2005 ASOA

Prepared by: Eileen M. GiaimoExecutive Director, ASOA

socioeconomic surveysocioeconomic survey

Background

515 questionnaires mailed to primary member administrators on January 4, 2005

secondary mailing went to non respondents on January 27, 2005

185 completed surveys

response rate of 35.9%

excluded from this survey were primary and non-primary clinical and business staff, consultants, vendors and others

Respondent distributionRespondent distribution

7.0%N =13

27.0%N =50

15.1%N =289.2%

N =17

18.9%N =35

South Atlantic South Central

New England

Mountain North Central

Mid Atlantic

Pacific

15.7%N =29

7.0%N =13

Total number of FTE physiciansTotal number of FTE physicians

0 %

1 0 %

2 0 %

3 0 %

4 0 %

5 0 %

6 0 %

Pra c tic e Size

1

2 to 5

6 to 9

1 0 to 1 5

1 6 to 1 9

2 0 o r m o re

N=180

% o

f R

es

po

nd

ents

Mean: 6.32Median:

3.08

Additional Branch offices other than Additional Branch offices other than primaryprimary

35.4%

29.8%

16.6%

5.0%2.8%

10.5%

0%

5%

10%

15%

20%

25%

30%

35%

40%

None 1 2 3 4 5 or MoreN= 181

Mean: 1.77Median:

1.49

Sub-specialization Sub-specialization

2 8 .0 %

2 9 .8 %

1 0 .6 %

2 .1 %

2 .2 %

3 .6 %

3 .5 %

3 .3 %

7 .1 %

1 0 .1 %

0 % 2 0 % 4 0 %

O th e r

R e tin a

R e fra c tiv e

P la stic s

Pe d ia tric s

N e u ro O p h th a lm o lo g y

G la u c o m a

G e n e ra l O p h th a lm o lo g y

C o rn e a

C a ta ra c t a n d A n te rio r

N= 171

Sub-specialization by practice size

0%

10%

20%

30%

40%

50%C

ata

ract and

Ante

rior

Corn

ea

Genera

lO

phth

alm

olo

gy

Gla

ucom

a

Neuro

Ophth

alm

olo

gy

Pedia

tric

s

Plastic

s

Refractiv

e

Retin

a

Oth

er

1 2 to 5 6 to 9 10 or MoreN= 31 N= 21N= 88 N= 27

Type of facility your physicians Type of facility your physicians perform surgery in?perform surgery in?

0 %

1 0 %

2 0 %

3 0 %

4 0 %

5 0 %

6 0 %

7 0 %H o sp ita l/ O u tp a tie n t Fa c ility

Ph y sic ia n O w n e d A SC

O ffic e

H o sp ita l O w n e d A SC

O th e r

N= 183Note: Adds to more than 100% due to multiple answers

Do you have an Optical Shop in Do you have an Optical Shop in your practice?your practice?

Yes70.7%

No29.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

N= 181

Optical Shops Optical Shops by region

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

N e wEn g la n d

So u thC e n tra l

N o rthC e n tra l

M idA tla n tic

So u thA tla n tic

M o u n ta in P a c ific

% o

f R

esp

on

den

ts w

ith

Op

tical

Sh

op

s

N=128

Optical Shops Optical Shops by practice size

46.9%

72.6%81.8% 82.1%

0%10%20%30%40%50%60%70%80%90%

100%

1 2 to 5 6 to 9 10 orMore

N=128

% o

f R

esp

on

den

ts w

ith

Op

tical

Sh

op

s

STAFFING

Total Median Number of Medical Business Total Median Number of Medical Business Office Staff Office Staff by # of FTE physicians

3 .67 .2

1 7 .9 1 1 .3

0 .0

2 .0

4 .0

6 .0

8 .0

1 0 .0

1 2 .0

1 4 .0

1 6 .0

1 8 .0

Nu

mb

er

of S

taff

1 2 to 5 6 to 9 1 0 o r M o re

N u m b e r o f FTE Ph y sic ia n s

Median FTE Medical Business Office Median FTE Medical Business Office StaffStaffby # of FTE physicians Number of FTE Physicians

