Tax Planning & Tax Reduction
Packages for Medical Practitioners

Basic Tax Preparation Costs You Money
But Proactive Tax Planning is an Investment with Huge ROI

Working with a general CPA firm to file your taxes results in overpaying in taxes. As a medical practitioner, your needs are more complex than standard business clients and require the expertise of an accounting firm experienced in tax planning and reduction strategies for the medical industry.

Start saving today with a team committed to returning your investment.

Our Packages

Step 1:
Start with Our Foundational Strategy Blueprint

Foundational Strategy Blueprint

To ensure we maximize your savings, every client begins with our Strategic Blueprint. This one-time engagement includes two strategy Zoom calls—one to fully assess your current financial situation, and the second to deliver a custom tax plan that sets the course for our work together. This foundational phase is key to unlocking your long-term financial success.

On-acceptance: $3,000 one-time fee

Step 2:
Choose Your Level of Ongoing Support

Tax Planning Lite

Great for practitioners needing consistent bookkeeping and proactive tax advice to optimize financial management.

Includes:

  • Annual Tax Reduction Planning
  • Unlimited Advisory Support
  • Business Taxes

Starts at $500 per month

Tax Planning Core

Perfect for practitioners needing strategic tax guidance beyond basic bookkeeping.

Includes:

  • Tax Reduction Planning
  • Tax Strategy Implementation
  • Unlimited Advisory Support
  • Quarterly Projections & Estimates
  • Business Taxes
  • Personal Taxes

Starts at $1,000 per month

Tax Planning Elite

Ideal for practitioners seeking a comprehensive approach to taxes, bookkeeping, and wealth growth.

Includes Tax Planning Core, plus:

  • Virtual Family Office Services
  • Risk Mitigation
  • Asset Protection
  • Estate & Financial Planning
  • Legal Support
  • Insurance Needs

Starts at $2,000 per month

Add-On Services

Bookkeeping

For Tax Planning Core and Tax Planning Elite packages, add monthly bookkeeping services starting at $500 per month, including:

Includes Tax Planning Core or Elite, plus:

  • Extensive Bookkeeping
  • Cash Balance Tracking
  • Customized Financial Statements
  • Expense Report Reimbursement

Payroll

Receive comprehensive payroll services starting $150 per month, including:

  • Direct Deposits
  • Payroll Tax Filings
  • W2, W3, and 1099 Preparation
  • Payroll Processing
  • And More

Hear from Our Clients

Anastasia

"A huge thank you to Custom Accounting for providing excellent tax planning services for me over the years. Natalya Grigoriev is reliable, knowledgeable, works well with deadlines, and answers all my questions. She comes up with tax strategies that minimize taxes and plan for the future. I highly recommend her firm."

Anastasia Klindukhova

Newton, MA
elliott

"I was in the process of starting my business. Natalya sent me an invite on LinkedIn. I didn’t know if I was going to use her services. I had already sought an accounting office. I reached out to Natalya and I found out that the other company tried to “swindle” me for filing taxes for the previous year. I had no sales, revenue, or profit. I was building business credit with my own money. A year later, I am thankful to have Natalya with Custom Accounting CPA complete my taxes for me. Her and her staff are very professional. Natalya is very meticulous in making sure my taxes are done correctly and efficiently. Thank you again for reaching out to me on LinkedIn Natalya."

Elliott Miller

Buy The Block, LLC
Michi

"Natalya has been helping us with our tax planning & other accounting matters close to 10 years. In 2020-2021, the firm provided tax reduction planning service, and we saved a huge amount. We highly recommend the firm to any types of business as well as personal tax planning."

Michiyo Kanno, - J Team Notary

Houston, Texas

See Our Client Results
Josh Reduced His Dental Office’s Tax Burden by $205,400 in One Year

  • Saved $11.5K by optimizing his entity structure
  • Saved $3.4K through QBI maximization
  • Saved $6.5K through owner compensation optimization
  • Saved $6.1K through hidden business deductions
  • Saved $9.9K through shifting income to lower tax bracket
  • Saved$168K through Advanced Trust strategy

These are all legal, risk-free ways to reduce your taxes. We can guide you to achieve your own massive tax savings TODAY!

Why Manhattan Clients Trust Us

Proactive, Not Reactive Tax Planning

Most accountants only show up at tax time. Our advisory services include monthly outreach, modeling the tax impact of decisions before you finalize them. This forward-thinking approach prevents costly surprises and keeps more money in your pocket.

Deep Local Expertise

As your CPA in Bronx, NY, we understand the unique challenges of operating in New York. From NYC-specific taxes to local property tax in the Bronx, we keep you aligned with every relevant regulation while continuously refining your tax reduction strategy.

Guaranteed Results

We guarantee to reduce your tax bill by at least the cost of our services, or you don't pay. Our clients see an average 200%+ return on investment, with qualified clients saving $20K+ per year in taxes.

 

Long-Term Partnership

By staying involved as your income, businesses, or goals change, we can help you adjust your tax strategy and financial approach over time. Our CPA firm consistently delivers value through tailored tax solutions that benefit our clients’ unique situations.

Flat-Fee, Unlimited Support

Financial questions don't wait until April. Our flat monthly structure gives you unlimited access to your dedicated team. No surprise fees. No billable-hour anxiety. Just consistent, year-round guidance when you need it. View our pricing for transparent details.

Preserving and Building Generational Wealth

Protect your family's future and build your legacy. Many high-earning individuals and business owners are worried about losing what they've worked so hard to build to NYC taxes. We help you evaluate long-term tax decisions so that your income supports future goals.

Frequently Asked Questions

Are you ready to take control of your
finances and stop overpaying in taxes?