A large desirable city will always be hard to get on insurance plans. You might be able to join an IPA and get on plans that way, otherwise you might have to practice far outside the city to get on plane unless you just want to do Medi/Medi.
I would assume speaking Spanish would help also in certain markets. Starting a practice in about the farthest, youngest suburb possible with good projections for future growth would give you a better chance for success……I would still anticipate competition from other established podiatry groups even if they are not there yet.
Florida has a school, good scope and lots of podiatrists per capita, but also lots of growth. Associate pay seems a bit low there. So mixed pros/cons. It seems like there are some podiatriste doing very, very well and some that are not in Florida……which is pretty typical with podiatry. Lots of areas of in South Florida will have lots of seasonal snow birds also which has it own pros/cons.
If collections are low I would assume it is due to competition and lots of senior citizens on HMO Medicare. Unfortunately HMO Medicare plans are becoming more common in much of the country.