Staff Position 1 FTE 2 to 5 6 to 9 10+

Billing Coordinator 1.07 1.15 1.29 1.30

Bookkeeper 0.32 0.08 0.52 0.75

Certified Coder 0.26 0.61 0.65 0.73

Clerical Insurance 0.36 1.08 3.25 1.25

Data Entry 0.59 0.33 0.65 0.76

File Clerk 3.08 7.22 12.0 11.36

Managed Care Coordinator 0.28 0.27 0.29 0.60

Receptionist 1.90 3.28 5.50 4.75

Secretary/Transcriptionist 0.33 0.20 0.42 0.75

Other 0.55 0.32 0.69 0.56

Total Median Number of Total Median Number of Administrative Office StaffAdministrative Office Staff by # of FTE physicians

1 .7 2 .1 5 .2 3 .8

0 .0

1 .0

2 .0

3 .0

4 .0

5 .0

6 .0

Nu

mb

er

of S

taff

1 2 to 5 6 to 9 1 0 o r M o re

N u m b e r o f FTE Ph y sic ia n s

Number of FTE Physicians

Staff Position 1 FTE 2 to 5 6 to 9 10+

Administrative Assistant 0.55 0.12 0.79 0.81

Administrator (COE) 0.62 0.63 0.65 0.73

Administrator (non-certified)

0.80 1.02 1.00 0.85

Business Manager 0.57 0.49 0.59 0.38

Director, Refractive Surgery

0.55 0.14 0.37 0.60

Executive Director 0.53 0.52 0.28 0.58

Human Resources 0.52 0.26 0.61 0.36

Marketing/PR Director 0.29 0.28 0.46 0.63

Office Manager 0.80 0.46 0.73 1.06

Telephone Operator 0.53 0.62 1.25 0.73

Other 0.53 0.28 0.85 0.66

Median FTE Administrative Office StaffMedian FTE Administrative Office Staffby # of FTE physicians

Total Median Number of Clinical Total Median Number of Clinical Office Staff Office Staff by # of FTE physicians

4 .21 1 .1

2 6 .1 2 1 .0

0 .0

5 .0

1 0 .0

1 5 .0

2 0 .0

2 5 .0

3 0 .0

Nu

mb

er

of S

taff

1 2 to 5 6 to 9 1 0 o r M o re

N u m b e r o f FTE Ph y sic ia n s

Median FTE Certified Clinical Office Median FTE Certified Clinical Office StaffStaff by # of FTE physicians

Number of FTE Physicians

Staff Position 1 FTE 2 to 5 6 to 9 10+

Certified Ophthalmic Assistant (COA)

1.32 2.18 4.67 4.75

Certified Ophthalmic Med. Tech. (COMT)

0.57 0.44 0.58 0.66

Certified Ophthalmic Tech. (COT)

0.73 0.77 1.40 2.30

Certified Registered Nurse Anesthetist (CRNA)

0.26 0.20 0.52 0.54

Certified Retinal Angiographer (CRA)

0 0.51 0.55 1.07

Number of FTE Physicians

Staff Position 1 FTE 2 to 5 6 to 9 10+

Contact Lens Technician 0.55 0.37 0.50 0.97

LPN 0.55 0.43 0.59 0.58

Non-Certified Ophthalmic Assistant/Tech

1.27 2.13 5.50 3.88

Ophthalmic Photographer 0 0.14 0.32 0.73

Optician 0.94 1.17 2.40 3.25

Optometrist 0.17 0.38 1.50 1.88

Orthoptist 0 0.26 0.06 0.56

RN 0.62 0.36 0.34 0.36

Scribe 0.36 0.23 0.73 0.58

Surgical Assistant 0.22 0.11 0.58 0.69

Surgical Scheduler 0.33 0.48 1.42 1.50

Visual Field Tech 0.27 0.32 0.73 0.73

Other 0.39 0.32 0.42 0.85

Median FTE Clinical Office Staff Median FTE Clinical Office Staff by # of FTE physicians

COMPENSATION

Average Annual Salary of Average Annual Salary of Certified Clinical Office Staff Staff by years of employment

Position Less than 1

1 to 4 5 to 9 10 or More

Certified Ophthalmic Assistant (COA)

$26,975 $30,162 $31,581

$35,749

Certified Ophthalmic Med. Tech. (COMT)

$31,518 $40,909 $46,744

$46,960

Certified Ophthalmic Tech. (COT)

$34,980 $36,057 $37,219

$40,347

Certified Registered Nurse Anesthetist (CRNA)

$117,000

$70,000 ___ $156,000

Certified Retinal Angiographer (CRA)

