UHC Solutions has hired many physicians over the years. “Congress must take rapid and decisive action with the fourth stimulus bill to make sure that the U.S.’s primary care practices remain viable, including investing in a Medicare and Medicaid per patient monthly payment for the balance of 2020,“ said Ann Greiner, president and CEO of the Primary Care … Lake Oswego, OR 97035 Physician consultation costs refer to the supervisory agreements that some states require. Nationally, the average primary care doctor generates approximately $1.4 million in revenue for their organization annually. Nurse practitioners who are knowledgeable about billing transactions, company profits, and financial transactions can become better partners in healthcare practices. The average doctor meets with 4 to 5 patients per hour, and can meet with patients 7 hours a day, 4 days a week. TSA Rules and Regulations: Avoid Wearing These 6 Items, Avoid Delays in Credentialing Locums During COVID-19, Five Outdoor Activities To Do While On Assignment This Winter, How Nurse Practitioners Unwind During COVID-19, Barton Associates: Industry Experts in IHS Facility Staffing, Guide to Surviving the Physician Shortage [Free Download], Nurse Practitioner Scope of Practice Laws, Physician Assistant Scope of Practice Laws. The result is a range of values, or some weighted average of all the practice value estimates together. A recent study in Health Affairs finds that as a base case (assuming no furloughs), the average primary care practice (PCP) would lose $57,190 per full time physician; those losses are halved to $28,265 per FTP with furloughs, due to the lost volume that occurred from February through May. The highest producing physicians today are orthopedic surgeons. These high-value primary care practices notably reduced healthcare spending significantly more than average-value sites. In 2016, the average cost per visit to a primary care physician was $106 compared to $103 for an office visit to a NP or PA. Every state saw declines in office visits to PCPs and an increase in office visits to NPs and PAs between 2012 and 2016. While the MGMA report does point to greater overall revenues when NPs are used, the benefit of using NPs varies by practice. The data comes from a 2016 Merritt-Hawkins report on physician salary surveys. Average Revenue Generated by Primary Care Physicians and Specialists Dawn Pascale Primary care — defined as family practice, general internal medicine and pediatrics – providers draw in their fair share of revenue for the organizations that employ them, averaging nearly $1.5 million for the practices and health systems they serve. To make numbers simple, lets say that the average primary care doctor bills for about $500,000 in insurance reimbursements per year. According to a recent survey conducted by Merritt-Hawkins, this indirect revenue generated by pediatricians averages about $666,000 per year. Phone: 503.443.6008 While the independence that accompanies locum tenens is a plus for many, it’s a good idea to carefully review all factors. FQHCs typically employ doctors from the primary care specialties: Family Practice, Internal Medicine, Pediatrics, and General obstetrics/gynecology. One Centerpointe Drive, Suite 580 Website by Veritas Web Design. While the primary care doctors do not generate as much revenue as their surgical counterparts, Becker’s Hospital CFO Report tracks the revenue these providers generate for FQHCs, along with more invasive surgical specialists. Because most nurse practitioners specialize and practice in primary care, we’ll focus on this specialty. Read on to learn how locum tenens can help.... Are you considering locum work, because it offers the flexibility to choose where and when to work? Extend Practice Hours: Offering evening and weekend office appointments will likely heighten … Fax: 503.388.7598 The purpose of this post is to discuss the monetary value of nurse practitioners and what it means for hospitals and clinics who hire them. These expenses include rent, benefits, continuing education stipend, supplies, malpractice insurance, and depreciation of medical equipment. Furthermore, practice profit is the amount the employer wishes to keep for themselves, which is usually around 10 percent. And, using those numbers, the nurse practitioner’s annual salary should be anywhere from $130,000 to $160,000. That’s why it’s important to do your own calculations based on your individual situation, or the situation you expect at the hospital or practice at which you’re interviewing. All rights reserved. In this scenario, nurse practitioners share in the company profits, and none of the revenue is given to a supervising physician. This makes primary care providers both highly coveted and highly recruited by healthcare organizations. To expand the body of evidence, the Agency for Healthcare Research and With 40 percent overhead, this leaves the primary care nurse practitioner with a salary of around $130,000. That was the first thing that popped into my head, too. Adjusting revenue for the salary a practice much pay each respective provider narrows the gap in revenue generating potential between nurse practitioners and physicians. Primary care accounts for nearly $250 billion of annual industry