Attributed lives and their economics
MA membership, ACO participation, capitation arrangements, and documented quality/risk-score performance — the per-member-per-month story buyers now lead with.
Specialty focus · Primary Care
Primary Care Practice Valuation & Brokerage Services in California
Value-based care changed what primary care practices are worth — and who's buying. Most valuations haven't caught up. Ours have.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Primary Care Is Being Repriced
For decades, primary care practices traded modestly: fee-for-service economics capped earnings, and value sat in asset-plus-small-goodwill territory. Value-based care broke that ceiling. Practices managing attributed Medicare and Medicare Advantage lives — earning capitation, quality bonuses, and shared savings — now attract buyers underwriting per-member economics rather than per-visit ones, at valuations fee-for-service thinking can't explain. If your valuation treats your attributed panel as ordinary revenue, it's underpricing your practice. Ours doesn't.
Primary Care Practice Valuation
Certified, USPAP-compliant appraisals for sales, buy-ins, divorce, disputes, SBA loans, and estate planning.
Valuation servicesSell Your Primary Care Practice
Confidential, valuation-led brokerage that puts your practice in front of the buyers active in primary care across California.
Brokerage servicesWhat Buyers Underwrite in Primary Care
Contract quality
Upside-only versus risk-bearing arrangements, payer relationships, and renewal posture. The same panel earns very differently under different contracts.
Panel scale and demographics
Medicare-heavy panels carry value-based upside; commercial panels carry fee-for-service durability; the blend defines your buyer list.
Provider leverage and access
Team-based models with NPs/PAs, same-week access, and care management infrastructure make panel economics transferable and scalable.
Fee-for-service fundamentals
Visit volume, coding integrity, and ancillaries (point-of-care lab, chronic care management billing) still anchor the base case.
A Buyer Market in Motion
California primary care is being acquired by health systems defending attribution, value-based platforms and enablement companies building risk-bearing networks, medical groups scaling MA panels, and FQHCs expanding access — alongside the perennial physician-to-physician market. Each prices a different aspect of the same practice. Our valuation establishes the defensible base; our brokerage makes the right buyers compete above it.
Frequent Engagements
Sale and platform-offer evaluations; valuations for joining (or exiting) risk-bearing groups; partner buy-ins; concierge/DPC conversion feasibility analysis; divorce and SBA matters.
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.
Has value-based care repriced your practice?
Find out what your attributed panel is worth in today's market.
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
Primary Care questions we hear most
The earnings base itself. We separate fee-for-service earnings from value-based streams, test each for durability, and value attributed-panel economics the way today's buyers underwrite them. A 2015-style revenue-multiple guess misses the entire repricing.
Documented shared savings history adds real, valuable evidence of panel manageability — buyers pay for proof. Upside-only earnings are valued more conservatively than capitated streams, and the report distinguishes them honestly.
Sometimes dramatically, sometimes not at all — it depends on panel willingness to pay, your market's depth, and execution timeline against your exit horizon. We model conversion scenarios against the sell-as-is baseline so the choice is quantitative.
Often both — equity arrangements, MSO relationships, or full acquisition. Their offers are structurally complex, and evaluating one is precisely the moment for an independent valuation and offer model.
Primary Care Is Having Its Moment. Time It Well.
Certified valuation, buyer-fluent brokerage.
All inquiries are kept strictly confidential.