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British Columbia Family Physician Billings Reach C$704,097, 71% Above Manitoba

  • Writer: nuaxia
    nuaxia
  • 2 hours ago
  • 3 min read

New physician payment data show family physicians generated substantially higher median gross billings in British Columbia than in Manitoba.

Family physicians recorded median gross physician billings of C$704,097 in British Columbia, compared with C$411,038 in Manitoba, according to a new analysis of Canadian physician payment disclosures. While the figures represent gross fee-for-service billings rather than take-home income, they provide a valuable benchmark for family physicians comparing practice revenue across provincial healthcare systems.

Key findings

A new analysis of public physician payment disclosures found that family physicians recorded median gross fee-for-service billings of C$704,097 per physician in British Columbia. The analysis uses official physician payment disclosures from the British Columbia Medical Services Plan Blue Book (2024) and Manitoba Health (2024/25) to compare physician billings by specialty.

The findings highlight a substantial difference in median gross billings between the two provinces, reflecting variations in fee-for-service activity and provincial reimbursement systems.

British Columbia versus Manitoba

British Columbia recorded median gross physician billings of C$704,097 for family physicians, compared with C$411,038 in Manitoba.

The C$293,059 difference means median family medicine billings were approximately 71% higher in British Columbia than in Manitoba. While provincial fee schedules, reimbursement models, patient volumes and practice structures differ, the findings illustrate how gross physician billings can vary significantly across Canadian healthcare systems.

It is important to note that these figures represent gross fee-for-service billings before practice overhead, rather than physician salary or take-home income. Practice expenses—including staffing, premises, medical equipment and other operating costs—will significantly reduce the amount ultimately retained by individual physicians.

Why family medicine billings are at this level

Family medicine is characterised by high patient volumes and broad continuity of care across all age groups. Although individual consultations may attract lower fees than many procedural specialties, the volume of patient encounters and the breadth of services provided can generate substantial gross billings.

Preventive care, chronic disease management, acute consultations, minor procedures, immunisations and ongoing longitudinal care all contribute to fee-for-service activity. The balance between consultation volume and procedural work can influence overall billing levels.

Gross billings are not take-home pay

The figures reported represent gross physician billings, not physician salaries or personal income.

These billings typically cover the cost of operating a family medicine practice, including:

  • Clinical and administrative staff

  • Practice premises

  • Medical equipment

  • Information technology and electronic medical record systems

  • Medical consumables

  • Professional indemnity and other overheads

Consequently, a family physician's net income will be substantially lower than the published billing figures.

The analysis also primarily reflects fee-for-service payments and does not fully capture physicians working under salaried, capitation or other alternative payment arrangements.

What this means for family physicians

For family physicians benchmarking their practice or considering opportunities in different provinces, the findings provide a useful indication of how gross fee-for-service billings can vary across Canada.

However, billing figures should be interpreted as a measure of practice revenue rather than personal earnings. Differences in patient panel size, payment models, reimbursement schedules and operating costs all influence the amount physicians ultimately retain.

As additional provincial payment disclosures become available, specialty-specific comparisons will provide a clearer picture of how family medicine billings vary across Canada's healthcare systems.

Source


The analysis uses physician payment disclosures from the British Columbia Medical Services Plan Blue Book (2024) and Manitoba Health (2024/25). Figures represent gross fee-for-service billings before overhead and should not be interpreted as physician salary or net income.

 

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