Table 1. Mean 2004 Physician Net Incomeand Share of Outpatient Payments Received For

Table 1. Mean 2004 Physician Net Incomeand Share of Outpatient Payments Received for Office-based Visits, by Specialty and Payer Type

Specialty / Mean Physician Income from Inpatient and Outpatient Sources
($), 2004 / Medicaid’s Share of Total Outpatient Payments to Specialty
% (95% CI) / Medicare’s Share of Total Outpatient Payments to Specialty
% (95% CI) / Other Government Sources’[1] Share of Total Outpatient Payments to Specialty
% (95% CI) / Private Insurance’s Share of Total Outpatient Payments to Specialty
% (95% CI) / Out of Pocket Share of Total Outpatient Payments to Specialty
% (95% CI) / Public Insurance[2]
Share of Total Outpatient Payments to Specialty
% (95% CI)
Geriatrics / 164,649 / 8.7 (7.8-9.6) / 64.9 (63.0-66.9) / 5.0 (4.8-5.3) / 14.3 (13.8-14.7) / 7.0 (4.8-9.2) / 78.7 (76.6-80.8)
Family Practice / 170,059[3] / 8.1 (6.9-9.3) / 17.2 (15.5-19.0) / 3.0 (1.8-4.2) / 53.7 (51.3-56.0) / 18.0 (16.6-19.2) / 28.3 (25.9-30.7)
General Pediatrics / 172,338 / 18.0 (15.6-20.5) / 0.5 (0.2-0.7) / 2.2 (1.3-3.0) / 64.7 (62.1-67.3) / 14.6 (13.4-15.9) / 20.7 (18.1-23.2)
Internal Medicine / 179,729 / 5.2 (4.0-6.5) / 29.4 (24.8-34.0) / 3.1 (1.7-4.6) / 50.5 (46.4-54.6) / 11.7 (10.4-13.1) / 37.8(33.1-42.4)
Endocrinology / 196,309 / 6.1 (3.9-8.3) / 18.7 (13.1-24.3) / 4.8 (2.0-7.6) / 57.5(47.5-67.5) / 12.8 (9.1-16.5) / 29.6 (21.6-37.7)
General Psychiatry / 197,322 / 18.1 (14.2-21.9) / 9.5 (6.7-12.2) / 7.8 (3.5-12.2) / 42.1 (38.0-46.3) / 22.5 (18.2-26.8) / 35.3(29.9-40.8)
Neurology / 236,817 / 4.1 (2.5-5.6) / 21.7 (16.3-27.1) / 5.0 (1.3-8.7) / 58.4(51.3-65.6) / 10.8 (8.1-13.4) / 30.8 (23.9-37.6)
Rheumatology / 240,009 / 7.9 (6.7-9.1) / 46.1 (41.7-50.5) / 1.4 (1.3-1.6) / 36.2 (31.1-41.3) / 8.3 (7.2-9.4) / 55.4 (50.6-60.3)
Pulmonary / 257,200 / 9.0 (6.2-11.9) / 27.2 (20.3-34.1) / 3.3 (1.2-5.5) / 52.5 (45.8-59.2) / 7.9 (6.2-9.6) / 39.6 (32.6-46.6)
Rehabilitation / 261,705 / 1.0 (0.1-1.9) / 10.8 (2.5-19.0) / 0.6 (0.4-0.8) / 82.1 (72.3-91.9) / 5.5 (3.5-7.5) / 12.4 (3.3-21.5)
