About 59% of on-call providers received some form of additional compensation with the amount of the compensation varying greatly by specialty, according to the Medical Group Management Association's Medical Directorship and On-call Compensation Survey: 2010 Report Based on 2009 Data, which is down slightly from the 62% reported in last year's survey.
“As the trend toward physician employment within integrated systems increases, the separate on-call payment disappears from the formula and instead is integrated in the overall compensation package,” said Kenneth Hertz, principal of the MGMA Health Care Consulting Group, in a news release.
The electronic survey, which included responses from 319 medical practices representing 2,924 providers, found more than 56% of primary-care physicians were compensated for on-call coverage, compared to more than 49% for nonsurgical specialists and more than 72% for surgical specialists.
According to the survey, 41% were not compensated; 33% received a daily stipend; 14% were paid an annual stipend; 8% were paid an hourly rate; 4% received a monthly stipend; and only 0.5% got a weekly stipend. Those receiving a daily stipend were expected to be available for a full 24-hour period, according to the report.
Daily rates for different specialties included: for neurological surgeons, $1,671; general surgeons, $905; ophthalmologists, $500; urologists, $283; and family physicians with and without obstetrics/gynecology, $110 and $100.