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special report: joe kopcha
Salary Survey
according to the National Bureau of economic
Research, the Great Recession ended in june
2009, but the recovery has been slow to mate-
rialize. Unemployment hover around 8%, and
many americans continue to struggle financially.
however, health care is one of the strongest sec-
tors of the economy, a fact that is reflected in the
more than 7,000 responses to our annual salary
survey. on the whole, nurse practitioners and
physician assistants reported higher salaries than
last year and strong confidence that such growth
will continue as their careers progress.How are you doing?
practice areaFor the third consecutive year, the highest percentage of NP (Table 1) and PA (Table 2) respondents were family/adult medicine practitioners. The only significant change from last year’s survey was psychiatry replacing oncology/hematol-ogy at fifth place on the NP list. The order of the PA list remained virtually the same. Salaries were higher in all practice areas listed, with the largest gain seen among pediatric NPs.
experienceOnce again, NP salaries are not significantly affected by experience beyond the first five years of practice (Table 3). PAs see a small but steady growth in income through the first 20 years of employment (Table 4).
table 1. average Np salary by practice areapractice area response
percentaverage
salary 2011average
salary 2012
Family/adult medicine 34.7% $85,974 $90,629
Women’s health 9.0% $77,282 $82,331
pediatrics 6.4% $78,390 $83,937
Geriatric medicine 4.1% $92,503 $97,397
psychiatry 4.1% Na $96,631
table 2. average pa salary by practice areapractice area response
percentaverage
salary 2011average
salary 2012
Family/adult medicine 28% $89,044 $90,460
emergency medicine 9.3% $107,904 $112,825
orthopedics 8.8% $100,265 $105,161
Urgent care 5.1% $98,331 $99,050
Dermatology 4.7% $110,204 $113,062
table 3. average Np salary by experience levelYears of
experienceresponse percent
average salary 2011
average salary 2012
<5 29.3% $84,944 $88,200
6-10 20.1% $89,834 $94,157
11-15 22.8% $91,632 $96,011
16-20 13.3% $90,693 $93,165
>20 14.5% $88,528 $92,243
table 4. average pa salary by experience levelYears of
experienceresponse percent
average salary 2011
average salary 2012
<5 33.7% $88,657 $91,512
6-10 22.2% $98,031 $100,221
11-15 17.1% $100,186 $101,603
16-20 8.5% $100,017 $104,955
>20 18.5% $101,916 $104,011
40 the cliNical aDvisoR • may 2013 • www.clinicaladvisor.com
salarY surveY 2013
table 5. average Np salary by practice settingpractice setting percent
responseaverage
salary 2011average
salary 2012
office 24.7% $84,568 $88,698
clinic–standalone 17.1% $85,418 $90,997
clinic–hospital 16.3% $93,421 $95,568
hospital 14.1% $98,288 $103,043
Walk-in/ambulatory 4.5% $85,585 $88,663
table 6. average pa salary by practice settingpractice setting percent
responseaverage
salary 2011average
salary 2012
hospital 22.6% $101,568 $106,670
office 22.3% $91,833 $94,846
clinic–standalone 19.9% $93,023 $94,976
clinic–hospital 15.9% $95,720 $100,124
Walk-in/ambulatory 4.0% $92,052 $95,876
sexWomen continue to make up the majority of NP and PA respondents (92.0% and 67.5%, respectively). Some progress was made in narrowing the discrepancy in pay between male and female clinicians, but the differences remain stark. The average male NP earned $104,845 in 2012 ($100,316 in 2011), compared with $94,416 for a female ($87,393 in 2011). For PAs, the average male brought home $109,500 in 2012 ($105,902 in 2011), and women earned $93,365 ($89,728 in 2011).
