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Why High-Producing Surgeons/Physicians Still Feel Underpaid
High-producing surgeons can still feel underpaid — even when the practice is performing well.
The disconnect is rarely about effort. It’s about the hidden economics of shared costs and the overhead drivers behind them.
In this episode of Beyond the Numbers, Randy Kardas, CPA, explains why allocation models built for smaller, simpler practices often fail as complexity grows. When shared services, PA utilization, billing workload, and facility demand aren’t aligned with actual activity, physician P&Ls begin telling a distorted story.
Inside this discussion:
Why compensation debates are usually cost allocation debates
How different drivers (wRVUs vs. time/cases) change profitability signals
The operational load high-volume surgeons carry that doesn’t show up clearly in reports
Why leadership time spent defending models is an expensive hidden cost
How economic clarity restores trust and accelerates growth decisions
If your meetings feel more like fairness negotiations than strategy sessions, this episode will resonate.
Visit us at https://www.mycampbellandco.com
Call us at 352-683-7365
Or drop us a line at [email protected]
View all episodes
By Randy KardasHigh-producing surgeons can still feel underpaid — even when the practice is performing well.
The disconnect is rarely about effort. It’s about the hidden economics of shared costs and the overhead drivers behind them.
In this episode of Beyond the Numbers, Randy Kardas, CPA, explains why allocation models built for smaller, simpler practices often fail as complexity grows. When shared services, PA utilization, billing workload, and facility demand aren’t aligned with actual activity, physician P&Ls begin telling a distorted story.
Inside this discussion:
Why compensation debates are usually cost allocation debates
How different drivers (wRVUs vs. time/cases) change profitability signals
The operational load high-volume surgeons carry that doesn’t show up clearly in reports
Why leadership time spent defending models is an expensive hidden cost
How economic clarity restores trust and accelerates growth decisions
If your meetings feel more like fairness negotiations than strategy sessions, this episode will resonate.
Visit us at https://www.mycampbellandco.com
Call us at 352-683-7365
Or drop us a line at [email protected]