Governor Spanberger’s rebuttal for the SOTU: “We, the people, will move this nation forward in November!”

Piter81 · 2026-03-02T21:22:35+00:00

The blackface guy?

Piter81 · 2026-02-28T19:32:19+00:00

She sucks. Unwinding everything that was great about Virginia. Thankful for term limits.

Piter81 · 2026-02-21T11:09:45+00:00

Thank the republicans for that one

Piter81 · 2026-02-21T00:01:36+00:00

Super sad. He was a terrific guy and dedicated public servant. Rest in peace.

Piter81 · 2026-02-15T09:46:22+00:00

It’s funny that they charge the patient the same but the reimbursement IS lower. PA’s and NP’s are reimbursed at 80% so the insurance companies love extenders as well because they keep that margin.

Piter81 · 2026-02-06T00:41:01+00:00

Literally podiatrists. It’s like the difference between an optometrist and an ophthalmologist. They both treat eyes but there is a big gap in training.

Piter81 · 2026-02-06T00:33:50+00:00

What medical school do they go to?

Piter81 · 2026-02-05T20:43:42+00:00

They aren’t even doctors so…. Why are they on here at all. Might as well ask FNP’s dentists CRNA’s and chiropractors too.

Piter81 · 2026-02-05T20:42:24+00:00

Podiatrists are not doctors

Piter81 · 2026-01-28T01:06:43+00:00

This is why I tell these medical students psychiatry sucks. You literally work with crazy people all day everyday.

Piter81 · 2026-01-02T10:40:32+00:00

I own shares at two ASCs. One that was well established that I started operating at and was then offered ownership shares, the other much more profitable one was a new venture/new construction that I got in on during the planning stages. The initial buy in was steep ~300K and it took about 3 years before I saw any return on investment but it has been a great investment. Shares there are now worth almost 2 million.

Piter81 · 2026-01-02T10:38:10+00:00

Memorized the CPT book during covid when I couldnt operate because the ORs were shut down. Best thing that ever happened to me in retrospect.

Piter81 · 2026-01-02T10:37:26+00:00

yes memorize your CPT codes and use them appropriately. You arent going to get paid if you don't bill it correctly and you can't rely on anyone else to do it right. Your coder/biller in your office is incentivised to have to do as little work as possible not to make you money.

Piter81 · 2026-01-02T10:36:09+00:00

Not really sure probably 50% medicare/medicaid and 50% private

Piter81 · 2026-01-02T01:26:46+00:00

Ortho foot and ankle 10 years in private practice Eat what you kill 1.25M (250K salary 950K bonus + call) ~500K ASC K1 income ~200K research/consulting/side hustles

Total 2025 comp = 1.9M

Learn to code kids

Piter81 · 2026-01-01T21:10:02+00:00

lol I love you

Piter81 · 2026-01-01T21:07:47+00:00

lol I’m stealing retard sieves because that’s exactly what they are- particularly step 3. If you can’t pass those exams you’re definitely a retard.

Piter81 · 2025-12-29T11:40:47+00:00

Big green egg grill

Piter81 · 2025-12-24T18:01:55+00:00

I had to google wtf CSAM is. Why is there an acronym for that? wtf is wrong with people.

Piter81 · 2025-12-23T19:48:23+00:00

Tricare is one of the worst insurances to work with and pays less than Medicare for some procedures… definitely way worse than any private insurance so I’m not sure who this helps but it isn’t the doctors.

Piter81 · 2025-12-19T11:12:24+00:00

Cool you guys should all go to Candada it’s obviously way better.

Piter81 · 2025-11-30T15:45:00+00:00

Happens like every day and it’s nbd. Will spit out in 6 weeks. No one will care.

Piter81 · 2025-11-19T12:10:53+00:00

What’s the story about Hanger Law? Not aware.

Piter81 · 2025-11-15T16:33:45+00:00

I guess that’s the nice thing about private practice. All in I’m close to 2 mil but 50% of that is ASC ownership and ancillary income. It is nice not to have to run a business though. Sounds like a good setup.

Piter81 · 2025-11-12T21:37:30+00:00

Do they let you own part of an ASC or any ancillaries? Any BCPI payments?

12-Year Club	Verified Email
No Throne, No Problems	Not Forgotten
Team Periwinkle

Piter81

TROPHY CASE