How We Grew A Cash Pay Practice By 375% To $350k/Month
Using a counterintuitive "Internal Agency", the strategies in this toolbox have generated $50 Million in cash pay patients. Making hiring an agency a thing of the past.
What Is The Internal Agency?
Over the last 3 years, rather than doing all of the ads and marketing and patient conversion for my clients, we started building agencies INSIDE their practice.
The results were even better than we expected.
✅We’ve built the #1 Stem Cell brand on YouTube
✅Grown a 7-figure local hormone clinic by 40% in ONE YEAR
✅Helped a pain management practice go from 100% insurance to 50/50 cash/insurance and grew revenue by 25%
✅Built the #1 telehealth addiction brand NATIONWIDE. WITHOUT ADS.
✅Doubled an integrative medicine practice and reduced their dependency on TV ads
✅Grew a hormone clinic 375% in 3 years from 1mm/yr to 3.6mm/yr
Never hire another marketing agency again.
Turn your admin and front desk team into marketing and acquisition machines that attract and convert patients by giving them the secrets in this toolbox
IA ensures predictable high-ticket, cash-pay patients without dependency on outsourced vendors.
I'll guide you through the strategies for free, and even show you how to set this up for yourself for free.
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Successful Practice Owner Mindsets
3 Steps To Constantly Growing Practice
Bulletproof Practice Marketing Foundation
Ideal Patient Attraction Framework
Proven facebook and Google ads for ALL cash pay conditions
Youtube Celebrity Doctor Cheat Sheet
Condition Specific Cash Pay Email Nurture Campaigns
7 Figure Front Desk Scripts
Patient Testimonial Secrets
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The "Internal Agency" Is A Superior Approach
Medical Marketing Agency owners are saying the Internal Agency Model is “Unfair Competition” when they find out I’m teaching the exact secrets they've used to build their agencies, DIRECTLY to the staff inside the practices I work with…
Making hiring a marketing agency a thing of the past
From 2015 to 2023 the medical marketing space was flooded with excited young people who knew how to click some buttons that were preying on medical practice owners and charging them ridiculous fees to send them low quality leads that never converted.
Leaving practice owners confused and forced to move onto the next “agency”
You keep cycling through agencies, hoping one will help you scale, while the agency owner is lining their pockets and suddenly not answering your emails and calls as quickly...
Rinse and repeat…
This generally happens 3-6 times before you get fed up and decide to try something different.
They will always tell you that you need to follow up faster, and more often. That it’s your team’s fault, and that all the leads are good quality…
But it’s NOT your fault.
That model is BROKEN!
The agency owners interests, and practice owners interests, aren’t aligned, and in that relationship model, they never will be.
But 3 years ago, I started approaching things differently.
Rather than investing my time into scaling my own business, I focused on building Internal Agencies inside a dozen practices that shared the same frustration I did with the old way of doing things.
I hired rockstars for them, and trained their teams how to capture leads, connect with them, and convert them into high value cash paying patients
All on their own, without me running any ads for them.
Over the last 3 years, those dozen practices have grown an average of 30%
Every single year.
With some exceptional stories, like 350% growth from $80k/month to $350k/month.
I’ve been documenting EVERYTHING over the last 3 years, and staying organized, waiting for enough proof of concept, but now it’s finally ready…
I’ve compiled everything that we did in those practices to grow them, and I’m giving it away for free in the Medical Practice Toolbox.
How Is It Different?
Success Stories
Meet Dr. Corey Welchlin DO
Meet Randee Brookins
Meet Dr. Kalpana Patel MD
Meet Dr. Robert Groysman MD
Meet Dr. Joy Kong MD
100+
Digital Agencies
20+
Different Industries
500+
Medical Practices
Dr. Corey Welchlin
An Orthopedic Surgeon In Minnesota.
Over the last two years of working together with Center For Specialty Care, we have been able to generate over $2 million in revenue from our advertising efforts alone.
