Table of Contents Letter to the AMGA Board of Directors... 1 Introduction... 3 Section I: Executive Summary Survey at a Glance... 6 Participant Profile... 10 Survey Methodology... 19 How to Use This Report... 22 Section II: Summary of Specialties 2013 Direct Compensation and Productivity for Physicians All Group Types... 26 Gross Productivity All Group Types... 28 Compensation to Gross Productivity Ratio All Group Types...30 Patient Visits All Group Types... 31 Section III: Summary of Starting Salaries by Specialty New Physicians... 34 Experienced Physicians... 36 Section IV: Summary of Administrative Compensation All Group Types.... 40 By Physician FTE Size... 42 By Region... 44 Section V: Summary of Fringe Benefits Dollars per Physician... 48 Percent of Compensation... 50 Section VI: Summary of Academic Facilities Compensation... 54 Gross Productivity... 56 Work RVUs... 58 Net Collections... 60 Conversion Factor Ratios... 62 Section VII: Summary of Department Chairs Compensation and Productivity Data... 66
Section VIII: Detailed Analyses of Specialties 2013 Data for Physicians, Other Healthcare Providers, and Administrative Positions Medical Specialties Allergy/Immunology... 72 Cardiology... 73 Cardiology Advanced Heart Failure and Transplant Cardiology... 74 Cardiology Cath Lab (Invasive Interventional)... 75 Cardiology Echo Lab/Nuclear... 76 Cardiology Electrophysiology Pacemaker... 77 Critical Care/Intensivist... 78 Dermatology... 79 Dermatology Mohs... 80 Endocrinology... 81 Family Medicine... 82 Family Medicine Branch... 83 Family Medicine with Obstetrics... 84 Family Medicine with Obstetrics Branch... 85 Gastroenterology... 86 Genetics... 87 Geriatrics... 88 Hematology and Medical Oncology... 89 Hepatology... 90 Hospitalist Family Medicine... 91 Hospitalist Internal Medicine... 92 Hospitalist Nocturnist... 93 Hospitalist Pediatrics... 94 Hypertension and Nephrology... 95 Infectious Disease... 96 Internal Medicine... 97 Internal Medicine Branch... 98 Internal Medicine Office Only... 99 Medical Oncology... 100 Nephrology Only... 101 Neurology... 102 Neurology Epilepsy/EEG Lab... 103 Neurology Stroke... 104 Occupational/Environmental Medicine... 105
Ophthalmology Medical... 106 Orthopedic Medical... 107 Pain Management Non-Anesthesiology... 108 Palliative Care... 109 Pediatrics and Adolescent General...110 Pediatrics and Adolescent Adolescent Medicine...111 Pediatrics and Adolescent Allergy...112 Pediatrics and Adolescent Branch...113 Pediatrics and Adolescent Cardiology...114 Pediatrics and Adolescent Developmental/Behavioral...115 Pediatrics and Adolescent Endocrinology...116 Pediatrics and Adolescent Gastroenterology...117 Pediatrics and Adolescent Genetics...118 Pediatrics and Adolescent Hematology/Oncology...119 Pediatrics and Adolescent Infectious Disease... 120 Pediatrics and Adolescent Intensive Care... 121 Pediatrics and Adolescent Internal Medicine... 122 Pediatrics and Adolescent Neonatology... 123 Pediatrics and Adolescent Nephrology... 124 Pediatrics and Adolescent Neurology... 125 Pediatrics and Adolescent Pulmonology... 126 Pediatrics and Adolescent Rheumatology... 127 Pediatrics and Adolescent Urgent Care... 128 Physical Medicine and Rehabilitation... 129 Psychiatry... 130 Psychiatry Child... 131 Psychiatry Geriatrics... 132 Psychiatry Inpatient... 133 Psychiatry Outpatient... 134 Pulmonary Disease (with Critical Care)... 135 Pulmonary Disease (without Critical Care)... 136 Reproductive Endocrinology... 137 Rheumatologic Disease... 138 Sleep Lab... 139 Sports Medicine... 140 Urgent Care... 141 Wound Care/Hyperbaric... 142
Surgical Specialties Bariatric Surgery... 144 Breast Surgery... 145 Cardiac/ Thoracic Surgery... 146 Cardiac/ Thoracic Surgery Pediatrics... 147 Cardiovascular Surgery... 148 Colon and Rectal Surgery... 149 Emergency Medicine... 150 Emergency Medicine Pediatrics... 151 General Surgery... 152 General Surgery Branch... 153 Neurological Surgery... 154 Neurological Surgery Pediatrics... 155 OB/GYN General... 156 OB/GYN Branch... 157 OB/GYN Gynecological Oncology... 158 OB/GYN Gynecology Only... 159 OB/GYN Maternal Fetal Medicine/Perinatology... 160 OB/GYN Obstetrics... 161 OB/GYN Urogynecology... 162 Oculo-Facial/Oculoplastic...163 Oncology Surgical... 164 Ophthalmology... 165 Ophthalmology Pediatrics... 166 Ophthalmology Retinal Surgery... 167 Oral-Maxillofacial Surgery... 168 Orthopedic Oncology... 169 Orthopedic Sports Medicine... 170 Orthopedic Surgery... 171 Orthopedic Surgery Branch... 172 Orthopedic Surgery Foot and Ankle... 173 Orthopedic Surgery Hand... 174 Orthopedic Surgery Joint Replacement... 175 Orthopedic Surgery Pediatrics... 176 Orthopedic Surgery Spine... 177 Orthopedic Surgery Trauma... 178 Otolaryngology... 179 Otolaryngology Head and Neck Surgery... 180
