My Biggest Mistakes Scaling a Multi-Million Dollar Medical Practice

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.

My Biggest Mistakes Scaling a Multi-Million Dollar 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.

The Medical Practice Founder’s Reality: Building a Practice From Nothing

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.

Take a Step Back: The Practice Audit Every Owner Needs

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.

Find Competitor Insurance Rates With AI and Negotiate Higher Pay

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.