When I first met Corey, his practice was down almost 80% due to COVID restrictions and lack of staff. He was seriously struggling with a lack of new patient inquiries, had absolutely no tracking in place, had high employee turnover, his son was doing the marketing but didn’t have any real experience marketing a practice… he needed a proven system that he could intelligently invest in.
We came in, we immediately started mentoring his son Carter, teaching him the philosophy behind how to run the front desk, create a predictable new patient acquisition system, and how to create happy patients who leave raving reviews.
We built them a beautiful new website, integrated it into our CRM, started tracking all inbound and outbound phone calls, gave them scripts for answering inbound calls and placing outbound calls. We incentivized the receptionist to book 15 new patients per week for an extra few dollars an hour.
They are now launching another clinic in the area. An all cash med-spa.
We are in the process of building the website for them now and will begin running ads shortly.
Orthopedic surgery centers are some of our favorite to work with because of the high case values and the simplicity of the marketing campaigns. If you own or work at a clinic like this, please reach out. We can produce some incredible results.
Meet Randee Brookins
The AMI Team
Randee and Mike Brookins run EHP or AMI Santa Barbara, a very successful boutique anti-aging clinic in Santa Barbara, California.
Randee and Mike Brookins run AMI Santa Barbara, a very successful boutique anti-aging clinic in Santa Barbara, California. When Randee and Mike first came to us, managing the day to day operations of the business was Randee’s responsibility, and managing new patient cases was Mike’s responsibility.
They run a membership model hormone and anti-aging clinic. With this type of concierge style business, it is very important to allow your members and clients to have access to your team if they have any questions or concerns about their membership. This is great….unless all 100+ of your members have access to the business owners cell phone.
We started working with the receptionist at the front desk at the time, to help ease the load of patient communication on Mike’s plate, but the increased work load and demands was too much for her to handle. This is very common, when a person becomes comfortable in a role doing the minimum, introducing more work with an incentive plan for performance will typically scare them away. In the long run this is the best case scenario, they probably were not a good fit to grow with the business anyway.
We hired a new girl named Lauren who had some experience, we gave her the systems, we trained her, we got all new clients and current clients communicating through her, she became mikes assistant and protege allowing her to answer client questions and creating duplication in the business.
We hired another receptionist to support Lauren, we moved Randee out of the day to day operations of the business, Mike now only does new member consults and has recurring member consults every 3 months. Mike is able to focus on the growth of the business, Randee is able to focus on other projects of her own, and Lauren and Claudia run the day to day of the business with the support of other employees.
We have since started doing more content and SEO work for them, you can review some of their results here:
If you are in business with your significant other, you know it can be challenging at times. If this sounds like your business, we look forward to hearing form you and helping you get your freedom back.
Dr. Kalpana Patel
MD, FAAP, FAAEM, DABEM
Currently, EHC Buffalo, has a 60 day waiting list for new patient consults.
It was NOT always this way.
Currently, EHC Buffalo, has a 60 day waiting list for new patient consults.
It was NOT always this way.
Dr Patel runs a completely out-of-network, all-cash clinic, and she charges $360 for her first-hour consult. With this type of practice, there are often many objections from patients about seeing a practitioner who does not participate with any insurance networks.
When we first started working with Dr. Patel, she had a very lean staff (her and 1 nurse) and some serious outdated technology (paper charts and scheduling)…
As a result of a lack of manpower, many patients never received calls back to help them get scheduled.
We knew just by implementing proper capture systems we could convert significantly more patients.
Step 1.
was to implement a system that tracked and recorded all inbound inquiries to the business. Once this was created, we were able to know exactly how many calls we missed, and how many people were never called back. Once we knew these numbers, it was very obvious that hiring someone else for the front desk would be more than worth the money.
Step 2.
We hired and trained a new receptionist. This included putting out a job posting and interviewing candidates for her, asking them to take personality tests, and sending the best-suited candidates to the office for an in-person interview.
