BH Provider Compensation Models — 2026 Guide

Model 1: Straight Salary

• Fixed annual salary regardless of production
• W2 typical
• Predictable for both parties
• Doctors often prefer for lifestyle
• Practice bears productivity risk

Model 2: Straight Productivity (Fee-Split)

• Provider paid percentage of collections (typically 55-70%)
• W2 or 1099 (1099 more common)
• Aligned incentives
• Provider bears productivity risk
• Common for new practice growth

Model 3: Base + Bonus (Hybrid)

• Guaranteed base ($120-180K)
• Bonus above production threshold (typically 40-50% above threshold)
• Best of both models
• Complex to model

Model 4: RVU-Based

• Compensation per Relative Value Unit produced
• Common in psychiatric medication management
• Aligns with Medicare methodology
• Requires RVU tracking system

W2 vs 1099 Considerations

• W2: Practice controls schedule + methodology + tools
• 1099: Independent contractor status + own their patients technically
• DOL scrutiny increasing on misclassification
• State-specific rules vary

Common Compensation Ranges (2026)

• Psychiatrist: $220-400K
• PMHNP: $130-200K
• Psychologist PhD/PsyD: $110-180K
• LCSW/LMFT/LPC: $70-120K
• BCBA: $80-140K
• RBT: $18-30/hr

Revenant Care Practice Advisory

– KD, Revenant Care