Visit volume, payer schedules, no-shows, denials, and provider math — a clinic's P&L is decided upstream of the books. We build the per-visit economics, the payer-lag cash engine, and the dials that turn the practice from busy to deliberately profitable.

An 8–12% no-show rate is a five-figure monthly leak that never appears on a report — it just never arrives.
Clean-claim rate and denial recovery decide real revenue per visit. Most practices meet these numbers for the first time inside a cash crunch.
Comp models reward volume the practice may lose money serving. Per-visit economics by payer is the referee — usually absent.
The largest decision a practice makes gets made on waiting-list intuition — not on a ramp model with a breakeven month.
Every engagement starts by wiring these to your reality — your data, your definitions, posted live. If a dial doesn't change a decision, it doesn't make the wall.
The dials are the standard for the industry — the thresholds, targets, and drill-downs are designed around how your operation actually makes money.
Each one plays as a two-minute film — the same build we'd run on your numbers.
Per-visit economics by payer and a provider-add ramp model — the breakeven month, known before the offer letter.
Watch the build →A payer-lag cash engine that times collections honestly — so growth plans survive the A/R curve they create.
Watch the build →No-show, denial, and utilization dials — posted weekly, attributable, and small enough to fix while they're small.
Watch the build →Buy-ins, buy-outs, and sales all start with a defended practice value. Have it before the conversation does.
Watch the build →No-shows ran double digits unpriced; two payers reimbursed below fully-loaded cost per visit; the provider-add question had lived unanswered for a year.
Per-visit economics by payer, a timed collections engine, and a weekly dial pack the office manager actually runs.
Recall discipline cut the leak, the below-cost payer got renegotiated with evidence, and the new provider started with a breakeven month on paper.
A free consultation — 15 minutes, no prep. We'll talk about your operation in its own language, and what the build would look like on your numbers.
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