PA Salaries Up Almost $4,000 in 2010
Transcription
PA Salaries Up Almost $4,000 in 2010
PA Salaries Up Almost $4,000 in 2010 2 National salary Survey reporT 2010 5 State Breakdown of PA Salaries 6 PA Salaries by Select Cities Full-time physician assistant salaries rose by an average of $3,771 in 2010. PAs outearned their NP colleagues, and this trend appears to be based on 8 PA Average Salaries According to Academic Degree practice setting more than any other issue. This report, which presents only PA salary data, breaks down salary by work setting, gender, 9 PA Salary Survey Questionnaire Breakdown geographic location and academic degree. Does a mental health position pay more than a surgery position? Read on to find out. August 2011 © Merion Matters Inc. photography by JEFFREY LEESER 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 page 3 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 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 Physician Assistant 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 7* Alaska 8 Arizona 40 Arkansas 10* California 71 Colorado 36 Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri page 5 MEAN MINIMUM MAXIMUM MEDIAN $95,583 $64,500 $127,000 $99,000 $119,583 $51.00 $96,921 $80.91 $104,615 $109,290 $42.88 $95,318 $46.99 $104,000 $45.00 $60,000 $35.00 $65,000 $71,000 $36.50 $65,000 $32.00 $134,500 $57.00 $200,944 $250.00 $190,000 $240,000 $50.00 $185,000 $60.00 $115,000 $51.00 $92,000 $60.00 $83,163 $100,000 $42.50 $89,952 $47.98 12 $98,975 $50.00 $89,650 $50.00 $150,000 $50.00 $102,000 $50.00 3* $105,000 $80,000 $125,000 $110,000 7* $96,762 $87,000 $114,400 $94,300 $94,531 $45.14 $98,036 32 $46.00 No responses NA $84,606 11 $34.00 $92,996 39 $42.88 $93,259 20 $29.63 $93,121 16 $50.00 $84,750 16 $55.50 $152,853 14 $50.00 6* $97,167 $79,436 11 $32.00 39* $96,650 $25,000 $25.10 $56,000 $30.00 NA $75,000 $34.00 $57,000 $41.75 $72,000 $38.90 $70,000 $50.00 $58,000 $54.00 $60,500 $40.00 $80,000 $40,000 $32.00 $70,000 $156,000 $70.00 $148,500 $60.00 NA $110,000 $34.00 $175,000 $44.00 $140,400 $50.00 $151,000 $50.00 $165,000 $57.00 $900,000 $60.00 $125,000 $150,000 $32.00 $160,000 $90,000 $52.00 $97,000 $48.00 NA $83,500 $34.00 $87,000 $42.88 $88,500 $38.90 $90,000 $50.00 $80,000 $55.50 $81,320 $50.00 $94,000 $87,300 $32.00 $95,000 $103,564 $58.00 $66,560 $58.00 $220,000 $58.00 $100,000 $58.00 $56,160 $37.00 $70,000 $39.00 NA $73,000 $41.00 $150,000 $55.00 $116,000 $49.70 NA $115,000 $41.00 $94,000 $40.00 $89,650 $40.00 NA $90,000 $41.00 82 30 $93,732 $44.20 $92,891 24 $42.90 No responses NA $90,923 14 $41.00 55 STATE TOTAL RESPONSES Montana 6 Nebraska 13 Nevada New Hampshire 3* 13* New Jersey 30 New Mexico 7 New York 125 North Carolina 69 North Dakota 3* Ohio 46 Oklahoma 11 Oregon 14 Pennsylvania 77 Rhode Island 4* South Carolina 22 South Dakota 11 Tennessee 20* Texas 86 Utah 14 Vermont 5* Virginia 33 Washington 27 West Virginia 8* Wisconsin 25 Wyoming 1* August 2011 • ADVANCE for NPs & PAs • www.advanceweb.com/NPPA MEAN $87,250 $39.00 $84,745 $33.00 $106,667 $100,220 $95,981 $47.65 $99,383 $50.00 $89,991 $67.67 $103,097 $45.83 $79,707 $90,242 $42.00 $93,183 $55.00 $94,154 $43.00 $84,981 $41.35 $109,125 $93,533 $37.71 $86,399 $48.50 $102,070 $112,742 $56.00 $99,222 $53.00 $92,402 $89,294 $53.83 $95,549 $81.50 $85,375 $100,234 $40.00 $124,000 MINIMUM $68,000 $38.00 $68,000 $33.00 $80,000 $80,000 $75,000 $38.76 $64,000 $50.00 $50,000 $33.00 $65,000 $32.00 $75,000 $59,000 $33.00 $79,000 $55.00 $74,000 $43.00 $47,000 $34.00 $99,500 $65,000 $33.13 $73,897 $48.50 $67,000 $60,000 $37.50 $80,000 $47.50 $72,800 $45,000 $36.00 $65,000 $81.50 $67,000 $78,385 $40.00 $124,000 MAXIMUM $96,000 $40.00 $110,000 $33.00 $156,000 $158,500 $120,000 $55.00 $130,000 $50.00 $213,000 $250.00 $700,560 $61.50 $83,000 $130,000 $50.00 $135,000 $55.00 $120,000 $43.00 $140,000 $47.95 $127,000 $152,000 $40.00 $145,000 $48.50 $198,000 $300,000 $75.00 $130,000 $120.00 $105,000 $129,500 $100.00 $125,000 $115.00 $130,000 $126,880 $40.00 $124,000 MEDIAN $92,500 $39.00 $85,000 $33.00 $84,000 $93,000 $95,000 $47.65 $99,000 $50.00 $87,750 $49.00 $89,675 $44.00 $81,120 $90,040 $42.50 $87,250 $55.00 $95,000 $43.00 $82,000 $41.37 $105,000 $96,000 $40.00 $89,000 $48.50 $90,700 $104,104 $50.00 $96,000 $47.50 $93,000 $86,400 $47.50 $100,000 $81.50 $75,000 $98,481 $40.00 $124,000 *No respondents reported part-time wages 2010 PA 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 $83,250 No responses No responses $115,000 No responses No responses $91,615 $89,500 $122,157 $77,274 $188,000 $109,354 $105,375 $102,469 $105,730 $145,600 $72,000 $92,788 $98,931 $100,000 $85,525 $114,000 No responses $105,000 $92,100 $88,901 $81,984 $120,000 $94,591 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 $98,000 $100,677 $101,667 $72,500 $110,000 No responses No responses $80,250 $89,781 $84,000 $108,500 $94,500 No responses $85,500 $94,000 $96,500 No responses $105,400 $78,750 $70,000 $71,000 $101,348 $85,000 $125,000 No responses $95,000 $94,000 $79,253 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 $100,000 $95,513 $116,667 No responses $105,000 $106,857 No responses No responses $100,000 $105,642 $88,815 No responses $86,750 $115,000 $88,106 No responses $110,350 No responses No responses No responses $105,000 $88,500 $90,200 $90,000 No responses No responses $85,950 No responses $118,000 $84,000 PA Select Cities continued page 6 August 2011 • ADVANCE for NPs & PAs • www.advanceweb.com/NPPA 2010 PA 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 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 page 7 2010 Average Salary $85,000 $92,000 $110,000 $75,000 $90,000 $90,150 No responses $64,000 $81,659 $85,063 $96,813 $87,192 $85,297 $93,500 $87,647 $77,685 $53,000 $89,828 $83,333 $141,794 $84,180 $81,120 No responses No responses $82,000 $97,417 $92,750 $87,500 $106,667 $85,000 No responses State and City Oregon Eugene Portland Salem Pennsylvania Allentown Erie Philadelphia Pittsburgh Rhode Island Providence South Carolina Charleston Columbia Greenville 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. 2010 Average Salary No responses $88,250 No responses $84,079 $66,100 $101,251 $74,773 $102,250 $76,026 $99,667 $78,000 $88,500 No responses $82,000 $170,000 $82,500 $88,000 $105,266 $79,000 $109,294 $124,143 No responses $93,400 $82,900 No responses No responses No responses No responses August 2011 • ADVANCE for NPs & PAs • www.advanceweb.com/NPPA State and City Washington Seattle Spokane Tacoma Vancouver West Virginia Charleston Huntington Wisconsin Green Bay Madison Milwaukee Wyoming Cheyenne 2010 Average Salary $101,000 $110,333 $85,000 $94,375 $100,000 No responses $108,000 $98,000 $91,969 No responses 2010 PA Average Salaries According to Academic Degree 2010 Doctoral Degree Salary Breakdown Doctoral degree (2.90%) Associate degree (4.63%) Type of Doctoral Degree 2010 Average Salary $95,712 $103,365 PhD $106,502 DHScPA $123,500 EdD $95,345 DHSc $101,786 DrPH $130,000 Other doctorate $75,457 Master’s degree (60.16%) $95,745 Bachelor’s degree (32.31%) $98,784 page 8 August 2011 • ADVANCE for NPs & PAs • www.advanceweb.com/NPPA 2010 National Physician Assistant Salary Survey Questionnaire Questionnaire Breakdown With Results (Total respondents = 1,276) 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. Are you currently an NCCPA-certified PA? What is the highest degree you have obtained? Physical Medical Rehabilitation: 0.86% No: 3.92% Associate: 4.63% Psychiatry: 1.57% Yes: 96.08% Bachelor’s: 32.31% Public Health: 0.55% Master’s: 60.16% Pulmonology: 0.86% Have you completed a postgraduate physician assistant program, fellowship or residency? Doctorate: 2.90% Radiology: 2.19% No: 87.93% What is your