What's the least saturated specialty in APRN?

NPvampire, MSN, RN, APRN · Jan 27, 2020

Wooow. Thank you. Yes, I have been eyeballing New Mexico and AZ for years, in fact, I am attempting to learn Spanish to be more marketable. But unfortunately my family won't move at this stage. My hope is to do telemedicine to AZ in 3 years or so, or whenever I become much more fluent.

In my current state, which lacks AP, we can bill 80% of Medicare that an MD would bill (that's national of course) and about 67% for our current state Medicaid MD reimbursement, which is still equal to roughly 80% of medicare as our state pays more money for Medicaid services than medicare.

None of the NPs on my staff make anything even close to either of those figures. :( We're mostly salary and scheduled 20-30 patients per day or equivalent. If I were part-time I'd get a whole $3 per hour more, who HOOoo! (That doesn't help--our state health exchange / market is worthless and our state law does not mandate part-time benefits). Our state board of nursing and composite medical board also allow NPs to work outside of their specialty in psychiatry as long as contracted with an MD as long as blah blah blah ..meaning we compete for jobs with every FNP that the schools are pumping out, too. They never stay, and I can't imagine how they're billing medicare/medicaid, but it lowers the salary market for our specialty.

Not only is it not an AP state, it is a very unfriendly labor state to any type of work. *sigh*. Not only that but the climate is misery 10 months of the year; I'm not a heat-lover. Or mosquito-lover. But hey, it never snows. I hate it. I love what I do in general but am tired. My spouse retires in 10 years and then we are LEAVING this swamp, telemedicine aside!

Lanntis, BSN · Feb 3, 2020

On 1/27/2020 at 5:13 PM, NPvampire said:
Wooow. Thank you. Yes, I have been eyeballing New Mexico and AZ for years, in fact, I am attempting to learn Spanish to be more marketable. But unfortunately my family won't move at this stage. My hope is to do telemedicine to AZ in 3 years or so, or whenever I become much more fluent.
In my current state, which lacks AP, we can bill 80% of Medicare that an MD would bill (that's national of course) and about 67% for our current state Medicaid MD reimbursement, which is still equal to roughly 80% of medicare as our state pays more money for Medicaid services than medicare.
None of the NPs on my staff make anything even close to either of those figures. ? We're mostly salary and scheduled 20-30 patients per day or equivalent. If I were part-time I'd get a whole $3 per hour more, who HOOoo! (That doesn't help--our state health exchange / market is worthless and our state law does not mandate part-time benefits). Our state board of nursing and composite medical board also allow NPs to work outside of their specialty in psychiatry as long as contracted with an MD as long as blah blah blah ..meaning we compete for jobs with every FNP that the schools are pumping out, too. They never stay, and I can't imagine how they're billing medicare/medicaid, but it lowers the salary market for our specialty.
Not only is it not an AP state, it is a very unfriendly labor state to any type of work. *sigh*. Not only that but the climate is misery 10 months of the year; I'm not a heat-lover. Or mosquito-lover. But hey, it never snows. I hate it. I love what I do in general but am tired. My spouse retires in 10 years and then we are LEAVING this swamp, telemedicine aside!

Central to Southern Florida eh? haha. Yeah, me too. Terrible play in all of the healthcare here. Well, most industries, really.

cyram81APRN, MSN · Mar 17, 2020

PMHNP has scholarships and loans repayment programs that will assist you financially once you obtained those credentials behind your name.