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    In order to protect the confidentiality and validity of the data submitted by ADAM members, we engaged a third party, Carr, Riggs and Ingram, LLC, to ensure that no ADAM member or director had access to the raw data submitted. Their efforts helped us to gather, collate, and produce annual survey results.

  • For the purposes of this survey, the following reports should be prepared in advance:

    1. 2024 Year End Accounts Receivable Reports
      • Aging Report as of 12/31/2024
    2. 2024 Annual Financial Activity (Charges, Payments, Adjustments, and Encounters)
      • By provider
      • By payer
      • By Service Type: General Medical, Cosmetic, Surgical (MOHS), Dermapathology, OTC Product Sales
    3. 2024 Annual Income Statement
    4. 2024 Denial Report 
    5. 2024 Year-End Payroll Report
      • Include pay rates, hire dates, and years of employment

    Provider Staffing: FTE Breakdown and Production

    For the purposes of this survey, the following definitions apply:

    FTE (Full-Time Equivalent): Calculated by dividing total hours worked by 2,080. A full-time schedule is defined as 32 hours/week for physicians and 40 hours/week for mid-level providers.

    Physician: Doctor of Medicine (MD) or a Doctor of Osteopathic Medicine (DO).

    Mid-level Provider: Physician Assistants (PA-C) or Nurse Practitioners (NP-C).

     

    Service Line Revenue Categories

    To assess how each practice generates revenue, the following primary service categories were used:

    General Dermatology: Includes professional clinical services provided by physicians and mid-level providers, excluding services categorized below.

    Cosmetic: Encompasses aesthetician services and physician-administered cosmetic procedures (e.g. facial fillers, neurotoxins), and related retail sales.

    Dermatopathology: Revenue generated from laboratory pathology services.

    Mohs Surgery: Includes traditional Mohs procedures and associated tissue repairs.

    Plastic Surgery: Covers both cosmetic and reconstructive procedures involving repair, reconstruction, or alteration.

  • 1. In which geographic region is your practice?*

  • 2. How many FTE physicians does your practice currently have?

  • 3. How many FTE Mid-Level providers does your practice currently have?

  • 4. How is your practice governed?
  • 5. Does your practice offer any of the following benefits to staff (Check all that apply)?*
  • 6. Does your practice have its own Dermatopathology lab?
  • 7. Does your practice offer Superficial Radiation Therapy (SRT)?
    • ACCOUNTS RECEIVABLE 

    • 1. Please list the dollar value of your outstanding A/R at month-end by aging buckets as of 12/31/2024:

    • 2. How did your practice's accounts receivable change in 2024 compared to previous years?

    • 3. Please indicate the percentage in A/R by pay source as 12/31/2024:

    • Value must equal 100

    • 4. Please indicate the percentage of annual total practice Accounts Receivable by service type as 12/31/24:

    • 6. Is the bad debt write off from 2024 more or less than prior year?

    • 7. What was the average gross revenue per patient in 2024 by service type?

    • CHARGE PRODUCTION 

    • 3. What was the percentage in gross charges by payer source:

    • 4. Which one payer showed the greatest increase in financial contribution in 2024 compared to previous years? (choose one)

    • 5. List your percentage of gross charges by service type for 2024:

    • 6. How many appointments are scheduled per day for a FTE Physician (MD or DO), in a typical appointment type template?

    • 7. How many appointments are scheduled per day for a FTE Mid-Level Provider (NP or PA), in a typical appointment type template?

    • 8. Do you block schedule (using specific time periods on certain days) for cosmetic/surgical procedures (non-Mohs)?

    • Mohs Surgery

    • Mohs Surgery 
    • 1. Do you have a Mohs Surgeon*
    • 5. How do you schedule your cases?
    • 6. Does your surgeon perform Mohs procedures on multiple skin sites on a patient in the same day?
    • 7. Does your surgeon perform repairs on the same day of the Mohs procedure?
    • 8. What percentage of surgeries does your Mohs surgeon perform own closures?
    • 9. Who typically performs closures at practice?

    • 10. How many FTE of each of the following roles are assigned to your Mohs surgeon in a typical day?

    • 11. Does your practice perform any of the following in conjuction with Mohs procedures and their corresponding cryostat work?
    • 13. Does your Mohs surgeon operate on in-situ Melanomas?

    • 15. List the average percentages of charges of the work performed by your Mohs surgeons by the following types in 2024:

    • 16. Is your Mohs surgeon only performing 100% Mohs cases?

    • 17. Mohs procedure volume per FTE Mohs physician(s) by CPT Code for 2024:

    • 18. How is compensation calculated for Mohs surgeon?
    • 19. What is your average annual salary (including bonuses) for Mohs Surgeon with 0-5 years of experience?
    • 20. What is your average annual salary (including bonuses) for Mohs Surgeon with 6+ years of experience?
    • CLINICAL STAFFING 
    • 1. How do you determine the number of full-time equivalent medical assistants per full-time provider?

    • 2. When staffing an established physician in clinic, how many full-time equivalent staff do you have per provider (MD, DO)?

    • 3. When staffing an established mid-level provider in clinic, how many full-time equivalent staff do you have per provider (NP/PA)?

