How I Know It's Time to Grow My Medical Practice (Big Expansion Update)

When To Hire an Office Manager for Your Medical Practice

Still doing $25 an hour tasks while your time is worth $200? In this episode I break down exactly when it is time to bring on administrative help for your medical practice, and how to do it right. I walk through the three management roles every growing practice should understand: the office manager who runs front desk and daily operations, the practice manager who handles HR, vendor contracts, compliance, and KPIs, and the administrator focused on high level decisions like opening new locations and hiring physicians. I also share the revenue benchmarks I use (why you probably do not need a six figure practice manager until you cross roughly a million and a half in annual revenue), the hiring mistake I made by pulling someone from a stagnant clinic instead of a high growth background, and the systems that actually work: warm handoffs, defined roles, trial periods, one on one meetings, and KPIs. If your schedule is full and you are waking up at four in the morning trying to fit everything in, you are the bottleneck. Here is how to get out of your own way. I own a multimillion dollar primary care practice and help physicians start and scale their own. Drop your questions below. #MedicalPractice #PrivatePractice #PracticeManagement #PhysicianEntrepreneur #PrimaryCare #HealthcareBusiness #DoctorBusiness #ScaleYourPractice #OfficeManager #PracticeManager #MedicalEntrepreneur #PhysicianLife #StartAPractice #InvestingDoc #HealthcareLeadership #DoctorPreneur #MedicalBusiness #PracticeGrowth #PhysicianFinance #BusinessOfMedicine

How I Know It's Time to Grow My Medical Practice (Big Expansion Update)

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.

Show Me the Incentive, I'll Show You the Outcome: How Smart Doctors Game a Broken Healthcare System

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.

Nothing Matters Until You Get Busy: The #1 Rule for Starting a Medical Practice

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

Why Most DPC Practices Don’t Make Money Fast Enough

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.