Florida Primary Care Practice - 1,558 Medicare Advantage Lives
Business Description
THIS IS NOT AN EARNINGS ACQUISITION. IT IS A PANEL ACQUISITION.
A 30+ year solo-physician family medicine practice in North Central Florida is available. Its principal asset is not its income statement. It is 1,558 Medicare Advantage lives - a concentrated senior panel, managed for chronic disease, in one of the most Medicare-dense counties in the United States.
At the $1,800,000 offering price, that panel transfers at approximately $1,155 per Medicare Advantage life.
For context, ECG Management Consultants - writing for the American Health Law Association - reports that non-health system buyers "might pay up to $12,000 per Medicare Advantage life" for primary care practices, precisely because of the value of managing that population under risk-based contracts. The gap between those two numbers is the opportunity here.
WHY THE GAP EXISTS
Plainly: a retiring solo physician never monetized the panel he built.
- The office is open 32 scheduled hours per week and closes at 3:00 p.m. (noon Fridays).
- It holds NO capitated contracts.
- It joined an Accountable Care Organization (ACO) in 2024 and has taken NO shared savings.
- It has NO website, no online scheduling, no SEO, no advertising, no business cards.
- 2025 revenue was $702,869 with $115,493 of discretionary earnings.
Every one of those is a lever the seller could not pull and a buyer can. Asked to name the biggest bottleneck in the business, the owner answered in three words: "Probably my time."
WHAT YOU ACQUIRE
- 1,558 Medicare Advantage patients. More than half of all patients are 65+; pediatric patients are rare.
- A genuinely comorbid panel: diabetes, hypertension, hyperlipidemia, thyroid disorders, renal failure, CHF, atrial fibrillation, CAD, PAD, fatty liver disease, metabolic syndrome - the exact clinical profile that drives risk-adjusted revenue in a value-based model.
- ACO participation already in place, with none of its economics harvested.
- Care-management muscle already in the building: the medical assistants already make the chronic care management calls. The hardest thing to buy in a value-based rollout - staff who will actually work a panel between visits - is already habit here.
- Six long-tenured employees, two with 25+ years of service. Ownership anticipates the team would remain post-close.
- A clean compliance record: no litigation, liens, OIG integrity agreements, program exclusions, HIPAA breaches, or outstanding taxes.
- ~10 new patients per month, arriving on reputation alone. ~4.5-star average online.
- Real estate available separately at $675,000 (approx. $218/SF), or lease at $4,650/month NNN.
THE MARKET
Florida is one of only seven states where more than 60% of Medicare beneficiaries are enrolled in Medicare Advantage. The county is among Florida's oldest and fastest-growing: per the U.S. Census Bureau, 29.7% of its 442,660 residents are 65 or older - against 18.0% nationally - and the population has grown 17.8% since 2020.
THE CANDID RISK
The owner is retiring, will not remain post-close, does not plan to practice in the area, and will sign a standard non-compete. In a solo practice that is the central risk in any acquisition, and it is why the panel is priced where it is. What offsets it: chronic-care patients who do not casually relocate their care (some have been with the practice 30 years), a staff expected to stay, a flexible transition, and a $300,000 seller-carryback note that keeps the seller invested in a successful handoff.
TERMS
$1,800,000 offering price. $1,500,000 cash at close; $300,000 seller carryback to a qualified physician buyer, secured by practice assets and personal guaranty. $25,000 minimum earnest money. Accounts receivable excluded. Real estate offered separately.
Presented to qualified, NDA-executed parties only. Contact the broker for the Confidential Information Memorandum. Presented by Strategic Medical Brokers in association with ParaSell, Inc.
A 30+ year solo-physician family medicine practice in North Central Florida is available. Its principal asset is not its income statement. It is 1,558 Medicare Advantage lives - a concentrated senior panel, managed for chronic disease, in one of the most Medicare-dense counties in the United States.
At the $1,800,000 offering price, that panel transfers at approximately $1,155 per Medicare Advantage life.
For context, ECG Management Consultants - writing for the American Health Law Association - reports that non-health system buyers "might pay up to $12,000 per Medicare Advantage life" for primary care practices, precisely because of the value of managing that population under risk-based contracts. The gap between those two numbers is the opportunity here.
WHY THE GAP EXISTS
Plainly: a retiring solo physician never monetized the panel he built.
- The office is open 32 scheduled hours per week and closes at 3:00 p.m. (noon Fridays).
- It holds NO capitated contracts.
- It joined an Accountable Care Organization (ACO) in 2024 and has taken NO shared savings.
- It has NO website, no online scheduling, no SEO, no advertising, no business cards.
- 2025 revenue was $702,869 with $115,493 of discretionary earnings.
Every one of those is a lever the seller could not pull and a buyer can. Asked to name the biggest bottleneck in the business, the owner answered in three words: "Probably my time."
