Mevia Solutions

Business consulting for private practices

You treat patients.
We treat your practice.

We find where your practice is leaving potential untapped – and get controlling, team, patient acquisition and workflows in sync.

Vitals · Sample practice 3 flagged
Patients 38 Treatments
Workflows 64% Utilisation
Controlling €506 Gross profit per doctor hour
Check-up starting …

Sample values, not real client data.

Free first Practice Check
Findings in 2 weeks
No minimum term

THE HISTORY

Possible profit: €360,000.
Actual profit: €266,000.

  1. Possible

    €360,000

  2. Controlling

    −€14,000

    3 services priced below full cost

  3. Patient acquisition

    −€40,000

    9 of 18 enquiries are a good fit

  4. Team

    −€32,000

    4 of 10 consultations converted

  5. Workflows

    −€8,000

    Laser idle 2 days in 5

  6. Profit before tax

    €266,000

Example calculation: sample practice with €900,000 revenue, profit before tax per year. “Possible” = 40%, the typical profit margin for practices with a high share of private patients (Destatis 2023).

Request a Practice CheckFree, no obligation.
Controlling

Which treatment really pays off?

The answer is gross profit per service at full cost – not revenue.

  • Each month, one page shows you where your practice stands.
  • You know which services make money – and which do not.
  • Pricing and equipment decisions get easier.
AffectsPatient acquisitionTeamWorkflows
We look at all four areas in the free Practice Check

THE PROGRESS

More profit per working hour.

A full calendar does not mean your practice earns well. What matters is how much each treatment contributes to profit.

+€0

more profit before tax a year · €266,000 instead of €266,000

Sample practice: 44 treatment weeks, fixed costs unchanged, profit before tax.

Check the levers for your practiceIn the free initial consultation.

What each slot earns Sample week

MonTueWedThuFri
More gross profit per week+€0

Close a leak – the bar shows how much more the week earns.

THE PRESCRIPTION

What do you need right now?

Choose one – we’ll write the prescription.

Mevia Solutions
Practice consulting
PRIVATE PRESCRIPTION
For: your practice
Rx

Practice Check

You see where your practice stands.

  • A look at all four areas
  • KPIs benchmarked against similar practices
  • Status quo and three recommendations
  • No-obligation results meeting

free

€0

S. Grossmann · D. Szandtner

Redeem prescription: Initial consultation

HOW IT WORKS

From the first conversation to findings in two weeks.

45 min

Initial consultation

Free. We listen before we calculate.

24 h

Compact proposal

One result, one fixed price, one date.

2 weeks

Findings and recommendations

A full set of recommendations, delivered as a file.

THE PROGNOSIS

What 2027 and 2028 hold for your practice.

Two developments are changing what your doctor hours earn. If you run the numbers now, you can still adjust course.

NEJM AI · NOVEMBER 2025AI scribes

AI writes the notes. Does the time it frees up pay off?

In the first randomised trial of ambient AI scribes, the time per note fell by around 41 seconds with the more effective of two tools, against 18 seconds in the control group. The gain is real but small – and it only pays off if the freed time is booked.

SAMPLE CALCULATION

Saving per note vs control grouparound 23 seconds
25 notes a day, 220 working daysaround 35 hours a year
× €400 gross profit per doctor hour€14,000 a year
Net after a licence of €200 a montharound €11,600

If the freed minutes are not booked with patients, the gain is better notes and less evening work – valuable, but not money. A second trial measured around 20 minutes less documentation a day.

Calculate your doctor hour
ISAPS · SEPTEMBER 2026Aesthetic demand

Fewer fillers, more surgery. Does your treatment mix still fit?

According to the ISAPS global survey, plastic surgeons performed 17.3 million non-surgical procedures in 2025, down from 20.5 million in 2024. Hyaluronic acid fillers fell by 25 percent. If one treatment carries a large share of your profit, check how exposed you are.

SAMPLE CALCULATION

Fillers today: 400 a year × €300 gross profit€120,000
Demand falls by 25%−€30,000 a year
Alternative: laser treatment, gross profit each€390
Needed to compensate77 treatments a year

That is fewer than 2 a week. But only additional treatments count: if the laser slot replaces another treatment, only the difference counts.

Check your treatment mix

Sample calculations based on assumptions, not client data. Sources: Lukac PJ et al., “Ambient AI Scribes in Clinical Practice: A Randomized Trial”, NEJM AI (November 2025); Afshar M et al., “A Pragmatic Randomized Controlled Trial of Ambient Artificial Intelligence to Improve Health Practitioner Well-Being”, NEJM AI (2025); ISAPS Global Survey on Aesthetic/Cosmetic Procedures 2025 (29 September 2026).

THE GUIDES

Three questions that matter in 2027.

Straight talk, backed by sample calculations – worth a read before we speak.

All guides

YOUR CONTACTS

We know practices from the inside.

As a business consultancy and digital agency, we work closely with private healthcare providers.

FREQUENTLY ASKED QUESTIONS

In brief.

What does Mevia Solutions do?

Mevia is a business consultancy for private practices and practices with a self-pay offer. We calculate what each treatment earns at full cost and get controlling, team, patient acquisition and workflows in sync. You receive clear findings with recommendations and, if you wish, a controlling system that lets you steer your practice yourself.

Which practices do you work for?

For practices where self-pay treatments play a major role: aesthetic medicine and plastic surgery, dermatology, orthopaedics and laser treatments. We also work with practices that are building a self-pay offer alongside insurance-funded care.

How is this different from my accountant?

Your accountant prepares management accounts, annual accounts and tax returns. We use these figures to steer the practice: which treatment pays its way, which price is right, where is time being lost? We do not provide tax planning.

How do I read my management accounts?

Management accounts show revenue, costs and the provisional result – sorted by your accountant’s ledger accounts, not by your treatments. They do not tell you whether a treatment pays its way or where profit is being left on the table. In the controlling setup we translate your accounts into clear cost categories and show gross profit per treatment and per doctor hour.

Is an AI scribe worth it for my practice?

It can cut documentation time, but in the first randomised trial the saving was modest – around 10 percent of the time per note with the more effective of two tools. Financially, it only pays off if the freed time is booked with patients, and doctors still need to check every note. In the Practice Check we look at where doctor time is lost, documentation included.

Demand for some treatments is falling. What should we focus on?

On treatments with high gross profit per doctor hour and spare capacity – and on not depending on a single treatment for a large share of profit. In the service costing we calculate gross profit per treatment and per doctor hour for your practice.

Do you help with founding or taking over a practice?

Yes. For a founding, a takeover or a larger investment, we prepare a bankable business plan: revenue and costs per service, liquidity over three years and debt service, calculated the way the bank does. If you wish, we accompany you to the bank meeting. We do not provide tax or legal advice.

What does the consulting cost?

The initial consultation and the Practice Check are free. In the initial consultation we get to know your practice. In the Practice Check we then look at controlling, team, patient acquisition and workflows and give you the status quo and three recommendations. Only then do we talk about binding fixed-price packages: service costing, controlling setup or a bankable business plan. You will find the prices on this page under “The prescription”.

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