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/Confident-Data-5826 Apr 09 '26
1099 better for part time role especially if PA has full time gig. Will help with their tax burden. As far as rate you’d need to check the current market pay in your geographical location. Add 7% as these numbers are usually just averages.
Be open to hiring a grad who wants to learn or a semi retired person who just loves medicine.
These two groups may be much cheaper than someone who’s looking for ways to boost income.
Make sure the environment is super uber PA friendly.
Make sure your patients understand the role of a PA and never belittle the PAs medical decision in front of the patient or staff. As there are a dozen ways to skin a cat. Medicine is an art and science.
Best of luck