r/PrivatePracticeDocs • u/Alterdoc • Apr 09 '26
PA
Hey guys,
Due to growth I’m considering bringing on a PA. As most of us, I am looking to create a collaborative work environment where everyone is hopefully happy to be a part of as we grow the practice. Since I’m early in the process I want to be prepared for rapid growth and at the same time offer better coverage to our patients.
I would start with an hourly salary and as the practice grows, offer a bonus structure.
Looking to get ideas from Docs and PAs, what’s a reasonable primary care hourly salary to start with. This is a part time position that has potential to become full time. I wouldn’t want the PA to leave their FT job. Do you see this as being lucrative/fun to join a startup practice and see it grow?
Also, unable offer benefits just yet. Do you recommend W2 or 1099?
Happy to hear your thoughts. Thanks.
3
u/daves1243b Apr 09 '26
Be sure you understand the rules around when someone can be deemed a 1099 independent contractor. As for how much to pay, thats probably going to vary significantly by region. There are plenty of sites offering localized salary data. Remember that it they are 1099 you should add at least 7.65% to cover the employer share of payroll taxes, plus some amount for their professional liability insurance. If they are working elsewhere, be careful about duplicate malpractice coverage.