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British Columbia Internal Medicine Billings Reach C$554,887, 55% Above Manitoba

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

New physician payment data show internal medicine physicians generated significantly higher median gross billings in British Columbia than in Manitoba.

Internal medicine physicians recorded median gross physician billings of C$554,887 in British Columbia, compared with C$358,013 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 internists comparing practice revenue across provincial healthcare systems.


Key findings

A new analysis of public physician payment disclosures found that internal medicine physicians recorded median gross fee-for-service billings of C$554,887 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, reinforcing the importance of provincial reimbursement structures and practice patterns when benchmarking physician billings.

British Columbia versus Manitoba

British Columbia recorded median gross physician billings of C$554,887 for internal medicine physicians, compared with C$358,013 in Manitoba.

The C$196,874 difference means median internal medicine billings were approximately 55% higher in British Columbia than in Manitoba. While provincial fee schedules, reimbursement systems, patient complexity and practice models differ, the findings illustrate how gross physician billings can vary 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, diagnostic equipment and other operating costs—will significantly reduce the amount ultimately retained by individual physicians.

Why internal medicine billings are at this level

Internal medicine combines comprehensive specialist consultations with the diagnosis and long-term management of complex adult medical conditions across both inpatient and outpatient settings.

Internists frequently manage patients with multiple chronic diseases, coordinate multidisciplinary care, perform diagnostic assessments and provide ongoing follow-up for conditions affecting several organ systems. This combination of high clinical complexity, consultation activity and continuity of care contributes to substantial fee-for-service billings.

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 an internal medicine practice, including:

  • Clinical and administrative staff

  • Practice premises

  • Diagnostic equipment

  • Information technology and electronic medical record systems

  • Medical consumables

  • Professional indemnity and other overheads

Consequently, an internist'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 or alternative funding arrangements.

What this means for internal medicine physicians

For internists 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 complexity, 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 internal 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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