Physician Contract & Compensation Representation

Your contract was written by the other side. Now you have someone on yours.

Whether you're signing a new offer or suspect you've been underpaid for years, AxisMD benchmarks your pay against national survey data, reviews every term of your agreement, and builds the case to fix it — led by former health system executives who used to write these contracts.

Get your contract reviewed Am I underpaid? →
Confidential|Physician-side only|No health system, PE, or payer ties

Where are you right now?

Most physicians come to us at one of three moments.

The leverage is different at each one. So is the strategy.

01
"I have an offer on the table."
New job, new system, or first attending role. We review the full agreement and benchmark the offer before you sign — when your leverage is highest.
New contract review →
02
"I think I'm underpaid."
Already employed and your productivity has outgrown your pay. Start with a free comp check, and we'll tell you whether there's a gap worth closing.
Get a free comp check →
03
"My renewal is coming up."
Renewal is the most under-used negotiating window in medicine. We start early so you walk in with data, alternatives, and a plan.
Renewal strategy →

Own your practice? See practice advisory & fractional leadership →

Signs you may be underpaid

The gap is rarely obvious. That's by design.

Compensation plans are built to look fair at signing. Over time, your panel grows, your reputation builds, your productivity climbs — and your contract stays frozen at the leverage you had on day one.

If two or more of these sound familiar, it's worth a closer look.

Your wRVUs are above median. Your pay isn't.
Production and compensation should move together. When they don't, the conversion factor or the model is usually the problem.
No one has revisited your comp since year one.
Guarantees expire, markets move, and "we'll revisit it later" rarely happens on its own.
Call, supervision, or leadership work is unpaid.
Excess call, APP supervision, medical directorships, and quality work all have market value.
Your targets went up. Your rate didn't.
Quietly raised thresholds are one of the most common ways effective pay falls.
You've never seen real market data for your specialty.
Your employer has it. You should too.

Not sure you're underpaid? Find out free.

Answer a few questions in two minutes. Within one business day, we'll email you where your pay likely falls against national benchmarks for your specialty. Confidential, and no call required.

Get my free comp check

What a review includes

Not a redline. A negotiation-ready case.

Market benchmarking
Your compensation, productivity, and call measured against MGMA, AMGA, and SullivanCotter data for your specialty and region.
Line-by-line contract analysis
Comp model, wRVU terms, call, non-compete, termination, tail coverage, and the clauses that quietly cost you — reviewed for strategy and legal compliance.
Negotiation strategy
What's actually negotiable in your situation, what to ask for, in what order — and where the other side has room they won't volunteer.
Leadership-ready materials
A briefing and presentation deck built to be read by a CMO or CFO — so your case lands the way their own proposals do.

How it works

You stay in the room. We make sure you're prepared for it.

STEP 1
Confidential call
Free, 30 minutes. We hear your situation and tell you honestly whether there's a case.
STEP 2
Benchmark & review
We analyze your contract, productivity, and pay against market data.
STEP 3
Build the case
Your ask, your rationale, and materials leadership will take seriously.
STEP 4
Negotiate
We coach you through every round.

We set compensation for health systems and physician groups. Now we work only for physicians.

750+Provider contracts reviewed, negotiated, or structured
30+Years leading healthcare operations from the inside
$250M+Operational P&L managed across physician organizations
0Health system, PE, or payer relationships. Our only client is you.

Common questions

What physicians ask us first.

Do you negotiate with my employer for me?
No, by design. You keep the relationship, and you stay at the table. We arm you with everything you need: market benchmarks, a clear ask, leadership-ready materials, and practice negotiations where we play the employer and ask the tough questions, so nothing in the real conversation catches you off guard.
Will my employer know I'm working with you?
Only if you tell them. Every engagement is confidential, and we never contact your employer.
I've already signed. Is it too late?
No. Many physicians engage us mid-contract to renegotiate existing terms. Knowing where you stand is valuable at any point.
How fast can you review my contract?
In as little as 24 hours when you're up against a deadline. Tell us your timeline on the first call.
What does it cost?
Engagements start at $2,500. Most are a flat fee based on your situation, and we also offer hybrid models that pair a retainer with a share of the compensation increase you win. You'll get an exact quote after your complimentary consultation.
Do you work with my specialty, and in my state?
Yes. We work with physicians in every specialty, as well as advanced practice providers, across the US.
How is this different from a healthcare attorney?
Attorneys review for legal compliance. We review for business strategy, benchmark your pay against market data, and build a negotiation approach based on how these organizations actually operate. For legal review, we work with partner healthcare attorneys, or you can bring your own.

Ready to talk?

One conversation before you sign anything.

Book a free 30-minute consultation. We'll look at your situation, tell you what we see, and explain what we can do. No obligation.

Book your free consultation