Some GPs treating medical card patients end up receiving only 80 cent per visit.
GPs are criticising the release of GMS payment figures revealing the HSE paid €540 million last year to general practices.
They say the figures fail to take into account the costs incurred by doctors paying overheads for staff and general clinic running costs.
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The National Association of General Practitioner’s Chief Executive Chris Goody says many patients attend their GP 50 times a year – the total payment to the GP for an entire year can be as low as €42
The average is 6 or 7 visits per year for medical card patients.