Step 3.
Was to train the new hire, on the newly implemented tracking system, and bring her up to speed with the services provided at the practice. After about 45 days, the new hire has dramatically increased overall patient satisfaction. Dr. Patel has significantly greater peace of mind, knowing that all of her patients are being called back and handled with absolute care and concern.
Step 4.
We launched a Lyme Disease Quiz on Facebook and Instagram to bring in more of these patients, as they are high case value patients and Dr Patel is truly the expert in Lyme disease in the greater Buffalo Area. She averages 4 new patients per month from this campaign.
Step 5.
We launched an extensive content and SEO strategy to bring in more of her ideal patients which are complicated cases that invest multiple thousands with the business, and stimulate Dr. Patel mentally. We now average 2 new appointment requests every day from her website, with many more inbound calls. She has a waiting list of 60 days for new patients, and we are looking at introducing a group coaching model or hiring another practitioner so she can serve more people.
Dr. Robert Groysman MD
Southwest Pain Management Covid Institute
Southwest Pain Management is a pain management practice in Dallas, Texas that offers regenerative medicine treatments, as well as spinal injections such as the Stellate Ganglion Block.
He is now rather popular on youtube for his work with Long Covid sufferers.
Dr. Groysman approached me in may of 2022 with a practice that was 1 year old. After working for a pain management practice as their anesthesiologist for years, he went into business for himself.
They experienced the regular issues that we see:
Difficulty with staffing, hiring, and training new employees.
No tracking in place of new patients, new appts etc.
No lead capture systems, no nurture campaigns
He had built his practice on his own skill and personality alone
The practice was also heavily dependent on insurance remibursement, making balancing cashflow and payroll quite difficult.
Here is a real screenshot, of his requests regarding hiring staff:
Needless to say, he was frustrated with managing employees, and he’s not alone. This is a common issue amongst practices we work with.
He knew he needed to make some changes, but he needed direction on what exactly needed to be implemented.
Step 1. Tracking.
For just about every practice we engage with, the first step is implementing tracking systems.
We need accurate data on how many phone calls, new patient phone calls, appointment requests, new patient appointment requests, appointments booked, new patient appointments booked, appointments attended, new patient appointments attended, new procedures scheduled…
He was having trouble managing his staff, because he left the organization of the pipeline, completely up to them, and then felt frustrated when they couldnt figure it out.
Now we had a system, that we could hold the team accountable to using.
Step 2. Compensation
This is a simple but very overlooked step, because most clinics just look at what other people are paying their staff, and do the same.
People work for incentives. If you offer someone a bonus, based off of their performance, MOST people, will work harder, to achieve that goal.
My favorite way to set this up for front desk-like roles, is to bonus them based on new patient appointments attended. So $5 or $10 for every new patient appointment attended, if they get 20 new patient appointments attended in a week, its $200 to them, and 20 new opportunities! Just about every practice owner I know, would make that trade.
Step 3. More Cash Pay Opportunities
We wanted the business to be less dependent on insurance reimbursement, and have a more stable cashflow.
First, we needed to redo the brand. He now has two beautifully designed sites that convert very well. www.reliefbeginshere.com and www.covidinstitute.org
Then we began creating lead magnets for potential patients
We then needed to bring in the traffic to download the ebooks, and nurture them
Youtube was our media of choice. We found that we could leverage the high search volume of patients looking for this very niche solution, and educate them more, with free value.
We have had almost 1100 people download the Long Covid Solutions Ebook so far.
Results:
With the help of Real ADvice, Dr. Groysman was able to generate more cash paying opportunities to acquire patients, and feel confident that his team was going to followup appropriately, to convert them into patients at the practice.
By helping streamline their new patient acquisition process, and the addition of more cash pay patients, their business has gone from 95+% insurance based, with no tracking in place at all… to 50% cash based, and proper tracking so we can add in new streams of patients at any time.
