Yep and it's a pretty big issue actually as it creates a lot of abuse in the system, doctors mostly interested in smaller "easier" acts that they are known to p

Yep and it's a pretty big issue actually as it creates a lot of abuse in the system, doctors mostly interested in smaller "easier" acts that they are known to pay well, doctors getting referrals from a clinic outside of their administrative region (those pay more), and of course radiologists working 2-3 days a week because their acts are even better remunerated. Add on top that by being independent, doctors will have their own company and be subjected to a much lower tax rate than a "normal" person earning 400k$/year.