I’m sure this question Has been beaten to death, but I’m struggling to find a current answer. I’m starting a small business doing botulinum toxin and filler injections (I’m an RN in indiana). I plan on hiring a doc as my medical director, but don’t know what to pay them. I’m in a smaller town, so I don’t anticipate a lot of fast growth and money. I’ve spent all my money I currently have getting this thing off the ground. Should I go commission based, so if I have low clients, I pay a low fee for the physicians low risk? Or is a flat fee now the standard? And if so, how much? I worry that I won’t make enough money to keep the doc on staff and I’ll go broke before I have a chance e to build a sustainable business. Any advice or experience is GREATLY appreciated!!!

Hi Masen.

I pay my medical director 25% of my revenue after expenses. That way I am not committed to an exact amount every month especially if I have a slow month. That may seem high just for a signature but I would not have a business without him.

Paying a physician a percentage of the profits could be viewed as the corporate practice of medicine based on the regulations in your state. Do your research with the medical board.