Don Pelto, DPM - Podiatry Practice Mastery

Tracking What Actually Pays


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Episode Description


What if the fastest path to a million-dollar practice isn’t more patients—but better awareness of what happens inside each day? In this episode, Don walks through a real Monday using what he calls the Million Dollar Minute: deliberately tracking patient encounters, treatments, and downstream value.


Using a mix of shockwave therapy, orthotics, nail procedures, injections, in-office surgery, and self-pay services, Don breaks down how intentional sequencing, patient education, and systems thinking reduce resistance and increase both outcomes and revenue. He also shares why timing matters—especially with orthotics, shockwave, and follow-ups—and how simple operational habits add up.


The episode closes with marketing reflections, including website lead magnets, outsourcing digital work, and how small strategic changes can compound without adding clinical stress.



Timestamps

• [00:00] Introduction & the “Million Dollar Minute” concept

Why Don started tracking entire days—not just procedures—and how this reframes revenue awareness.

• [01:05] MVP patient strategy: shockwave → orthotics

Using visit timing to reduce resistance and improve long-term outcomes.

• [02:15] Nail care, KeryFlex, and delegation decisions

Pricing, follow-ups, and why some services are better delegated.

• [03:10] Shockwave therapy case mix & progression

Neuromas, tendonitis, metatarsalgia, and visit sequencing.

• [04:05] Complex pain cases: imaging, injections, and uncertainty

Managing OCDs, neuromas, and staged decision-making.

• [05:00] In-office procedures & risk awareness

Nail avulsions, Anodyne/AniFix staging, amputations, and neuropathic patients.

• [06:10] Orthotics, equinus, and conservative care systems

Pairing devices with stretching, splints, and patient compliance.

• [07:05] Pediatric and routine follow-ups

Warts, ingrowns, calluses, and efficient care flow.

• [08:05] Injection-heavy visits & surgical planning

Managing expectations when surgery is coming but pain needs control now.

• [08:55] Marketing systems & website lead ideas

Outsourcing SEO, ads, and introducing a simple “foot quiz” lead magnet.

• [09:35] Closing thoughts

Why tracking days—not just totals—changes how you practice.



Key Takeaway


Tracking a full clinical day with intent reveals where systems, timing, and patient education quietly drive both better outcomes and higher-value care—without seeing more patients.



If this episode sparked ideas about how you structure visits or track your day, share what you’re testing or refining in your own practice—we’d love to hear what’s working for you.

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Don Pelto, DPM - Podiatry Practice MasteryBy Don Pelto, DPM

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