For General Practitioners (GPs) in Australia, the remuneration structure where they work can play a significant role in both their professional satisfaction and financial success. Among the options available, the 75% billings model stands out as an increasingly popular choice, especially in various suburban and regional areas across the country.
Whether in the bustling outer suburbs of South West Sydney, the growing communities of Western Sydney, or the regional hubs in Queensland and Victoria, this model offers GPs the potential to maximise their income while enjoying the flexibility that suits their lifestyle.
Understanding the nuances of the 75% billings model, along with its advantages and considerations, is essential for GPs at any stage of their career. In this blog, we’ll delve into what makes this model so appealing and how it could align with your career aspirations.
Key Takeaways
- 75% Billings Model: A popular remuneration structure for GPs in Australia, offering significant earning potential directly tied to the number of patients seen and services provided.
- Flexibility and Autonomy: This model allows GPs to control their workload and schedule, making it ideal for those who value work-life balance and autonomy.
- Additional Earning Opportunities: GPs can earn more than 75% in certain situations, such as co-ownership opportunities, after-hours work, specialised services, or incentive-based contracts.
- Practice and Location Influence: The availability and structure of the 75% billings model can vary depending on whether the practice is corporate or private, its location (e.g., suburban, regional, or remote), and the establishment of the patient base.
- Consideration Required: GPs must carefully consider their personal and professional goals, as well as the specifics of the practice environment, before opting for the 75% billings model.
How Does the 75% Billings Model Compare to Other Remuneration Structures?
When evaluating remuneration structures, it’s important to consider how each model aligns with your professional goals and work preferences. The 75% billings model, while appealing for its earning potential, operates differently from other common structures in key ways.
Fixed Salary Rate
A fixed rate is the most straightforward remuneration structure, offering GPs a predictable income regardless of the number of patients they see. This model provides financial stability and is often preferred by GPs who value consistency and do not wish to manage the variability associated with patient billings. However, the trade-off is that your income is capped, meaning there’s limited opportunity to increase earnings based on productivity. The fixed rates can be based on hourly or daily amounts.
Mixed Model
The mixed billing model combines elements of both a fixed rate and a percentage of billings. It offers a base level of financial security while still allowing GPs to earn additional income based on their billings. This model is particularly suited to GPs who want the best of both worlds—steady earnings with the potential for bonuses or extra income through higher patient volume. It also serves as a good compromise for those who may not be ready to fully commit to a pure billings model but still want to benefit from their efforts.
Percentage-Based Models Beyond 75%
In some practices, higher percentage-based billing models (e.g., 80% or more) may be offered, often with trade-offs such as fewer administrative support services or less established patient bases. While these models can lead to even higher income, they require GPs to be more self-sufficient and proactive in managing their practice.
The 75% model, by comparison, strikes a balance between a generous percentage and the level of support typically provided by the practice.
In essence, the 75% billings model is ideal for GPs who are confident in their ability to maintain a steady flow of patients and who want to directly benefit from their productivity. It offers a dynamic earning potential that is closely tied to the GP’s individual efforts, providing a sense of ownership and control over their financial outcomes.
Why 65% Can Sometimes Be Just as Rewarding as 75%
The 65% billings model, while seemingly lower than the 75% model, can actually be a more lucrative option for General Practitioners in the right circumstances. In practices where there is a strong, loyal patient base, the consistency in patient volume can lead to a stable and reliable income that often matches or even surpasses what might be earned under a higher percentage model.
Practices offering 65% of billings typically provide more robust nursing support. With dedicated nursing staff handling tasks such as patient prep, minor procedures, and follow-ups, GPs can focus more on seeing patients and less on administrative or routine duties, thereby increasing the number of consultations they can complete in a day. This increased efficiency can lead to higher overall billings, even with a lower percentage share.
Such practices often have integrated Allied Health services on-site, such as physiotherapy, psychology, or dietetics. These services not only attract a broader patient base but also encourage referrals within the practice, keeping patients engaged and increasing the likelihood of repeat visits.
Additionally, for GPs with specialised skills in areas like chronic disease management, mental health, or minor surgical procedures, the 65% model can be particularly advantageous. These practitioners can attract a dedicated patient base that values and is willing to pay for their specialised services, further enhancing their income potential.
