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British Columbia General Practice Billings Reach C$667,142, 13% Above Manitoba

  • Writer: nuaxia
    nuaxia
  • 1 hour ago
  • 3 min read

New physician payment data show general practitioners generated higher median gross billings in British Columbia than in Manitoba.


General practitioners recorded median gross physician billings of C$667,142 in British Columbia, compared with C$592,586 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 general practitioners comparing practice revenue across provincial healthcare systems.


Key findings

A new analysis of public physician payment disclosures found that general practitioners recorded median gross fee-for-service billings of C$667,142 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 demonstrate that general practice continues to generate substantial fee-for-service billings, reflecting the specialty's central role in delivering comprehensive, community-based patient care.

British Columbia versus Manitoba

British Columbia recorded median gross physician billings of C$667,142 for general practitioners, compared with C$592,586 in Manitoba.

The C$74,556 difference means median general practice billings were approximately 13% higher in British Columbia than in Manitoba.


While provincial fee schedules, reimbursement systems, patient demand and practice models differ, the findings illustrate how gross physician billings can vary between 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 general practice billings are at this level

General practice is characterised by high patient volumes and a broad scope of clinical activity across acute, chronic and preventive care. Although consultations generally attract lower individual fees than many procedural specialties, the volume and continuity of patient care can generate substantial overall billings.

Routine consultations, preventive health assessments, chronic disease management, minor procedures, vaccinations and follow-up appointments all contribute to fee-for-service activity. A busy community practice can therefore generate consistently high levels of gross billings over the course of a year.

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 general 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 general practitioner'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 general practitioners

For general practitioners 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, consultation volumes, 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 general practice 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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