WHAT YOU ACQUIRE
- 1,558 Medicare Advantage patients. More than half of all patients are 65+; pediatric patients are rare.
- A genuinely comorbid panel: diabetes, hypertension, hyperlipidemia, thyroid disorders, renal failure, CHF, atrial fibrillation, CAD, PAD, fatty liver disease, metabolic syndrome - the exact clinical profile that drives risk-adjusted revenue in a value-based model.
- ACO participation already in place, with none of its economics harvested.
- Care-management muscle already in the building: the medical assistants already make the chronic care management calls. The hardest thing to buy in a value-based rollout - staff who will actually work a panel between visits - is already habit here.
- Six long-tenured employees, two with 25+ years of service. Ownership anticipates the team would remain post-close.
- A clean compliance record: no litigation, liens, OIG integrity agreements, program exclusions, HIPAA breaches, or outstanding taxes.
- ~10 new patients per month, arriving on reputation alone. ~4.5-star average online.
- Real estate available separately at $675,000 (approx. $218/SF), or lease at $4,650/month NNN.
THE MARKET
Florida is one of only seven states where more than 60% of Medicare beneficiaries are enrolled in Medicare Advantage. The county is among Florida's oldest and fastest-growing: per the U.S. Census Bureau, 29.7% of its 442,660 residents are 65 or older - against 18.0% nationally - and the population has grown 17.8% since 2020.
THE CANDID RISK
The owner is retiring, will not remain post-close, does not plan to practice in the area, and will sign a standard non-compete. In a solo practice that is the central risk in any acquisition, and it is why the panel is priced where it is. What offsets it: chronic-care patients who do not casually relocate their care (some have been with the practice 30 years), a staff expected to stay, a flexible transition, and a $300,000 seller-carryback note that keeps the seller invested in a successful handoff.
TERMS
$1,800,000 offering price. $1,500,000 cash at close; $300,000 seller carryback to a qualified physician buyer, secured by practice assets and personal guaranty. $25,000 minimum earnest money. Accounts receivable excluded. Real estate offered separately.
Presented to qualified, NDA-executed parties only. Contact the broker for the Confidential Information Memorandum. Presented by Strategic Medical Brokers in association with ParaSell, Inc.
About the Business
- Years in Operation
- 31
- Employees
- 6 Full-time
- Facilities & Assets
- Approximately 3,095 SF single-story medical office, owner-occupied, in an established North Central Florida medical market. Waiting area seats 10-12; exam and procedure space, provider offices, two MA/nursing stations, conference room, staff lounge, storage. Ownership believes it supports one more provider. Real estate available separately: buy at $675,000 (~$218/SF) or lease at $4,650/mo NNN.
- Market Outlook / Competition
- Florida is one of only seven states where 60%+ of Medicare beneficiaries are in Medicare Advantage. Per the U.S. Census Bureau, 29.7% of the county's 442,660 residents are 65 or older (18.0% nationally), and population has grown 17.8% since 2020. The AAMC projects a shortfall of 20,200-40,400 primary care physicians by 2036 - a staffed, credentialed panel is harder to replicate than to build. Competitors are largely groups that rotate physicians; patients here cite continuity and access. New patient visits in 1-2 weeks; acute follow-ups often next day.
- Opportunities for Growth
- Nearly every growth lever is untouched. Convert 1,558 Medicare Advantage lives from fee-for-service into value-based, per-member economics. Harvest ACO participation that has produced zero shared savings to date. Extend the 32-hour schedule - the owner names competitors' longer hours as his chief weakness. Add a provider into existing capacity. Build a digital front door: no website, no online scheduling, no SEO, no ads. Run Medicare Annual Enrollment outreach in a 60%+ MA market. Reinstate allergy testing and hospital rounds, stopped 2020.
Real Estate
- Owned or Leased
- Owned
- Not included in asking price
- Building Sq. Ft.
- 3,095
About the Sale
- Seller Motivation
- Seller is retiring after 30+ years; $300K seller note and smooth transition.
- Transition Support
- Transition availability is described by the owner as "flexible" - term, compensation, and schedule by mutual agreement. He will sign a standard non-compete. A $300,000 seller-carryback note to a qualified physician buyer keeps him invested in the handoff. All six employees are expected to remain, including two with 25+ years of tenure.
- Financing Options
- $300,000 seller carryback to a qualified physician buyer
Listing Info
- ID
- 2528336
- Listing Views
- 31
Listing ID: 2528336 The information on this listing has been provided by either the seller or a business broker representing the seller. BizQuest has no interest or stake in the sale of this business and has not verified any of the information and assumes no responsibility for its accuracy, veracity, or completeness. See our full Terms of Use. Learn how to avoid scams.
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