This is quite interesting. Obviously procedural specialists will be paid more given the higher overhead costs and risks involved with procedures. Pricing is determined by the market. If you are really good at marketing or in a certain sub specialty and also working in an area of affluence it's going to affect your earning potential for sure.From another jurisdiction, with similar type of billing structure.
How much do doctors bill OHIP for services? Star database reveals figures for 30,000 physicians | The StarThe Star is able to share this database following a five-year quest for public access to the billing records. After Ontario’s health ministry denied a freedom-of-information request for data on top billers in 2014, the Star successfully appealed to the office of the Information and Privacy...www.thestar.com
HOW MUCH DOES YOUR DOCTOR BILL?
The Star launches searchable database of OHIP billings, after five-year quest for public access to health-care records
The gap within the gap : Disparities in billings within highly paid specialties
Search the Star’s database of Ontario’s doctors:
The Star's Ontario Doctor Database shows how much the province’s 30,167 doctors received in fee-for-service OHIP payments in 2017-18. Visit thestar.com today.www.thestar.com
It also reveals big gaps in pay within specialty groups. For example, the 90th-percentile pay for diagnostic radiolo-gists is $1,096,541 while the median pay is $622,281
Fee-for-service pay gaps between specialty groups
Examples of disparities in average fee-for-service payments among some lower-and higher-paid specialties. This issue is known as "relativity."
Diagnostic radiologists $654,389
Diagnostic radiology $622,281/$1,096,541
Last year, an internal Ontario Medical Association report obtained by the Star showed that the highest-billing specialties are overpaid to the tune of 52 per cent and the lowest-billing ones are underpaid by about 30 per cent. It called for pay cuts to the highest-paid specialties and top-ups to the lowest-paid ones
The Star's database shows that of those who billed more than $1 million, 158 were diagnostic radiologists,96 were ophthalmologists and 64 were cardiologists. Of 61 family doctors and general practitioners on the list, many work in pain clinics. Another 482 family doctors and general practitioners - many also practising pain medicine - billed between $500,000 and $1million.
Fee-for-service payments are not the same as take home pay, because doctors pay for their own overhead expenses - staff salaries, offices, equipment and supplies - out of their OHIP billings.
The database reveals big gaps in billings for different specialty groups. For example, ophthalmologists receive on average $724,183 in fee-for-service payments while psychiatrists receive $227,479.