Medical Office Feasibility Study in the Buffalo-Cheektowaga, NY Metro Area

What SBA's own loan files show about medical office (physicians) lending in the Buffalo-Cheektowaga, NY Metro Area, and what a feasibility study for a project there has to test.

Medical office loans in Buffalo at a glance

Buffalo reports FY2017 to FY2026 approvals: 26 medical office loans, $7.9 million gross. Buffalo, for medical office, ranks 51 of 488 in the area ranking. Within Buffalo, medical office ranks 9 of 39. Buffalo has a quotient of 0.90x, medical office below the national share.

Buffalo size and franchise status

Loan size in Buffalo centres on $137,500, and its middle half runs between $52,500 and $276,250. Buffalo stands at 0.40x against the national class median. Buffalo loans run below the national middle. Of everything printed for Buffalo, the median against the national median is the figure that stands apart, so it leads. Buffalo shows no 7(a) count. Buffalo shows no 504 count either. Buffalo: too few loans back either count. Buffalo loans show a 0.00% franchise share. Buffalo shows a smaller median. Buffalo projects were modest in scale. In Buffalo, budget comparisons should note it.

Buffalo loan holders and counties

Holder in Buffalo: Manufacturers and Traders Trust Company, 9 loans, $997,700, SBA 7(a). Listed Buffalo names are current holders, per SBA. Buffalo rows speak to files, not requirements. Buffalo borrowers read the list as holders. Buffalo medical office lenders get first tests. Buffalo, county by county: , and undefined.

Buffalo years, floors and coding limits

Buffalo years print only in part. FY2018 brings Buffalo 5 loans, $1.0 million. FY2019 brings Buffalo 0 loans, $0. FY2022 brings Buffalo 7 loans, $3.8 million. FY2023 brings Buffalo 0 loans, $0. FY2025 brings Buffalo 6 loans, $616,000. FY2026 brings Buffalo 0 loans, $0. Other Buffalo years are withheld. Thin counts leave Buffalo totals unknown. In Buffalo, no blank is a zero, and Buffalo treats FY2026 as complete. Buffalo floors follow Loan Analytics' own rule. That Buffalo cohort holds fewer than 30 loans. The Buffalo cohort covers FY2017 to FY2021 disbursements. So Buffalo prints no cancellation floor. So Buffalo prints no charge-off floor. Buffalo's blank floor is no zero. Buffalo borrowers learn little from it. Any Buffalo rate that prints is a floor. Buffalo borders come from the July 2023 list. Buffalo places each loan by project county. Buffalo drops loans with unplaceable counties.

Buffalo: what a study must prove

Buffalo treats $52,500 to $276,250 as the range to explain in Buffalo. We would price the Buffalo build-out for exam rooms, imaging and records systems, then test it against the practice's first-year volume. The appraisal question in Buffalo is how much of the value sits in the real estate and how much in the practice that works inside it. A Buffalo study should test provider recruitment, since a second physician changes both the revenue line and the space the building needs. Daniel Smith, MAI, signs each Buffalo study. Buffalo demand and cost come first. In Buffalo, coverage follows, then the appraisal. Buffalo borrowers are promised no approval here.

SBA medical office (physicians) loans in the Buffalo-Cheektowaga, NY Metro Area

Loans approved, FY2017 to FY202626
Gross dollars approved$7.9 million
Median loan$137,500
Middle half of loans, from$52,500
Middle half of loans, to$276,250
SBA 7(a) loanswithheld
SBA 504 loanswithheld
Franchise share of loans0.00%
Rank among metro and micro areas for medical office (physicians) loans51 of 488
Rank of medical office (physicians) among the classes in this area9 of 39
Location quotient (share of loans against the national share)0.90x
Median loan against the national median for the class0.40x

Cancellation and charge-off

Cancelled after approval, FY2017 to FY2024 approvals (a floor)not reported: fewer than 30 loans in the cohort
Charged off to date, FY2017 to FY2021 disbursed loans (a floor)withheld

Both rates are floors. SBA withholds the status of open loans, so a loan counts as charged off only once SBA reports it; a rate needs at least 30 loans in its cohort and is otherwise not reported.

SBA medical office (physicians) loans approved in the Buffalo-Cheektowaga, NY Metro Area, by fiscal year

02468FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2018: 5Loans, FY2019: 0Loans, FY2022: 7Loans, FY2023: 0Loans, FY2025: 6Loans, FY2026: 0
Fiscal yearLoansDollars
FY2017withheldwithheld
FY20185$1.0 million
FY20190$0
FY2020withheldwithheld
FY2021withheldwithheld
FY20227$3.8 million
FY20230$0
FY2024withheldwithheld
FY20256$616,000
FY20260$0

Most active SBA lenders

SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
Manufacturers and Traders Trust Company9$997,700

Lenders with 5 or more loans here; a lender with fewer is not listed, and loans SBA or a receiver holds are counted but never listed as a lender.

Metro is the CBSA (metropolitan or micropolitan statistical area) of the loan's project county, July 2023 delineation (OMB Bulletin 23-01). The county is matched by name (manifests/ld2/county-cbsa-map.csv); a loan whose county cannot be placed in a 2023 CBSA is left out of every metro.

A value marked withheld rests on fewer than 5 loans, or is withheld so that such a figure cannot be derived from other published figures.

Source: U.S. Small Business Administration, 7(a) and 504 loan-level FOIA files (data.sba.gov), as of 2026-09-30; areas from the U.S. Census Bureau CBSA delineation, July 2023 (OMB Bulletin 23-01); Loan Analytics metro cell MA-15380-C32.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a medical office (physicians) project in the Buffalo-Cheektowaga, NY Metro Area, financed under SBA 7(a), SBA 504, USDA Business and Industry or a conventional bank loan. Tell us the project and the lender's deadline, and we reply with scope, timeline and fee.

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