NP Salary Report 201..
Transcription
NP Salary Report 201..
Salary Progress Slows for NPs Full-time nurse practitioner salaries inched upward in 2010, but part-time wages dropped 4.5%. The findings certainly are not surprising given the economic circumstances of the past few years. 2 National salary Survey reporT 2010 5 State Breakdown of NP Salaries 6 NP Salaries by Select Cities This report, which presents only NP salary data, breaks down salary by work setting, gender, geographic location and academic degree. Does an emergency department position pay more than a cardiology position? Read on to find out. 8 NP Average Salaries According to Academic Degree 9 NP Salary Survey Questionnaire Breakdown photography by JEFFREY LEESER August 2011 © Merion Matters Inc. National Salary Report 2010 Inching Forward With Mixed Results By Michelle Perron Pronsati and Michael Gerchufsky ➼ Inches forward, inches back. That Interactive’s survey software. We collected data from Aug. 23 through Nov. 30, 2010. Nearly 3,000 NPs (2,956) participated in the survey designed for nurse practitioners, and nearly 1,300 PAs (1,276) answered the version created for physician assistants. Because 2010 was the first year that ADVANCE surveyed both professions, you’ll note some differences in our reporting due to our longer history of gathering data about NP salaries. aptly sums up the findings of the 2010 National Salary Survey of Nurse Practitioners and the 2010 National Salary Survey of Physician Assistants. These surveys, conducted by ADVANCE for NPs & PAs, documented small overall salary increases for both professions. But they also recorded a 4.5% drop in hourly pay for NPs who work part time. Given the troubled economy, the findings appear to be encouraging for 2011 and beyond. National Full-Time Averages In terms of full-time salaries, PAs make more than NPs. PAs earned Survey Background Our surveys were conducted using online questionnaires created with Zarca Michelle Perron Pronsati and Michael Gerchufsky are the editors of ADVANCE for NPs & PAs. Table 1 NP & PA Salaries, 2001–2010 Nurse Practitioners 2010 2009 2007 2005 2003 2001 Average full-time NP salary $90,770 $89,579 $81,397 $74,812 $69,203 63,172 Average part-time NP hourly rate $43.77 $45.85 $40.32 $36.80 $33.89 $32.53 Sources: National Salary Survey of Nurse Practitioners, conducted in 2001, 2003, 2005, 2007 and 2009 by ADVANCE for Nurse Practitioners. In 2010, conducted by ADVANCE for NPs & PAs. Physician Assistants 2010 2009 2007 2005 2003 2001 Average full-time PA salary $96,876 $93,105* $86,214* $81,129* $76,039* $71,046* Average part-time PA hourly rate $51.11 — — — — — Sources: National Salary Survey of Physician Assistants, conducted in 2010 by ADVANCE for NPs & PAs; *American Academy of Physician Assistants National Physician Assistant Census Reports for each given year. page 2 August 2011 • ADVANCE for NPs & PAs • www.advanceweb.com/NPPA Table 2 2010 Salaries by Practice Setting Nurse Practitioners* Physician Assistants (in descending order by salary; based on 2,956 responses) (in descending order by salary; based on 1,276 responses) Primary Work Setting 2010 Salary 2009 Salary Change in % Primary Work Setting 2010 Salary Emergency department $104,549 $104,369 0.2% increase Mental health $116,758 Aesthetics/skin care $102,547 $105,152 2.5% decrease Elementary or secondary school $115,000 Mental health $100,914 $100,140 0.8% increase Cardiology practice $109,030 Cardiology clinic $100,881 $90,159 11.9% increase Oncology clinic $98,327 $88,856 10.6% increase Aesthetics/dermatology practice $107,727 