$39,000 $43,000 $44,536

$48,578

Position Less than 1

1 to 4 5 to 9 10 or more

Contact Lens Technician

$24,143 $26,614 $30,160

$29,532

LPN $25,418 $29,396 $30,004

$31,351

Non-Certified Ophthalmic Assistant/Tech

$22,347 $26,025 $26,595

$29,693

Ophthalmic Photographer

$28,305 $32,792 $34,702

$44,312

Optician $26,273 $32,817 $36,329

$38,513

Optometrist $67,043 $94,729 $97,836

$117,165

Orthoptist $36,660 $43,944 $49,400

$56,614

RN $40,943 $44,385 $46,194

$50,644

Scribe $25,055 $25,622 $26,633

$26,328

Surgical Assistant $26,005 $37,457 $33,288

$37,804

Surgical Scheduler $27,029 $28,905 $31,018

$33,405

Visual Field Tech $21,235 $24,735 $25,585

$26,740

Other $27,073. $31,120 $44,064

$41,644

Average Annual Salary of Average Annual Salary of Clinical Office Staff

by years of employment

Average Annual Salary of Average Annual Salary of Medical Business Office Staff by years of employment

Position Less than 1

1 to 4 5 to 9 10 or more

Billing Coordinator $30,599 $32,095

$33,795

$37,371

Bookkeeper $25,283 $31,267

$35,400

$35,712

Certified Coder $28,991 $30,154

$30,190

$35,875

Clerical Insurance $22,295 $24,776

$28,566

$30,706

Data Entry $22,671 $26,978

$26,503

$27,455

File Clerk $16,738 $19,805

$19,763

$21,639

Managed Care Coordinator

$12,480 $26,750

$27,962

$40,207

Receptionist $22,126 $23,816

$26,026

$28,052

Secretary/Transcriptionist

$22,273 $26,497

$28,004

$30,743

Other $31,549 $25,220

$29,974

$31,968

Staff Position Less than 1

1 to 4 5 to 9 10 or more

Administrative Assistant

$26,679 $27,866 $34,467 $38,250

Administrator (COE) $45,105 $75,296 $73,691 $86,046

Administrator (non-certified)

$56,382 $72,491 $69,086 $78,206

Business Manager $38,560 $50,487 $46,018 $55,880

Dir. Refractive Surgery

$32,864 $43,723 $46,938 $35,746

Executive Director $98,329 $117,500

$114,875

$128,000

Human Resources $48,715 $38,012 $38,627 $43,533

Marketing/PR Director

$41,400 $45,176 $49,550 $46,063

Office Manager $35,436 $37,962 $43,877 $44,820

Telephone Operator $19,867 $21,603 $24,391 $27,654

Other $23,227 $39,080 $38,025 $57,742

Average Annual Salary of Average Annual Salary of Administrative Office Staff by years of employment

BENEFITS

Employer offered benefits Employer offered benefits

94.5%

62.1%

53.8%

44.0%

57.7%

34.6%

0.5%

36.3%

18.7%

2.7%

0% 25% 50% 75% 100%

None of These

Other

Short Term Disability

Med/Dental Reimbursement

Long Term Disability

Life

Dependent Dental

Employee Dental

Dependent Health

Employee Health

N=182 Note: Adds to more than 100% due to multiple answers

Benefits Benefits by practice size

0 %

1 0 %

2 0 %

3 0 %

4 0 %

5 0 %

6 0 %

7 0 %

8 0 %

9 0 %

1 0 0 %

1 F T E 2 t o 5 6 t o 9 1 0 o rM o r e

Em p lo y e e H e a lth

D e p e n d e n t H e a lth

Em p lo y e e D e n ta l

D e p e n d e n t D e n ta l

Life

Lo n g Te rm D isa b ility

M e d / D e n ta l Re im b u rse m e n t

Sh o rt Te rm D isa b ility

O th e r

N o n e o f th e se

Practice Size by FTE Physician

Note: Adds to more than 100% due to multiple answers

91.5%

60.7%

7.1%

17.7%

Health for Employee Dental for Employee

Health for Dependent Dental for DependentsN=92

If health and/or dental insurance is paid to employee, what percent is paid?

