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| Revenue per patient in a doctors office? Posted by Robin Masters Anyone have an idea how much, per patient, a docs office makes? Family practice for example. EBITDA \ # of patients.  on 2/2 at 9:55 amThanks Reply • Back to Top |
| I would think the numbers are highly dependant on the operating environment. (Social economic status of patients, intention of lead physician etc) Reply • Back to Top |
| The only thing I have ever heard from a doctor is family doctors make 150-175K. I don't know about per patient? They are at the low end of the doctor scale. That still isn't bad money. Reply • Back to Top |
| Just finished an article in WSJ (Friday's). Obamacare will result in more doctors switching from independent status to that of an employee. Thus, doctors may form a union. Reply • Back to Top |
| Depends on the insurance. A psychologist told me he only gets $4 per medicaid patient. Obviously that is the lowest paying. Reply • Back to Top |
| I have hear Medicaid pays $29 per patient, and may soon only pay $27. My doctor bills me $65 for an OV. Don't know what the insurance company pays. Reply • Back to Top |
| Depends on the level of visit (which is determined either by the extent of the history and physical exam/medical complexity, or you can bill if you spend alot of time with the patient in counseling/coordination of care). It also varies depending of payer source and whether it was an inital visit, a consult, or a followup visit. Reply • Back to Top |
| Per patient is not a factor. Per visit is what matters. In primary care, the docs that are doing really well collect on average $200+ per visit. The docs that are scraping by but making a living are collecting around $120- $130 per visit. The docs collecting less that $100 per visit are making less money than your plumber and in more debt that you can imagine. Reply • Back to Top |
| It totally depends on which insurance the patient has. Noway does a psych make $4 on a Medicaid patient. That's simply not true. Reply • Back to Top |
quote: This is absolutely possible. He most certainly collects more that $4 on the patient, but it is completely within the realm of possibility that his profit on this visit is $4. Reply • Back to Top |
| I can see how he'd only net $4 for a Medicaid visit, counting overhead (nurses pay, front desk pay, office lease, etc). The revenue from a level 3 follow up visit is probably 30 bucks, maybe 40 tops or so for a Medicaid patient. It's definitely not worth your time. Reply • Back to Top |
| For a single provider, overhead on average is going to be about $200/ hour give or take Reply • Back to Top |
| Just read the prior post about per visit vs. per patient. I assumed you were asking the question as counting a "patient" as a visit. If you were looking to buy a practice based on total number of patients, I'd say that metric would be way down on the list on what you would measure profitability on. The two metrics I'd be most interested in is total number of patient visits/year, and the distribution of the payer source (ie % private insurance vs Medicare vs Medicaid). Reply • Back to Top |
quote: agreed Reply • Back to Top |
quote: That's what I meant actually. Per patient visit. Thanks. Great info! Reply • Back to Top |
| Everyone realizes that doctors have no say in what they are paid right? It's all done by the government and insurance companies Reply • Back to Top |
| I don't think union, rather cooperatives. Places like urgent care will sprout Reply • Back to Top |
| To an extent, you are correct. But the doctor can do a quick review of systems and whatever part of the physical exam they need to increase billing level. Or a FP doc can do some minor ortho procedures (steroid/synvisc injections) or pap smears and things like that which increase revenue, instead of being just med/peds-lite. This post was edited on 2/3 at 3:22 pm Reply • Back to Top |
quote: In MOST (not all) cases, the reimbursement for individual codes are dictated by the providers contract with the government programs or insurance companies. However, the doctor certainly has a say in how they choose to practice medicine, which has a tremendous impact on their reimbursement and income. Reply • Back to Top |
quote: Is that before of after the multitude of insurance they need to buy to cover themselves? Reply • Back to Top • Refresh |
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