Cash-pay vs. insurance mix
Cash practices carry pricing power and zero payer friction but depend on local affluence and the psychiatrist's reputation; insurance practices scale through prescriber leverage. Buyers price the two on different logic.
Specialty focus · Psychiatry
Psychiatry Practice Valuation & Brokerage Services in California
Behavioral health is the most actively acquired corner of medicine. Psychiatrist-owners should know exactly what that demand means for their practice.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
A Specialty Buyers Are Chasing
Demand for behavioral health has outrun supply for a decade, and capital has noticed: PE-backed behavioral platforms, telepsychiatry companies, and health systems are all acquiring psychiatric practices in California. Yet psychiatry practices vary more in structure than almost any specialty — solo cash-pay therapy-and-medication practices, multi-prescriber insurance-based groups, telehealth-first operations, interventional clinics built on TMS and esketamine. Each model has different economics, different buyers, and different multiples. Valuing them with one template is malpractice-adjacent; we value the model you actually run.
Psychiatry Practice Valuation
Certified, USPAP-compliant appraisals for sales, buy-ins, divorce, disputes, SBA loans, and estate planning.
Valuation servicesSell Your Psychiatry Practice
Confidential, valuation-led brokerage that puts your practice in front of the buyers active in psychiatry across California.
Brokerage servicesPsychiatry Value Drivers
Prescriber leverage
Earnings generated by employed psychiatrists, NPs, and PAs under supervision are the most transferable asset in behavioral health — and the central thing platforms underwrite.
Recurring clinical base
Medication management creates visit recurrence most specialties envy. Panel retention and visit-interval data quantify it.
Interventional services
TMS, esketamine/Spravato programs, and emerging interventional lines add device-based, protocol-driven revenue — valued on utilization, payer coverage durability, and referral flow.
Telehealth share
Virtual care expands reach and margins but raises questions buyers now ask routinely: geographic licensure footprint, controlled-substance prescribing compliance, and retention versus in-person care.
Confidentiality With an Extra Layer
Psychiatric practice sales carry heightened sensitivity — patient privacy expectations are absolute, and clinical relationships are unusually personal. Our process is built for it: blind profiles, NDAs before any identifying detail, and patient-data handling that stays strictly within compliance boundaries through diligence. See psychiatry brokerage — or start with the valuation.
Common Engagements
Platform offer evaluations; pre-sale valuations for group practices; solo cash-practice exit feasibility; partner buy-ins for growing groups; divorce valuations, where cash-pay revenue invites income-controllability arguments.
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.
Behavioral health is being acquired. Are you priced?
Find out what your model commands 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
Psychiatry questions we hear most
Honestly: partially. A pure solo cash practice transfers limited goodwill — but a structured transition to a successor psychiatrist, with introductions and overlap, can monetize more than owners expect. The valuation tells you the realistic range before you spend energy on the question.
Strong ones for prescriber-leveraged, multi-clinician groups with recurring visit bases — among the better multiples in outpatient medicine currently. Solo practices trade on different, more modest math. Structure drives the spread, which is why we value the structure.
Positively where utilization is documented and referral flow is institutional: device-based revenue with payer coverage is durable EBITDA. An underused machine, by contrast, is capex looking for a writedown. We model yours from utilization data.
They care about supervision compliance, state licensure mapping, controlled-substance protocols, and retention metrics. Remote-heavy models that document those well are assets; undocumented ones are diligence findings.
Your Practice Model Has a Market Value
Cash, insurance, telehealth, or interventional — we've valued it.
All inquiries are kept strictly confidential.