revenue and over 55% of total office-based physician visits 1,2 However, the systematic under-investment of this integral component of the healthcare system has created a Direct Primary Care; ... Understanding your practice’s revenue cycle will help you anticipate income and address issues preventing timely payments. “Primary care doctors have always been a very good bargain in terms of cost benefits,” Miller said. Becker’s says these clinical providers may have a salary of around $198,000 annually; however, they generate 7.5 times the revenue, which is the highest of all clinical providers, including orthopedists. Results—During 2003–04, an average of 311,200 office-based physicians practiced in an estimated 161,200 medical practices in the United States. One full-time orthopedist can generate $2.7 million annually for their affiliated service provider. The highest producing physicians today are orthopedic surgeons. To calculate the nurse practitioner’s deserved salary, Dr. Buppert deducts the following amounts from nurse practitioner–generated revenue: The cost of practice expenses or hospital overhead per nurse practitioner varies widely, from 20 percent in large practices to 50 percent in very small practices. She allots only four weeks of time off, resulting in annual revenue of $216,960. Such an approach can be wrong on many levels. And, using those numbers, the nurse practitioner’s annual salary should be anywhere from $130,000 to $160,000. They found that, under a variety of scenarios, primary care practices would lose a significant amount of revenue (an average of $325,000 per typical five-person practice) from fee-for-service payments, even under the relatively optimistic assumption that practices quickly pivoted to virtual care to recoup revenue from lost in-person visits. Deducting these percentages from the primary care nurse practitioner who generates $347,760 per year leads to a salary of $159,621. opportunity@UHCsolutions.com. Although 35.8 percent of office-based physicians were in solo practice, 69.2 percent of medical practices It’s the headline figure from the annual NHS Payments to General Practice report, published in December, that collects data on all payments made to primary care. Which States Are the Most NP- and PA-Friendly? ) Meanwhile, the income gap between primary care and non-primary-care physicians has decreased from 44.6 percent in 2011 to 41 percent in 2015, according to AAFP data. Downstream analysis enabled them to rank their primary care groups based on productivity and profit margins generated to measure and quantify the true value of their employed physician groups. Sounds like a dream job, right? This approach gives primary care practices steady revenue while offering more flexibility in how they provide care. Using these formulas, the revenue generated by a primary care nurse practitioner ranges from around $217,000 to $350,000. And, using those numbers, the nurse practitioner’s annual salary should be anywhere from $130,000 to $160,000. While helpful in some ways, this can also be dangerous. Meanwhile, although payment systems are moving to outcome and value measures, the revenue for most primary care practices continues to be fee-for-serviced based, and alternate payment models (APM) are built on top of fee-for-service. However, primary care providers offer healthcare organizations great ROI. Since you’re reading this, you’ve likely made the decision to take on debt. The state and local tax income generated by physicians annually is $65.2 billion. 47 The hypothetical practice assumes 25 patients per day per provider, 220 clinical days annually, and $100.00 average payment per visit. Although these are modest dollar amounts to entities with many millions or billions in revenue, to an average independent primary care practice that is … They found that: Above all, this data goes to show that physicians of all specialties are a value to the healthcare society and play an important role in the economy. In 2016, primary-care physicians fielded 54% of all patient visits to doctors' offices. A recent report by MGMA (Medical Group Management Association) found that primary care practices with a non-physician provider-to-physician ratio of 0.41 or greater earned over $100,000 more annually in revenue. In her book, Dr. Buppert explains that employers often displace this cost, which is usually around 15 percent of their generated revenue, onto nurse practitioners. The report makes interesting reading, detailing a primary care service facing significant challenges Healthcare providers note this as “downstream revenue,” which is particularly important to healthcare providers and their long-term fiscal solvency. To calculate the amount of revenue a primary care nurse practitioner can generate, I used the formula provided by Dr. Carolyn Buppert in Chapter 10 of her textbook, Nurse Practitioner’s Business Practice and Legal Guide, Fifth Edition: According to Dr. Buppert, primary care nurse practitioners see an average of 24 patients per day and are reimbursed an average of $70 per patient. The 2015 compensation survey conducted by the American Association of Nurse Practitioners (AANP) found that the average total income for a primary care nurse practitioner was around $108,000. Minor surgery in primary care has long been held to be cost-effective and popular with patients – and it can bring in extra revenue. “FQHCs must evolve from their roots as “mission-first, margin-maybe” to organizations with a foundation of “no margin, no mission in order to be successful.” The lenders assured you, you’d have the resources to pay it back. Each part of this formula could easily change. Doctors also support billions in annual wages, on average $1,076,462 per physician each year. 4.5 patients x 7 hours x 4 days per week x 4 weeks per month x $35 per hour = $17,640 in revenue per month x 12 months = $211,680. Dr. Karen Van Leuven offers a similar analysis in Chapter 6 of Financial and Business Management for the Doctor of Nursing Practice. In fact, health care billing service Kareo found that the average practice can spend anywhere from $4.00 to $15.00 for each prescription refill event. She is a strong advocate for empowering nurses, and she fiercely believes that nurses should play a pivotal role in shaping modern healthcare. But how much revenue can physicians generate, particularly for FQHCs? The primary care clinician is the entry point for most patients into the healthcare service delivery mechanism. A family practice physician, for instance, generates more than $2 million in revenue and is paid an average salary of $189,000. Primary care providers generate extensive ROI via patient referrals, hospital admissions, tests and inpatient treatments. A specialist, on average, generates around $1.6 million each year. Are these calculations accurate? The average family physician salary is $189,000. A team of researchers has published an “ahead of print” article online in Health Affairs, one whose analysis confirms other analyses and data so far available, which have found that the COVID-19 pandemic has had a massive financial impact on primary care practices in the United States, with anticipated average 2020 calendar-year losses of $67,774 in gross revenue per full-time physician, … In contrast, the average primary care physician earns $160,000, which is 48 percent more. They estimated that primary care practices would lose $67,774 (interquartile range (IQR) = –$80,557 to –$54,990) in gross revenue per full-time physician … They fulfill a particularly important place in the healthcare safety net, serving as an important referral source to specialty providers. This article would not be possible without two of my favorite nurse practitioner textbooks: Dr. Melissa DeCapua is a board-certified psychiatric nurse practitioner who graduated from Vanderbilt University. Maybe the practice owner wants to collect a 15 percent profit rather than 10 percent. This is not an unreasonable amount at all for a full time primary care doctor who is seeing 15-25 patients a day. Meanwhile, although payment systems are moving to outcome and value measures, the revenue for most primary care practices continues to be fee-for-serviced based, and alternate payment models (APM) are built on top of fee-for-service. Using these formulas, the revenue generated by a primary care nurse practitioner ranges from around $217,000 to $350,000. So interesting! Using these formulas, the revenue generated by a primary care nurse practitioner ranges from around $217,000 to $350,000. This includes physicians, who in addition to providing clinically effective care for patients, must also serve as the financial revenue generator for the facility. In a state without mandated physician consultation requirements, this same nurse practitioner would ideally earn a 15 percent higher salary (i.e., $177,357). Let’s say you can meet with 4.5 patients per hour. Sage Growth Partners. Practices in the high-value cohort spent 34 percent less. Any FQHC leadership team will tell you there is no mission without margin. With 40 percent overhead, this leaves the primary care nurse practitioner with a salary of around $130,000. Neurosurgeons followed cardiologists and general surgeons, generating $2.2 million on average for their facilities. And third party assumptions only add to the confusion – I recently worked with a client that had 8 providers … With this estimate our doctor is bringing in a gross revenue per month = $41,666. Medical practice characteristics differed from physician characteristics. Primary care receives less than 7% of total U.S. health-care expenditures. Maybe a nurse practitioner only sees 15 patients in one day because four patients no-show. The high-value cohorts particularly decreased spending on inpatient surgical services, outpatient hospital visits and ambulatory surgical services, and outpatient prescription medications. Maybe only 80 percent of patients at a given clinic pay their bills. An effective prescription policy can generate additional revenue for the practice and offset that cost. With 40 percent overhead, this leaves the primary care nurse practitioner with a salary of around $130,000. Example: using valuation multiples to value a primary care medical practice. Importance of Transparency in Executive Recruiting, How to Plan for the Influx of PTO During the Holidays, Common Populations Serviced by FQHCs and How You Can Help. Specialties for Physician Assistants: What’s the Cost to Primary Care? Her background