Hospital $93,943 $93,694 0.3% increase Emergency department $103,489 Neonatal unit $93,925 $95,280 1.4% decrease Surgery $102,760 Geriatric $93,668 $91,863 1.9% increase Hospital unit (other than surgery or emergency department) $97,680 House calls $93,390 $98,915 5.6% decrease Nursing home, assisted living or long-term care facility $96,364 Corrections $91,630 $88,880 3.1% increase Surgery $91,511 $90,959 0.6% increase Worksite $95,296 Retail clinic $90,170 $89,049 1.2% increase Academia $95,215 HIV clinic $89,857 $88,086 2.0% increase House calls $94,383 Diabetes/endocrinology $89,710 $85,244 5.2% increase HIV clinic $91,333 Internal medicine $88,287 $88,903 0.6% decrease Retail clinic $91,188 Family practice $86,518 $86,520 0.002% decrease Family practice $90,528 Pediatric practice $85,618 $83,926 2.0% increase Women’s health practice $87,974 Women’s health $83,687 $83,319 0.4% increase Pediatric practice $86,894 Academia $80,400 $81,552 1.4% decrease Oncology practice $85,851 College health (12 mos.) $79,139 $81,981 3.4% decrease College or university clinic $85,441 Elementary or secondary school $77,513 $76,965 0.7% increase Correctional facility $81,404 College health (9 mos.) $60,829 $63,452 4.1% decrease Diabetes/endocrinology practice $69,000 *Year-to-year comparison available for NPs only. 2010 was the first year ADVANCE collected data on PAs. an average of $96,876 in 2010 (Table 1), while NPs earned an average of $90,770. The surveys also documented a notable difference in salary improvement between 2009 and 2010: Comparing ADVANCE’s 2010 results with 2009 salary data from the American Academy of Physician Assistants, PAs experienced more than twice the salary increase that NPs did. The average PA salary increase was $3,771, while the average NP salary increase was $1,191. That PAs generally make more money than NPs page 3 August 2011 • ADVANCE for NPs & PAs • www.advanceweb.com/NPPA is not a new observation. This trend appears to be based largely on practice setting. PAs more commonly work in specialties that also generate higher incomes for physicians, such as emergency medicine and surgery (including the really big moneymakers, plastic surgery and aesthetics). Although the PA profession once attracted more men than women, today about 65% of PAs are women, so sex predominance does not explain the salary difference. 2 for NPs). Emergency medicine ranks fifth for PA pay, and oncology ranks No. 5 for NPs. The Gender Gap Endures The gender gap long documented in salaries for many professions also is evident among NPs and PAs. As Table 3 shows, men make 12.8% more money than women in the NP profession. In the PA profession, men earn 10.7% more than women. It’s interesting that the average salary of male PAs is so close to that of male NPs — a difference of only $398. So what factors contribute to the salary differences between men and women among PAs and NPs? Practice setting and practice specialty certainly come into play, but further theorizing here might be best left to economists and sociologists. (Do you have an answer to this question? Start a thread on our discussion board under the Community tab at www.advanceweb.com/NPPA.) Part-Time Pay In the area of part-time practice, hourly rates had climbed steadily over the years for nurse practitioners (Table 1). But the average hourly rate for an NP dropped from $45.85 in 2009 to $43.77 in 2010, a decrease of 4.5%. PAs earned an average hourly rate of $51.11 in 2010; we are unable to compare that to part-time earnings in 2009 because we did not survey PAs at that time. Practice Setting Perhaps