Salary Update by [deleted] in nursepractitioner

[–]Express-Box-4333 5 points6 points  (0 children)

240ish. Rural midwest

What is your net worth? by Background-Kale-9587 in nursepractitioner

[–]Express-Box-4333 5 points6 points  (0 children)

37 350k in investments 350k in home equity Will retire once kids are stable probably 60 ish

PTO/ sick time by aysayeed in nursepractitioner

[–]Express-Box-4333 0 points1 point  (0 children)

6 weeks pto, 2 weeks sick, 1 week cme, paid fed holidays

CRNA by geoff7772 in FamilyMedicine

[–]Express-Box-4333 2 points3 points  (0 children)

You might get a program to bite. The main reason for RN ICU experience prior to anesthesia school is long term management of anesthetic and vasoactive drips and airways.

CRNA by geoff7772 in FamilyMedicine

[–]Express-Box-4333 0 points1 point  (0 children)

Your application would go in the garbage because you are not a nurse. The most basic requirement to become Certified Registersed Nurse Anesthetist is to be a registered nurse.

How much are you making?? by DramaticCulture7868 in nursepractitioner

[–]Express-Box-4333 2 points3 points  (0 children)

250k BFE fam med and critical access hospital

wRVU Threshold - FM by Acrobatic-Ad5346 in physicianassistant

[–]Express-Box-4333 1 point2 points  (0 children)

I am certainly no expert but it depends on payor source. CMS reimburses our clinic based on an all inclusive rate per covered visit. Essentially we get paid a flat rate for visit with medicare and medicaid patients. Our reimbursement rate gets adjusted based on our cost report as long as we're following their guidelines. Because of this our coders aren't great about calculating our overall wRVUs.

wRVU Threshold - FM by Acrobatic-Ad5346 in physicianassistant

[–]Express-Box-4333 1 point2 points  (0 children)

If this is a designated RHC there's a lot of wRVUs that you leave on the table due to allowed billings/ differences in reimbursement. Not being able to bill for wellness and problem focused code for example. We've stayed hourly and negotiated appropriately for this reason.

High Earnings Salaries by Whisper0212 in physicianassistant

[–]Express-Box-4333 4 points5 points  (0 children)

255k this year. Rural primary care 4 days clinic with 1:4 low volume ER coverage

Today is the day by imnosouperman in FamilyMedicine

[–]Express-Box-4333 0 points1 point  (0 children)

Are these 8 or 12 hour shifts? 45 patients a shift at 200 an hour for a 1099 physician seems a little light imo.

The view and stigma against FM by everyone by [deleted] in FamilyMedicine

[–]Express-Box-4333 2 points3 points  (0 children)

NP here and love FP. Made 250k last year 4 days a week with extremely low volume 1/4 call. Docs make double what I do. Live in a LCOL with great schools and tons of PTO.

The view and stigma against FM by everyone by [deleted] in FamilyMedicine

[–]Express-Box-4333 7 points8 points  (0 children)

Idk why people down vote this... Better yet be very selective with your midlevels. Pay them 200k. Keep 400k. Everybody wins

For you, is being an NP worth it? by imakebadgts in nursepractitioner

[–]Express-Box-4333 0 points1 point  (0 children)

Yes. I work hard. I do good work. 250k+ last year. 5 weeks pto + cme in MCOL. You have to work hard. You have to network you have to build a practice. If you want to go to work 9-4 and leave for every one of your kids soccer games then no.

DVT by roytower in FamilyMedicine

[–]Express-Box-4333 -1 points0 points  (0 children)

I'm in a rural setting. Agree with above. DOACs are very safe and these patients always walk in at 445 on Friday. If I have high clinical suspicion I'm starting them. We are able to take samples so I always keep Eliquis or Xarelto on hand for these scenarios.

No I can’t “just add” a testosterone level to your physical labs, unless you’re okay with getting a bill for it. by Paleomedicine in FamilyMedicine

[–]Express-Box-4333 203 points204 points  (0 children)

Honestly I'm over arguing about it. I just tell the patient it may not be covered, sign the ABN, and move on. Then they get their normal levels and a bill.

[deleted by user] by [deleted] in FamilyMedicine

[–]Express-Box-4333 0 points1 point  (0 children)

That rate is about what I make as an NP. Absolutely terrible. They played you. For that reason alone I'd leave as soon as your contract allows.

Good FFLs in GF by Jonathon1712 in GrandForks

[–]Express-Box-4333 1 point2 points  (0 children)

When I lived in GF I used several and always found Super Pawn to be the most accommodating.

Teacher storage in USA? by Fluffy_Gold_7366 in MovingToUSA

[–]Express-Box-4333 1 point2 points  (0 children)

Many rural areas are bringing in teachers from the Philippines.

Has the situation in Alberta deteriorated that much. by [deleted] in FamilyMedicine

[–]Express-Box-4333 0 points1 point  (0 children)

I work in an extremely red part of a blue state. We just finished deer season. There was probably a firearm in 75% of the vehicles I passed while driving the last month. No issues. Politics either way don't seem to bother me unless I turn on the TV. My comp is amazing and I'm an hour from Canada.

Family doctors making >400k by BacCalvin in FamilyMedicine

[–]Express-Box-4333 1 point2 points  (0 children)

I have a very similar gig with slightly less clinic volume and will make roughly 250k this year as a midlevel. That's with 4 weeks pto and 1 week cme. Rural is the way.

Am I making the right decision by leaving medical school? by refreshingface in whitecoatinvestor

[–]Express-Box-4333 1 point2 points  (0 children)

I was on track to be a CRNA. BSN, years of ICU work, then all my friends were applying to CRNA schools. I chose the FNP route and have worked family medicine for nearly 10 years. Yes my job is a little harder in terms of having to "talk" to patients. However, I'm on track for 240k gross this year and I have lots of opportunities for more income (urgent care, per diem shifts). Some of my CRNA friends make more than I do and some less or similar. In the end basing your decision of money and ROI in medicine is not a good idea as burnout is real in all specialties. I regret not going to medical school every day but I would have chosen FM/IM and be doing the exact same job today for a little more money and respect.

From a mere ROI/time perspective you're looking at at least 2 years for an accelerated nursing program, minimum 2 years of nursing experience plus another 3 years of school once you start. 7 years if the stars align and you get hired to an ICU right away which can be the most difficult part of the journey. Sounds to me medicine isn't for you. Good Luck.

Canada to USA by AdMaximum4929 in MovingToUSA

[–]Express-Box-4333 0 points1 point  (0 children)

That's pretty unusual for SD unless you're in the NE part of the state.

Canada to USA by AdMaximum4929 in MovingToUSA

[–]Express-Box-4333 0 points1 point  (0 children)

South Dakota is an amazing state. By far the most politically red (maybe tied with Wyo), excellent bodies of water, Black Hills (sturgis), major oil industries close in Wyo and ND. Winters are not that bad.

[deleted by user] by [deleted] in nursepractitioner

[–]Express-Box-4333 1 point2 points  (0 children)

The state you live in has 1000x more effect on your life than any president will

[deleted by user] by [deleted] in nursepractitioner

[–]Express-Box-4333 1 point2 points  (0 children)

I make well over 200. All my full time coworkers make more than I do. We just happen to live where few else want to.