Travel everyday about 150 miles a day to see only 2-3 patients, no mileage paid to and from the furthest location, not much prescribing, company is mostly concerned about high RAF scoring so they make more money, not much clinical decision making, most NP's were fairly new grads or had only a few years experience, not great concierge service if your patients are over 50 minutes from your home; you tell patients to call you you whenever they need to see you but you live over 50 miles from most patients and you have patients already scheduled for the day, so it would not be convenient to then drive another 100 miles to turn to go in opposite direction for acute sick visit.