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16-03-2024 08:09 PM
Unregistered
Quote:
Originally Posted by Unregistered View Post
Imagine you selling chicken rice. 1 plate $5 but your cost is $1 how much you make? Compared to your friend 1 plate $20 in hotel but cost $18. Who make more?
lolz, cant imagine u actually need to thumb it down so much for him/her/it/they.
when the reply is "So larger bill size doesn't necessarily mean good?" surely realized you are not dealing with someone very bright?
16-03-2024 05:41 PM
Unregistered
Quote:
Originally Posted by Unregistered View Post
So larger bill size doesn't necessarily mean good?
Imagine you selling chicken rice. 1 plate $5 but your cost is $1 how much you make? Compared to your friend 1 plate $20 in hotel but cost $18. Who make more?
16-03-2024 02:03 PM
Unregistered
Quote:
Originally Posted by Unregistered View Post
Huh
Bill size not equals profit lei.
So larger bill size doesn't necessarily mean good?
15-03-2024 10:25 PM
Unregistered
Quote:
Originally Posted by Unregistered View Post
Can I ask a very noob but genuine question? Hopefully some seniors gp can enlighten me. I have just started locuming for past 1 month. (Previously largely done hospital postings in GM and ed)

My question is regarding the billing system/mechanism in gpland and how a clinic earns their revenue.
I have read through this thread, and many have pointed out that it's way easier to earn money through simple urti/ge cases compared to chronics.
In my last 1-2 weeks of locum, most of the largest bill size I see are from chronic patients. For e.g
- for a patient with just htn/hld, on telmisartan 40mg om and atorvastatin 40mg on, the bill size can hit slightly under 200 dollars for 1 mths supply of meds. (Only realized Atorvastatin 40mg is close to 130 dollars for 1 mths. I am not sure if my clinic uses branded drug or what as I just keyed in the drug name, although I had to give 2x 20mg tab in this case- not sure if it affects price)
- another pt with dm with albuminuria and hld, on atorvastatin and forxiga and telmisartan, the bill size came to 600 dollars for 2 mths meds.

As their chronics reasonably well control, I can complete the consult in 7-8 min, only slightly longer than a simple urti/ge consult.
However for urti/ge consult, very hard to hit over 100 dollars. On average 20-40 dollars only for meds, maybe 50-60 if I push hard for abx)
I am not including consult price as many are contract patients (so consults often charged at a much lower price)

I am only locum la, so I don't really care about the revenue of the clinics, but I must say that chronic bill size can be 4-5x of an acute case, with only slightly more effort (just a few more minutes of tlc and nagging), so not sure why people say chronic not profitable?

This is after hsg whitelisted thing kicked in btw

Hence would like to hear more about the billing mechanism in gp land
Huh
Bill size not equals profit lei.
15-03-2024 09:12 PM
Unregistered Can I ask a very noob but genuine question? Hopefully some seniors gp can enlighten me. I have just started locuming for past 1 month. (Previously largely done hospital postings in GM and ed)

My question is regarding the billing system/mechanism in gpland and how a clinic earns their revenue.
I have read through this thread, and many have pointed out that it's way easier to earn money through simple urti/ge cases compared to chronics.
In my last 1-2 weeks of locum, most of the largest bill size I see are from chronic patients. For e.g
- for a patient with just htn/hld, on telmisartan 40mg om and atorvastatin 40mg on, the bill size can hit slightly under 200 dollars for 1 mths supply of meds. (Only realized Atorvastatin 40mg is close to 130 dollars for 1 mths. I am not sure if my clinic uses branded drug or what as I just keyed in the drug name, although I had to give 2x 20mg tab in this case- not sure if it affects price)
- another pt with dm with albuminuria and hld, on atorvastatin and forxiga and telmisartan, the bill size came to 600 dollars for 2 mths meds.

As their chronics reasonably well control, I can complete the consult in 7-8 min, only slightly longer than a simple urti/ge consult.
However for urti/ge consult, very hard to hit over 100 dollars. On average 20-40 dollars only for meds, maybe 50-60 if I push hard for abx)
I am not including consult price as many are contract patients (so consults often charged at a much lower price)

I am only locum la, so I don't really care about the revenue of the clinics, but I must say that chronic bill size can be 4-5x of an acute case, with only slightly more effort (just a few more minutes of tlc and nagging), so not sure why people say chronic not profitable?

