Primary Care Physician-Fee Basis
Overview
- Location
- Lee County, Florida
- Schedule
- No set schedule; services rendered as needed and agreed upon with the facility (ad hoc/fee-basis)
- Employer-listed pay
- $100,000
- Practice
- Outpatient clinic · VA Outpatient Clinic (CBOC)
Listed on official posting
Role summary
This is a fee-basis (as-needed, no set schedule) Primary Care Physician role at the Lee County VA Clinic, providing comprehensive primary care to adult and geriatric Veterans including acute/chronic disease management, telehealth, and walk-in coverage under PACT principles. Compensation is fee-for-service with an annual cap of $100,000 per calendar year; there is no employment contract and no restriction on moonlighting.
What the posting highlights
- Coverage for absences, overflow, urgent/emergent needs, and walk-in patients; PACT team model
- Care setting: Outpatient only
- Patient population: Adult and geriatric Veterans
SalaryDr summary based on the original posting
Posted base pay vs physician-reported total comp
One shared annual scale compares the source-listed range with what 8 physicians report earning (state cohort). Reported figures are total compensation; posted ranges are often base salary, so this comparison can read low.
Compensation
- Employer-listed pay
- $100,000
- Pay context
- Listed on official posting
- Evidence
- uties as Assigned. Pay: Based on approved pay rates per task or service. Fee basis annual salary limitation is $100,000 in a calendar year. Licensure: 1 full and unrestricted license from any US State or territ
- Observed
- 3 mo ago
- Compensation model
- Productivity
Pay in context
Lee County, Florida, FloridaEmployer-posted pay shown next to what physicians report earning — compared, never blended, never scored one against the other.
Reported pay is SalaryDr community data — total compensation, shown separately from the employer-posted range, which is often base salary only. We don't score one against the other because they measure different things.
Employer
Veterans Health Administration
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Facility & Community
- Practice setting
- Outpatient clinic
- Facility type
- VA Outpatient Clinic (CBOC)
- Patient population
- Adult and geriatric Veterans
- EHR
- Not stated in posting
SalaryDr will show local peer compensation and hiring supply here once this role has enough physician-reported data.
Questions to ask the employer
- Is $100,000 base salary only, or expected total compensation including bonus and productivity?
- The posted pay sits below what 8 Family Medicine physicians report (state median $310,000) — what closes that gap: productivity upside, bonus, equity, or schedule?
- How is the productivity component calculated (wRVU rate, threshold, reconciliation cadence), and what did physicians here actually earn from it last year?
- What is the call schedule, and is call compensated separately or built into the base?
- How many weeks of PTO and CME time are included, and is unused time paid out?
Generated from this posting's disclosed facts and the SalaryDr comparison — bring them to the first recruiter call.
Work Design
- Schedule
- No set schedule; services rendered as needed and agreed upon with the facility (ad hoc/fee-basis)
- Shift type
- Variable / as-needed
- Inpatient / outpatient
- Outpatient only
- Coverage model
- Coverage for absences, overflow, urgent/emergent needs, and walk-in patients; PACT team model
- Admin burden
- Documentation in VA electronic medical record (VHA policy); view alerts; referrals; required training (BLS/ACLS, TMS modules); low contract/admin overhead given fee-basis structure
- FTE
- 0
- Teaching
- No
- Research
- No
- Supervises APPs
- No
Visa & Eligibility
- Remote
- No
- Visa sponsorship
- no
- J-1 waiver
- No
- H-1B
- No
Source & Verification
- Source
- Government source
- Salary label
- Listed on official posting
- First seen
- 3 mo ago
- Last verified
- today
- Extraction confidence
- 72%
Full description
Note: The utilization of Fee Basis appointments is centered on the service needs rather than a specified tour of duty. The Lee County VA Clinic is seeking a Fee Basis Physician in Primary Care. The candidate will be responsible for conducting comprehensive patient histories, examinations, diagnoses, and treatments of medical conditions This is an open continuous announcement that will remain open until filled. Applications will be accepted on an ongoing basis. Eligible applicants will be referred each week for consideration until a selection is made. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Duties include but not limited to the following; Because short-notice; ad hoc, fee-basis work is as-needed at times, the ideal physician must be adaptable and ready to perform clinical duties that may arise on short notice. Provide comprehensive primary care to assigned or walk-in Veterans in accordance with PACT principles. Diagnose and treat acute and chronic medical conditions for adult and geriatric patients. Perform and document histories, physical examinations, and assessments. Order and interpret appropriate laboratory and diagnostic studies. Prescribe medications and treatments as appropriate. Participate in daily team huddles and care planning when present acting as a member of the Patient Aligned Care Team as needed. Communicate effectively with team members about patient status and care plans. Respond to clinical duties as scheduled or requested, which may include coverage for absences, overflow, or urgent/emergent needs. Provide timely assessment and intervention for urgent walk-in or telehealth patients during scheduled shifts. Completes encounters and responds to view alerts in a timely manner, ensuring accurate and prompt documentation in the electronic medical record in accordance to VHA policy. Complete all required clinical and administrative documentation in accordance with VHA policy. Initiate necessary referrals to specialty care, social work, mental health, in-network, or community resources as needed. Ensure test results and consults are addressed and communicated to patients in a timely manner based on clinical indication and VHA policy. Adhere to VA, federal, and state regulations and policies, including those regarding privacy, infection control, and mandatory reporting. Maintain current licensure and complete required training (e.g., BLS/ACLS, TMS modules). Educate patients and family members regarding disease processes, medications, and health maintenance as needed. Other Duties as Assigned. Pay: Based on approved pay rates per task or service. Fee basis annual salary limitation is $100,000 in a calendar year. Licensure: 1 full and unrestricted license from any US State or territory. Malpractice: Free liability protection with tail coverage provided. Contract: No Physician Employment Contract and no significant restriction on moonlighting. Work Schedule: There is no set work schedule. Services are rendered as needed and agreed with the facility. U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement. Your application, resume, C.V., and/or other supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. NOTE: A formal pay-setting process will be used to determine your salary. The salary may be at any point in the range listed for this vacancy. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position. Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.