Nephrology / 273,232 / 6.7 (1.8-11.6) / 61.9 (56.3-67.4) / 0.3 (0.2-0.5) / 24.7 (19.5-29.9) / 6.3 (5.4-7.2) / 69.0(63.3-74.6)
Obstetrics and Gynecology / 274,367 / 10.2 (8.2-12.2) / 3.7 (2.5-4.9) / 2.5 (0.7-4.3) / 68.1 (64.7-71.5) / 15.5 (13.2-17.7) / 16.4 (13.5-19.3)
Surgery[4] / 307,751 / 4.8 (2.8-6.8) / 13.9 (8.5-19.4) / 1.4 (0-2.9) / 68.9 (59.4-78.4) / 11.0 (5.6-16.3) / 20.2 (12.9-27.4)
Anesthesia / 334,402 / 2.6 (1.8-3.4) / 7.2 (3.8-10.7) / 1.6 (0-3.2) / 75.6 (72.7-78.5) / 13.0 (10.6-15.5) / 11.4 (7.9-14.9)
Ophthalmology / 347,495 / 3.7 (2.4-5.0) / 30.1 (25.9-34.2) / 3.3 (1.2-5.3) / 43.5 (38.8-48.3) / 19.4 (15.9-22.9) / 37.0(32.5-41.5)
Otorhinolaryngology / 354,871 / 8.3 (5.2-11.5) / 16.7 (10.8-22.6) / 7.1 (2.2-12.0) / 55.3 (48.3-62.2) / 12.6 (10.3-14.9) / 32.1 (24.5-39.8)
Dermatology / 358,363 / 2.0 (0.6-3.3) / 26.4 (21.6-31.2) / 2.6 (1.1-4.1) / 45.4 (41.1-49.7) / 23.7 (18.6-28.7) / 30.9 (26.1-35.8)
Plastic Surgery / 366,141 / 1.4 (1.3-1.6) / 4.5 (4.1-4.8) / 1.3 (0.4-2.1) / 53.0 (50.1-56.0) / 39.8 (36.8-42.7) / 7.2 (6.3-8.0)
Cardiology / 381,070[5] / 2.9 (1.1-4.6) / 38.1 (32.6-43.5) / 3.6 (1.7-5.4) / 47.7 (42.4-53.1) / 7.7 (6.1-9.4) / 44.5 (39.2-49.8)
Urology / 382,549 / 1.7 (1.0-2.4) / 37.7 (31.2-44.2) / 1.5 (0.4-2.5) / 49.0 (41.8-56.1) / 10.1 (6.7-13.5) / 40.9 (34.4-47.4)
Radiology / 411,050 / 6.1 (4.5-7.7) / 29.7 (11.6-47.7) / 0.7 (0.5-1.0) / 55.1 (37.8-72.4) / 8.4 (3.4-13.4) / 36.5 (18.7-54.2)
Gastroenterology / 415,913 / 2.3 (1.2-3.4) / 18.5 (13.3-23.7) / 3.6 (0-7.9) / 66.6 (59.7-73.4) / 9.0 (5.7-12.2) / 24.4 (18.3-30.5)
Orthopedics / 426,951 / 3.5 (2.5-4.6) / 15.2 (11.6-18.8) / 2.0 (0-4.1) / 69.6 (65.3-74.0) / 9.7 (7.1-12.3) / 20.7 (16.8-24.6)
Hematology-Oncology / 504,307 / 8.4 (0.6-16.3) / 40.0 (29.5-50.6) / 1.6 (0.8-2.4) / 46.9 (35.5-58.4) / 3.0 (2.0-4.0) / 50.0 (38.5-61.6)
General Practice / N/A / 7.4 (6.1-8.7) / 18.1 (16.5-19.8) / 6.5 (5.0-8.0) / 50.4 (48.0-52.8) / 17.6 (16.1-19.1) / 32.0 (29.6-34.5)
Osteopathy / NA / 4.4 (3.4-5.4) / 18.3 (10.8-25.9) / 1.6 (0.9-2.3) / 56.4 (49.0-63.7) / 19.2 (15.0-23.4) / 24.4 (17.0-31.8)

