Find a CPA for Medical Practices in Houston, TX

Houston medical practice cpas typically charge $700–$3,500 per month. Solo practices typically run $700–$1,500/month. Group practices with multiple providers run $1,500–$3,000/month. CFO-level advisory for expansion or partner transitions runs $2,500–$3,500+/month.

For Texas state filings, your preparer should hold a CPA license from the Texas Board of Accountancy or be an Enrolled Agent. Out-of-state pros can prepare your federal return but should not sign as a CPA on Texas returns. Texas has no state personal income tax and no corporate income tax — replaced by a margin (franchise) tax on businesses above the $2.47M no-tax threshold.

Solo and small practices typically run $700–$1,500/month. Group practices with multiple providers run $1,500–$3,000/month, and CFO-level advisory for expansion or transitions runs higher.

Most medical practice CPAs also serve dental, chiropractic, physical therapy, mental health, and other specialty practices — the underlying accounting challenges (insurance revenue, provider comp) are similar across specialties.

Most do — pulling production and collections data directly from your practice management or EHR system and reconciling it to bank deposits keeps your financials accurate without manual re-entry.

Relative Value Unit compensation ties provider pay to the value of services performed rather than straight collections. It requires specialized calculation that a generalist accountant typically isn't set up to handle correctly.

Yes — preparing clean, defensible financials and providing valuation-relevant inputs is a common engagement for practice-focused CPAs, usually coordinated alongside attorneys handling the legal transaction.