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  • Oncology wRVU

    Hi all,

    Long-time reader, first time poster. Thanks for all the tremendous you guys offer to everyone. I am a soon-to-be-graduating Oncology fellow in the Southeast. I was recently offered what seems to be a very generous contract from the private practice Oncology group I have been hoping to join. There is a base salary for the first 2 years (assuming you meet minimum wRVU requirement of ~4000 per year), then after year 2 you get a bonus for any wRVU surpassing the base.

    A few very basic questions (I apologize if these are obvious, but I am entirely knew to the world of physician contracts, wRVUs, etc):

    (1) Is there any data available regarding average number of wRVUs seen per day/month/quarter/yearly by private practice IM sub-specialists (in particular, Oncologists in my area)?

    (2) Likewise, is there any data available regarding average $ amount earned per wRVU?

    The contract I have on the table seems very generous, I am just wanting to make sure it is in the ballpark of what other Oncology providers in my area are receiving.

    Many thanks in advance!
    OncologyFellow1234

  • #2
    Do you already have a contract in hand?  I would start by asking what the average wRVU's are for the junior members of the group, how quickly they got to 4000, and go from there.

    4000 will be tough to reach in your first year, unless there is already a huge referral base and the current members of the group are drowning, or you are taking over a departing partners practice.

    Comment


    • #3
      Yes such data is available in MGMA survey, possibly elsewhere. Someone here may have access otherwise you could purchase it

      Comment


      • #4
        The data you are looking for “kind of exists”. Have you access to MGMA or AMGA data?
        Specialties by, region, employment type, total comp, wrvu’s etc.

        The problem is that benchmarks don’t reflect significant differences (size, desirable location, volumes or incentives) in any meaningful way.
        • “hoping to join” and “assuming you meet minimum “ seem to indicate you need data, BUT ballpark is probably not sufficient. So many additional contract terms can leave you disappointed, particularly in Pp groups.
        • The “best” source is competitive offers.
        • Any contract review ( some listed on WCI) or a healthcare attorney will have the data you are looking for and fill in some of the blanks.
        Congratulations: compensation , job, and location are key variables. The problem with contracts is “assuming “ doesn’t count.
        Medscape has some “ballpark” numbers. How does $359k sound? Up to you to evaluate.
        https://www.medscape.com/slideshow/2019-compensation-oncologist-6011338

        Comment


        • #5
          Contract review services may indeed be cheaper than buying MGMA yourself, though I don't know how much they charge

          Comment


          • #6
            Hey, thanks all for the quick replies! Any idea how much the MGMA data cost (and can this be purchased outside of a membership)? I don't see it listed anywhere on their website and I have not yet heard from them after submitting a purchase inquiry. I am considering just finding a local health care lawyer to review the contract with me (I am assuming they will have access to the data if they specialize in physician contract reviews).

            Average wRVUs for junior members at the practice by year 3 is around 8000/year, it is a very busy practice with lots of nursing and secretarial support.

            Comment


            • #7




              Hi all,

              Long-time reader, first time poster. Thanks for all the tremendous you guys offer to everyone. I am a soon-to-be-graduating Oncology fellow in the Southeast. I was recently offered what seems to be a very generous contract from the private practice Oncology group I have been hoping to join. There is a base salary for the first 2 years (assuming you meet minimum wRVU requirement of ~4000 per year), then after year 2 you get a bonus for any wRVU surpassing the base.

              A few very basic questions (I apologize if these are obvious, but I am entirely knew to the world of physician contracts, wRVUs, etc):

              (1) Is there any data available regarding average number of wRVUs seen per day/month/quarter/yearly by private practice IM sub-specialists (in particular, Oncologists in my area)?

              (2) Likewise, is there any data available regarding average $ amount earned per wRVU?

              The contract I have on the table seems very generous, I am just wanting to make sure it is in the ballpark of what other Oncology providers in my area are receiving.

              Many thanks in advance!
              OncologyFellow1234
              Click to expand...


              To clarify - you only get productivity bonus for exceeding the minimum of 4000 wRVU/year after year 2? So if you do 5000 wRVU (1000 wRVU over the minimum), you only get paid the base? Or is there a different wRVU number that is anticipated to hit your "base"? I would want to make sure that you get compensated appropriately if you exceed the base in either of the first 2 years.

              Comment


              • #8
                First 2 years are a flat salary irregardless of wRVUs. Starting in year 3, your entire salary is based on the number of wRVUs produced (with the expectation that you will get at least 4000 wRVUs, which would get you essentially the same salary as in years 1 and 2). If you happen to see less RVUs for whatever reason, you would make less in year 3. But otherwise it is purely based on productivity thereafter.

                Comment


                • #9




                  First 2 years are a flat salary irregardless of wRVUs. Starting in year 3, your entire salary is based on the number of wRVUs produced (with the expectation that you will get at least 4000 wRVUs, which would get you essentially the same salary as in years 1 and 2). If you happen to see less RVUs for whatever reason, you would make less in year 3. But otherwise it is purely based on productivity thereafter.
                  Click to expand...


                  This clarification makes me feel better....

                  Someone had old MGMA data floating around here, you should be able to find on a prior link/post. Otherwise, get onto main page to find someone to review your contract and make sure they have that data to share with you.

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