Good point here. Medicare and other payers pay the same for each medical service or procedure, regardless of whether it’s done by a new doctor or a 30-year veteran:
Differentiating one physician from another or one surgeon from another is very difficult. Additionally, seniority does not necessarily mean that the product or service is better.
The only way that pay increases with age is the increased efficiency that comes with experience.
This isn’t always a good thing, since doing things faster in medicine isn’t always better.