Payer mix and contract quality
Commercial-heavy panels in good contracts out-earn Medi-Cal-heavy panels per visit, though FQHC buyers specifically seek the latter. Different mixes, different buyers, different math.
Specialty focus · Family Medicine
Family Medicine Practice Valuation & Brokerage Services in California
Your patient panel is the asset. We help you measure what it's worth and find the buyers competing for it.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
The Asset Is the Panel
A family medicine practice's value lives in its patient panel: how many active patients, in what payer mix, with what visit frequency, attached to which providers. Equipment is modest and procedures are limited, but a loyal panel of several thousand patients is a revenue annuity that health systems, medical groups, FQHCs, and value-based care organizations actively compete to acquire. Valuing it requires panel analytics, not just P&L review: active-patient definitions, attrition rates, panel age distribution, and the attachment question. Do patients belong to the practice or to the departing physician?
Family Medicine Practice Valuation
Certified, USPAP-compliant appraisals for sales, buy-ins, divorce, disputes, SBA loans, and estate planning.
Valuation servicesSell Your Family Medicine Practice
Confidential, valuation-led brokerage that puts your practice in front of the buyers active in family medicine across California.
Brokerage servicesWhat Moves Family Medicine Value
Value-based revenue
Quality bonuses, care management fees, and shared savings are increasingly where family medicine margin lives. Staying on top of these programs takes work, but it can make the practice a much more valuable asset.
Provider leverage
A solo physician seeing every patient caps value at one person's stamina. NPs and PAs carrying panel under supervision make earnings transferable.
Owner dependence
The classic family medicine risk: thirty-year patients loyal to one doctor. A well-planned transition, with handoff terms built into the sale, is what keeps those patients with the practice.
Ancillaries
In-house labs, chronic care management programs, and occupational medicine contracts add margin lines buyers can underwrite separately.
A Wide and Underestimated Buyer Market
Family physicians routinely assume "no one buys primary care anymore." The opposite is true: health systems buy panels for network attribution, FQHCs acquire practices serving underserved populations, value-based care platforms pay for Medicare panels they can manage into shared savings, and younger physicians still buy practices the SBA will finance. Our brokerage process markets to all of them; our valuation tells you first what each would likely pay.
Frequent Engagements
Retirement-driven sales; valuations for hospital employment versus independence decisions; partner buy-ins; divorce and SBA engagements; FQHC acquisition pricing.
A clear, three-step process
- 1
Discovery Call
A confidential conversation about your practice, your timeline, and the purpose of the valuation. We scope the right report tier before you commit to anything.
- 2
Financial Analysis & Interviews
We interview you and normalize your financials. Owner compensation, one-time expenses, and related-party leases all get restated. Typical turnaround: 1–2 weeks.
- 3
Certified Opinion of Value
You receive a defensible, USPAP-compliant conclusion of value, walked through line by line. The report is documented to withstand scrutiny from a buyer, a court, a partner, or a lender.
What is your panel really worth?
Panel analytics plus certified valuation, in plain English.
Trusted by physicians across California
Real Google reviews from physicians and practice owners we have served. Read them on Google
“As a physician with partnership transaction of medical practice, he was an exceptional to guide me and advise me. He showed not only professionalism but also his eagerness to help and guide me through. Highly recommend him for any business valuation and transaction.”
Dr. Kyong Kim
Partnership transaction
“Fantastic valuation/appraisal specialist. I reached out to Alexey to help me evaluate a medical practice buy-in on short notice. He was able to work me into his schedule and accommodate my timeline despite how busy he was and provided crucial insight into helping me decide my next steps.”
Dr. Xuan Cao
Medical practice buy-in
“They get 5 stars across the board. Alexey was extremely thorough and detailed oriented. He did a deep dive into my practice’s financials, coding and practice history. He was easily approachable and prompt in answering questions and in completing the Appraisal. I am confident in the results and I would highly recommend him to any physician/practice for an appraisal.”
Dr. Robert Sacks
Ophthalmology practice
“I called Nechay as I was navigating the potential of selling my practice, and I had a lot of questions about my various offers for sale. Nechay was so responsive, methodical, and educational. He really allowed me to understand the landscape of selling my practice. He is an effective communicator, very patient on the phone and obviously extremely knowledgeable. I will be hiring him to help complete my transactions!”
Dr. Garima Lal
Evaluating sale offers
“I hired Nechay Appraisals to value my ophthalmology practice last year and couldn’t have been more impressed. From start to finish, Alexey was fantastic to work with. The end result was a highly professional and polished valuation report that provided valuable insights on the current state of my business.”
Dr. David Salvay
Ophthalmology practice valuation
“Alexey has been an excellent asset in evaluating our practice. His experience and practice suggestions have helped us tremendously. His working knowledge of medical practice evaluation and application of these skills is second to none. He is always readily available at a moment’s notice.”
Dr. Elio Vento
Practice evaluation
“Very attentive. Quick to respond. Knowledgeable.”
Dr. Betty Daniels
“Very professional, responsive and creates an excellent report and is accessible. Thank you!”
Dr. Daniel Laroche
“Alexey is very professional and a pleasure to work with. I was under time constraints and he completed his review on time despite those additional pressures.”
Dr. Charles Jackson
“Nechay listened carefully and provided objective feedback tailored to my specific situation. His honest communication and expertise made a complex process much easier. I highly recommend him.”
Dr. Maria Soledad Romero
“Highly recommend! From start to finish, he demonstrated expertise, professionalism, and genuine care. Not only did he deliver a thorough, well-researched valuation report, but he also took the time to explain key findings, offer strategic advice, and answered all our questions — even talked to our accountant and bookkeeper to dig deep into our situation.”
Dr. Alicia Sanchez
Medical practice valuation
“We hired Nechay Appraisals to value our ophthalmology practice the year before last and couldn’t have been more impressed. From start to finish, Alexey was fantastic to work with. He was very organized and very patient with us as we gathered what he needed. Every week he would check in to make sure everything was on track. We are getting ready to utilize his services again and are looking forward to working with him.”
Jenna Keller
Ophthalmology practice valuation
“I greatly appreciate the help from Alexey. The process was easy and the information was invaluable. The data provided was comprehensive and gave me perspective of my company that I was not aware of. I highly recommend Alexey and his company.”
Dr. Linh Ngo
Medical practice valuation
Family Medicine questions we hear most
Usually yes, at a price that reflects transition risk. A structured handoff (3–12 months of introductions) preserves panel value, and the right buyer may be a system or FQHC that wants the panel more than the brand. The valuation tells you the realistic range before you decide.
Per-patient rules of thumb are marketing, not valuation. Value flows from the earnings the panel produces under your contracts and cost structure. Two practices with 3,000 patients each can be worth very different amounts based on payer mix alone.
Usually in your favor. Medicare Advantage patients are exactly what value-based buyers are looking for, so a meaningful MA panel can widen your buyer pool and support a higher price.
Yes. It is a sale with post-sale employment, which is a common structure. These offers often pay a modest asset value plus an employment package, and whether that beats an independent sale or an FQHC transaction is an arithmetic question we can help you answer.
Your Decades of Patient Trust Have a Value
Measure it. Then decide.
All inquiries are kept strictly confidential.