Who we serve
Independent practices and physician groups
Primary care, specialty, concierge and direct pay practices scaling from one location to twenty. We plan growth around panel economics and payer mix, not around campaigns.
The binding constraint. The constraint is rarely demand. It is new patient capture, recall, and a payer mix nobody has examined in two years.
The numbers
What this segment is actually run on
Every project in the plan has to move one of these three, or it does not belong in the plan.
What we work on
The levers that move this segment
The three numbers a practice grows on
Paneled patients per provider, visits per patient per year, and revenue per visit. Every project in the plan has to move one of them, or it does not belong in the plan.
Payer and care model fluency
Concierge, direct primary care, MSSP, Medicare Advantage, commercial fee for service and Medicaid each have a different unit economic engine and a different binding constraint. Running one playbook across all of them is the most common reason a practice stalls.
New patient capture, not lead generation
Third next available appointment, phone abandonment rate, and inquiry to kept appointment. Most practices we evaluate are already generating the calls. They are losing them between the ring and the schedule.
Untapped service lines and codes
Annual wellness visits, chronic care management, transitional care management and remote patient monitoring are frequently revenue already sitting inside the existing panel.
Where to start
The Growth Ceiling Evaluation
Two weeks, seven systems, a ranked 90 day plan. The binding constraint gets settled before a dollar of new spend is recommended.
Binding constraints: attribution, leadership cadence, demand engine. Illustrative output. Every engagement scores differently.
The playbooks
Field tested reading for this segment
Primary Care & Family Physician Growth Guide
The three numbers every primary care practice grows on, how to evaluate growth potential, and what changes across concierge, DPC, value based, and fee for service models.
ReadIndustryFractional CMO for Healthcare
HIPAA aware patient acquisition, referral ecosystems, and AI systems for practices, ASCs, and provider groups, with 2026 acquisition cost benchmarks by specialty.
ReadHealthcare EconomicsPatient Acquisition Cost: How to Calculate It and Cut It
The correct formula, the costs most practices leave out, and a worked example showing a 66% understatement.
ReadGrowth StrategyHealthcare Content Marketing Strategy That Books Appointments
The three patient decision moments, why hubs beat scattered blog posts, and how to measure against appointments rather than traffic.
Read
Who leads this work
Justin Miller, Fractional CMO · Founder · Public Relations
Fractional CMO to healthcare organizations, Marketing Director at Internal Medicine MD, and the firm's public relations lead.
Talk to JustinRunning an independent practice or physician group?
No charge and no deck. Tell me what has stopped working and I will tell you what I would look at first.
Or call (727) 992-3817