Otolaryngology Pediatrics... 181 Pediatric Surgery... 182 Plastic and Reconstructive Surgery... 183 Thoracic Surgery... 184 Transplant Surgery Kidney... 185 Transplant Surgery Liver... 186 Transplant Surgery Medical... 187 Trauma Surgery... 188 Urology... 189 Urology Branch... 190 Urology Pediatrics... 191 Vascular Surgery... 192 Radiology/Anesthesiology/Pathology Anesthesiology... 194 Anesthesiology Pain Clinic... 195 Anesthesiology Pediatrics... 196 Dermatopathology... 197 Diagnostic Radiology Pediatrics... 198 Diagnostic Radiology (MD Interventional)... 199 Diagnostic Radiology (MD Neuro-Interventional)...200 Diagnostic Radiology (MD Non-Interventional)... 201 Mammography... 202 Nuclear Medicine (MD Only)... 203 Pathology Anatomic (MD Only)... 204 Pathology Clinical (MD Only)... 205 Pathology Combined (MD Only)... 206 Radiation Therapy (MD Only)... 207 Other Healthcare Providers Audiology... 210 Certified Nurse Specialist... 211 Certified Registered Nurse Anesthetist... 212 Chiropractor... 213 Dentistry... 214 Diagnostic Radiology (PhD Only)... 215 Midwife... 216 Neuropsychology (PhD Only)... 217
Nurse Practitioner Geriatrics... 218 Nurse Practitioner Medical Specialty... 219 Nurse Practitioner Primary Care... 220 Nurse Practitioner Surgical Specialty... 221 Nutritionist (Non-MD)... 222 Occupational Therapist... 223 Optometrist... 224 Pathology (PhD Only).... 225 Pharmacist... 226 Physical Therapist... 227 Physician Assistant Medical... 228 Physician Assistant Primary Care... 229 Physician Assistant Surgical... 230 Podiatry Medical... 231 Podiatry Surgical... 232 Podiatry Surgical Branch... 233 Psychology (PhD Only)... 234 Psychology Child (PhD Only)... 235 Psychology (Master s Level)... 236 Radiation Therapy (PhD Only)... 237 Social Worker... 238 Speech Pathology... 239 Administrative Positions Associate Medical Director... 242 Business Office Manager... 243 Chief Compliance Officer... 244 Chief Financial Officer... 245 Chief Information Officer... 246 Chief Medical Informatics Officer... 247 Chief Medical Officer... 248 Chief Nursing Officer... 249 Chief Operating Officer... 250 Clinical Research Director... 251 Contracting Director... 252 Director of Development... 253 Division Operations Director... 254 Division or Section Chair... 255
Finance Director... 256 Head of Facilities... 257 Human Resources Director... 258 In-House Legal Counsel... 259 Medical Director... 260 Medical Director Primary Care... 261 Medical Records Director... 262 Non-Physician Administrator/President (CEO)... 263 Nursing Director... 264 Office Manager... 265 Physician Administrator (CEO)... 266 Physician Recruiter Manager... 267 Physician Recruiter Senior... 268 Physician Recruiter Staff Level... 269 Public Affairs/Marketing Director... 270 Quality Improvement Director... 271 Section IX: Overall Organizational Financial Summary Overall Financial Summary per Physician: All Groups... 274 Overall Financial Summary per Work RVU, Total RVU, and Square Foot: All Groups... 275 Overall Financial Summary per Physician: Based on Organization Size... 276 Overall Financial Summary per Work RVU: Based on Organization Size... 277 Overall Financial Summary per Physician: Based on Region... 278 Overall Financial Summary per Work RVU: Based on Region... 279 Overall Financial Summary per Physician: Based on % of Capitated Net Revenue... 280 Overall Financial Summary per Work RVU: Based on % of Capitated Net Revenue... 281 Section X: Financial Summary by Specialty Median Revenue Components per Physician... 284 Median Provider Compensation per Physician... 285 Median Other Patient Care Compensation per Physician... 286 Median Other Expenses per Physician... 287 Median Revenue Components per Work RVU... 288 Median Provider Compensation per Work RVU... 289 Median Other Patient Care Compensation per Work RVU... 290 Median Other Direct Expenses per Work RVU... 291 Median Staffing per Physician Ratio... 292 Median Support Salaries per Support Staff FTE... 293
Section XI: Accounts Receivable Information... 295 Section XII: Operational Areas Information... 301 Section XIII: Survey Questionnaire and Specialty Definitions... 305