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?
I see an average of 3 pts an hour. If I would see more than that then pt care would be compromised. For every visit I bill there are 3-4 other people who have to get paid, not to mention the rest of our overhead costs. I find it fascinating that any np can take home anywhere near $100 per hour.
As to other services... There is a range for what insurance will pay, but some reimbursements are barely more than the cost of supplies. Example, we do allergy tests and the range of reimbursement is $80-300.
Well obviously if an NP is making $100 an hour they are an exception and not the common rule of thumb. That is over double the national average for NP pay.
That said, I'm sure we all know a few NP's that make a significant chunk of change. There is a group of NP's in my city that run two very success urgent care clinic's in town that are pulling in even more than $100 an hour or $200k. Specialty is also an important factor. The Psych NP's I know all typically make more than the FNP's. ACNP's are just starting to gain traction here but they too typically are employed by hospitals or intensivist groups and make more than clinic based FNP's. Most commonly you are going to find NP's, especially FNP's making $80-120K a year or roughly $40 to $60 an hour.
Specializes in ICU, CV-Thoracic Sx, Internal Medicine.
I see an average of 3 pts an hour. If I would see more than that then pt care would be compromised. For every visit I bill there are 3-4 other people who have to get paid, not to mention the rest of our overhead costs. I find it fascinating that any np can take home anywhere near $100 per hour.
As to other services... There is a range for what insurance will pay, but some reimbursements are barely more than the cost of supplies. Example, we do allergy tests and the range of reimbursement is $80-300.
I hear what you're saying Jeanette.
But there's a few things that need correcting.
1. Not all responders have overhead costs, i.e., clinic.
I for one see my patients at various inpatient facilities. They include hospitals, LTACH's, Acute rehab facilities and SNF's.
In these settings, there is no overhead for the provider.
But something to remember is the reimbursement can be less per E&M visit when compared to clinic E&M reimbursement.
2. As mentioned above, reimbursement in an outpt clinic is on average about 30-40% higher than that of an in-patient facility charge. If the bulk of your visits are level 1's and 2's then yes, you are billing at about an average of $40-50 per pt, but chances are your leaving money on the table and under billing.
I don't know the individual reimbursement per patient. I can see the summaries by CPT code at the end of the month and do the math. Maybe not everything is recorded in the system, and it doesn't take into account co-pays. Still, the reimbursements seem incredibly low. (Most of our visits are level 3-4 BTW, but we have a high percentage of Medicaid patients.)
Is it financially better to be on a salary? hourly? or percentage from revenue production (ie. 30% from revenue received from patient payment)? In nursing school, the third option was not discussed, but I have seen this offered.
Is it financially better to be on a salary? hourly? or percentage from revenue production (ie. 30% from revenue received from patient payment)? In nursing school, the third option was not discussed, but I have seen this offered.[/quote
Hourly always works out a bit better than salary, in my opinion.
Productivity payment can be very lucrative. It has always worked out for me as an addition to my base salary. Your productivity will likely be low your first year or two so before you take a job be aware of that.
Specializes in Med/Surg, International Health, Psych.
What type NP are you? PMHNP
Where (state)(rural/urban) do you practice? Midwest, Urban
Are you independent or in a group? Group
How many years experience? 2 months
What is your before tax paycheck amount? $5600.00
Monthly or bi-weekly? Biweekly
Salary/hourly/other(explain)? Salary, $145,600.00
Avg hours on check? 80 (really like 72-75 actually worked)
What are the perks of your contract? (ie. PTO/vacation/bonuses) Free health, vision, and dental insurance for self and family, company paid premiums. PTO/Vacation not great.
Where (state)(rural/urban) do you practice? Vermont, Rurual
Are you independent or in a group? Group
How many years experience? 6 mos
What is your before tax paycheck amount? Varies, 6500-7500
Monthly or bi-weekly? monthly
Salary/hourly/other(explain)? hourly, at 50 per hour, plus 180 per night on-call
Avg hours on check? about 39 per week
What are the perks of your contract? (ie. PTO/vacation/bonuses) health insurance, retirement, no PTO or vacation. Flexible scheduling was a big perk here.
NP's should never accept salaries. Work for yourself or bill insurance directly or through your physician collaborator/supervisor if needed. Salaries are very low because the MD/DOs take a huge cut. It takes more work, but will be worth it to only work for $100 or more hourly or fee for service. If we all do this, we will make great strides.
What type NP are you? Psychiatry
Where (state)(rural/urban) do you practice? CA/Urban
Are you independent or in a group? Independent w/ physician "supervision"
How many years experience? 5
What is your before tax paycheck amount? 15k every two weeks if lucky, sometimes only 20k monthly
Monthly or bi-weekly? Bi-weekly
Salary/hourly/other(explain)? Through employer it is per-patient, consulting varies, $1600 for a 2 hour evaluation at one place, others I do not accept less than $100/hourly
Avg hours on check? 40
What are the perks of your contract? (ie. PTO/vacation/bonuses) Don't have one
Madglee,
Where exactly do you work? PM if you can. Wouldnt mind moving if I could make numbers like that only working 40hrs/week.
JeanettePNP, MSN, RN, NP
1 Article; 1,863 Posts
I see an average of 3 pts an hour. If I would see more than that then pt care would be compromised. For every visit I bill there are 3-4 other people who have to get paid, not to mention the rest of our overhead costs. I find it fascinating that any np can take home anywhere near $100 per hour.
As to other services... There is a range for what insurance will pay, but some reimbursements are barely more than the cost of supplies. Example, we do allergy tests and the range of reimbursement is $80-300.