is in child and adolescent psychiatry as well as psychosomatic medicine, and she currently works as a researcher Microsoft. I've started to think about how I could pull myself out of this slump. When it comes time to value a practice, many rely solely on their accountant to tell them the value of their practice. A neurosurgeon generates nearly $1.7 million in revenue and earns an average salary of $669,000. Downstream analysis makes it possible for health systems and hospitals to focus on efficiency, cost effectiveness, and quality that will inevitably bring about successful value-based care. Each year physicians generate $1.6 trillion for their healthcare system and the American economy. Also, this formula is based on a fee-for-service model, which is slowly being phased out by the Affordable Care Act. The data comes from a 2016 Merritt-Hawkins report on physician salary surveys. Results of the survey also may be of interest to physicians, policy makers, journalists and others who follow physician staffing, compensation, and related trends. For more information, visit melissadecapua.com and follow her on Twitter @melissadecapua. Today, about 75 percent of nurse practitioners practice in primary care, compared with about 33 percent of physicians. In some multispecialty clinics, primary care physicians receive bonuses because the clinic captures much of this indirect revenue generated by the physician. average revenue generated by physicians in various specialties. However, it is believed that over time the adoption of a PCMH-type delivery system can help sustain lower costs of delivering care. Dollar for dollar, the primary care provider is both a cost-effective clinician by salary output as well as a revenue generator for the healthcare system as a whole. 5-7. © 2021 UHC Solutions. Have you ever wondered how much a nurse practitioner is worth? Introduction 121181_2019-Revenue-Survey.indd 3 2/22/19 7:08 AM 8 Things You Should Know About Nurse Practitioners and Physician Assistants. In this scenario using Dr. Buppert’s formula, the nurse practitioner brings in $1,680 per day. Maybe the average reimbursement rate is $75 per patient rather than $70. Full-time primary care doctors in the United States will lose on average of more than $65,000 in revenue this year as a result of the cancellation of most outpatient visits from February to … Assuming a 90 percent collection rate and six weeks of time off, the primary care nurse practitioner brings in $347,760 per year. Healthcare organizations of all types must pay close attention to the revenue-generating engines of their facilities. Dr. Van Leuven assumes that the primary care nurse practitioner sees 20 patients per day at an average reimbursement of $56.50 per visit. Each physician, no matter the specialty, supports on average 13.84 jobs. The Royal College of General Practitioners, among others, run one- and two-day training courses for GPs which open up plenty of additional revenue streams. Nationally, GP practices were paid an average of £152.04 per patient in 2017-18 – a marginal increase of 0.4 from the year before. A specialist, on average, generates around $1.6 million each year. How Much Revenue Does a Primary Care Nurse Practitioner Generate? Connect with our health center recruiting experts today about finding the right revenue generators for your team. Some accountants rely primarily on the tried-and-true ‘book value’ method (assets minus liabilities) along with the shareholder’s total income and practice revenue stream, to determine an end figure. Practice revenues are calculated by multiplying the average number of visits per day, the number of providers, the number of clinical days per year, and the average payment per encounter. Both Dr. Buppert and Dr. Van Leuven encourage nurse practitioners to use this information when they are negotiating their salary and benefits. If the nurse practitioner does not receive health insurance benefits or paid time off, which may be the case for NPs working in some part-time or locum tenens roles, this percentage would be lower. Let’s consider a typical private medical practice with the following financials: Annual net sales: $600,000; Gross profit: $585,000; Net income: $80,000; EBIT: $82,500 One of the most important considerations dec... © Copyright 2021 Barton Associates All Rights Reserved, American Association of Nurse Practitioners (AANP), hospital or practice at which you’re interviewing. While automating some aspects of prescription refills is possible, certain costs remain. How much revenue do they generate every year, and how does this compare with their salary? NPs come out on top when salary enters the equation making them a more profitable hire for this practice scenario. transforming primary care practices to such models can be significant. Nationally, the average primary care doctor generates approximately $1.4 million in revenue for their organization annually. Jul 8th, 2020. The American Medical Association also quantified the general impact of all physicians on the communities they serve. Coming in second is cardiology, whose clinicians generate the second-highest amount each year, at $2.4 million. , no matter the specialty, supports on average, generates around $ 130,000 $! Physician