In this update I break down how to know when your medical practice is actually ready for growth mode — not when you feel ready, but when your numbers and your schedule are telling you it's time. I share a big-picture look at where my primary care practice is headed: new locations on the south and southwest sides of town, moving location five into a larger space, hiring three new clinicians, posting to go multi-specialty, launching our Plus premium membership, leaning into cash-pay services, and the MSO I'm building to band independent doctors together. I also explain why I've grown without private equity, without debt, and without partners — and the math behind why capital calls across seven partner-physicians are so hard to pull off. If you're starting, scaling, or stuck in survival mode, this one's for you. Get busy first, know your numbers, and obsess over new patient acquisition. New patient acquisition is the gasoline. Let me know where you're at in your growth journey in the comments.

The healthcare system is broken — but fighting it is a losing game. In this episode, Brad (InvestingDoc) breaks down how misaligned incentives drive bad behavior across medicine, and how the doctors who actually scale their practices learn to work the system instead of raging against it.

He walks through the "deductible game" surgeons play by strategically holding claims so someone else chases down the patient's $5,000 deductible, why payment velocity ranges from 21 days in private practice to over a year for Medicare ACO incentives, and how upcoding scandals at the big insurers are just incentives doing exactly what they were designed to do.

Then he flips it to the practice owner's side: how to incentivize your front desk on rebook rate instead of useless review metrics, why your employees will never care about your money the way you do (and what they actually respond to), and the Anti-Kickback and Stark lines you cannot cross. Drawing on lessons from Charlie Munger, Andrew Carnegie, and Sam Walton, Brad makes the case that the practices that scale aren't run by the best doctors — they're run by the ones who build standard operating procedures and master incentives.

If you're a physician trying to start, scale, or stop drowning in your own practice, this one's for you.

Brad (InvestingDoc) breaks down the single most important lesson for any doctor starting or scaling a private practice: nothing matters until you get busy. Learn why obsessing over your EMR, equipment, and the perfect pro forma is a trap, and why volume solves almost every problem in your business. Brad shares the real story of his empty schedule anxiety, the marketing mistakes that cost him years of growth, the overbooking strategy that filled his waiting room, and the 15 month grind to get a new nurse practitioner busy. If you are a physician building a practice in primary care, DPC, or aesthetics, this episode shows you how to stop being reactive and start driving patient demand from day one.#PrivatePractice #MedicalPractice #PrimaryCare #DPC #DirectPrimaryCare #PhysicianEntrepreneur #MedicalEntrepreneur #StartAPractice #ScaleYourPractice #DoctorLife #HealthcareBusiness #PracticeManagement #InvestingDoc #PhysicianFinance #MedicalMarketing #PatientAcquisition #FamilyMedicine #DoctorPreneur #HealthcareLeadership #PracticeGrowth

In this vlog, Brad , MD breaks down a viral Direct Primary Care discussion where physicians shared that they were one to two years into practice ownership without making a profit. He explains why starting a DPC or primary care practice is not just about escaping employment, but about building a real business with a clear vision, strong marketing, pricing strategy, and scalable patient acquisition. Brad compares DPC versus fee-for-service primary care, explains why going after one patient at a time can slow growth, and shares why physicians need to think like business owners if they want to build a profitable medical practice.

Being a kind doctor is a strength — until it starts costing you hundreds of thousands of dollars. In this episode, Brad gets brutally honest about the biggest mistakes he made while scaling his multi-million dollar primary care practice. From a biller who nearly bankrupted his clinic by hiding that she didn't know what she was doing, to keeping underperforming employees out of loyalty, to letting high-maintenance patients walk all over him, Brad breaks down the costly lessons he learned the hard way. If you're a practice owner who struggles to fire fast, set boundaries, or stop bending your own rules for difficult patients and staff, this one's for you. Learn how to stay kind while running your business like a business.

Want to sign up for my MSO/CIN sign up here https://forms.gle/rfqr96c93ycxSgsJ6

What does it really take to go from “just a startup” to a respected, fast-growing medical practice? In this episode, Brad breaks down the hard lessons of scaling an independent practice: hiring struggles, cash flow pressure, recruiting setbacks, sleepless nights, and the relentless grind required to build something real. A must-listen for physicians who want to start, grow, or scale their own practice.

Feeling stressed, stuck, or burned out by your medical practice? In this podcast, Brad breaks down why practice owners need a quarterly audit to identify the biggest sources of stress, friction, and inefficiency. From portal messages and staffing problems to anxiety, indecision, and broken systems, this episode shows physicians how to step back, find the real bottlenecks, and create a plan to fix them so they can grow a healthier, more profitable practice.

In this video, Brad breaks down how independent medical practices can use AI, VS Code, and machine readable files to uncover competitor reimbursement rates and negotiate better insurance contracts. Learn how to access transparency in coverage data, compare CPT code payments, and use this information to strengthen your payer negotiations and grow your practice.

Everyone talks about what they got wrong. This episode is different. Dr. Brad breaks down the exact moves that actually built his multi-million dollar independent primary care practice from the ground up — starting just nine months before COVID hit. From grinding 12-hour days with no lunch to strategic networking that sent him hundreds of patients, Brad shares the raw, real playbook: how to work smart and hard in the early days, why your network literally is your net worth, how to market yourself without shame, the importance of building SOPs and hiring great people (and paying them well), and how to filter out the noise and only listen to feedback that actually moves the needle. If you're starting or scaling an independent practice, this is the episode you need.

https://www.investingdoc.com#InvestingDoc #MedicalPractice #PhysicianEntrepreneur #IndependentPractice #PrimaryCare #DoctorLife #PracticeOwner #PhysicianBusiness #MedicalPracticeGrowth #PrivatePractice #DoctorEntrepreneur #HealthcareBusiness #PhysicianFinance #MedicalMarketing #PracticeManagement

E-Mail me at : [email protected]

https://www.investingdoc.com

Medical school didn't just teach you medicine, it trained you to be afraid. Afraid to fail, afraid to negotiate, afraid to leave. In this episode, Dr. Brad breaks down how the medical system deliberately (or not) engineers fear into physicians from day one, and why that fear is the #1 reason doctors stay stuck in employment contracts, underpaid and undervalued.

We'll talk about Walt Disney getting fired for "lacking creativity," Henry Ford losing two companies before building an empire, and how failure is a data point — not a verdict. Whether you're employed and thinking about ownership, or already in practice and too scared to take the next step, this episode is for you.

If you're ready to stop letting fear run your career, let's talk. Link in bio to connect with Dr. Brad directly.

#PhysicianEntrepreneur #MedicalPracticeOwnership #IndependentPhysician #DoctorLife #PhysicianBurnout #MedicalSchool #PracticeOwnership #PhysicianFreedom #InvestingDoc #HealthcareEntrepreneur #DoctorEntrepreneur #MedicalPractice #PhysicianMindset #PrivatePractice #MSO #PhysicianLife #MedSchool #DoctorPodcast #HealthcareBusiness #PhysicianIndependence