current specialty? Yes: 12.07% Academics: 1.41% Rheumatology: 0.47% Surgery: 12.93% Addiction Medicine: 0.47% What is your primary employment setting? What type of postgraduate PA program, fellowship or residency did you complete? Allergy/Immunology: 0.71% Academia: 2.98% Anesthesiology: 0.31% Aesthetics/Dermatology Practice: 2.74% Cardiovascular/Cardiothoracic Surgery: 1.30% Cardiology: 4.15% Cardiology Practice: 3.13% Critical Care: 1.30% Critical Care: 1.18% College or University Clinic: 1.41% Dermatology/Dermatologic Surgery: 1.30% Dermatology/Aesthetics: 3.13% Correctional Facility: 1.10% Emergency Medicine: 22.08% Emergency Medicine: 13.71% Diabetes/Endocrinology Practice: 0.39% Hospital Internal Medicine: 3.90% Endocrinology: 0.55% Elementary or Secondary School: 0.08% Multispecialty: 15.58% Family/General Medicine: 22.02% Emergency Department: 12.07% Neonatology: 2.60% Gastroenterology: 1.65% Family Practice: 24.53% Nephrology: 0% Geriatrics: 1.10% HIV Clinic: 0.47% Neurosurgery: 1.30% Hematology/Oncology: 2.19% Obstetrics/Gynecology: 0.65% Hospital Medicine: 2.59% Hospital Unit (Other Than Surgery or Emergency Department): 17.40% Orthopedics: 11.04% Internal Medicine: 7.05% House Calls: 0.55% Otolaryngology/Head and Neck Surgery: 0% Neonatology: 0.24% Mental Health Setting: 1.10% Psychiatry: 3.25% Neurology: 0.71% Rheumatology: 1.95% Obstetrics/Gynecology: 2.43% Nursing Home, Assisted Living or Long-Term Care Facility: 1.49% Surgery: 9.09% Occupational Medicine: 2.19% Oncology Practice: 1.57% Urology: 1.30% Ophthalmology: 0.08% Pediatric Practice: 1.49% Other: 23.38% Orthopedics: 8.62% Retail Clinic: 2.43% Pain Management: 1.88% Surgery Setting: 16.30% Pathology: 0.08% Women’s Health Practice: 2.51% Pediatrics: 2.12% Worksite: 6.27% Questionnaire continued page 9 August 2011 • ADVANCE for NPs & PAs • www.advanceweb.com/NPPA 2010 National Physician Assistant Salary Survey Questionnaire Questionnaire Breakdown With Results (Total respondents = 1,276) 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. Do you work in a subspecialty? Do you get paid for being on call? No: 60.42% No: 67.61% On average, about how many patients do you see per week? Yes: 39.58% Yes: 32.39% 79.77 patients Do you own your own practice? How is your on-call pay calculated? No: 98.75% Specific Amount for Unlimited Hours or Calls: 23.19% Yes: 1.25% Base Amount Plus Extra for Calls: 22.46% On average, how many recommendations for over-the-counter medications do you make per week? Hourly Rate: 28.99% How many hours a week to you work in your primary employment setting? Percentage of Salary: 7.97% Other: 17.39% Full Time (35 hours or more): 90.83% Part Time (less than 35 hours): 9.17% What is your current full-time annual salary? $96,876 $51.11 Health Insurance: 87.77% Paid Continuing Education: 80.64% Paid Time Off: 87.30% Profit Sharing: 21.94% Retirement Plan: 75.08% Tuition Reimbursement: 23.51% How many years have you practiced as a physician assistant? 11.49 On average, how many prescriptions do you write per week? 71.41 prescriptions Which of the following benefits does your employer offer, either fully or partially paid? (check all that apply) Professional Association Dues: 60.27% What is the hourly rate of your primary part-time position? 29.32 recommendations Malpractice Insurance: 91.07% Other: 10.89% Does your job include call duty? Do you purchase your own malpractice insurance (whether or not your employer offers it)? No: 66.61% No: 93.18% Yes: 33.39% Yes: 6.82% Do you plan to open your own healthcare-related business in the next 5 years? No: 91.69% Yes: 8.31% Select the most appropriate descriptor for the geography of your work setting. Rural: 20.38% Suburban: 43.81% Urban: 35.82% What is your gender? Female: 54.62% Male: 45.38% What is your age? 42.73 page 10 August 2011 • ADVANCE for NPs & PAs • www.advanceweb.com/NPPA