FPA Medical Management announced its move into Texas last week with a purchase in San Antonio and said it will enter two more states by year-end.
Meanwhile, a private physician network is vying to expand in FPA's home base of San Diego.
FPA signed a letter of intent to acquire the Gonzaba Medical Group in San Antonio, which serves 32,000 capitated HMO enrollees. Gonzaba has 24 primary-care physicians and three specialists, plus 200 contracted specialists. It provides care at four sites with a fifth to be opened in October.
The acquisition brings FPA's total physicians to 1,525, with more than 100,000 managed-care patients and annual revenues of $90 million.
FPA has expanded into Arizona, Michigan and New Jersey, and it expects to develop those markets this year and enter two new markets through partnership or acquisition, said Sol Lizerbram, D.O., chairman and president.
FPA competes in San Diego County with HealthCap, which manages 386 physicians in independent practice associations in the county. Recently it began managing the Alvarado Associates network of 185 doctors.
HealthCap has 11,000 enrollees, half of them senior citizens, and $9 million in revenues. That compares with FPA's San Diego enrollment of 37,000 covered lives and local revenues of $28 million. FPA has 600 physicians in the county.