Physician salary plus production bonus metrics U.S.

In 2023/24, relative value unit (RVU) based was the most common metric to base the production bonus of physicians and advanced practice professionals (APPs) on. This accounted for 57 percent of physician and APPs search engagements offering a salary plus production bonus.

Most common metrics for production bonus on among physicians and advanced practitioners receiving salary plus bonus contracts in the U.S. in 2023/2024

Characteristic	Percentage of search engagements
RVU based	57%
Net collections	13%
Gross billings	1%
Patient encounter	3%
Quality	26%
Other	0%

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Release date

July 2024

More information

Region

United States

Survey time period

April 1, 2023 to March 31, 2024

Number of respondents

2,138 respondents

Special properties

Based on a representative sample of 2,138 permanent physicians and advanced practitioner search engagements

Supplementary notes

Original question: "If Salary Plus Production Bonus, on Which Types of Metrics was the Bonus Based? (Of 1,327 Searches Offering Salary Plus Bonus)"
Note: multiple responses possible.
RVU = relative value unit. RVUs reflect the relative level of time, skill, training and intensity required of a physician to provide a given service. RVUs therefore are a method for calculating the volume of work or effort expended by a physician in treating patients. A well patient visit, for example, would be assigned a lower RVU than an invasive surgical procedure. Given this relative scale, a physician seeing two or three complex or high acuity patients per day could accumulate more RVUs than a physician seeing ten or more low acuity patients per day. “Work,” rather than number of patients or billings, is the behavior being measured and rewarded.

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