Physician Practices
Industry Profile Report
Dive Deep into the industry with a 25+ page industry report (pdf format) including the following chapters
Industry Overview Current Conditions, Industry Structure, How Firms Operate, Industry Trends, Credit Underwriting & Risks, and Industry Forecast.
Call Preparation Call Prep Questions, Industry Terms, and Weblinks.
Financial Insights Working Capital, Capital Financing, Business Valuation, and Financial Benchmarks.
Industry Profile Excerpts
Industry Overview
The 197,000 physician practices in the US consist of primary care and specialty practices. Primary care physicians are responsible for monitoring an individual’s overall medical care, performing physical exams, and treating minor illnesses. Primary care practices include general and family practices, internal medicine, pediatrics, and obstetrics/gynecology. Specialty practices focus on a particular area of medical care and may also perform surgeries to treat problems. Specialists include allergists, cardiologists, dermatologists, gastroenterologists, general surgeons, ophthalmologists, orthopedists, psychiatrists, and radiologists.
Adapting to Changing Standards
Practices must ensure their billing software is ready for new billing codes and claim submission requirements, or they face disruptions in their cash flow.
Lower Reimbursement Rates
Physician practices are highly dependent on reimbursements from private insurance companies, Medicare, and Medicaid.
Industry size & Structure
The typical physician practice has a single location, 14 employees, and about $3 million in annual revenue.
- There are over 197,000 physician practices in the US with about $591 billion in revenue and over 2.8 million employees.
- There are over 443,437 physicians working in private practices.
- Over one billion visits are made annually to physician practices.
- There are two types of physicians - MD (Medical Doctor) and DO (Doctor of Osteopathic Medicine). Both are qualified to perform all types of treatment, including surgery, but DOs emphasize the body's musculoskeletal system, preventive medicine and holistic care.
- Education and training requirements for physicians include 4 years of undergraduate school, 4 years of medical school, and 3 to 8 years of internship and residency. There are 143 accredited medical schools in the US for MD degrees and 41 accredited schools for DO degrees.
- To practice medicine in the US, all physicians must pass either the United States Medical Licensing Exam (USMLE) for MDs or the Comprehensive Osteopathic Medical Licensing Exam (COMLEX) for DOs.
Industry Forecast
Physician Practices Industry Growth
Recent Developments
Dec 17, 2024 - Private Equity Affiliated Physician Practices Associated With Lower Medicare Expenditures
- Medicare expenditures for beneficiaries in private physician practices affiliated with private equity were on average 9.8% lower than for similar patients in hospital-affiliated practices across five specialties in 2022, according to a study conducted by Avalere and commissioned by the American Independent Medical Practice Association. Per-beneficiary Medicare expenditures were on average $963 lower for beneficiaries whose physicians moved from an unaffiliated model to a private equity affiliation in the 12 months following the transition. Per-beneficiary Medicare expenditures were on average $1,140 higher for beneficiaries whose physicians moved from an unaffiliated model to corporate affiliation in the 12 months following the transition. Per-beneficiary Medicare expenditures across the five specialties were on average $1,327 higher for beneficiaries whose physicians moved from an unaffiliated model to a hospital affiliation in the 12 months following the transition.
- Many physicians are joining new professional organizations created to oppose corporate influence in US medicine, according to The Wall Street Journal. Some groups work with lawmakers on legislation intended to limit private equity’s influence in healthcare. Others aim to educate peers about private equity’s impact on their profession. Nearly $1 trillion has been invested in the healthcare sector by buyout firms since 2012, according to The Wall Street Journal. Most analyses focus on how private-equity ownership affects patients but it has also imapcted physicians. Many are angry about losing autonomy and feel that Wall Street investors are standing between them and patients, according to Vicki Norton, an emergency doctor in Florida and the president-elect of the roughly 8,000-member American Academy of Emergency Medicine. The American Medical Association, the nation’s largest doctors’ organization, hasn’t taken a position on private equity in healthcare but it opposes the corporate practice of medicine and in 2022 passed a resolution against private equity’s involvement in medical training.
- Global merger and acquisition (M&A) activity decreased 15% year over year during the second quarter of 2024, according to GlobalData. Physician practices are among the industries being impacted, as states are ramping up scrutiny of health transactions, according to StatNews. Oregon is at the forefront of the push for more scrutiny with some of the strongest health care market oversight laws in the nation, according to StatNews, but state legislatures in Illinois, Minnesota, and New York also have approved oversight programs. Five more states: Vermont, Washington, Pennsylvania, Indiana, and New Mexico, are looking at legislation to start or expand their own programs. A combination of high interest rates, current valuations, and political uncertainty is also impacting M&A activity, according to GlobalData, but a rebound may begin before the end of the year. "Prospects of rate cuts in certain markets and an overall improving global growth outlook could drive increased activity," said Priya Toppo, Analyst at GlobalData's Thematic Intelligence. "However, mega deals will continue to face significant challenges, especially in the US, where antitrust concerns are a key focus for regulators.”
- Physician practice employment and average wages for nonsupervisory employees increased slightly during the first 10 months of 2024, according to the US Bureau of Labor Statistics (BLS). Revenue for physician offices increased 8.7% year over year and 5.4% quarter over quarter in the second quarter of 2024, according to the US Census Bureau. Physician practice prices increased slightly during the first 10 months of 2024, according to the BLS.
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