Know what you're worth before you sign.
Physician-side contract review and compensation negotiation prep, for every specialty and advanced practice providers, anywhere in the US.
Employers negotiate contracts every week. Most physicians negotiate a handful in a career.
That gap shows up in your wRVU rate, call pay, noncompete, and termination terms, and it compounds every year you're under that contract. We close the gap before you sign.
Reviewing a first offer and want to get it right from day one.
Up for renewal, or sure you're underpaid and ready to prove it.
Comparing offers side by side before choosing.
NPs and PAs reviewing employment agreements.
Specialties we work with
- Hospital medicine
- Neonatology
- Cardiology
- Orthopedics
- Pediatric subspecialties
- Gastroenterology
- Every specialty, plus APPs
Why AxisMD
We only represent physicians.
We take no fees from employers, recruiters, or health systems. Our only interest is your outcome.
We've sat on the other side of the table.
Our team has run physician groups and health system service lines, so we know how employers build offers and where they have room to move.
You stay in control of the relationship.
We don't negotiate for you. We prepare you to negotiate, including mock negotiations where we play the employer, so you walk in confident and walk out with the relationship intact.
From first read to signed contract
- 1Free consultation
We learn your situation and timeline and quote a flat fee.
- 2Contract review
We flag every term that affects your pay, schedule, and future options.
- 3Benchmarking
We compare your offer against national compensation and productivity data such as MGMA, AMGA, and SullivanCotter.
- 4Negotiation plan
A written recommendation: your asks, the data behind each one, and a priority order.
- 5Mock negotiation
We play the employer so you can practice before the real conversation.
- 6Support through signing
We review counteroffers and revised drafts as they come back.
Business and legal review, in one place
Most physicians need two reviews. We coordinate both, so you get one plan and one timeline. Work with one of our partner healthcare attorneys, or bring your own.
- Compensation structure and benchmarking
- Productivity and wRVU terms
- Negotiation strategy and priorities
- Mock negotiation
- Full legal review of the agreement
- Noncompete enforceability
- Termination and liability provisions
- Malpractice tail language
Legal review is priced separately and can be bundled with any AxisMD package. Legal services are provided by independent licensed attorneys under a separate engagement. AxisMD is not a law firm and does not provide legal advice.
What we look at
- Base salary and guarantee
- wRVU rate and thresholds
- Call coverage and pay
- Noncompete radius and duration
- Termination without cause
- Tail coverage
- Signing, relocation, and retention bonuses
- Partnership track
- CME, PTO, and benefits
Flat fees. No surprises.
For residents and fellows signing their first contract.
- Benchmark summary from one national source, such as MGMA or AMGA
- One data review call
- Up to three strategy calls
- Written recommendation
Full review, benchmarking, a written negotiation plan, and mock negotiation. Quoted after your free consultation.
A smaller retainer plus a share of the compensation increase we help you secure.
Legal review by a partner healthcare attorney is priced separately and can be added to any package.
Built by operators, not consultants.
Meet the founders →Mark co-founded AxisMD after a career in senior executive roles across physician practices, anesthesia, cardiology, allergy, dental, and behavioral health, including President, CEO, COO, and Market President positions at both independent groups and private equity-backed platforms.
Sara co-founded AxisMD after leading physician operations at scale, including as Regional President for Southeast Texas at US Heart & Vascular and in leadership roles at Mednax/Pediatrix and Texas Children's Hospital. She holds an MBA from Baylor University and was named to Cardiovascular Business Forty Under 40, Class of 2025.
Questions physicians ask us
When should I get my contract reviewed?
Before you sign anything, including a letter of intent. Terms are easiest to change before you've agreed in principle.
Will negotiating hurt my relationship with my new employer?
Done well, no. Employers expect physicians to negotiate. Because you lead the conversation and we stay in the background, it stays professional.
What is a fair wRVU rate for my specialty?
It depends on specialty, region, and practice setting. We benchmark your offer against national compensation and productivity data such as MGMA, AMGA, and SullivanCotter.
Can I negotiate my noncompete?
Often, yes. Radius, duration, and buyout terms are common points of negotiation, and some states now limit physician noncompetes.
Do I still need a lawyer?
Yes. You can work with one of our partner healthcare attorneys or use your own. Legal review is priced separately and can be bundled with any AxisMD package.
How fast can you review my contract?
Standard reviews take 5 business days. Urgent reviews can be done in as little as 24 hours.
Do you work with physicians outside Texas?
Yes. We work with physicians and advanced practice providers across the US.
One conversation could change the next five years of your contract.
Free, confidential, and no obligation.
Book a free consultation