Manitoba Physical Medicine Billings Reach C$631,534, 30% Above British Columbia

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

Physical medicine physicians recorded median gross physician billings of C$631,534 in Manitoba, compared with C$487,132 in British Columbia, 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 physical medicine and rehabilitation physicians comparing practice revenue across provincial healthcare systems.

Key findings

A new analysis of public physician payment disclosures found that physical medicine physicians recorded median gross fee-for-service billings of C$487,132 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 Manitoba dataset reports the specialty as Physical Medicine & Rehabilitation, while British Columbia reports Physical Medicine, representing closely aligned specialty classifications for comparison.

British Columbia versus Manitoba

British Columbia recorded median gross physician billings of C$487,132 for physical medicine physicians, compared with C$631,534 in Manitoba.

The C$144,402 difference means median physical medicine billings were approximately 30% higher in Manitoba than in British Columbia. While provincial fee schedules, reimbursement systems, patient populations 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, rehabilitation equipment and other operating costs—will significantly reduce the amount ultimately retained by individual physicians.

Why physical medicine billings are at this level

Physical medicine and rehabilitation combines specialist consultations with diagnostic assessments and procedure-based interventions aimed at restoring function and improving quality of life for patients with musculoskeletal and neurological conditions.

Physiatrists frequently manage patients requiring rehabilitation following stroke, spinal cord injury, traumatic brain injury, musculoskeletal disorders and chronic pain. Electromyography (EMG), nerve conduction studies, ultrasound-guided injections, spasticity management and other office-based procedures all contribute to fee-for-service activity. The combination of specialist expertise, procedural work and long-term patient management can support substantial gross 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 a physical medicine and rehabilitation practice, including:

• Clinical and administrative staff

• Practice premises

• Rehabilitation and diagnostic equipment

• Medical consumables

• Information technology and electronic medical record systems

• Professional indemnity and other overheads
  

Consequently, a physical medicine 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 or alternative funding arrangements.

What this means for physical medicine physicians

For physiatrists 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 procedural activity, patient complexity, 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 physical medicine and rehabilitation billings vary across Canada's healthcare systems.

Source

Open Compensation. Which Medical Specialty Pays the Most in Canada? Physician Billings Ranked. Published 12 July 2026.

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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