Provide healthcare services typically performed by a physician, under the supervision of a physician. Industries with the highest published employment and wages for this occupation are provided.
For a list of all industries with employment in this occupation, see the Create Customized Tables function. States and areas with the highest published employment, location quotients, and wages for this occupation are provided. For a list of all areas with employment in this occupation, see the Create Customized Tables function. The proportion of PAs working within specific specialties remained virtually the same as last year. Similar to 2012, NP salaries are not significantly affected by experience beyond the first five years of practice.
For the first time since this survey began, average salaries of NPs and PAs (see next slide) in all regions climbed above $90,000. The proportion of NPs and PAs who work at more than one location was nearly identical to what was shown in the previous surveys.
Despite an uncertain economic climate, clinicians are optimistic about their financial future.
When asked about their expectations for next year, more than 95% of NPs and PAs (see next slide) anticipate that their income would stay the same or increase. As in previous years, the 2013 survey included questions designed to provide some insight into the typical workweek of our readers. There was some diversity with regard to the number of patients seen per week, but the NP (previous slide) and PA breakdowns remained similar. According to the National Bureau of Economic Research, the Great Recession ended in June 2009, but the recovery has been slow to materialize.
Greeneville Orthopaedics > PhysiciansChris is currently serving as a clinical preceptor for University of Tennessee, Memphis-College of Nursing.
Tennessee Nurse Practitioner CertificationThe Tennessee Board of Nursing regulates NPs and other nurses in the state. When it comes to searching for your first job post-residency, a lot of considerations come into play. Location and compensation are two of the main things graduating residents think about when searching for their first jobs, and interestingly enough, they have quite a bit to do with one another. It’s easy enough to say, “I’d like to work in the Northeast, because that’s where my family is located.” But then when you consider what you’d like your starting salary to be, you might be shocked.
Typically, the average physician salary in the Northeastern US is quite a bit lower than elsewhere in the country. The average physician salary for a newly graduated general surgeon in the Midwest is nearly $40,000 higher. A primary care physician can expect to make about $15,000 less in the East than the South, while a first-year cardiologist will make about $150,000 less.

Though primary care doctors can expect to make less than they would in the South, the Midwest is a great place to earn big if you’re a specialist.
In general, physicians in the South can expect to make much more than they would in other regions. Though physician compensation for the West isn’t as low as it is in the East, it still falls behind the Southern and Midwestern US. However, there are three specialties in the West that have the highest overall compensation: anesthesiology, orthopedic surgery, for hands and neonatal pediatrics.
And of course as in virtually all aspects of American healthcare, the profit motive comes into play. One possible explanation for this disparity is the number of physicians per capita in different countries.
The societal perception or expectation that US doctors are wealthy, and the amount of training and expense borne in medical school, can persuade some physicians that they deserve, or are expected to be wealthy. As mentioned above, a physician order is necessary for nearly all important healthcare decisions, and herein lies a temptation. A disadvantage of the hospitalist arrangement is that different physicians have differerent perspectives on health care costs and care, particularly when it comes to medications. The latest money grab idea is the advent of a new concept in physician owned surgical hospitals. So, it appears that the doctors will seek profit where a profit can be made, just like insurers and other providers. I have been involved in healthcare for nearly 30 years, over 20 of them as a hospital CEO, mostly in for-profit companies. This entry was posted in health care costs, health care reform, health insurance and tagged doctor fees, health care costs, health care premiums, health care reform, healthcare costs, healthcare premiums, healthcare reform, physician fees. Approximately two thirds of NPs and PAs (see next slide) write fewer than 75 prescriptions per week.
It may not display this or other websites correctly.You should upgrade or use an alternative browser. While the access to metropolitan amenities is worthwhile, the compensation packages are among the lowest in the country. Other lower-paid specialties in the East include dermatology, nephrology, and pulmonary medicine. Only the South has higher average physician salaries, but in many ways, the South and Midwest are tied.
Family practice physicians can make up to $25,000 more than they would in other areas, while cardiologists can start off with up to $150,000 more. In particular, emergency medicine specialists, endocrinologists, hospitalists, neurologists, psychiatrists, and neurologists can expect to earn the most in this region. Interestingly, there were 166 medical schools in 1909, when the population was less than one third of what it was in 2009.
I have observed family physicians puzzling over the array of meds prescribed to their discharged patients by the hospitalist, which is not exactly the ideal in coordinated care.

Because of the huge insurance payment, they can afford to forgive the out-of-network penalty to the patient. Little wonder that these hospitals pay their surgeon partners rates of return that can exceed 200 percent per year!
That’s why the profit motive is a primary driver in healthcare costs in America, and not so much elsewhere. Salaries were higher in all practice areas listed, with the largest gain seen among pediatric NPs.
Office-based NPs and PAs (see next slide) remain well-represented in our survey, but hospital-based clinicians earned higher salaries.
However, health care is one of the strongest sectors of the economy, a fact that is reflected in the more than 7,000 responses to our annual salary survey. In general, organizations in metropolitan areas pay less, while those in rural and medium-sized areas pay quite a bit more. The pay is lower across the board, but the differences are more severe for some specialties. A higher insurance reimbursement!  So, a patient or insurer will pay far more for the same service and procedure from the same physician than they did several months before, when the doc wasn’t hospital-based. It’s a capitalist county, but do we believe the preservation of someone’s life and health should be related to the amount of profit they can generate? A physician order is necessary for nearly all health services, from tests, to consulting other doctors, to hospitalization, and discharge. According to Medscape, the average 2011 physician compensation ranged from $156,000 (pediatrics) to $315,000 (orthopedics). If performed, a second physician visit is generated (for discussing results) and the physician might have an actual ownership in the diagnostic clinic performing the scan.
As a for-profit CEO, I was directly involved with a number of these endeavors, and have witnessed the pronounced cost increases over the years. The new hospital patient gets an attending hospitalist upon admission to the hospital, who (mostly) attends throughout the stay.  The family doctor will be glad to see that patient in the office after discharge, and maybe run some tests.
This situation can at least partially explain the compensation levels of US physicians.  Keep the demand high (growing and aging population) and the supply of physicians low, and prices will increase. The Nurse Practitioner (NP) works autonomously but in collaboration with physicians to deliver primary . Just checking to be sure, I guess.)  Ownership or arrangements with labs generate additional revenue. Drugs that require regular physician monitoring are a great idea for profiting the pharma company and the doc.

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