially low. Why would an NP make $125,000 and a physician $275,000+ if the difference in reimbursement is so low? Then one looks at practices which also take cash patients and there is absolutely no difference. The physician who owns the practice is literally siphoning all the money the NP made for the practice. In return, the NP ends up with perhaps 30% of their gross billing.
You speak to exactly what this article is saying. I think it is a great resource to understand the revenue NPs are generating in practice. We actually should be making more based on what we can get from reimbursements.
Additional $1000 per weekend of phone call (ave 20 calls per weekend) (1 weekend a month)
Additional $120 for each H&P each weekend (ave 15 each weekend)
$30,000 sign on bonus
Monthly or bi-weekly? monthly
Salary/hourly/other(explain)? salary
Avg hours on check? Salary (usually 30)
What are the perks of your contract? (ie. PTO/vacation/bonuses) 3 weeks PTO, $5000 CME with 1 week paid, Malpractice Insurance Paid, All licensing fees paid. $5,000 bonus mid year for quality improvement, $5,000 end of year to commit to another year
Hi all, could we get this conversation going again on the current NP salaries? I think it will be helpful for many job seekers and new grad NPs to get perspectives on the job markets! Thank you.
Jules A, MSN
8,864 Posts
I'm hoping I read or added wrong because if my math is correct at 52 hours a week you are only making $46 an hour and that includes your bonus.