Geographic regionMore then one-third of survey respondents reside in the South (Figures 1 and 2). PAs in the West continue to report the highest annual pay. For the first time since this survey began, average salaries of NPs and PAs in all regions climbed above $90,000.
practice settingThe distribution of NPs and PAs by practice setting appears entrenched. Very little movement has been reported by respondents over the past three years. Office-based NPs (Table 5) and PAs (Table 6) remain well-represented in our survey, but hospital-based clinicians earned higher salaries. Practice location
Urban clinicians continue to earn more than their suburban and rural counterparts, but the gap is narrowing. The largest location-based salary gain in this year’s survey was seen among suburban NPs. The breakdown of NP respondents remained stable, with 40.6% describing their work environment as urban (average salary $93,688, up from $91,295 in 2011), 35.8% as suburban (average salary $93,105, up from $87,561 in 2011), and 23.6% as rural (average salary $89,453, up from $85,579 in 2011). Among PAs, 39.3% worked in an urban setting (average salary $100,190, up from $96,087 in 2011), 41.2% worked in a suburban setting (average salary $98,067, up from $94,734 in 2011), and 19.6% worked in a rural setting (average salary $96,608, up from $95,042 in 2011).
FiGure 2. average pa salary by geographic regionFiGure 1. average Np salary by geographic region
south39.0% response
$91,361 average salary
south33.6% response
$99,365 average salary
Midwest22.3% response$90,534 average salary
Midwest22.0% response$95,779 average salary
Northeast23.8% response$92,084 average salary
Northeast23.2% response$96,060 average salary
West14.9% response$98,770 average salary
West21.2% response$103,906 average salary
www.clinicaladvisor.com • the cliNical aDvisoR • may 2013 43
salarY surveY 2013
Job motilityThe proportion of NPs (Figure 3) and PAs (Figure 4) who work at more than one location was nearly identical to what was shown in the previous surveys. Roughly one out of every three respondents travels from job to job throughout the week.
History and the futureDespite an uncertain economic climate, clinicians are optimistic about their financial future. Just over 45% of NPs (Figure 5) and 48% of PAs (Figure 6) reported an increase in income over 2011.
When asked about their expectations for next year, more than 95% of NPs (Figure 7) and PAs (Figure 8) anticipate that their income would stay the same or increase.
FiGure 3. Do you work at multiple locations (Nps)?
FiGure 5. Did you earn more money this year (Nps)?
FiGure 7. Do you expect to earn more money next year (Nps)?
FiGure 8. Do you expect to earn more money next year (pas)?
FiGure 6. Did you earn more money this year (pas)?
FiGure 4. Do you work at multiple locations (pas)?
37.7%
45.0%
47.4% 53.2%
48.1%
13.4%
4.1% 4.9%
14.8%
37.5%
62.3%
41.6%
48.5% 41.9%
37.1%
62.5%
yes
No
more
less
same
more
less
same
more
less
same
more
less
same
yes
No
www.clinicaladvisor.com • the cliNical aDvisoR • may 2013 47
salarY surveY 2013
Weekly outputAs in previous years, the 2013 survey included questions designed to provide some insight into the typical workweek of our readers. No discernible difference was noted in the amount of time NPs and PAs spend on the job. Approximately 80% of all respondents work between 30 and 50 hours per week.
There was some diversity with regard to the number of patients seen per week, but the NP (Figure 9) and PA (Figure 10) breakdowns remained similar.
congratulationsThe randomly chosen winner of the $50 American Express Gift Card is Tamara Love, a nurse practitioner in Sanford, N.C. Thank you to everyone who took the time to participate in this always enlightening project. n
Mr. Kopcha is the editor of The Clinical Advisor.
Finally, prescription-writing behavior stayed consisted across all disciplines. Approximately two thirds of NPs (Figure 11) and PAs (Figure 12) write fewer than 75 prescriptions per week.
FiGure 9. Number of patients seen per week (Nps) FiGure 10. Number of patients seen per week (pas)
FiGure 12. Number of prescriptions written per week (pas)
FiGure 11. Number of prescriptions written per week (Nps)
19.5%
24.3%
17.2%19.4%
25.5%24.3%
36.8% 35.1%
30.1%26.2%
35.1% 29.4%
14.8% 9.9%
6.5% 9.3%
7.3% 10.1%
3.6% 6.0%
3.6% 6.0%
>125
101-125
76 -100
51-75
26-50
≤25
>125
101-125
76 -100
51-75
26-50
≤25
201-250+
126-200
76-125
26-75
0-25
201-250+
126-200
76-125
26-75
0-25
48 the cliNical aDvisoR • may 2013 • www.clinicaladvisor.com
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