No the point isn't derms are overpaid. The point is PE is cutting out a lot of income in the pocket of a dermatologist. My comments were meant to advocate more indepenednt practice by dermatology, to reveal their disparity between these reference 135 or 180 per encounter 'norms.' To let y'all know there is a lot of money out there being withheld.
Second was to post my own shock of the difference in 99214 reimbursement. I know psychiatry is bad and we are always the field Scat on by hospitals, insurance, etc, etc but this was a new level of disparity, and eye opener for myself.
I'm not coming here to kick your shins. Dial down y'all sensitivity and see this for what it is, a good will showing of numbers and a curiosity of why dermatologists are voluntarily choosing to enter into employment contracts when they can have the gift of their own private practice?