Reaching $100k in gross revenue per month one year after opening

November will mark one year since I went full time in my primary care practice. It has been a hell of a journey. From all the initial headaches, to now things starting to smooth out. The biggest headache was that Aetna took 9 months to credential me. Not only did they take forever to get me in network, they lied to me and told me I was in network (They even had me listed as in network on their website before taking it down).… Read the rest

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Side Gig: Supplementing Income With Skilled Nursing Facilities

Picking up extra shifts in a subacute care facility sounds like a wonderful idea. Almost no overhead is involved for the physician, especially since most doctors already have a laptop and a malpractice policy. It seems like a natural progression that almost every hospitalist or primary care physician goes through, telling yourself that you can make extra money doing subacute care.… Read the rest

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Become A Medical Director

Being a Medical Director is more than collecting a monthly paycheck. One of the most popular questions that I receive is how to make extra money as doctor. While there are many ways to make extra cash, becoming a medical director always seems to come up as a possible “easy” way to make money. While there are some perks, including financial benefits, there are also several risks to becoming a medical director.… Read the rest

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Buying A House With A Doctor Mortgage

After 11 months of searching for a house, I’ve finally bought a home. The paperwork associated with buying a house is most likely not as difficult as soon to be new home owners think. The hardest part of the process was finding a house that I wanted to buy. For those who have been following this website, you know I’ve been searching for a long time.… Read the rest

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Earnest Has Been Acquired By Navient for $155 Million

Navient, the Sallie Mae spin-off created in 2014, this week made public that they bought student loan refinancing company, (Earnest) for 155 million dollars. This is a major step for Navient, which previously has focused on servicing and collecting federal or private student loans. The acquisition now allows them to start originating loans in addition to servicing them. The market seem to of had a lukewarm reaction by evidence of its stock, NAVI, dropping 14% the day this was announced.… Read the rest

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Houston, We Have A Convenience Spending Problem

Paying for the convenience of purchasing an item, I would bet, is costing you big bucks. Amazon has become synonymous for purchasing goods at a convenience. Their one click patent, gave their customers the availability to buy an item and have it shipped to them with only one click. Though Amazon was not the first, they were definitely one of best to pioneer convenience buying.… Read the rest

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Build The Life You Want, Not The Bank Account You Want

It’s easy to lose sight of the big picture with investing. While building investment portfolios, sometimes it’s easy to forget to build the life you want, not the bank account you want. Like many others, I love reading other blogs focused on early retirement, financial independence, or frugal living. In fact, I enjoy it so much that I started this website to help others with personal finance and investing.… Read the rest

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A Caution For Doctors Entering Into A RVU Based Contract

Doctors’ paychecks are often structured in one of three ways. Salary only, salary plus incentive bonuses, or production only. RVU (Relative value unit) is a method the United States Medicare system uses to value reimbursement for physician services. Some physician contracts, such as my contract, is 100% based on production, or how many RVU’s I bill for.

There are advantages and disadvantages to each system.  … Read the rest

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Financial Impostor Syndrome Post Graduation

It’s that time of year where newly graduated physicians have started their first job as an attending.  The sudden change is in many ways as drastic as entering medical school. Suddenly, there are a whole new set of problems to conquer and a feeling that, just maybe, other people are better than you at tackling these problems.

If you have no idea what I’m talking about, then consider yourself lucky.… Read the rest

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The Golden Handcuffs For Doctors – Loan Forgiveness

Graduating doctors often have a significant problem to overcome – student loan debt. Many new doctors will not consider a job unless there is some form of debt repayment or ability for debt forgiveness. Jobs that offer debt repayment can end up being a golden handcuff that keeps new doctors attached to their job for potentially longer than they would like.… Read the rest

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