Pain and musculoskeletal care.
Interventional pain, spine and musculoskeletal practices, including those with their own procedure suite or surgery center.
A pain practice runs three businesses on one patient panel: the physicians' own services, the procedures done in its own suite or center, and the services alongside them, such as imaging and therapy.
What we look at.
The questions a careful buyer works through in this kind of company, before a price is final.
- 01
Each line on its own
Office visits, procedures and ancillary services, each with its own margin and its own risks.
- 02
Coding and coverage
Whether procedure volume and coding follow Medicare's coverage policies.
- 03
Prescribing
How each prescriber's record compares with the state's monitoring data.
- 04
Concentration
How much depends on one physician or on a handful of referral sources.
- 05
Physician pay
What the earnings look like once every physician is paid at market.
- 06
Licenses and registrations
Pain clinic registration, DEA registrations and state licenses, and which of them transfer in a sale.
We do not buy practices whose revenue depends on personal-injury liens or letters of protection.
Where a clinician helps.
Dr. Recio is a practicing CRNA. In this business, that shows up in a few concrete places.
- 01
The procedure day
How the day is templated decides what a practice earns from the same number of patients.
- 02
Sedation where it belongs
An anesthesia clinician knows when sedation helps a patient and when it only adds cost and scrutiny.
- 03
The course of treatment
Planning a series of procedures at the first visit keeps patients on the path their physician set.
Questions owners ask.
More on how a sale works is on the page for owners.
What happens to my pay after the sale?
Physician pay is set at market and agreed before closing, so the earnings we pay for are earnings the practice keeps.
Why does the lien question matter?
Revenue that waits on a legal settlement arrives years after the care. We buy practices whose earnings arrive on an ordinary payment cycle.
Will procedures move to another center?
Procedures follow the patient and the practice's own suite or center. Any change would be planned with your physicians.
Start a confidential conversation.
Tell us a little about your company and the best way to reach you. Dr. Recio reads every message himself, and what you send stays between us.
jesus.recio@crownestonecapital.com