the most fascinating results are in the category of salary by practice setting (Table 2). Among nurse practitioners, work in an emergency department produced the highest income in 2010 ($104,549), with aesthetics/skin care a close second ($102,547). Mental health was the third highest pay producer for NPs ($100,914), yet it was the No. 1 producer for PAs ($116,758). Among physician assistants, the second highest paying practice setting was elementary and secondary schools ($115,000). That’s in stark contrast to NPs, whose salaries in schools rank 21st among our 22 categories at $77,513. The third highest paying setting for PAs is cardiology ($109,030), and this specialty ranks fourth for salary among NPs ($100,881). Among PAs, the fourth highest paying practice setting is aesthetics and dermatology (No. page 4 Table 3 Salaries by Gender Nurse Practitioners In the NP profession, women make 12.8% less than men. Gender 2010 salary Women (80% of NP respondents) $89,186 Men (20% of NP respondents) $102,271 Physician Assistants In the PA profession, women make 10.7% less than men. Gender 2010 salary Women (54.62% of PA respondents) $91,662 Men (45.38% of PA respondents) $102,669 August 2011 • ADVANCE for NPs & PAs • www.advanceweb.com/NPPA What’s to Come? Looking ahead, it appears that NPs and PAs could see their salaries climb at a faster clip … but not right away. Although some states are challenging the mandatory insurance requirement of the Patient Protection and Affordable Care Act, those lawsuits won’t solve the critical shortage of primary care providers in the United States. More than half of NPs deliver primary care to some age group, and roughly 40% of PAs do the same. You’ll be vital to meeting primary care needs, and because you’ll be in demand, salaries are likely to rise in recognition of that. ■ 2010 Nurse Practitioner Salaries by State Detailed State Breakdown in Alphabetical Order (first entry is full-time salary, second entry is part-time hourly rate) STATE TOTAL RESPONSES Alabama 34 Alaska 12 Arizona 100 Arkansas 104 California 137 Colorado 52 Connecticut 50 Delaware 14 District of Columbia 18 Florida 186 Georgia 91 Hawaii 12 Idaho 19 Illinois 95 Indiana 84 Iowa 52 Kansas 53 Kentucky 44 Louisiana 45 Maine 15 Maryland 65 Massachusetts 72 Michigan 83 Minnesota 51 Mississippi 59 MEAN $85,117 $37.97 $105,883 $52.50 $95,461 $56.74 $80,317 $47.38 $109,886 $52.19 $92,641 $45.72 $100,092 $50.70 $91,187 $45.93 $99,793 $38.48 $93,529 $43.67 $83,183 $45.25 $100,781 $45.00 $92,274 $41.75 $87,225 $41.01 $82,849 $41.55 $87,043 $41.93 $89,568 $41.05 $84,568 $50.75 $92,395 $40.81 $85,846 $40.00 $90,243 $46.28 $98,361 $43.65 $90,406 $50.20 $96,072 $43.01 $88,552 $40.17 MINIMUM $65,000 $28.00 $85,000 $45.00 $35,000 $37.00 $83,000 $33.00 $60,000 $36.00 $58,000 $35.00 $73,000 $34.00 $65,000 $32.00 $69,000 $28.00 $85,000 $25.00 $66,000 $33.75 $80,000 $45.00 $59,000 $40.00 $70,000 $30.00 $50,089 $30.00 $85,000 $36.73 $55,000 $32.75 $49,000 $32.00 $50,000 $38.07 $71,000 $38.00 $80,600 $35.00 $63,500 0 (this respondent is unemployed) $124,800 $33.75 $45,000 $36.00 $60,000 $37.50 MAXIMUM MEDIAN STATE TOTAL RESPONSES $112,000 $45.00 $132,000 $60.00 $200,000 $100.00 $125,000 $80.00 $175,000 $112.00 $200,000 $53.00 $220,000 $75.00 $130,000 $55.00 $140,000 $44.45 $145,000 $65.00 $130,000 $70.00 $140,000 $45.00 $165,000 $45.00 $120,000 $52.00 $114,400 $50.00 $160,000 $49.00 $150,000 $48.53 $160,000 $75.00 $200,000 $45.00 $113,000 $42.00 $123,630 $57.75 $83,500 $40.41 $107,217 $52.50 $93,000 $54.00 $80,000 $46.00 $107,000 $46.75 $90,000 $47.00 $92,800 $47.32 $86,000 $49.30 $94,800 $43.00 $87,750 $45.00 $85,000 $45.00 $94,000 $45.00 $90,000 $41.00 $86,000 $42.00 $84,000 $42.00 $84,765 $41.00 $85,750 $41.50 $78,500 $43.00 $90,000 $40.00 $84,000 $40.00 $106,936 $47.00 Missouri 84 Montana 7 Nebraska 9 Nevada 10 New Hampshire 23 New Jersey 61 New Mexico 27 New York 141 North Carolina 129 North Dakota 16 Ohio 125 Oklahoma 28 Oregon 26 Pennsylvania 137 Rhode Island 7 South Carolina 29 South Dakota 10 Tennessee 115 Texas 144 Utah 31 Vermont 7 $141,000 $79.00 $94,000 $41.50 Virginia 77 $350,000 $80.00 $235,000 $50.00 $160,000 $35.00 $86,000 $44.00 $93,400 $43.66 $87,000 $48.00 Washington 48 West Virginia 10* Wisconsin 78 Wyoming 5 page 5 August 2011 • ADVANCE for NPs & PAs • www.advanceweb.com/NPPA MEAN $83,609 $46.35 $76,183 $39.00 $79,551 $43.82 $92,700 $51.80 $89,800 $47.67 $96,642 $51.67 $103,763 $49.00 $91,127 $47.40 $87,404 $46.09 $75,460 $35.86 $85,570 $42.75 $90,480 $42.00 $104,111 $45.22 $83,533 $43.78 $97,500 $46.91 $83,397 $41.50 $85,285 $34.60 $83,490 $44.17 $103,924 $46.88 $91,541 $43.65 $68,625 $42.67 $82,674 $42.16 $98,255 $44.14 $80,400 $87,373 $42.80 $80,000 $45.00 MINIMUM $70,000 $34.35 $63,000 $39.00 $50,000 $30.00 $75,500 $44.00 $65,000 $41.00 $69,000 $41.50 $80,000 $47.00 $70,000 $28.75 $54,000 $22.00 $75,000 $27.00 $32,000 $42.00 $50,000 $42.00 $43,000 $40.00 $79,000 $25.00 $90,000 $45.00 $74,000 $29.00 $72,000 $30.80 $60,000 $25.00 $70,000 $32.25 $85,000 $38.50 $55,000 $30.00 $50,000 $28.00 $30,000 $37.50 $70,000 $62,000 $36.00 $75,000 $40.00 MAXIMUM $127,000 $50.00 $132,000 $39.00 $100,500 $67.50 $101,000 $65.00 $115,000 $54.00 $140,000 $65.00 $200,000 $51.00 $180,000 $78.00 $150,000 $100.00 $106,080 $45.00 $275,000 $32.00 $135,000 $42.00 $250,000 $53.00 $160,000 $68.00 $110,000 $50.00 $160,000 $50.00 $114,400 $41.00 $200,000 $60.00 $150,000 $70.00 $130,000 $53.00 $85,000 $53.00 $168,000 $56.00 $150,000 $55.00 $100,000 $200,000 $50.00 $85,000 $50.00 MEDIAN $85,000 $42.17 $110,000 $39.00 $78,750 $48.75 $92,000 $45.00 $88,500 $48.00 $92,155 $50.00 $98,000 $49.00 $90,000 $53.37 $86,000 $42.00 $77,997 $35.73 $83,704 $55.00 $85,500 $42.00 $90,000 $45.50 $84,000 $44.00 $95,000 $45.73 $85,300 $43.50 $79,000 $32.00 $80,000 $45.00 $110,000 $45.00 $94,000 $40.50 $70,000 $45.00 $81,000 $42.75 $97,000 $43.00 $79,250 $86,000 $42.00 $80,000 $45.00 *No respondents reported part-time wages 2010 NP Salaries by Select Cities State and City Alabama Birmingham Mobile Montgomery Alaska Anchorage Fairbanks Juneau Arizona Phoenix Tucson Mesa Arkansas Little Rock Fayetteville California Los Angeles Oakland San Diego San Francisco San Jose Colorado Boulder Colorado Springs Denver Connecticut Bridgeport Hartford New Haven Stamford Delaware Wilmington Florida Jacksonville Miami Orlando Tallahassee Tampa 2010 Average Salary $76,250 $90,666 $100,000 $108,250 No responses No responses $99,370 $86,591 $81,902 $81,529 $85,260 $107,774 $104,446 $105,647 $117,071 $89,684 $88,600 $117,900 $77,158 $92,035 $93,656 $102,454 No responses $87,000 $87,280 $96,769 $89,025 $75,400 $94,976 State and City Georgia Athens Atlanta Augusta Columbus Savannah Hawaii Ewa Honolulu Idaho Boise Illinois Chicago Peoria Rockford Springfield Indiana Evansville Fort Wayne Gary Indianapolis Iowa Cedar Rapids Des Moines Kansas Kansas City Topeka Wichita Kentucky Lexington Louisville Louisiana Baton Rouge Lafayette New Orleans Shreveport Oregon Portland 2010 Average Salary $75,500 $84,764 $75,200 $83,000 $89,514 $90,000 $97,666 $96,015 $88,706 $89,040 $89,000 $83,680 $85,000 $67,462 $86,700 $82,115 $78,833 $92,656 $86,437 $86,625 $96,208 $94,450 $82,337 $88,125 $104,333 $88,262 $94,407 $87,333 State and City Maryland Annapolis Baltimore Bethesda Columbia Silver Spring Massachusetts Boston Lowell Springfield Worcester Michigan Ann Arbor Detroit Flint Grand Rapids Lansing Minnesota Duluth Minneapolis and St. Paul Rochester Mississippi Biloxi Jackson Oxford Missouri Kansas City Springfield St. Louis Montana Billings Great Falls Missoula Nebraska Lincoln Omaha Nevada Las Vegas Reno 2010 Average Salary No responses $89,571 $107,740 No responses $103,496 $97,100 $89,600 $108,000 $101,812 $86,480 $90,130 $52,374 $82,615 $97,833 $93,400 $93,988 $91,600 $108,800 $90,303 $94,000 $86,423 $77,610 $75,948 No responses No responses $84,000 $74,613 $82,821 $103,000 $83,750 NP Select Cities continued page 6 August 2011 • ADVANCE for NPs & PAs • www.advanceweb.com/NPPA 2010 NP Salaries by Select Cities State and City New Hampshire Manchester Nashua New Jersey Camden Newark Trenton New Mexico Albuquerque Las Cruces Santa Fe New York Buffalo New York City Rochester Syracuse page 7 2010 Average Salary $98,333 $80,000 $96,250 $91,444 $102,600 $81,666 $135,666 $127,000 $92,308 $100,141 $78,500 $87,800 State and City New York City Boroughs Brooklyn Bronx Manhattan Queens Staten Island North Carolina Charlotte Greensboro Raleigh-Durham Winston-Salem North Dakota Bismarck Fargo Ohio Akron Cincinnati Cleveland Columbus Toledo Oklahoma Oklahoma City Tulsa Norman Oregon Eugene Portland Salem Pennsylvania Allentown Erie Philadelphia Pittsburgh Rhode Island Providence South Carolina Charleston Columbia Greenville 2010 Average Salary $103,300 $105,000 $103,081 $96,500 No responses $92,981 $82,250 $82,106 $85,083 $71,471 $81,000 $81,469 $92,185 $86,723 $87,107 $80,400 $97,833 $83,400 No responses No responses $82,825 $109,000 $77,999 $73,357 $94,349 $77,921 $100,000 $85,875 $100,575 $92,428 August 2011 • ADVANCE for NPs & PAs • www.advanceweb.com/NPPA State and City South Dakota Rapid City Sioux Falls Tennessee Knoxville Memphis Nashville Texas Austin Dallas-Ft. Worth El Paso Houston San Antonio Utah Provo Salt Lake City Vermont Burlington Virginia Norfolk Richmond Virginia Beach Northern Va.-D.C. Washington Seattle Spokane Tacoma Vancouver West Virginia Charleston Huntington Wisconsin Green Bay Madison Milwaukee Wyoming Cheyenne 2010 Average Salary $75,000 $78,000 $79,188 $85,256 $81,028 $100,500 $96,244 $104,000 $98,989 $95,165 No responses $94,343 $72,500 No responses No responses No responses No responses $99,333 $94,500 $107,714 $79,075 $88,000 No responses $119,081 $91,200 $84,526 $82,500 2010 NP Average Salaries According to Academic Degree Associate degree (1.62%) $84,226 2010 Doctoral Degree Salary Breakdown Bachelor’s degree (3.21%) $87,237 Doctoral degree (4.84%) $95,089 Type of Doctoral Degree 2010 Average Salary DNP (2.67%) $97,572 PhD (1.73%) $89,242 DNSc (0.10%) $78,500 EdD (0.27%) $102,885 Other nursing doctorate (0.07%) $112,000 Master’s degree (90.32%) $90,048 page 8 August 2011 • ADVANCE for NPs & PAs • www.advanceweb.com/NPPA 2010 National Nurse Practitioner Salary Survey Questionnaire Questionnaire Breakdown With Results (Total respondents = 2,956) Editor’s note: This breakdown does not include the questions about city and state of residence. For data reflecting salary averages in states and select cities, see those individual breakout reports. What type of nurse practitioner certification do you hold? Acute Care NP: 9.51% Internal Medicine: 10.29% Adult NP: 19.45% Mental Health Setting: 3.95% None: 1.11% Adult Psychiatric Mental Health NP: 3.28% Neonatal Unit: 0.64% Acute Care: 5.60% Aesthetics/Dermatology