The income trend has been flat due to various reasons including slow transition from volume to value-based payment model, sluggish economy, EHR implementation challenges and growing physician employment. http://goo.gl/0eFB7g

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Flat Income Trend for Physicians in 2014
The industry experts are witnessing compensation levels almost the same as last year; however, some
specialties have witnessed a significant boost in their income. Technical and scientific breakthroughs
helped these specialties gain more income, for instance, cardiology earnings increased due to the
development of cardiac stents.
Industry Facts :
According to a national analysis of physicians compensation, doctors may soon be paid more on the
basis of “patient satisfaction metrics”
As per a 2013 report from American Medical Group Association, physicians compensation increased
in 61% of medical specialties
Cardiology remained the highest paying physician’s career choice in 2013

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Highest Earning Specialties:
Orthopedics and Cardiology have been the top two highest earning specialties in the first quarter of
2014. The third spot was grabbed by Gastroenterology and Urology.
 Orthopedics Earnings - $ 522,659
 Cardiology Earnings - $ 491,126
Oncologists also witnessed the largest average pay increase in 2014. Their earnings grew by 5.6% and
reached $395,896. It is being speculated that this increase was due to the high compensation
packages developed by hospitals to hire oncologists.
The largest drop in income was witnessed by radiation oncologists. Even though their income
reduced from $479,917 to $441,602, they still managed to be the fourth highest paid specialty in the
first quarter of 2014. This reduction in income might have been the result of a drop in patient
volumes for radiation oncologists. For instance, emergence of new technologies has led to a drop in
the number of sessions required for intensity-modulated radiation therapy.
Lowest Earning Specialties:
Pediatricians and family physicians were the lowest earners in the first quarter of 2014. Family
physicians were the only primary care specialists who witnessed an average increase of less than
0.4%. Pediatricians had seen an average increase of 3.6% in 2013; however, their income reduced by
1% in 2014. Even internists reported a loss of 0.3% this year with their income falling to $231,533.
 Family Medicine Earning - $209,789
 Pediatrics Earning - $207,723
Special Increase in Earnings:
There has been a significant increase in the compensation for physicians who perform procedures as
compared to the physicians who manage chronic illnesses. Self-employed doctors earned more in
2014 till now as compared to doctors employed in hospitals. Considering the impact of Affordable
Care Act (ACA) on reimbursement, some Primary Care Physicians (PCPs) also witnessed a slight
increase in their earnings. This surge in salary was attributed to the shortage of PCPs and their
increased demand for implementation of ACA.

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Physician Earnings according to Regions:
Around 19 medical specialties witnessed increase in their compensation in 2013-2014. The
physicians’ earnings also varied from region to region, ranging from $239,000 in the Northeast to
$258,000 in the Great Lakes area.
As per the national data, physicians living in the North Central and Great Lakes regions are the highest
earners in the US whereas, the lowest earners are from the Northeast and Mid-Atlantic regions. As per
a report by the Bureau of Labor Statistics, PCPs based in rural areas earn more than those who
practice in the cities.
 Great Lakes Physician Compensation - $258,000
 North Central Physician Compensation - $257,000
 Southwest Physician Compensation - $245,000
 Mid-Atlantic Physician Compensation - $240,000
Competition and high population concentration are the two likely factors that have contributed in the
low earnings for providers in the Northeast region. Rural PCPs have higher earnings due to less
competition in small communities. Practices and hospitals in the rural areas offer high pay packages
in order to attract physicians.
The income trend has been flat due to various reasons including slow transition from volume to
value-based payment model, sluggish economy, EHR implementation challenges and growing
physician employment.
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