Another factor to consider is the variation in standard consult fees across different clinics. Some practices with a 65% billings model may charge higher consultation fees than those offering 75%, which means that the actual dollar amount per consult could be comparable or even higher, despite the lower percentage. In such settings, GPs can potentially earn as much, if not more, than they would under a 75% model, especially when combined with the other support services available.
In some practices, the 65% model is often paired with performance-based incentives, which can significantly increase total earnings, potentially surpassing what could be achieved with a 75% model. Therefore, while the 75% billings model is undoubtedly attractive, it’s important for GPs to recognise that the 65% model, when offered in the right practice setting, can be just as, if not more, financially rewarding.
Why Choose the 75% Billings Model?
Opting for the 75% billings model can significantly enhance both your professional and personal life as a General Practitioner (GP). The first and perhaps most compelling advantage is the potential for higher earnings.
In areas like South West Sydney, where patient demand is consistently high, this model allows you to directly benefit from your efforts. Every patient you see contributes to your income, creating a clear incentive to increase your patient load. This is particularly beneficial for GPs who are motivated to maximise their financial rewards.
Flexible Lifestyle
The flexibility offered by the 75% billings model is unmatched. Unlike traditional salaried roles, where your schedule is often dictated by the needs of the practice, this model puts you in control. You can decide how many hours you want to work, and how many patients you wish to see, allowing you to tailor your schedule to fit your lifestyle.
This is especially valuable in suburban and regional settings, where GPs may need to balance professional responsibilities with personal commitments. For instance, if you want to spend more time with your family or pursue further studies, the 75% model gives you the leeway to adjust your workload accordingly.
Productivity
75% billings also incentivise efficiency and growth. Since your income is directly tied to your productivity, there’s a strong motivation to streamline your practice operations. Whether it’s optimising appointment scheduling, expanding the range of services you offer, or enhancing patient care protocols, the more efficiently you run your practice, the more you stand to gain. This not only boosts your earnings but also improves patient satisfaction, as they receive timely and high-quality care.
Specialisation growth
If you have a particular area of interest, such as chronic disease management, mental health, or paediatrics—this model allows you to focus on building a specialised practice. By attracting and retaining patients who need your specific expertise, you can carve out a niche in the market while increasing your billings. Over time, this can lead to both professional fulfilment and financial success, as you become known as an expert in your chosen field.
What Should GPs Consider When Opting for the 75% Billings Model?
When evaluating the 75% billings model, General Practitioners (GPs) should be aware that this remuneration structure can vary widely based on several factors. Here are some specific considerations that may influence how this model is applied:
Opportunities for Additional Earnings
The 75% billings model is not always a one-size-fits-all arrangement. In some cases, GPs may have the opportunity to earn more than the base 75% through various incentives and additional work:
- Co-Ownership or Long-Term Partnerships: GP owners of medical centres who are looking for a co-owner or a long-term partner may offer more than 75% of billings to attract the right candidate. This can be a lucrative option for GPs interested in not just practising medicine but also in having a stake in the business.
- After-Hours Work: GPs willing to work after-hours, including evenings, overnight shifts, weekends, or public holidays, may be offered a higher percentage of billings as a reward for covering these less desirable time slots.
- Specialised Services: GPs who are highly specialised in specific on-site services, such as Skin Cancer treatments or General Surgeries, may negotiate for a higher percentage of billings. Their expertise brings added value to the practice, justifying a more generous compensation package.
Incentive-Based Contracts and Locum Work
In addition to the base 75%, some GPs may find themselves in situations where they can earn even more under certain conditions:
- Incentive-Based Contracts: Some practices offer 75% of billings as part of an incentive-based contract, where GPs can earn additional income if they meet specific patient or revenue targets. This arrangement is designed to motivate GPs to maintain a high level of productivity and patient care.
- Locum or Temporary GPs: For GPs who take on locum or temporary positions, such as covering for maternity leave or during peak periods, the 75% billings model might be offered. This is particularly common during times when a practice needs extra hands on deck.
