Why Solo Doctors Get Paid Less

Matthew Gillogly

CEO and Founderof Mavrix Profit System

9 hours ago

Sally gets roughly $100 per eye injection, while a large group can collect around $250 from a commercial plan for the same procedure on the same patient. She hasn’t had a raise from one major payer in five years, and with supply costs climbing, a flat rate works out to a pay cut.
Sally buys a common eye medication for about $2,300 and is reimbursed about $2,400, so one unpaid claim erases the profit on roughly twenty injections. Her billing team appeals every denial until it’s paid, and her collection rate on injected medications runs above 99%.
Her patients average about 80 years old and rely on Medicare-covered drugs, so going all cash isn’t realistic for her. She offers smaller cash services instead, like removing harmless eyelid bumps for $250 to $500, and she gives staff a cut of what they offer, which pushed uptake way up.

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