Physician fees schedule

[painfree23]

A friend of mine is considering new practice this ( clinic based ) soon where he will only collect the physician fees..

https://asipp.org/documents/Physicians2017F.pdf

How helpful is the asipp physician fee schedule in determining how much will be paid based on different insurance companies? This fee schedule on the link is mainly for Medicare right?

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[pastafan]

Only Medicare. Most commercial insurers will be higher, Medicaid lower. Plan on Medicare fee schedule only and you shouldn't be disappointed by income estimate.

 

[drpainfree]

most commercial payers here in CA pay lower.

 

[painfree23]

most commercial payers here in CA pay lower.

Lower than Medicare ?? How much lower compared to this fee schedule??

 

[drpainfree]

20 to 40% lower than medicare rate

 

[EtherBunny]

20 to 40% lower than medicare rate

Are you serious? That's insane! I had no idea california was that bad.

 

[deleted185747]

My lowest in Ca was an HMO that paid 80% of Medicare

 

[Ducttape]

this seems highly unlikely. how do you know this, and can you link an article that shows this? and are you sure you are not thinking about the Medicare advantage or exchange plans, which charge medicaid rates, probably throughout the country?

Medscape: Medscape Access

 

[drpainfree]

can we move the discussion to private forum?