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Pros and cons of mixed billing

25 October 2018 | Salary Page, UK/Ireland GPs | 2 minutes read

Pros and cons of mixed billing

No matter how popular bulk billing is with patients, more and more GPs strive to work in a mixed billing practice. However, we believe it is easy to make a clear case either for or against mixed billing.

So, what are the pros and cons of mixed billing?

Pros for Mixed Billing Cons for Mixed Billing
GPs sometimes feel more appreciated for their work Patients are more likely to visit you 2 or 3 times per year rather than regular comprehensive visits and are. Patients are less likely to come back for further investigation of symptoms due to costs
Higher fee per consultation Building a patient base usually takes around 6-12 months
Financial freedom to spend longer with patients Patients are likely to come with a list of multiple items per consultation
GPs can see less patients per hour Patients are less likely to come back for further investigation of symptoms
Increased ability to get to know patients on a personal level Less likely to get “walk-in” patients

Apart from the above pros and cons that come straight to your mind, you should also consider some other points. This should be done before moving to a mixed billing clinic:

  • Firstly be aware of an urban myth that mixed billing GPs earn more than those in bulk billing. However this is contrary to the information the industry has received. But also what we have discovered in our annual salary surveys.
  • In mixed billing practices, a percentage of the patient base will be bulk billing. For example children, the elderly, and patients on some form of government support. But in some clinics, the percentage of privately paying patients can be very small and the differences to a bulk billing practice marginal.
  • There is an ongoing demand for patients across the demographic spectrum to use bulk billing doctors, even in the most affluent suburbs. But bulk billing practices are thriving and will continue to offer good opportunities for new GPs to develop a sound patient base.

Are you unsure whether a bulk billing or mixed billing will be the right fit for you? Contact Alecto for a confidential discussion on 1800 604 332 or

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