Table 1, continued.

Sources: Mean 2004 physician income data are from the Medical Group Management Association, Englewood, Colorado, December 2005. Share of total outpatient payments received for office-based visits are from the 2004 Medical Expenditure Panel Survey (MEPS); total payments were weighted to approximate the US population as determined from the December 2004 Current Population Survey. Payments for care of institutionalized persons and active duty military personnel are excluded.

Table 2. Patient Outpatient Visits to Specialists According to Insurance Type[7]

Specialty Type / Medicaid only
% (95% CI) / Medicare only
% (95% CI) / Private Insurance only
% (95% CI) / Out of Pocket
only
% (95% CI) / Medicare and Medicaid
% (95% CI) / Medicare and Private Insurance
% (95% CI) / Other Government Insurance[8]
% (95% CI) / Any Public Insurance
Geriatrics / 10.2 (2.4-18.1) / 28.0 (16.5-39.4) / 7.0 (2.1-11.8) / 6.9 (0-13.8) / 15.7 (3.6-27.7) / 23.4 (9.5-37.3) / 8.8 (2.7-14.8) / 86.1 (77.0-95.2)
Family Practice / 10.4 (9.0-11.8) / 9.3 (8.2-10.5) / 50.9 (48.7-53.2) / 8.6 (7.6-9.6) / 2.3 (1.8-2.8) / 12.7 (11.1-14.2) / 5.8 (4.6-6.9) / 40.5 (38.2-42.7)
Pediatrics / 23.7 (20.8-26.6) / .2 (0.1-0.3) / 66.3 (63.3-69.3) / 5.5 (4.5-6.5) / .2 (0.1-0.4) / .05 (0-0.1) / 4.1 (3.4-4.8) / 28.2 (25.3-31.2)
Internal Medicine / 4.1 (3.1-5.1) / 14.0 (11.9-16.1) / 47.9 (45.0-50.9) / 5.2 (4.2-6.2) / 3.0 (2.0-4.0) / 20.1 (17.6-22.7) / 5.5 (4.3-6.8) / 46.9 (44.0-49.7)
Endocrinology / 5.6 (2.9-8.3) / 12.4 (6.8-18.0) / 46.1 (38.8-53.3) / 9.0 (4.2-13.9) / 3.9 (1.8-6.1) / 14.3 (9.6-19.1) / 8.6 (5.3-12.0) / 44.9 (37.0-52.8)
Psychiatry / 19.1 (14.5-23.6) / 4.2 (2.2-6.1) / 45.5 (40.0-51.1) / 13.4 (9.7-17.1) / 4.2 (2.1-6.2) / 4.3 (2.2-6.4) / 9.4 (6.6-12.2) / 41.1 (34.8-47.3)
Neurology / 5.0 (3.3-6.7) / 13.1 (8.8-17.4) / 50.1 (44.7-55.5) / 5.8 (3.8-7.7) / 3.0 (1.6-4.5) / 14.8 (11.8-17.8) / 8.2 (6.0-10.5) / 44.2 (38.9-49.4)
Rheumatology / 6.2 (2.9-9.5) / 18.2 (5.3-31.1) / 46.5 (35.7-57.3) / 4.2 (2.5-6.0) / 2.8 (1.3-4.3) / 17.1 (11.2-23.1) / 5.0 (2.4-7.5) / 49.2 (38.8-59.7)
Pulmonary / 6.1 (2.6-9.6) / 15.6 (11.8-19.4) / 38.8 (32.1-45.4) / 3.7 (1.8-5.5) / 1.7 (0.1-3.3) / 30.0 (22.8-37.1) / 4.2 (2.3-6.1) / 57.6 (50.5-64.7)
Rehabilitation / 2.0 (0.5-3.5) / 3.1 (0.1-6.1) / 72.3 (60.8-83.8) / 4.7 (0.9-8.5) / 1.1 (0-2.4) / 10.3 (1.1-19.5) / 6.5 (2.6-10.3) / 23.0 (12.7-33.3)
Nephrology / 3.6 (0-8.8) / 31.4 (15.1-47.7) / 13.8 (6.9-20.6) / .7 (0.2-1.3) / 6.0 (2.0-10.0) / 17.0 (9.6-24.3) / 27.5 (11.6-43.5) / 85.5 (78.5-92.5)
Obstetrics and Gynecology / 13.9 (11.7-16.0) / 1.6 (1.2-2.1) / 65.2 (62.4-68.0) / 6.4 (5.4-7.5) / .4 (0.2-0.6) / 2.4 (1.8-3.0) / 10.1 (8.1-12.0) / 28.4 (25.7-31.0)
Surgery / 4.8 (3.0-6.6) / 8.8 (5.4-12.3) / 50.0 (45.0-55.1) / 5.7 (3.6-7.7) / 2.4 (0.9-3.8) / 16.8 (12.6-20.9) / 11.6 (8.1-15.0) / 44.3 (39.1-49.6)
Anesthesia / 3.7 (0-8.9) / 6.3 (1.1-11.6) / 55.0 (41.9-68.2) / 6.4 (0-14.2) / 2.8 (0-6.6) / 16.0 (3.8-28.3) / 9.8 (3.9-15.6) / 38.6 (24.9-52.3)