Practice Type and Location
The type of practice and its location can also influence how the 75% billings model is structured:
- Corporate vs. Private Practices: Large, corporate medical centre groups are more likely to offer 75% of billings compared to smaller, privately run centres, which may not have the financial capacity to match such offers. GPs should consider the financial stability and long-term viability of the practice when evaluating these offers.
- Remote or Regional Locations: In very remote or regional areas, 75% of billings may already be the standard rate as a strategy to attract GPs to these less populated regions. The demand for healthcare in these areas often requires additional incentives to draw qualified professionals.
- Newly Established Practices: GPs might also find 75% of billings offered in newly established medical centres in growing suburbs or newly built areas of a city. These practices might offer this rate to entice GPs to commit long-term, with the expectation that patient numbers will increase as the area develops.
- Patient Following: GPs moving from another practice and bringing their own established patient base may be offered 75% of billings or more. This is because their existing patient following brings immediate value to the new practice, reducing the time needed to build a new patient base.
Current 75% Billings GP Job Opportunities
If you’re a GP considering the 75% billings model, there are several exciting opportunities available across various regions. These roles not only offer competitive remuneration but also come with the added benefits of working in dynamic and supportive environments. Here are some of the current openings:
- Ipswich, QLD: A well-established practice is offering DPA + 75% of billings, available for either part-time or full-time engagement. This is an excellent opportunity for GPs looking to work in a regional hub with a strong patient demand.
- Caringbah, NSW: Located in the southern suburbs of Sydney, this practice offers 75% of billings for both part-time and full-time positions. It’s an ideal location for GPs wanting to work in a busy suburban area with a steady flow of patients.
- Narellan, NSW: In the growing Macarthur region of southwestern Sydney, this opportunity provides 75% of billings. GPs in this area can enjoy a balance of suburban living while catering to a diverse and expanding patient base.
- Merrylands, NSW: Situated in Western Sydney, this role offers 75% of billings, making it a great option for GPs looking to work in a well-connected suburban area with a mix of cultures and healthcare needs.
- Craigieburn, VIC: This practice in Victoria offers 75% of billings for GPs, presenting a fantastic opportunity for those who want to work in a thriving suburb with a rapidly growing population.
- Greensborough, VIC: Located in Melbourne’s northeastern suburbs, this practice is offering 75% of billings, ideal for GPs seeking a position in a well-established, community-focused practice.
- Frankston, VIC: For GPs interested in coastal living, this opportunity in Frankston offers DPA + 75% of billings, available for both part-time and full-time roles. It’s perfect for those looking to work in a scenic location while still enjoying a robust patient base.
Whether you’re a GP considering a move to a new practice, looking to increase your earnings, or seeking greater flexibility, the 75% billings model offers a viable path to achieving your goals. It’s a dynamic option that rewards productivity and specialisation, making it a suitable choice for those ready to take control of their career trajectory.
At Gorilla Jobs, we are committed to assisting doctors with their recruitment journey and finding the perfect roles that align with their professional goals. Whether you are a doctor seeking new opportunities or an employer looking to hire qualified healthcare professionals, Gorilla Jobs is here to support you.
Disclaimer: This blog is intended as a general overview of the topic and should not be construed as professional legal or medical advice.
FAQ
What is the 75% billings model?
The 75% billings model allows GPs to earn 75% of the total billings they generate, with the rest covering practice costs.
How does it compare to other models?
It offers higher earning potential tied to productivity, unlike a fixed salary, which is more stable but capped.
Is 75% always better than 65%?
Not necessarily. A 65% model can be just as profitable with strong patient volume, good support, and higher consult fees.
Can I earn more than 75%?
Yes, in situations like co-ownership, after-hours work, or specialized services, GPs may earn more.
What should I consider before choosing?
Look at patient volume, support services, consult fees, and the overall stability of the practice.
Can I negotiate my percentage?
Yes, especially if you bring specialized skills or a strong patient base.
Is it more common in certain locations?
Yes, it’s often offered in suburban and regional areas where demand for GPs is high.
Will I get the same percentage for all work?
Generally, but it’s best to clarify this in your contract, as it can vary with different tasks.
