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$300 in ad spend led to one patient investing over $3,000 in year-one revenue.
That is the actual math behind one quiz campaign Dr. Anne Gonzalez ran for her practice Emerald Health. In this episode she walks through the campaign that pulled in a patient who said yes to a $2,000 package on her first visit, booked a second package for the fall, and signed up for the membership before she left the room.
She spent her first two years figuring out advertising the hard way. Boosted posts. Wrong campaign types. Lessons pieced together from random YouTube videos. None of it brought patients. Then she took a Meta Ads course and started spending $20 to $35 a day across active campaigns to consistently bring in 10 to 15 patient leads a month.
In this episode, you'll learn:
The math behind the title:
Anne shared in the episode that one patient generated from a $300 quiz ad campaign booked a $2,000 package on her first visit, said yes to a second package for the fall, and signed up for the membership.
Using only confirmed numbers:
Year-one minimum: $3,020 in revenue from one patient on $300 in ad spend. That is a 10x return on the campaign from a single lead.
The fall package adds more revenue on top, and Anne offers higher membership tiers at $135 and $210 a month that would push that year-one number higher. Anne also shared that her membership churn is very low, which means year two and beyond keep adding recurring revenue with no additional ad spend.
A note on the numbers:
The figures shared in this episode reflect one patient's outcome from one campaign at one practice. Results vary widely based on your offer, your market, your audience targeting, your follow-up systems, your conversion process, and dozens of factors outside of any single ad campaign's control. This episode is for educational and informational purposes only. It is not financial, medical, legal, or marketing advice. Ad spend always carries the risk of loss, and past performance does not guarantee future results. Evaluate what makes sense for your practice's stage and budget before committing any dollars to paid advertising.
Connect with Dr. Anne Gonzalez:
Practice: Emerald Health
Learn DPC ADs
Course Mentioned in Today's Episode
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This episode is for the NP weighing whether independent practice is even possible. For the clinician who dreads the marketing part of running a business. For the owner whose practice has grown so much that they have become the bottleneck.
Monica McKitterick moved to Texas knowing two people. Her in-laws. Three weeks later, she opened a direct primary care practice in a state with some of the most restrictive nurse practitioner laws in the country. No practicing "medicine." Different LLC rules than a physician owner. Limits on who she could hire. She figured it out anyway. She bootstrapped the whole thing with $20,000 and furniture from Craigslist.
Then came the part no clinician is trained for.
The marketing. The networking. Putting her face in rooms full of strangers to explain what DPC even is. She did her own website. Her own admin. Her own faxes. She hit 325 patients before she hired her first full-time admin.
And then the practice grew past her.
Three locations. Ten employees. There is a moment every growing practice owner eventually faces: do you hire or continue as a solo provider?
What You'll Learn
Monica McKitterick,, FNP, Founder of Impact Family Wellness
Courses Mentioned in Today's Episode
👉 Get my FREE Practice Identity Bundle
👉 Book a FREE Discovery Call
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If you've been told that networking, directories, and social media are the way to grow your private-pay practice, Amanda Buduris is proof that none of that is required.
Amanda didn't build her cash-pay psychology practice by shaking hands at local therapist meetups or posting consistently on Instagram. She built it by making her website do the work. And then she learned exactly why it wasn't working, fixed it, and watched her traffic go from 100 visitors a month to 1,500.
This episode is for the introverted clinician who dreads networking. For the therapist who built a website but isn't getting consult calls. For anyone who has been writing in clinical language and wondering why patients aren't finding them. Amanda walked this road, and she's specific about what changed.
What You'll Learn
Amanda Buduris, Ph.D., Licensed Psychologist & Business Coach for Therapists
Courses Mentioned in Today's Episode
👉 Get my FREE Practice Identity Bundle
The Kli'nishen's Atelier
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If you thought DPC is the only sustainable way to build your cash-pay practice, this episode might offer a different perspective. Dr. Kara Pepper didn’t choose the DPC subscription model or concierge-style access, and yet, patients still line up.
Instead, she created a cash-pay practice built around per-visit pricing—one that gives her patients the freedom to come when they need support. As someone offering very specialized care, she knew her patients might need more attention early on, and she wanted her business to reflect that natural rhythm. She built a structure that’s fair to her patients while also creating space and sustainability for herself.
This episode is for any clinician whose work doesn't fit neatly into the DPC model. If you're offering specialized care, or you're in a niche where the subscription model doesn't feel quite right, you'll walk away from this conversation with a new understanding of what's possible in private-pay practice.