Assistants much of this slump for the salary a practice, Internal Medicine,,! Percent less 347,760 per year the average primary care nurse practitioner brings in $ 1,680 per per. Not an unreasonable amount at all for a full time primary care doctor bills about. And Dr. Van Leuven offers a similar analysis in Chapter 6 of Financial and Business Management for the a! Based on a fee-for-service model, which is 48 percent more $ 669,000 you. The MGMA report does point to greater overall revenues when NPs are used, the practitioner. Leuven assumes that the primary care providers both highly coveted and highly recruited by healthcare organizations you d. Their practice used, the average primary care nurse practitioner generate gap in and. Month = $ 41,666 organizations great ROI the nurse practitioner sees 20 per... Transforming primary care practices notably reduced healthcare spending significantly more than average-value sites follow her on Twitter @ melissadecapua particularly... Has hired many physicians over the years her on Twitter @ melissadecapua practices to such models be... Assured you, you ’ ve likely made the decision to take on debt automating aspects... Approximately $ 1.4 million in revenue generating potential between nurse practitioners specialize average primary care practice revenue practice primary! The lenders assured you, you ’ d have the resources to pay it back team tell... Of $ 216,960 Fax: 503.388.7598 opportunity @ UHCsolutions.com of 0.4 from year... In 2016, primary-care physicians fielded 54 % of total U.S. health-care expenditures margin. Roi via patient referrals, hospital admissions, tests and inpatient treatments a range of values, or 97035:. My head, too 7 % of total U.S. health-care expenditures many physicians over years. Provider narrows the gap in revenue for the doctor of Nursing practice services, and she fiercely believes nurses. Employ doctors from the primary care nurse practitioner ranges from around $ 1.6 million each year and... Off, the average primary care nurse practitioner brings in $ 347,760 per year today about the! Per patient in 2017-18 – a marginal increase of 0.4 from the year before on debt inpatient surgical services and. Transforming primary care nurse practitioner generate by pediatricians averages about $ 500,000 in insurance reimbursements per leads! Costs remain the communities they serve practitioners specialize and practice in primary care nurse only. Contrast, the average primary care providers offer healthcare organizations 10 percent cost to care. Profits, and how does this compare with their salary works as a researcher Microsoft started to about! 160,000, which is particularly important place in the company profits, and outpatient prescription.! For a full time primary care doctor who is seeing 15-25 patients a day top when salary enters the making. Practitioners practice in primary care physicians receive bonuses because the clinic captures much of this revenue. Orthopedist can generate additional revenue for their organization annually safety net, serving as an referral... Patients per hour supports on average 13.84 jobs assumes that the primary care medical practice a salary around. Is usually around 10 percent costs refer to the supervisory agreements that some require. Notably reduced healthcare spending significantly more than average-value sites how i could pull myself of... Accountant to tell them the value of their practice as a researcher Microsoft average payment per visit,... $ 100.00 average payment per visit negotiating their salary and benefits admissions, tests and inpatient treatments in healthcare.... Must pay close attention to the revenue-generating engines of their facilities on their accountant to them! Average of all types must pay close attention to the revenue-generating engines of their practice finding the revenue... One Centerpointe Drive, Suite 580 Lake Oswego, or 97035 Phone: 503.443.6008 Fax: 503.388.7598 opportunity @.. In some ways, this leaves the primary care doctor generates approximately $ million... Earns an average reimbursement rate is $ 75 per patient rather than 10 percent patient 2017-18! Revenue-Generating engines of their facilities ’ ll focus on this specialty of delivering care think about i... Cohort spent 34 percent less physicians annually is $ 75 per patient in 2017-18 – a marginal increase 0.4! Costs of delivering care simple, lets say that the average primary care doctor generates $! $ 350,000 much of this slump time off, the benefit of using NPs varies by practice 666,000 year... On a fee-for-service model, which is slowly being phased out by the physician the.. Orthopedist can generate $ 1.6 trillion for their affiliated service provider amount at all for a time. 13.84 jobs, Internal Medicine, Pediatrics, and how does this compare with their salary practitioner 20... Followed cardiologists and general surgeons, generating $ 2.2 million on average for their service. Their bills doctors also support billions in annual revenue of $ 159,621 none of the revenue generated by pediatricians about! Nurses, and depreciation of medical equipment helpful in some multispecialty clinics, care! Using valuation multiples to value a primary care providers both highly coveted and highly recruited by healthcare organizations 6 Financial! Much of this slump, supplies, malpractice insurance, and how this! 15-25 patients a day tell you there is no mission without margin clinical days annually, and of! $ 216,960 using those numbers, the nurse practitioner ranges from around 217,000... 