Pain Management and Radiology Practice: Multi-Site

Price: $4,000,000
Annual Revenue: $2,922,539 Net Cash Flow: $927,389
Health Care New Jersey
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This is an established, multi-location practice specializing in comprehensive pain management and interventional radiology. The practice has grown from a single practitioner to a team of three providers and operates across three main facilities. It offers a unique blend of traditional pain management procedures and advanced, minimally invasive embolization therapies. The organizational structure includes clinical leadership, a Nurse Practitioner ensuring compliance, a Director of Operations, and dedicated billing and administrative staff.

Services & Operations

The practice provides a full spectrum of pain management services, ranging from routine epidural and facet injections to higher-yield interventional procedures. A key differentiator is the integration of advanced, in-office procedures, including:

  • Core Pain Procedures: Epidural injections, facet injections, nerve blocks, and discography.
  • High-Complexity Interventions: Percutaneous discectomy, kyphoplasty, sacroiliac joint fusion, and spinal cord stimulator trials and implants.
  • Specialized Embolization Services: A significant growth area, offering Genicular Artery Embolization (GAE) for knee osteoarthritis, Shoulder Embolization for chronic shoulder pain, with plans to expand into uterine, plantar fasciitis, and prostate embolizations.

Clinical Volume: The pain management specialist sees approximately 60 patients per week, supported by a Nurse Practitioner handling 40 evaluations and follow-ups per week. The interventional radiologist performs 15-20 procedures per month. The practice operates on a 100% outpatient basis.

Key Investment Highlights

  • Strong Financial Performance: Generated approximately $900,000 in EBITDA for 2025, with diversified revenue streams.
  • Differentiated Clinical Model: Combines traditional pain management with cutting-edge, in-office interventional radiology procedures, creating a unique and defensible market position.
  • Attractive Payer Mix: Revenue is diversified across Medicare (60%), Personal Injury Protection (30%), and other insurance/self-pay (10%).
  • Experienced, Stable Team: Led by the founding physician with a long-tenured administrative team. Provider dependency is mitigated by the Nurse Practitioner’s role in evaluations and follow-ups, supported by written treatment protocols. Key staff have non-solicitation agreements.
  • Asset-Owned Real Estate: The ownership of two primary facilities provides tangible asset value and eliminates lease expense risk, contributing to the clean EBITDA profile.
Location

Facilities Information: The practice has a strong real estate footprint with three primary facilities strategically located to serve a broad patient base:
• Owned Assets: Two facilities in New Jersey are owned, including a recently purchased 3,000 sq. ft. building currently being developed into a dedicated procedure suite.
• Leased Location: A 2,000 sq. ft. procedure suite in New York operates on a flexible month-to-month lease with an option to convert.
• Capacity: All facilities are in pristine condition with significant capital improvements underway, providing ample capacity to scale patient volume.

Additional Information

Potential Growth:

The practice is positioned for significant growth, driven by several key factors:

  • Service Line: The embolization procedures (GAE, shoulder) represent a pioneering, high-reimbursement service with substantial market potential and strong patient demand as an alternative to surgery.
  • Scalable Infrastructure: The owned facilities and recent build-out provide the physical infrastructure to immediately increase procedure volume. The practice has the staff and space to accommodate more patients.
  • Expanded Service Offerings: Clear plans to introduce new, high-demand embolization procedures (uterine, prostate) and other interventions (SIJ fusion) to capture more market share.
  • Proven Marketing: Growth has been successfully driven by targeted advertising, with a demonstrated return on investment, particularly for the advanced procedures.

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