Oregon dermatology runs on a corridor and a lot of long drives. Practices cluster in the Portland metro and down I-5 through Salem, Albany, Eugene, Grants Pass, and Medford, while Bend and Redmond cover central Oregon and much of the high desert. A patient who crossed the Cascades for a Mohs consult is not coming back next week to re-sign a form or sort out a coverage question, so eligibility, authorization, and documentation have to be right while that patient is still in the building.
The offers reaching owners here come from health systems in the Portland metro and from platforms working their way down the valley, and the argument is scale: a bigger billing department, deeper payer expertise, reporting no two-person office can staff alone. As far as it goes, that argument is honest. What it skips is everything that changes after close, starting with fee schedules and scheduling density and ending with the clinical judgment that made the practice worth buying.
The scale is available without the transaction. Dermatology has been our only line of work since 2017, and our clients average 98% net collections with A/R at 23 days, backed by 200+ practices and 1,246+ providers. We do that work in the system you already license, whether that is ModMed, Nextech, eClinicalWorks, EZDERM, or DrChrono, under SOC 2 Type II certification and HIPAA compliance, with onboarding that runs three to six weeks. Your fee schedule stays yours, your staff still answers to you, and if you sell one day you go into that conversation with current A/R rather than a revenue cycle the buyer has to repair first.