Stop hiring spreadsheet consultants for $2M facility decisions.
Building an ASC or OBL is a $2M–$8M decision with years of operational consequences. Most feasibility studies are produced by consultants who have never owned or operated a facility — they model spreadsheets, not workflows.
GigHz Advisory is physician-led and built on CenterIQ's 327M+ commercial and Medicare rate datapoints. We've sat on the operator side of these decisions. Engagements scale from a $5K Snapshot to full build-out advisory.
What spreadsheet consultants miss
Three places a non-operator feasibility goes wrong — and why it costs the physician group $500K+ in their first two years:
Payer contracting timeline
Pro forma assumes day-one in-network rates. Reality: 9–18 months to credential, contract, and onboard with the major payers in your market. Cash flow models that ignore this break in the first year.
Wrong case mix for margin
Outsider consultants build case mix from public CPT volume — not from what your specific specialty's procedure shop actually generates. The mix that maximizes RVUs often destroys margin.
Hospital relationship politics
Most physician ASC builds run alongside an existing hospital relationship that gets renegotiated when the new facility opens. Consultants don't model the political dynamics; physicians who've operated in those systems do.
What a GigHz engagement actually delivers
Three engagement tiers — pick the one that matches your decision stage.
Snapshot Feasibility
Two-week pro forma + payer mix sensitivity for a single facility location. Decision-grade for go/no-go.
- Specialty-tailored case mix
- CenterIQ rate data for your geography
- Payer mix sensitivity table
- Risks + open questions list
Full Feasibility + Payer Strategy
Multi-scenario modeling. Named-hospital benchmarks for negotiation. Capital stack guidance. Most groups land here.
- 3+ scenario pro formas
- Named-hospital comps for payer negotiation
- Case mix optimization
- Capital stack & equity structure guidance
Build-Out Advisory
Ongoing physician-led advisory through buildout — payer negotiation, staffing, opening operations.
- Payer negotiation cycles
- Staffing model + comp benchmarks
- Case mix iteration in opening period
- Hospital-relationship navigation
Why physician-led, why CenterIQ-backed
Physician operator perspective
Led by Pouyan Golshani, MD. Engagements are run or directly supervised by a practicing physician who has been on the operator side of facility decisions.
Real rate data, not consultant guesses
Built on CenterIQ's 327M+ commercial + Medicare rate datapoints across 2,719 hospitals. Named-hospital comps are first-class deliverables.
Tier-priced, not bait-and-bill
Snapshot, Full, Build-Out — three explicit tiers with explicit deliverables. No discovery-call funnel before you can see what an engagement costs.
Common questions
What size group is this built for?
Single-physician practices through 30+ provider groups. Snapshot tier works for early-decision exploration. Full and Build-Out tiers fit groups with the capital and complexity to justify the engagement.
Can I just buy CenterIQ and DIY?
Yes. Many physicians do. CenterIQ has a free tier and a freemium full-access tier. Advisory exists for groups that want a physician walking them through it — not because the platform is hidden behind it.
Do you handle the construction / regulatory side?
We focus on financial modeling, payer strategy, case mix, and operating economics. Construction, CON, and licensing typically come from local partners — we coordinate with them and can refer to vetted ones.
What about acquisition diligence (PE buying my practice)?
Yes — sell-side and buy-side diligence on physician practices is a separate engagement type. Built on the same rate intelligence that powers the feasibility work. Talk to us about scope.
Build the model with someone who's owned the facility.
Snapshot from $5K. Full from $25K. Build-Out from $75K. Three tiers, three sets of deliverables, no surprise billing.
Written and reviewed by Pouyan Golshani, MD, Interventional Radiologist — Last updated April 24, 2026