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Leveling Incomes
2005 Medical Group Compensation & Financial Survey shows
balanced increases for physicians in all specialties.


Ratio of compensation
to productivity
The compensation to productivity ratio is the proportion of compensation related to gross charges for a provider. (The physician receives the named percentage of the gross charges he produced.) The value is a median of computed ratios for all physicians reporting both compensation and gross charges.
Specialty
Compensation
Percent
Anesthesiology
35.2
Cardiology (General)
25.8
Cardiac & Thoracic Surgery
25.2
Dermatology
26.2
Diag Radiology (Interv’l)
27.5
Diag Radiology (Non-interv’l)
23.0
Emergency Care
31.1
Endocrinology
40.1
Family Medicine
33.1
Gastroenterology
24.0
General Surgery
26.6
Gynecology & Obstetrics
28.9
Hematology/Oncology
48.9
Hospitalist
48.4
Hypertension & Nephrology
31.0
Infectious Disease
38.6
Internal Medicine
34.8
Neurology
33.4
Neurological Surgery
22.3
Occ/Environmental Med
48.1
Ophthalmology
22.1
Orthopaedic Surgery
26..9
Otolaryngology
25.8
Pathology
28.3
Peds/Adolescent Med
31.5
Psychiatry
44.2
Pulmonary Disease
33.8
Rheumatology
35.8
Urgent Care
36.3
Urology
25.6
Most physician specialties saw increases at or just above the rate of inflation in 2004 according to a survey of members of the American Medical Group Association (AMGA). Primary care specialties saw increases of 6 percent to 8.8 percent, after several years of declining compensation or negligible increases.
     The AMGA mailed the survey to more than 2,600 medical groups across the country in February 2005. RSM McGladrey received 197 valid responses, representing approximately 34,000 providers and published the results in August.
     During 2004, the survey found the three specialties that experienced the largest increases in compensation were general surgery (8.89 percent), pediatrics & adolescent (8.76 percent), and hematology & oncology (8.52 percent). Primary care physicians in family medicine and internal medicine also saw healthy increases after several years of negligible increases or decreases:  family medicine (6.31 percent) and internal medicine (7.57 percent). Three specialties which had seen some of the largest increases in 2003 received among the lowest increases for 2004:  Cardiology increased by 0.07 percent, cardiac/thoracic surgery by 1.13 percent, and gastroenterology by 1.07 percent.
     “We are gratified to see that primary care specialties are finally seeing increases,” said Donald W. Fisher, PhD, the president and chief executive officer of the American Medical Group Association. “This year, however, increases across the board were below 9 percent, after years of sharp increases in certain high-demand specialties. As compensation increases slow, the cost of practicing medicine continues to rise.”
    AMGA, headquartered in Alexandria, Virginia, represents medical groups, including large integrated health-care delivery systems. To purchase the complete survey, go to www.amga.org or contact
Stefan Rozga at 703-838-0033, ext. 326 or
srozga@amga.org. g

Median physician compensation
By geographic region
US REGIONS.eps
US REGIONS.eps
US REGIONS.eps
US REGIONS.eps
specialty
east
west
south
north
Anesthesiology
$275,000
$298,000
$334,200
$334,033
Cardiology (General)
264,900
343,646
386,957
369,566
Cardiac & Thoracic Surgery
387,298
343,050
421,240
469,860
Dermatology
225,000
289,409
322,138
263,201
Diag Radiology (Interv’l)
345,860
410,000
537,942
410,250
Diag Radiology (Non-interv’l)
330,000
350,224
383,319
383,256
Emergency Care
200,327
228,814
225,905
239,984
Endocrinology
166,675
185,000
177,665
201,241
Family Medicine
141,225
166,750
163,417
168,488
Gastroenterology
263,594
325,698
325,033
306,994
General Surgery
258,028
275,336
301,761
330,903
Gynecology & Obstetrics
232,276
240,118
258,756
275,419
Hematology/Oncology
207,300
261,004
293,043
255,007
Hospitalist
153,515
175,084
183,775
171,913
Hypertension & Nephrology
186,683
238,750
253,228
214,751
Infectious Disease
161,206
179,402
175,000
203,640
Internal Medicine
158,824
171,246
167,740
170,511
Neurology
180,882
199,614
204,000
201,241
Neurological Surgery
352,352
495,266
553,500
465,006
Occ/Environmental Med
157,611
182,159
173,541
187,470
Ophthalmology
232,863
254,743
276,280
304,994
Orthopaedic Surgery
336,163
374,942
390,270
393,249
Otolaryngology
250,390
282,966
303,011
320,007
Pathology
245,422
247,764
252,000
268,500
Peds/Adolescent Med
155,916
168,301
191,511
168,609
Psychiatry
155,673
197,021
168,160
177,000
Pulmonary Disease
199,831
249,865
225,400
228,359
Rheumatology
153,000
192,026
181,525
193,301
Urgent Care
179,300
179,357
180,395
173,683
Urology
270,493
302,600
351,585
358,008
Charts reprinted with permission from the 2005 Medical Group Compensation & Financial Survey
copyright ©2005 American Medical Group Association (
www.amga.org).



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