Ophthalmology / 3.7 (2.8-4.6) / 13.5 (11.5-15.5) / 36.9 (34.0-39.9) / 13.6 (12.0-15.1) / 1.9 (1.4-2.4) / 22.1 (19.2-25.0) / 8.3 (6.6-9.9) / 49.5 (46.2-52.8)
Otorhinolaryngology / 9.2 (6.4-12.0) / 9.7 (6.8-12.6) / 54.3 (49.9-58.7) / 5.3 (3.7-6.9) / 1.1 (0.4-1.8) / 13.1 (10.2-16.0) / 7.2 (4.7-9.8) / 40.4 (36.0-44.7)
Dermatology / 2.2 (1.3-3.2) / 9.0 (6.8-11.2) / 52.7 (48.8-56.5) / 10.3 (8.5-12.1) / .7 (0.2-1.2) / 19.4 (16.4-22.4) / 5.7 (4.5-6.9) / 37.0 (33.3-40.7)
Plastic Surgery / 1.9 (0.3-3.6) / 2.9 (0.9-5.0) / 53.3 (43.0-63.5) / 15.1 (8.7-21.5) / .1 (0-0.2) / 11.0 (4.9-17.0) / 15.7 (9.4-21.9) / 31.6 (22.9-40.4)
Cardiology / 2.8 (1.5-4.0) / 19.3 (16.8-21.7) / 33.5 (30.3-36.6) / 4.2 (3.3-5.1) / 2.8 (1.8-3.9) / 33.5 (30.0-37.0) / 4.0 (2.9-5.1) / 62.3 (59.0-65.7)
Urology / 3.4 (2.0-4.8) / 15.9 (12.7-19.1) / 38.2 (33.0-43.5) / 6.0 (3.8-8.2) / 2.4 (1.1-3.7) / 29.1 (23.9-34.3) / 5.0 (3.0-6.9) / 55.8 (50.3-61.3)
Radiology / 10.6 (7.3-24.9) / 12.3 (2.2-22.4) / 41.7 (20.5-62.9) / 8.9 (0-19.4) / 1.0 (0-2.1) / 21.1 (8.5-33.7) / 4.2 (1.2-7.3) / 49.4 (28.8-69.9)
Gastroenterology / 4.3 (2.6-6.0) / 11.3 (7.7-14.8) / 50.5 (45.3-55.7) / 5.5 (3.4-7.6) / 1.3 (0.5-2.1) / 21.6 (16.7-26.4) / 5.5 (3.8-7.2) / 44.0 (38.4-49.5)
Orthopedics / 4.5 (3.2-5.8) / 6.6 (5.1-8.1) / 60.0 (56.1-63.9) / 5.0 (3.7-6.2) / 2.2 (1.2-3.3) / 14.5 (11.5-17.4) / 7.2 (4.8-9.7) / 35.0 (31.1-38.9)
Hematology-Oncology / 4.9 (2.5-7.4) / 15.2 (10.3-20.1) / 30.2 (22.8-37.6) / 2.5 (1.2-3.8) / 5.6 (1.0-10.2) / 32.9 (24.6-41.3) / 8.7 (4.9-12.5) / 67.3 (59.8-74.9)
General Practice / 8.9 (7.7-10.2) / 12.6 (11.2-14.1) / 47.0 (45.0-49.0) / 8.6 (7.8-9.5) / 2.8 (2.2-3.3) / 11.2 (9.8-12.6) / 8.8 (7.9-9.7) / 44.4 (42.2-46.5)
Osteopathy / 6.7 (1.9-11.4) / 9.3 (4.6-14.1) / 53.4 (43.5-63.3) / 13.9 (8.1-19.6) / 2.0 (0.2-3.7) / 10.1 (5.0-15.2) / 4.7 (2.7-6.8) / 32.8 (23.8-41.8)
Other[9] / 6.2 (4.0-8.4) / 6.5 (5.0-8.1) / 52.3 (48.4-56.1) / 14.5 (11.5-17.4) / 1.8 (1.2-2.5) / 11.9 (9.6-14.2) / 6.8 (4.7-9.0) / 33.3 (29.4-37.1)
Total / 9.1 (8.3-10.0) / 9.6 (8.8-10.5) / 50.1 (48.7-51.5) / 8.0 (7.5-8.5) / 2.2 (1.9-2.6) / 13.6 (12.5-14.7) / 7.3 (6.8-7.9) / 41.9 (40.4-43.4)

[1] Other government sources include the Veterans Administration as well as other federal, state, and local programs.

[2] Public insurance includes Medicaid, Medicare, and other government sources.

[3] Mean income is for family practitioners who do not practice obstetrics.

[4] Includes both general surgery and thoracic surgery; mean income listed is that of general surgery.

[5] Mean income is for non-invasive cardiologists.

[6] Other specialties include allergy/immunology, hospital residence, pathology, and proctology.

[7] Percentages were weighted to approximate the US population as determined from the December 2004 Current Population Survey.

[8] Other insurance includes Veterans Administration insurance and other government insurance (other federal, state, and local government insurance).

[9] Other specialties include allergy/immunology, hospital residence, pathology, and proctology.