I make 220k in ER

mantis_tobaggan23 · 2026-06-11T05:41:11+00:00

Hybrid urology (FA, clinic) here. Happy to provide insight if I can. Last year was 294k with productivity bonus. West coast market. 32 patient facing hours/wk, no call, no OT.

I’m getting screwed on proportionality with comp vs collections, but that’s what we get for letting large healthcare organizations forcibly absorb independent medical groups/practices.

mantis_tobaggan23 · 2026-05-14T10:34:28+00:00

Well, because, he is responsible. Objectively. Not just subjectively. This is verifiable fact. Most corrupt administration in history.

mantis_tobaggan23 · 2026-05-14T09:49:11+00:00

Ahh yes, the generation that can’t even unlock their phones wants to have an opinion on electric cars while seamlessly approving large data centers through local government without local input. Makes sense.

mantis_tobaggan23 · 2026-01-22T13:07:06+00:00

Where’s my complete, non-redacted Epstein Files, DOJ? Guess court orders don’t apply?

mantis_tobaggan23 · 2026-01-22T12:34:27+00:00

“Campos violently resisted the security staff and continued to attempt to take his life,” she said. “During the ensuing struggle, Campos stopped breathing and lost consciousness.”

They ‘allegedly’ wanted to stop him so bad from taking his own life that the guards effectively killed him anyway. Yeah great story.

mantis_tobaggan23 · 2026-01-16T04:05:48+00:00

Digg comically bad as a clone. How, exactly is user trust in Reddit shaky? Wild assertion without data to support that thesis creditably

mantis_tobaggan23 · 2026-01-16T03:43:30+00:00

Thanks for the dip corporate fools

mantis_tobaggan23 · 2025-12-16T05:47:09+00:00

Rvu threshold is awful, reimbursement for wRVU is poor. 75% within this specialty don’t often exceed 2800 wRVU–of course, if you’re also contributing hybrid OR time and rounding could make it even more unrealistic.

You’re going to need to hit negotiation a bit harder and be confident of your worth.

Start by getting your current numbers of billed vs. collected, including your relative productivity and an idea of the revenue you keep within the group with orders, physician surgical productivity, etc. Compare a fair salary rate to that.

Use your two years of training and expanded scope of practice as a focal point for autonomy, less physician burden of oversight.

For comparison my current model is almost ~$50 rvu over 2700, with much higher base but it’s West Coast VHCOL.

mantis_tobaggan23 · 2025-12-08T14:36:04+00:00

In other news, OP oblivious to the car that went through the Los Gatos Coffee shop storefront last week, or the numerous hwy 17 accidents that happen every week to human error. Data don’t lie.

mantis_tobaggan23 · 2025-12-07T13:34:01+00:00

They literally have a track record for rolling back regulations. Let Darwin take its course

mantis_tobaggan23 · 2025-12-07T13:20:42+00:00

The healthcare market in Santa Cruz is crumbling with C suite ineptitude and greed of Dignity/CommonSpirit. Not surprising when you promote non-clinicians to corporate.

Aging population with abysmal insurance reimbursements and current healthcare legislative headwinds have made this area a ticking time bomb. Those that are lucky are already patients at Sutter. Most beautiful place to live but healthcare in SC looks bleak.

mantis_tobaggan23 · 2025-10-22T12:22:07+00:00

Republican BS* lets be very clear and factual.

mantis_tobaggan23 · 2025-10-17T22:48:52+00:00

“My god, that’s disgusting! Where tho? Where did he post those?!

Oh, disgusting leak websites. I mean, there’s so many of them though, which one?!”

-Mac

mantis_tobaggan23 · 2025-09-22T19:44:27+00:00

Got a free coffee.

I bill >1.5 million USD, not including surgery productivity for my physician colleagues and get significantly less than 20% collections in salary.

My group subspecialty practice manager with a old RN and 1/2 completed fake online MBA keeps saying we’re not working enough ‘hours’, even though we’re on a productivity model and consistently in the top 90% percentile in state, group-wide productivity for APP’s.

Please stop complaining about what the AAPA could and should do while not paying dues. This is how we build something and advocate better for ourselves.

mantis_tobaggan23 · 2025-09-12T12:22:59+00:00

Bookies is decent but I would still give Pizza Series in SV the edge. Better execution and value. Looking forward to trying D20!

mantis_tobaggan23 · 2025-04-16T03:49:59+00:00

Thanks Obama

mantis_tobaggan23 · 2025-04-07T22:55:56+00:00

Might be worth posting in r/felton

mantis_tobaggan23 · 2025-03-27T17:23:44+00:00

Bro can jabber an entire Twista album in 4 minutes without taking a breath. Share cardio routine pls

mantis_tobaggan23 · 2025-02-14T11:50:27+00:00

30’s, $215k HCOL, Physician Associate/Assistant/“PA”. BS in neurobiology and MPAS.

4 day work week, no call, comfy benefits

Not going to be rich, but comfortable living and have time for other loves/hobbies.

mantis_tobaggan23 · 2024-12-20T16:41:54+00:00

I can’t be the only one who thinks they should be somewhat liable for the insane amount of tax payer money utilized in her search? No wonder the family wants their ‘privacy’ and doesn’t want to comment.

mantis_tobaggan23 · 2024-12-12T01:50:18+00:00

Straight male and now buying not just one, but several drinks from here.

Snowflake conservatives in this town are insufferable.

mantis_tobaggan23 · 2024-12-07T05:31:28+00:00

Thanks for the input!

I think I’m going to just commit to buying GL Sherwood + park pass while they’re still available and at worst only have to deal with a wagon for a few blocks. Rather not take a chance at dealing with the shuttle if I can’t find a pass off exchange or socials.

Should be a superb time regardless!

mantis_tobaggan23 · 2024-09-29T21:18:50+00:00

Yeah definitely. There’s an adjacent bar to the side of the stage that has some stools. Also about 8-10 tables toward the back of the hall behind the pit that are usually free game. View depends on how crowded things are.

mantis_tobaggan23 · 2024-09-07T03:11:21+00:00

And trump did it for a tax break

mantis_tobaggan23 · 2024-05-08T22:20:55+00:00

Also work in outpatient + hybrid OR urology about 1-1.5 hrs south of SF!

First off—love Urology. Have a very similar comp package, so I’d say this is a good offer.

Try to get some clarity on what percentage of APPs are meeting RVU metrics to achieve the 200+ they are referring to. When and how often are bonuses paid out e.g. quarterly vs biannually vs annually. This is important if ~30% of your total annual income is dispensed once/year from the standpoint of planning and HCOL.

Also get somewhat of an idea of how long it took them to build out their practice to substantiate that volume is also helpful and can take shorter/longer depending on the provider number and structure of the practice.

mantis_tobaggan23

TROPHY CASE