NP: 0.81% Oncology Clinic: 3.91% Adult: 15.89% Family NP: 34.40% Pediatric Clinic: 5.70% Adult Psychiatric Mental Health: 2.67% Family Psychiatric Mental Health NP: 1.52% Retail Clinic: 2.97% Dermatology: 0.17% Gerontologic NP: 3.21% Surgery Setting: 2.56% Family: 54.99% Neonatal NP: 0.74% Women’s Health Setting: 8.94% Family Psychiatric Mental Health: 1.21% Oncology NP: 3.61% Gerontologic: 2.33% Women’s Health NP: 9.10% Do you work in a subspecialty? Neonatal: 0.88% Pediatric NP: 7.24% No: 54.08% Oncology: 0.61% Pediatric Acute Care NP: 1.32% Yes: 45.92% Pediatric: 6.71% Retail Health NP: 1.89% Pediatric Acute Care: 0.61% School NP: 1.18% Women’s Health: 7.22% Do you own your own practice? No: 97.27% What is your primary employment setting? Yes: 2.73% Do you hold an additional NP certification? Academia: 2.87% No: 85.76% Aesthetics/Skin Care Practice: 1.01% Yes: 14.24% Cardiology Clinic: 2.56% How many hours a week do you work in your primary employment setting? College Health (9 months): 0.81% Full Time (35 hours or more): 83.10% What is the highest degree you have obtained? College Health (12 months): 1.15% Part Time (less than 35 hours): 16.90% Associate: 1.62% Corrections: 1.01% Bachelor’s: 3.21% Diabetes/Endocrinology Clinic: 1.28% What is your current full-time annual salary? Master’s: 90.35% Elementary or Secondary School: 0.81% $90,770 Doctorate: 4.82% Emergency Department: 4.01% Family Practice: 23.28% What is your current nurse practitioner position? Geriatric Setting: 3.61% What is the hourly rate of your primary part-time position? HIV Clinic: 0.74% $43.77 Not working as an NP: 1.38% Hospital (not a private practice in a hospital): 16.84% Academician: 1.29% House Calls: 1.05% page 9 August 2011 • ADVANCE for NPs & PAs • www.advanceweb.com/NPPA Questionnaire continued 2010 National Nurse Practitioner Salary Survey Questionnaire Questionnaire Breakdown With Results (Total respondents = 2,956) Editor’s note: This breakdown does not include the questions about city and state of residence. For data reflecting salary averages in states and select cities, see those individual breakout reports. How many years have you practiced as a nurse practitioner? Do you purchase your own malpractice insurance (whether or not your employer offers it)? What is your gender? 9.29 years No: 73.82% Male: 8.03% Female: 91.97% Yes: 26.18% Does your job include call duty? No: 76.38% Yes: 23.62% What is your age? On average, about how many patients do you see per week? 64.95 patients Do you get paid for being on call? No: 69.33% Yes: 30.53% How is your on-call pay calculated? Specific Amount for Unlimited Hours or Calls: 30.70% Base Amount Plus Extra for Calls: 17.21% Hourly Rate: 24.65% On average, how many recommendations for over-the-counter medications do you make per week? 29.57 recommendations On average, how many prescriptions do you write per week? 63.27 prescriptions Percentage of Salary: 7.91% Other: 19.07% Which of the following benefits does your employer offer, either fully or partially paid? (check all that apply) Health Insurance: 85.56% Paid Continuing Education: 75.74% Professional Association Dues: 42.68% Paid Time Off: 85.12% Profit Sharing: 15.99% Retirement Plan: 75.20% Do you plan to open your own healthcare-related business in the next 5 years? No: 89.78% Yes: 10.22% Select the most appropriate descriptor for the geography of your work setting. Rural: 24.53% Suburban: 37.65% Urban: 37.82% Tuition Reimbursement: 36.34% Malpractice Insurance: 83.13% Other: 12.92% page 10 August 2011 • ADVANCE for NPs & PAs • www.advanceweb.com/NPPA 47.79