This is after hsg whitelisted thing kicked in btw

Hence would like to hear more about the billing mechanism in gp land
15-03-2024 07:36 PM
Unregistered
Quote:
Originally Posted by Unregistered View Post
leak by the boss man himself
he emailing at 12 am to 2am
prolly too delirious from counting his money ( or too tired ) and accidently include a very popular locum mailing list in his emails

later on still send out email saying dun open my email! likely contain virus! I didn't send those email! Damn funny. Who will go write a virus like that? He think we all stupid.
Damage done liao.

anyway, grab it while u can la folks
Got 15K , 18K salary grab it. Esp if its a reputable group that is sensible. Eg frontier, raffles etc.
You really don't want to be caught in the situation with this kind of fledging group where you get let off because your 39K clinic rent isn't earning enough to justify your salary. How are you gonna be paying the mortgage on the 2 million dollar 1200 square feet condo you just bought in Clementi if you lost ur job? Your wife who married you for the channel bag isn't gonna be very happy when u can't pay for it when you are jobless.

Pandemic over. No more endless easy 80 bucks URTI consult liao.
USA inflation ending
Singapore errection coming, so inflation will be curb one way or another.
Prices gonna moderate
GP salary too.

Now you all GPs are gonna be suckered into healthier SG. Basically gonna take over some of the polyclinic job. Hehehe.... i dunno how you all are gonna do it. somehow MOH thinks that by writing some guidelines , the GPs will be able to handle things.
If you can learn medicine just by books, no need residency liao. People can become cardiologist just by reading textbooks.
What are reputable groups? Mind sharing more. Obviously the big 3-4 (raffles, parkway shenton, healthway, Fullerton) but how do you judge middle sized groups to be reputable? (I.e those similar in size to frontier, e.g onecare, minmed, acumed, DA etc etc..)
15-03-2024 05:05 PM
Unregistered
Quote:
Originally Posted by Unregistered View Post
Omg leaked?
Source please. Leaked by who and where?
leak by the boss man himself
he emailing at 12 am to 2am
prolly too delirious from counting his money ( or too tired ) and accidently include a very popular locum mailing list in his emails

later on still send out email saying dun open my email! likely contain virus! I didn't send those email! Damn funny. Who will go write a virus like that? He think we all stupid.
Damage done liao.

anyway, grab it while u can la folks
Got 15K , 18K salary grab it. Esp if its a reputable group that is sensible. Eg frontier, raffles etc.
You really don't want to be caught in the situation with this kind of fledging group where you get let off because your 39K clinic rent isn't earning enough to justify your salary. How are you gonna be paying the mortgage on the 2 million dollar 1200 square feet condo you just bought in Clementi if you lost ur job? Your wife who married you for the channel bag isn't gonna be very happy when u can't pay for it when you are jobless.

Pandemic over. No more endless easy 80 bucks URTI consult liao.
USA inflation ending
Singapore errection coming, so inflation will be curb one way or another.
Prices gonna moderate
GP salary too.

Now you all GPs are gonna be suckered into healthier SG. Basically gonna take over some of the polyclinic job. Hehehe.... i dunno how you all are gonna do it. somehow MOH thinks that by writing some guidelines , the GPs will be able to handle things.
If you can learn medicine just by books, no need residency liao. People can become cardiologist just by reading textbooks.
15-03-2024 08:24 AM
Unregistered
Quote:
Originally Posted by Unregistered View Post
Pinnacle leaked their salary recently lei
Where got 22k?
Even the boss pay himself 20k only
Next highest is some Ryan at 19k
Some poor guy in Sembawang shopping centre 13.5k.
If I'm him I quit liao...so much discrepancy.

22k probably U work all evenings lo.
Got money no life
What's the point.

This Pinnacle go bid 39k rent for tampiness bto clinic

Doctor manpower about 120 an hour or 1.5k a day
One month 45k if open everyday

Fix cost already 84k before clinic assistant, toilet cleaner
Think monthly revenue 100k then break even nia.

This kind of bugger.
Pandemic money come easy now go and spoil market
He thinks he is the next tan see leng or loo choon yong

Hope HDB release more shop space around that area
Hehe.
Omg leaked?
Source please. Leaked by who and where?
14-03-2024 10:14 PM
Unregistered
Quote:
Originally Posted by Unregistered View Post
Best is get paid end of session.
Be careful who U locum for
Usually solo GP ok
End of the day still same profession , will try not to jiak you.

There are quite a fair bit of non doctor owned practices
Setup by business man
They cashflow got problem, end of the month U jiak sai
s**t la
name and shame please, SIC
14-03-2024 07:16 PM
Unregistered
Quote:
Originally Posted by Unregistered View Post
Best is get paid end of session.
Be careful who U locum for
Usually solo GP ok
End of the day still same profession , will try not to jiak you.

There are quite a fair bit of non doctor owned practices
Setup by business man
They cashflow got problem, end of the month U jiak sai
Wah you mean this day and age, still got locums not getting paid ah?
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