Top States For PAs To Own A Practice

The states where experienced PAs have the most freedom and the fewest barriers to build a cash-based practice

THE PA POSSIBILITY · FREE RESOURCE

A cash-based practice is one of the most powerful ways an experienced PA can earn more, work fewer hours, and regain control.

But where you practice matters — because the laws in your state determine how much autonomy you actually have.

This guide highlights the six states the AAPA currently ranks as "Optimal" for PA practice — meaning PAs can practice to the full extent of their education and experience, without the administrative burden of mandated physician supervision.

If you practice in one of these states — or are open to practicing there — you are in a position most PAs aren't.

Use it.

I'm Stephanie Gho, MS, PA-C and I've spent over 20 years practicing clinical medicine and the last decade building my own cash-based practice in aesthetics and hormone optimization.

I started part-time, in a single room, with more questions than answers. That practice now generates over $600,000 a year and I work 10 to 11 days a month.

I created The PA Possibility to give experienced PAs the framework, the tools, and the clarity to build something of their own without quitting their job, taking on unnecessary risk, or navigating it alone.

This guide distills what I've learned about where to build so you can start smarter, reduce friction, and get moving faster.