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Leslie Kane, MA | April 24, 2019
| Contributor Information
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
The Medscape Physician Compensation Report is the most comprehensive and widely used physician salary survey in the United States. In this year's report, almost 20,000 physicians in more than 30 specialties responded to Medscape's salary survey. Nephrologists who responded provided salary information, hours worked, time spent seeing patients, and what they find most rewarding and challenging about their jobs. (Note: Label values on charts are rounded, but rankings and calculations are based on raw data to avoid rounding errors.)
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
Survey respondents were asked to provide their compensation for patient care. For employed physicians, that includes salary, bonus, and profit-sharing contributions. For partners, it includes earnings after taxes and deductible business expenses before income taxes. Only full-time salaries are reported.
Nephrologists are among the middle earners of all physician specialties. Nephrologist income is up from last year's average income of $294,000. As more baby boomers become senior citizens, certain specialties will experience more demand for medical services. "Those over age 65 make up 14% of our population, yet they are driving the vast majority of healthcare services and are accessing healthcare services in greater numbers," says Travis Singleton, senior vice president of Merritt Hawkins, a leading physician search/recruitment firm.
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
Male nephrologists spent 9% more time seeing patients than did their female peers.
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
Paperwork and administration is a growing burden for physicians in all specialties. Of physicians overall, 38% spent 10-19 hours per week on paperwork and administrative tasks, and 36% spent 20 hours or more. Nephrologists appear to have more of those burdens than other physicians; 80% were saddled with 10 or more hours per week of paperwork and administrative chores.
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
Very little difference exists in the amount of time that men and women spent on paperwork and administrative chores.
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
About three fourths of nephrologists' benefit packages have stayed the same. More nephrologists' benefits have gotten worse than have improved.
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
Solo and group nephrology practices lose about the same percentage of revenue to overhead, but in general, larger medical practices benefit from economies of scale, which lead to a lower overhead percentage.
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
Nephrology practices use PAs (31%) less and NPs (57%) more than physicians overall (36% and 50%, respectively). The numbers of practicing PAs and NPs are projected to grow by 4.3% and 6.8%, respectively, from 2016 to 2030, while the number of physicians is projected to grow 1.1% in that timeframe.[1] (Note: Physicians were able to choose more than one response.)
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
Our survey shows that 86% of nephrologists were either very satisfied or satisfied with their own job performance. "Doctors take great pride in what they do, even under difficult circumstances, and I would imagine that we all feel we do the best we can in spite of the challenges," says Carol Bernstein, MD, psychiatrist at NYU Langone Medical Center.
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
The percentage of nephrologists in fee-for-service arrangements (44%) is similar to that of last year (47%). The percentage in ACOs (25%) decreased compared with last year (36%).
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
Although Medicare reimbursement is lower than that of many private insurers, the large majority of nephrologists are not planning to cut back on these patients. In 2016, over 56 million people were enrolled in the Medicare program—most because of their age, while the others were Medicare beneficiaries due to various disabilities.[2]
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
Among all specialists, 37% expect to participate in MIPS (Merit-based Incentive Payment System) and 9% plan to participate in APMs (alternative payment models). Somewhat more primary care physicians expect to participate in MIPS (42%) and APMs (12%).
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
Nephrologists' attitudes toward their compensation have varied little since our 2014 report. At that time, 41% of nephrologists said that they were satisfied with their compensation.
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
For nephrologists (29%), as for physicians overall (26%), having so many rules and regulations is the most challenging part of their job. Nephrologists found getting fair reimbursement and having to work long hours more challenging than did physicians overall (13% and 14%, respectively).
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
Physicians overall (29%) found gratitude from and relationships with patients to be the most rewarding part of their jobs. A similar percentage of nephrologists cited that as the most rewarding factor.
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
The large majority of nephrologists—and 77% of all physicians—would choose to go into medicine again as a career, if they had to make the choice.
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
Of the physicians who said they would choose medicine again, 79% said they would choose the same specialty. In contrast, only 70% of nephrologists noted that they would remain in their chosen specialty.
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
According to American Medical Association data,[3] the single-specialty group is the most common practice type, with 42.8% of physicians working in these settings in 2016. The multispecialty group is the second most popular form of practice setting, comprising 24.6% of physicians. Among nephrologists, hospitals are another common worksite.
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
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Medscape Nephrologist Compensation Report 2019
Leslie Kane, MA | April 24, 2019 | Contributor Information
Almost 20,000 physicians in over 30 specialties told us how much they earn, whether they are satisfied with their jobs, and whether their income has gone up or down.Medscape Features Slideshows, April 2019
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Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
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Leslie Kane, MA
Senior Director
Medscape Business of Medicine
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References
Auerbach DI, Staiger DO, Buerhaus PI. [Table: Historical and Projected Numbers of Physicians, Nurse Practitioners, and Physician Assistants] Growing ranks of advanced practice clinicians – implications for the physician workforce. NEJM Catalyst. August 2018. Source
Murphy B. For first time, physician practice owners are not the majority. May 31, 2017. American Medical Association. Source
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