Median reimbursements for medical Median reimbursements for medical and/or dental care insurance paid by and/or dental care insurance paid by employer employer by practice size

$0

$500

$1,000

$1,500

$2,000

$2,500

$3,000

1 2 to 5 6 to 9 10 orMore

N= 42Number of FTE Physicians

Fringe benefits offered to Fringe benefits offered to salariedsalaried employees?employees?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

Bad Weather Pay Bereavement Pay

Birthday Off Continuing Education Reimbursement

Jury Duty Pay Meeting Attendance

Professional Dues Reimbursement Qualified Retirement Plan

Tuition Reimbursement Uniform Allowance

Other None of TheseN=170

Perc

en

t of

Resp

on

den

ts

Fringe benefits offered to Fringe benefits offered to hourly hourly employees?employees?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

Bad Weather Pay Bereavement Pay

Birthday Off Continuing Education Reimbursement

Jury Duty Pay Meeting Attendance

Professional Dues Reimbursement Qualified Retirement Plan

Tuition Reimbursement Uniform Allowance

Other None of TheseN=180

Perc

en

t of

Resp

on

den

ts

Median Annual fringe benefit amount Median Annual fringe benefit amount paid paid to to salariedsalaried employees employees

$2,500

$1,350

$750$608

$250

Qualified Retirement Meeting AttendanceTuition Reimbursement Professional DuesUniform Allowance

Median Annual fringe benefit amount Median Annual fringe benefit amount paid paid to to hourlyhourly employees employees

$2,500

$620$350$306

$250

Qualified Retirement Meeting AttendanceTuition Reimbursement Professional DuesUniform Allowance

Sa la rie d

H o u rly

Sa la rie d

H o u rly

Sa la rie d

H o u rly

Sa la rie d

H o u rly

Sa la rie d

H o u rly$ 0

$ 5 0 0

$ 1 ,0 0 0

$ 1 ,5 0 0

$ 2 ,0 0 0M

ee

tin

gA

tte

nd

an

ceP

rofe

ssi

on

al

Du

es

Re

imb

urs

em

en

tQ

ua

lifi

ed

Re

tire

me

nt

Pla

nT

uit

ion

Re

imb

urs

em

en

t

Un

ifo

rmA

llo

wa

nce

M e e tin g A tte n d a n c e

Pro fe ssio n a l D u e s R e im b u rse m e n t

Q u a lifie d R e tire m e n t P la n

Tu itio n R e im b u rse m e n t

U n ifo rm A llo w a n c e

Maximum amount paid to salaried vs. Maximum amount paid to salaried vs. hourly employees for fringe benefitshourly employees for fringe benefits

Median number of days paid for fringe Median number of days paid for fringe benefits per year for salaried vs. hourly benefits per year for salaried vs. hourly employeesemployees

Salaried Hourly

5.95.5

4.2

5.6

3.43.5

0

1

2

3

4

5

6

Number of Days

Bereavement Days

ContinuingEducation Days

Jury Duty Days

If you offer a retirement plan, what type is If you offer a retirement plan, what type is it, and do you match the contribution? it, and do you match the contribution?

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%401KIRAKeoughMoney PurchasePensionProfit SharingSafe HarborSEPOther

N=122Note: Adds to more than 100% due to multiple answers

Per

cen

t o

f R

esp

on

den

ts

No 21.9%

Yes 78.1%

N=111

Sick, personal, and vacation days Sick, personal, and vacation days for for salaried employees employees by years of employment

0

5

10

15

20

25

Sick/Personal Vacation Combined (PTO) Paid Holidays

<1 1 to 4 5 to 9 10 or More

N=154N=93N=104N=100

Mean

D

ays

Sick, personal, and vacation days Sick, personal, and vacation days for for hourly employees employees by years of employment

0

5

10

15

20

25

Sick/Personal Vacation Combined (PTO) Paid Holidays

<1 1 to 4 5 to 9 10 or More

N=158N=99N=106N=105

Mean

Days

Annual number of sick/personal and vacation days for employees by gender

Years of Employment

Less than 1

1 to 4 5 to 9 10 or More

Salaried Male (N=23) 7.05 8.65 8.90 8.67

Salaried Female (N=77)

5.55 6.18 6.57 6.65

Years of Employment

Less than

1

1 to 4 5 to 9 10 or More

Hourly Male (N=21) 6.95 9.05 9.10 9.40

Hourly Female (N=84)

5.97 6.67 6.89 7.15

ASOA

OPINIONS

You strongly agreed that ASOA You strongly agreed that ASOA is…is…

0%

10%

20%

30%

40%

50%

60%

70%

Strongly Agree

The Market Leader on Ophthalmic Practice ManagementA Good Value in Return for Dues PaidProviding Useful Practice Management Information

N=103 N=108 N=125

ASOA services ASOA services do notdo not address my address my specific needsspecific needs

Moderately Agree 4.4%

Neutral 18.2%

Moderately Disagree

20%

Strongly Disagree 50.3%

Strongly Agree 2.2%

N=181

How many times have you visited the How many times have you visited the ASOA web site in the past year?ASOA web site in the past year?

