NEURO · DATA · LEVERAGE · FAIR PAY
ClauseLine for Neurology
Neurology contract analysis: subspecialty premium assessment, call burden, procedure compensation, and benchmark comparison against published neurology compensation data.
A few of the things we flag in NEURO contracts
- Stroke call coverage — The burden, and whether the call premium matches it.
- Subspecialty differential — Whether your fellowship training is paid for.
- EMG / EEG compensation — How procedures are credited on top of clinic.
…and the full contract, clause by clause — compensation, call, scheduling, non-compete, termination, and every other term that moves your pay or your exit.
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What moves your number in neurology
Neurology pay is a stack of three revenue streams — clinic production, procedure work, and call coverage — and the contract decides whether each is priced separately or quietly averaged into one blended number. Two offers with identical headline salaries can land in very different places once you price the stroke call schedule, the EMG/EEG credit, and the subspecialty premium. These are the terms that actually move the number.
Price stroke call separately
Stroke call concentrates the after-hours burden of an entire service line onto whoever holds the pager, and a contract that folds it into base salary makes that burden free for the employer to expand. A stronger term pays a defined stipend per call period, distinguishes in-house coverage from home call with telestroke backup, and prices any shift beyond the stated monthly maximum at a premium rate. The stipend matters less than the structure around it — an unbounded obligation at any rate is still unbounded.
Separate credit for procedure work
EMG, EEG interpretation, and chemodenervation generate revenue at a multiple of clinic time per hour, which is exactly why a blended rate works in the employer's favor. Negotiate explicit credit — per-study rates or full wRVU credit at your stated conversion factor — plus protected procedure block time in your template. A procedure differential is worth nothing if the schedule never leaves room to perform them.
Benchmark to your subspecialty
Fellowship training in epilepsy, neurocritical care, movement disorders, neuromuscular medicine, or vascular neurology carries a documented premium in published compensation data, and a contract benchmarked to general neurology erases it. Tie your base and conversion factor to subspecialty-specific benchmarks, and pair that with a case-mix commitment so the practice you were recruited for is the practice you actually get. The differential and the case mix only hold together in writing.
Negotiate the ramp, not year one
Neurology panels build slowly — new-patient evaluations run long and the schedule depends on referral relationships that take a year or more to establish — so production-based pay punishes the build phase. Ask for a guarantee of at least two years, language that forgives rather than recoups any deficit between draw and production, and a defined benchmark review before the production formula takes over. The conversion happening one year too early is the most expensive sentence in the contract.
Common questions
How is stroke call paid in neurology contracts?
Separately, in well-built contracts: a stipend per 24-hour call period, with the rate reflecting whether coverage is in-house, home-based, or backed by telestroke. The terms to verify are a defined monthly maximum, a premium rate for shifts above it, and a stated response-time requirement, because the rate only means something once the burden is bounded. If the contract says call is included in base compensation, the effective rate is zero and the obligation is open-ended.
Do EMG and EEG studies count toward my wRVU total?
Only if the contract says so. Some agreements credit every billed wRVU, including the professional component of EMG, EEG, and long-term monitoring reads; others count only face-to-face encounters, which strips out some of your highest-value work. Read the production definition clause closely, and confirm that reads done outside clinic hours — overnight EEGs, weekend queue clearing — are credited the same as everything else.
How long should the salary guarantee last for a new neurologist?
Two years is the defensible ask, because a referral-driven neurology panel rarely reaches mature production inside the first twelve months. A one-year guarantee that converts to a production formula puts the slowest-building year of your career on a model designed for full panels. Also confirm what happens to any deficit between your draw and your production during the guarantee period — forgiven and clawed back are very different contracts.