12 physician specialty starting salaries vs. billing to commercial payers

Employed physicians are generally paid a base salary and receive bonuses based on productivity — often measured by the number of relative value units physicians generate, the number of patients seen, net collections, and, on occasion, gross billing.

Gross billing is one way that hospitals can measure physician productivity and determine the amount of revenue they generate. 

Here are the average starting salaries for 12 physician specialties and their average annual billing to commercial payers, according to a recent analysis published by AMN Healthcare.

Family Medicine
Starting salary: $251,000
Commercial payer billing: $1.4 million

Internal Medicine 
Starting salary: $255,000
Commercial payer billing: $2.6 million

Pediatrics 
Starting salary: $232,000
Commercial payer billing: $1.3 million 

Cardiology (non-invasive) 
Starting salary: $484,000
Commercial payer billing: $3.4 million

Orthopedic Surgery 
Starting salary: $565,000 
Commercial payer billing: $9.8 million 

Psychiatry 
Starting salary: $308,000
Commercial payer billing: $2.7 million

Gastroenterology 
Starting salary: $486,00
Commercial payer billing: $5.5 million 

Nurse Practitioner 
Starting salary: $153,000
Commercial payer billing: $777,393

CRNA 
Starting salary: $211,000
Commercial payer billing: $1.8 million

OB/GYN
Starting salary: $332,000
Commercial payer billing: $3.8 million 

Pulmonology 
Starting salary: $412,000
Commercial payer billing: $3.1 million

Radiology
Starting salary: $455,000 
Commercial payer billing: $2 million

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