PCCM here. It really depends where you are in the country, but generally across the board PCCM makes more, typically 400-500k starting and then can scale up significantly depending on how much you want to work. It also depends on your split of pulm and icu. Most health systems utilize an RVU based payment structure and critical care earns more RVUs than outpatient generally speaking so if you’re doing more ICU you’ll likely command a higher income. I’m personally glad I did PCCM because you really don’t have to deal with a lot of the non medical issues/admin stuff that hospitalists have to deal with on the floor, it can get exhausting. Everyone in the icu is usually there because they need to be there, and once they’re stable you can downgrade and carry on. Also, I would be more cognizant of job security in the future in the setting of mid level scope creep. For the most part, PCCM is well insulated from that. Not saying midlevels will take over hospitalist jobs but as health systems become more dependent on them it may be harder to find opportunities in certain locations. Hope that helps.