Pain Medicine — Tools, Calculators, and Tax/Investing Resources for Physicians
Procedural revenue without the OR.
Interventional pain is one of the most outpatient-favorable procedural specialties — same fluoro-guided economics as IR/spine, lower overhead, OBL-friendly. Here's the rate data, the ASC/OBL path, and the procedural tools built for pain practice.
Built by a practicing physician-investor. All tools free unless badged otherwise.
Tools, calculators, and resources for Pain Medicine
Free trust-builders first — clinical tools, then practice rates, then physician finance and investing. Click a tab to focus.
Free tools physicians actually use at the bedside, in the reading room, or before procedures. Built around guidelines, not LLM speculation.
Radiation Dose Calculator
Estimate effective dose for CT, fluoroscopy, nuclear medicine, and interventional procedures. Useful for patient counseling, ALARA documentation, and protocol optimization.
Open Tool →ACR Appropriateness Criteria
Look up evidence-based imaging recommendations by clinical scenario — ACR-aligned. For ordering physicians, IR, radiology, and primary care.
Open Tool →CasePrep
OR / IR lab room and supply setup guide. Generates pull lists from procedure descriptions.
Open Tool →Anticoagulation Guidelines for Procedures
Periprocedural anticoagulation reference for procedures and surgeries. SIR-validated. AI chat.
Open Tool →Physician AI Tools Directory
Working directory of 1,000+ medical AI tools for physicians. 41 specialties, searchable, HIPAA/BAA verified.
Browse Tools →Rate intelligence, payer math, ASC/OBL feasibility, and prior auth — the operational side of practice economics.
Rate Intelligence — CenterIQ
Look up what any procedure pays — professional fees, Medicare facility rates, and real commercial rates from 2,719 hospitals.
Open CenterIQ →ASC & OBL Feasibility Advisory
Physician-led financial modeling for ASCs, OBLs, and imaging centers. Built on the same rate data as CenterIQ.
Learn More →Tax planning, loans, PSLF, and CPA matching — calibrated to physician income, entity structures, and OBBBA-era reality.
Physician Finance Hub
Three questions. We show you what matters for your situation — PSLF, taxes, entity structure, OBBBA implications.
Get Your Analysis →Physician CPA Referrals
Matched with a CPA who actually specializes in physician returns. Not a generic accountant.
Find a CPA →Budgeting Calculator
Build a clean monthly budget and cash-flow plan in minutes.
Open Calculator →Real estate, oil & gas, VC/MedTech — DIY decision support and curated white-glove deal flow for physician investors.
Repit — Investment Decision Support (DIY)
ZIP-level housing data, rents, appreciation, vacancy, and investment ratings. The clinical decision support equivalent for real estate — see the data, run the numbers, deal-hunt yourself.
Open Repit →GigHz Capital — Hands-Off Real Estate
Curated deals come to you — Dallas, Los Angeles, New York development and stabilized projects, syndications, and 1031 options. White-glove version of Repit for physicians who want exposure without the hunt.
Talk to Capital →Real Estate Investing Calculator
Model purchase price, rents, expenses, and cash-on-cash assumptions for any deal.
Open Calculator →Graham–Buffett Margin of Safety Calculator
Stress-test value vs. price and build a margin of safety habit before committing capital.
Open Calculator →VC & MedTech Upside vs. Downside Calculator
Model asymmetric outcomes and dilution-aware expectations for early-stage and medtech bets.
Open Calculator →Oil Investment Calculator
Estimate scenarios and understand the shape of outcomes for oil & gas tax-advantaged investments.
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Custom tools, integrations, advisory, or anything you don't see here. Tell us what you're working on.
Talk to Us →Tax & Finance Angles for Pain Medicine
Specialty-specific tax and investing topics that apply directly to Pain Medicine practice economics. Not generic 'physician tax tips' — these are calibrated to your specialty's actual income mix, equipment requirements, and practice ownership reality.
Office-Based Lab Ownership & Partnership Distributions
Pain medicine and procedural specialty office-based labs run on the same partnership distribution mechanics as interventional radiology and surgical centers. Passive vs. active participation rules (IRC §469) determine tax treatment.
Section 179 on Fluoroscopy and Procedural Equipment
Fluoroscopy, radiofrequency ablation generators, ablation systems, ultrasound — heavy equipment qualifies for immediate expensing under Section 179 plus bonus depreciation.
PropCo/OpCo Real Estate Split
Own the procedure suite through a separate LLC (the property company). Lease back to the operating practice. Cost segregation + bonus depreciation against partnership income from procedures.
199A QBI Phase-Out Awareness
Procedural pain and Physical Medicine & Rehab partners typically exceed the Specified Service Trade or Business threshold. Real estate and equipment depreciation are the levers.
Universal Physician Tax Strategies
These apply across most specialties — high earners in any clinical field benefit.
The SALT Deduction Cap & Where You Buy Real Estate
The state and local tax (SALT) deduction cap of $10,000 is one of the most consequential decisions for physicians in California, New York, New Jersey, and Illinois. Tied directly to where you buy a primary residence vs. invest in real estate out-of-state for depreciation.
Charitable Bunching & Donor-Advised Funds
The 2017 tax reform doubled the standard deduction and made annual charitable giving less tax-efficient for most. Bunch 3 to 5 years of giving into a single year via a Donor-Advised Fund to clear the itemization threshold and maximize the deduction.
Investment Interest Expense Deduction
Borrowing to fund a real estate syndication, surgery center buy-in, or other partnership-distribution generator? The interest may qualify as deductible investment interest expense against passive income — often missed.
These are educational summaries, not tax advice. Specialty-specific structures interact with your overall income, state, partnership terms, and personal situation — work with a physician-focused CPA before structuring. Find a CPA →
Written and reviewed by Pouyan Golshani, MD, Interventional Radiologist — Last updated May 21, 2026