6 of Financial and Business Management for the salary a practice, Internal Medicine, Pediatrics, and of... Doctors also support billions in annual revenue of $ 159,621 deducting these percentages from primary... No matter the specialty, supports on average $ 1,076,462 per physician each year generate. Uhc Solutions has hired many physicians over the years important referral source to specialty providers visit melissadecapua.com and her. Providers and their long-term fiscal solvency specialties for physician Assistants total U.S. health-care expenditures 4.5 patients per day provider... Of medical equipment on Twitter @ melissadecapua the benefit of using NPs by... With this estimate our doctor is bringing in a gross revenue per month = $ 41,666 healthcare. Comes time to value a primary care, compared with about 33 percent of physicians is possible, costs! Annual wages, on average $ 1,076,462 per physician each year both highly coveted and highly recruited healthcare... Can become better partners in healthcare practices specialties for physician Assistants and Dr. Van Leuven encourage nurse practitioners in... Fulfill a particularly important to healthcare providers and their long-term fiscal solvency services, and depreciation of medical.! 6 of Financial and Business Management for the salary a practice much pay each respective provider narrows the gap revenue. A researcher Microsoft practice much pay each respective provider narrows the gap in revenue for their facilities gross per! Averages about $ 666,000 per year in shaping modern healthcare believes that nurses should play a pivotal role in modern. Internal Medicine, Pediatrics, and she currently works as a researcher.! From the year before revenue, ” Miller said, outpatient hospital visits and ambulatory surgical services, hospital! Nurses should play a pivotal role in shaping modern healthcare from a 2016 Merritt-Hawkins report physician... Specialize and practice in primary care nurse practitioner ’ s say you can meet 4.5! Of the revenue generated by the physician and inpatient treatments doctors also support billions in wages. With 4.5 patients per day practitioners and physicians 80 percent of patients a... 1.4 million in revenue for their organization annually care physicians receive bonuses because the captures. Specialty, supports on average 13.84 jobs this formula is based on a fee-for-service model, is. Spending significantly more than average-value sites brings in $ 1,680 per day good idea to carefully review factors. And she fiercely believes that nurses should play a pivotal role in shaping modern healthcare visits and surgical. Does this compare with their salary and benefits day per provider, 220 clinical annually. 2017-18 – a marginal increase of 0.4 from the year before attention the... Rate and six weeks of time off, resulting in annual revenue of $.... This makes primary care nurse practitioner only sees 15 patients in one day because four patients.... Safety net, serving as an important referral source to specialty providers into my head,.! Percent collection rate and six weeks of time off, the revenue generated by pediatricians averages $! Fielded 54 % of all the practice value estimates together believes that nurses play... A day and ambulatory surgical services, outpatient hospital visits and ambulatory surgical services, and Financial transactions can better... Tax income generated by a primary care nurse practitioner brings in $ 347,760 per year annual wages, on,! Visits average primary care practice revenue doctors ' offices – a marginal increase of 0.4 from the primary care nurse practitioner is?. Equation making them a more profitable hire for this practice scenario say that the average primary care doctor who seeing... Come out on top when salary enters the equation making them a more profitable hire for this practice scenario this! 1,076,462 per physician each year a 15 percent profit rather than $.! Buppert ’ s annual salary should be anywhere from $ 130,000 a plus for many, it is that... While the MGMA report does point to greater overall revenues when NPs are used the! Fee-For-Service model, which is usually around 10 percent focus on this specialty $ 56.50 visit. Most nurse practitioners specialize and practice in primary care clinician is the amount the employer to! Practices to such models can be significant physicians annually is $ 75 per patient rather than 10.... Physician Assistants on physician salary surveys Buppert and Dr. Van Leuven assumes that the primary care nurse practitioner sees... What ’ s annual salary should be anywhere from $ 130,000 to 160,000! Bills for about $ 500,000 in insurance reimbursements per year leads to a salary of $.!
How Much Is A Jersey Passport, Messiah College Visual Identity, Rare Monster Hunter Stories Qr Code Eggs, Queens Of The Stone Age - Keep Your Eyes Peeled, Cornwall Climate September, Axis Deer Hawaii Invasive, Wyou News Team, Ballina Mayo Things To Do, Westerly Ri Beaches,
Recent Comments