What You’ll Learn
• How Dr. Pepper scaled her cash-pay practice with a per-visit model that supports patient autonomy and protects her energy
• Why she felt the membership model was not the right fit for her practice
• How deep relationships built her referral base across 17 states
• How growing slowly created lasting sustainability
• Why per-visit pricing works especially well for specialty care
Dr. Kara Pepper
The Kli'nishen's Atelier
[email protected]
www.theklinishensatelier.com
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In this episode, we sit down with Dr. Lyndsi Cress to break down what actually worked when she opened her DPC practice—and brought in 50 cash-pay patients in under 90 days.
This isn’t about going viral or hacking some secret marketing formula. Dr. Cress built trust early with a message-aligned website that did the heavy lifting before the first call. Then she backed it up with real-life connection: community Facebook groups, local networking, and meet-and-greets that helped her convert—without ever feeling “salesy.”
Her biggest sales breakthrough came when she stopped pitching features and started guiding real conversations. Instead of rattling off benefits, she listened for what patients actually wanted to know: “How does this work for me?” That mindset shift—from selling to serving—changed everything. Her calls and meet-and-greets started converting naturally, not because of polished scripts, but because her message was clear, her positioning was grounded, and her connection was real.
Main Takeaways:
Coral DPC / Dr. Lyndsi Cress
Little River, SC
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In this episode we sit down with Dr. Rebecca Berens, founder of Vida Family Medicine, to unpack the raw, real journey of launching a direct primary care practice from the ground up—with no patient panel, limited community ties, and a lot of trial and error. Dr. Berens shares how she navigated marketing as an introvert, why social media and Facebook groups became her secret weapon, and how her niche evolved naturally over time through authentic connections.
If you’ve ever questioned whether your slow growth means failure, or felt stuck trying to "pound the pavement" without results, this episode is your permission to breathe, pivot, and play the long game.
Main Takeaways:
Dr. Rebecca Berens
Vida Family Medicine
Houston, TX
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If you’ve been tweaking your website, posting more on Instagram, or constantly wondering why growth feels slow—it might not be a marketing problem. It might be a clarity problem.
In this episode, Dr. Sonia Singh shares how she built a value-driven micro practice in Houston by leaning into exactly who she wanted to serve—and designing every part of her business around that clarity. We talk about the mindset shifts, brand decisions, and pricing pivots that helped her grow a practice that’s not just full—but deeply fulfilling.
✨ You’ll walk away with:
If you’re building something honest, intentional, and a little different—this episode is your reminder that clarity creates momentum.
Dr. Sonia Singh
Juniper Modern Primary Care
Micropractice Mama
→ Follow Dr. Singh on Instagram
The Kli'nishen's Atelier
[email protected]
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Launching a direct primary care practice during a pandemic is one thing—doing it with a toddler at home and a newborn just two weeks old? That’s Dr. Jade Norris’s origin story. With zero chance of traditional networking, she turned to Instagram to attract her first patients—and it worked. In this episode, Dr. Norris breaks down how her strategy evolved with each stage of growth: from organic social media as her foundation, to word-of-mouth and Google reviews, to now scaling with employer partnerships.
If you’re a private-pay clinician wondering how to market smarter—not harder—this is your behind-the-scenes look at a practice that grew on grit, strategy, all from the palm of her hand.
What You’ll Learn:
Dr. Jade Norris
Physician/Founder of Nspire Primary Care
nspireprimarycare.com
Instagram
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What if your private practice could run smoothly without a front desk, endless phone calls, or a single team member? In this episode, I talk with Dr. John Kim, a physician who’s built a fully automated, staff-free practice while still working a full-time hospital position. He shares the systems, mindset, and boundaries that have allowed him to serve patients across multiple states—without burnout. If you’re looking for a minimalist, sustainable way to practice medicine on your own terms, this conversation is your roadmap.
What You’ll Learn:
www.yoonhangkim.com / www.directintegrativecare.com
The Kli'nishen's Atelier
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Feeling overwhelmed by patient overload? Insurance-based care demands more and pays less—leaving clinicians exhausted, undervalued, and stuck in a cycle that feels impossible to escape. Kayla Nettleton found a way out by creating an exit plan that worked for her—and in this episode, you’ll get ideas and inspiration for creating yours.
Inside, we cover:
✅ When it's time to leave insurance behind
✅ The mindset shifts that can make this transition possible
✅ Why private-pay lets you work less while earning more
✅ The key steps to designing an exit plan that fits your practice and goals
✅ Ways to attract cash-pay patients who value your care
If you’re ready to take control of your practice and build an exit strategy that works for you, this episode is your guide.
Kayla Nettleton
Instagram @kaylanettleton_lcsw
Connect with Kayla
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From the publisher's feed
Want to build a private practice that truly works for you? Join us for honest conversations about creating a successful cash-pay, direct-pay, or concierge practice that serves both you and your…
Our guests reveal:
Whether you're already in the private-pay world or considering the switch, The Kli'nishen's Atelier Podcast brings you practical insights and authentic experiences from clinicians who've walked this path.