Real revenue growth:
Before Real ADvice - $60-80,000 per month (all insurance)
After Real ADvice - $100,000+ per month (50/50 cash/insurance)
An increase of roughly $300,000 per year They also have less staff turnover than ever before, because their team’s compensation is growing, with the growth of the practice.
Dr. Joy Kong MD
Uplyft Longevity Center Chara Biologics
Uplyft Longevity Center is a regenerative medicine practice based in Chatsworth, California, just outside of LA, Uplyft specializes in anti-aging treatments including stem cells, peptides, hormones, and aesthetics.
Dr. Joy is now the number 1 stem cell authority on YouTube.
Dr. Joy was referred to me in October 2022 by a mutual friend and client in hopes of helping build demand for her services and streamline patient acquisition processes. Dr. Joy also owns Chara Biologics (exosome company), AAICT (academy of Integrative Cell Therapy), and Charaomni (skincare line).
Before I tell the whole story here, I must make it abundantly clear that Polish Mike, with Polish Your Business, was a crucial component of Dr. Joy’s success.
Dr. Joy is a true expert in this field. Only someone with decades of knowledge and experience can consistently put out educational content about one topic…
But what they needed more than anything, was a proven sales process.
Step 1.
Together with Mike's team, we collaborated on growing her YouTube Channel (including optimization)
I went in, optimized the videos, and drove traffic to the videos to rank them for bottom of funnel keywords.
Currently, she is in the top 5 for all of these search terms on YouTube. NATIONWIDE.
Step 2.
Once we captured ALL of the stem cell traffic, we created an ebook, and pushed the video viewers, to download the ebook.
Turning all of our viewers into potential leads.
While all of this was going on, We implemented a CRM to capture all new inbound leads from all of her websites AND the ebook.
We built out email campaigns to nurture all new leads with testimonials, increasing the certainty and belief level in Dr. Joy’s treatments.
To date, here is a screenshot of all of her ebook downloads.
Screenshot of the campaign that is sent to people who have downloaded the ebook:
We had created high-intent, educated, ready-to-buy regenerative medicine patients.
Step 3.
Once we had a consistent flow of new leads, the front desk was a bit uncomfortable with the new lead flow volume, and it was difficult to keep track of where everyone was in the pipeline.
With leads that are so valuable to the practice, it was necessary to train them on how to use the CRM.
There was still a bit of reluctance. So we implemented a very strong compensation plan that encouraged them to schedule new patients and deliver great customer service.
Step 4.
New Fully optimized practice website consistent with her brand and theme.
Before on the left, current on the right
Outcome:
With the help of Real ADvice, Dr. Joy Kong has been able to hire two full-time ND’s, and an esthetician to see patients.
With the addition of consistent lead flow, automated responses, incentivized employees, and more medical personnel, Dr. Joy can focus on building other businesses and training other medical professionals on how to get excellent patient outcomes like her practice consistently does.
Who We Help
About Anton
Over the years Anton has worked as a consultant to 100+ digital agencies in 20+ different industries. He has worked hands on with 500+ medical practices, and thousands of front desk receptionists, client service coordinators, NP’s and MA’s alike.
Scaling can be difficult. Scaling without sacrificing everything that you love in the process can be downright impossible.
If you are frustrated with the landscape of cash pay medical practice marketing, gain access to the Medical Practice Toolbox and learn the Internal Agency model to free yourself from the trap that is the traditional agency model
We're On A Mission
to Empower Independent Practice Owners With Control Over Their New Patient Acquisition...
... Wants to Join Us?
15,000+ Independent Practitioners will start new clinics this year and will pour significant resources into building out their practice marketing on recommendations from their peers.
So, we decided to fix this problem by making practice growth education and tools available to everyone, for free.
The Internal Agency Model makes it easy for cash pay practice owners to grow and scale practices - reinventing the practice marketing landscape. By putting the practice owner back in the drivers seat and no longer in the passenger seat to an "agency of the month"