Sterling, are you compensated as an internist or as a rheumatologist for your work? Becker Hospital review for 2015 (latest available to me on the web) suggests your wRVU should be over $50 for your work as a rheumatologist. (https://www.beckershospitalreview.com/compensation-issues/2015-physicia…) Being familiar with you and your work for the past 30+ years, I would suggest you are worth a heck of a lot more than the average!