From $1M to $2M: A Real Clinic Day Breakdown

Episode Description

What does a real $1M–$2M podiatry day actually look like—not theory, but execution? In this episode of Podiatry Practice Mastery, Dr. Don Pelto walks through an entire clinic day, patient by patient, explaining how scheduling decisions, delegation, and procedure mix directly impact individual doctor production.

Dr. Pelto breaks down how he’s using a nail tech as a true revenue producer, why certain 10-minute follow-ups were removed, and how treatments like shockwave, orthotics, Swift, and neuropathy care fit into a high-efficiency day. He also shares candid lessons from scheduling bottlenecks and payer realities.

This episode is ideal for podiatrists aiming to push past the $1M mark without adding more clinic days—by tightening systems, improving communication, and making each visit count.

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Episode Timeline (Total Time: 13:31)

• [00:00] Practice goal: moving from $1M toward $1.5–$2M per doctor

• [01:05] Using a nail tech as a revenue producer (15-minute cadence)

• [02:35] Scheduling conflicts and why 10-minute slots were removed

• [03:55] Nail tech compensation and simple ROI math

• [05:00] MVP patient: orthotics strategy tied to shockwave outcomes

• [06:15] Shockwave treatment sequencing and patient progress

• [07:15] Swift wart treatment pricing lessons

• [08:20] Matrixectomies, post-op kits, and efficient follow-ups

• [09:25] Bunion pre-op visits and reducing litigation risk

• [10:35] Insurance realities: shockwave and neuropathy coverage

• [11:35] Planting the seed for advanced care—and setting timelines

• [12:40] Selling the outcome, not just the treatment

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Key Takeaway

Revenue growth comes from better structure—not more work. Delegate routine care, protect your schedule, and slow down just enough to help patients visualize life after their pain.

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Conclusion

If this episode helped you rethink how you structure your clinic day, delegate nail care, or present treatment plans, we’d love to hear from you. Explore additional resources through Podiatry Practice Mastery, and join the weekly email for practical insights you can apply immediately.

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