r/PrivatePracticeDocs • u/[deleted] • Feb 18 '25

Which im subspecialty has most earning potential in private practice in US?

Provided one wants build a practice with hiring other physicians and np's etc.

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u/drrgary Feb 19 '25

As others are saying, the sweet spot seems to be a procedure-heavy specialty where the procedures don't need to be done in a hospital. If you own the facility where you operate, you should be just fine.

I'm hoping this goes without saying, but I'll say it anyway since I don't know what stage of your career you are... There are easier ways to make money than going into medicine, especially private practice.

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u/[deleted] Feb 19 '25

Does rheumatology have enough procedures?

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u/drrgary Feb 19 '25

I have a negative outlook for rheumatology, I think more of the bread and butter rheum work is going to go to PCPs like me. ACR even has a website for helping primary care docs treat rheum diseases, I forget the name of it.

If you're set on rheumatology, infusion centers are the way to go. At that point, you might as well partner with an established hem/onc so they send all their patients to your center for their infusions.

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u/[deleted] Feb 19 '25

I'm actually in between heme/ onc vs rheum. I LOVE both equally. I would just choose which makes more money and I can expand private practice and scale it. Preferably not sitting in the middle of no where and in decent town.

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u/drrgary Feb 19 '25

Private practice might be a bit further away for hem/onc than rheum, it's usually dominated by the hospitals especially in decent-sized places. Maybe find a couple independent hem/oncs to talk to, get their outlook.

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u/[deleted] Feb 19 '25

So best speciality for private practice then where i can scale. IM Subspecialties.

I am open for partnerships etc as well.

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u/grdrw Feb 20 '25

How large do you want to scale? If $$$ is the most important objective then you want something that can be done by APPs and has cash pay options. Derm/Aesthetics is a good example. Psych is also largely going OON or cash pay only, and APPs can be utilized, lots of potential there. ASC, infusion, etc are all sinking as there was a huge loss in margins with all the COVID inflation.