    • 4. What is the average hourly pay rate for medical assistants with 0-3 years of experience?
    • 5. What is the average hourly pay rate for medical assistants with 3-5 years of experience?
    • 6. What is the average hourly pay rate for medical assistants with 5+ years of experience?
    • 7. What Certification does your medical assistant hold?
    • 8. What is the average hourly pay rate for LPN with 0-3 years of experience?
    • 9. What is the average hourly pay rate for LPN with 3-5 years of experience?
    • 10. What is the average hourly pay rate for LPN with 5+ years of experience?
    • 11. What is the average hourly pay rate for RN with 0-3 years of experience?
    • 12. What is the average hourly pay rate for RN with 3-5 yrs of experience?
    • 13. What is the average hourly pay rate for RN with 5 + yrs of experience?
    • 14. What is the average hourly pay rate for CDT with 0-3 years of experience?
    • 15. What is the average hourly pay rate for CDT with 3-5 years of experience?
    • 16. What is the average hourly pay rate for CDT with 5+ years of experience?
    • 17. Do your MAs function as scribes for your physicians?
    • 18. Does your practice use remote or AI scribes?
    • 19. Do you employ in-office scribes separate from the medical assistant roles?
    • 20. What is the average hourly pay rate for Scribe with any level of experience?
    • 21. How is compensation calculated for General Dermatology Physician (MD/DO) without Mohs (Check ALL that apply)?
    • 22. What is your average annual salary (including bonuses) for General Dermatology MD/DO with 0-5 years of experience?
    • 23. What is your average annual salary (including bonuses) for General Dermatology MD/DO with 6+ years of experience?
    • 24. What is your average annual salary (including bonuses) for Dermatopathology?
    • 25. How is compensation calculated for NP/PA?
    • 26. What is your average annual salary (including bonuses) for NP with 0-5 years of experience?
    • 27. What is your average annual salary (including bonuses) for NP with 6+ years of experience?
    • 28.What is your average annual salary (including bonuses) for PA with 0-5 years of experience?
    • 29.What is your average annual salary (including bonuses) for PA with 5+ years of experience?
    • ADMINISTRATIVE STAFFING 
    • 1. How do you determine the number of full-time equivalent front desk receptionist per location?
    • 2. What duties does your front desk perform (Check All that Apply)
    • 4. What is the average hourly pay rate for front desk staff?
    • 5. Do you employ separate staff for phone operators or a call center?
    • 6. What is the average hourly pay rate for phone operator/call center?
    • 7. Do you employ separate staff for insurance verification purposes?
    • 8. What is the average hourly pay rate for referral coordinator?
    • 9. What is your average salary rate for practice administrator role with 0-5 years of experience?
    • 10. What is your average salary rate for practice administrator role with 5 + years of experience?
    • 11. What is the average salary rate for practice supervisor/office manager role with 0-5 years of experience?
    • 12. What is the average salary rate for practice supervisor/office manager role with 5+ years of experience?
    • BILLING AND COLLECTIONS 
    • 1. Are your Billing Functions:
    • 2. If billing is outsourced, how is the Fee structure determined for this service?
    • 3. If billing is in-house, how do you determine the number of full-time equivalent billing staff?
    • 4. Do you differentiate your business office staffing between data entry personnel (charge capture/posting, payment posting) and claim/account follow-up roles?
    • 7. What is the average annual salary for Claim/Account follow-up role that are Certified Medical Coders/Billers?
    • 8. What is the average annual salary for Claim/Account follow-up role, non-certified Medical Coders/Billers?
    • 9. Do you employ separate personnel specifically for self-pay or collection of patient balances?

    • 10. What was your average claim volume for 2024?

    • COSMETICS and AESTHETIC SERVICES (excluding retail products) 
    • 1. What aesthetic services does your practice currently offer? (check all that apply)
    • 2. What Laser Treatment types does your practice currently offer? (check all that apply)

    • 4. What percentage of revenue is generated by each of the following services?

    • 5. Which one of the following aesthetic services generated the most revenue for your practice in 2024?
    • 6. Are you planning to add any new aesthetic services in the next 12 months?
    • 7. What percentage of your overall revenue comes from aesthetic procedures and services excluding retail products?
    • 8. Which key factor do you prioritize most when setting prices for aesthetic treatments?
    • 9. How is your aesthetic revenue trending year-over-year?
    • 10. Who performs aesthetic treatments? Check all that apply
    • 11. How many staff members are dedicated to aesthetic services?
    • 12. What percentage of aesthetic treatment is performed by your Dermatologist?
    • 13. What percentage of aesthetic treatment is performed by your Mid-Level Provider (NP, PA) ?
    • 14. What is the average hourly pay rate for Esthetician?
    • 15. Does your practice typically rent, purchase or lease laser devices?
    • 16. How often do you invest in new devices or upgrade existing ones?
    • 17. Which factor do you prioritize in your decision to purchase new aesthetic devices?
    • 18. What is average age range of aesthetic patients?
    • 19. Are you experiencing any of the following barriers to growing your aesthetics service line (check all that apply)?
    • 20. Do you offer any membership or loyalty programs for aesthetic services?
    • 21. What channels are most effective for promoting and growing patient volume for your aesthetic services (check all that apply)?
    • RETAIL 
    • 1. Do you offer any of the following in-house retail products? (Check all that apply)
    • 2. Do you sell skincare or cosmetic products in your office or online?
    • 3. Which factor do you prioritize when determining pricing for retail products in your practice?
    • 4. How is your retail revenue trending year over year?
    • PATIENT ACCESS 
    • 1. How far out are you booking appointments?

    • 4. What was the daily average of the number of patients seen per day by FTE provider?

    • 5. What percentage of total revenue is spent on marketing (including salaries and advertising cost)?
    • 6. What marketing channel is the most effective for promoting your overall practice/services?
    • 7. Does your clinic have a patient portal?
    • 8. Does your practice utilize virtual assistant?
    • 9. Do you use a kiosk for patient check-in?
    • 10. Does your practice offer online patient appointment scheduling?
    • 11. Do you use AI for any of the following?
    • OVERHEAD EXPENSES  

    • Enter total dollar amount for each expense category in 2024:

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