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!
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