35.1%

19.5%

3.8%5.4%

36.2%

Daily

Weekly

1 to 2 Times aMonth

Every FewMonths

Never

N= 185

If you have not accessed the ASOA web If you have not accessed the ASOA web site in the past year, why?site in the past year, why?

I was not aware ofthe site

I do not haveaccess

Other

N= 8

Do you or others subscribe to the Do you or others subscribe to the ASOA practice management Eye-Mail ASOA practice management Eye-Mail list serv, and if so, how often?list serv, and if so, how often?

Yes65.9%

No34.1%

N=185

0%

10%

20%

30%

40%

50%

60%Every Day

2 to 3 Times a Week

4 to 5 Times a Week

Every Few Weeks

Never

Do you or others subscribe to the Do you or others subscribe to the ASOA practice management Eye-Mail ASOA practice management Eye-Mail list serv, and if so, how valuable is it list serv, and if so, how valuable is it to you?to you?

Yes65.9%

No34.1%

N=185

Very Valuable48.3%

Not Very Valuable

5.0%

Somewhat Valuable

43.3%

Not At All Valuable

3.3%

0%

10%

20%

30%

40%

50%

60%

N=120

In the past year, I have visited In the past year, I have visited the ASOA web site for the ASOA web site for information on…?information on…?

0%

10%

20%

30%

40%

50%

60%

70%

80% Coding Advice

Human Resources

HIPAA Information

News and Advocacy

Workshops/Coding Courses

Legal Issues

Coding and Reimbursement Products

Risk Management

Professional Development/CEC's

ASC Related Issues

Malpractice Issues

Socioeconomic Data

Other

None of These

N=111Note: Adds to more than 100% due to multiple answers

Do you own EyeCoding Today, and Do you own EyeCoding Today, and if so, how valuable is it to your if so, how valuable is it to your practice?practice?

No, 85.2% Yes, 14.8%

N=183

0%

10%

20%

30%

40%

50%

60%Very Valuable

Somewhat Valuable

Not Very Valuable

Not at All Valuable

N=23

Note: Adds to more than 100% due to multiple answers

Do you own EyeCoding Today, and Do you own EyeCoding Today, and if so, how did you learn of the if so, how did you learn of the product?product?

0%

5%

10%

15%

20%

25%

30%

35%

40%

45% Industry Conference

Administrative Eyecare

Direct Mail

Eye-Mail

Other

Office Staff

EyeWorld

www.asoa.org

N=25

No, 85.2% Yes, 14.8%

N=183

Note: Adds to more than 100% due to multiple answers

Do you read INSIGHTS, and if so, Do you read INSIGHTS, and if so, how valuable is it to you how valuable is it to you professionally?professionally?

No38.7%

Yes61.3%

N=1810%

10%

20%

30%

40%

50%

60%

70%

80%

Very Valuable

Somewhat Valuable

Not Very Valuable

Not at All Valuable

N=110

With whom do you share information With whom do you share information you receive from ASOA?you receive from ASOA?

N=179

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% Billing/Coding Staff

Physicians

Clinical/Surgical Staff

Administrative Staff

Other

No one

Note: Adds to more than 100% due to multiple answers

PERSONAL

PROFILE

Are you male or female?Are you male or female?

N=183

Male23.5%

Female76.5%

Administrator Gender Administrator Gender by Region

South Atlantic South Central

New England

Mountain North Central

Mid Atlantic

Pacific

Male=41.2%Female=58.8%

Male=17.6%Female=82.4%

Male=23.1%Female=76.9%

Male=0%Female=100%

Male=18.4%Female=81.6%

Male=37.9%Female=62.1%

Male=10.7%Female=89.3%

What is your age?What is your age?

0%

5%

10%

15%

20%

25%

<30 31 to 35 36 to 40

41 to 45 46 to 50 51 to 55

56 to 60 61 to 65 >65N=181

Mean: 50.12Median:

50.94

Perc

en

t of

Resp

on

den

ts

ASOA

THANKS YOU!