01
Busy but not profitable
Calendar looks full, but it's low-ticket work. Margins stay tight after injectables, rent, and ad spend.
Med spas · medical weight loss · regenerative medicine
You run the practice.
We run everything that fills it.
The complete patient acquisition engine for medical practices.
Built, run, and optimized by us.
We take on a handful of new practices each quarter.
15+ yrs · Inc. 5000 honoree · Built for cash-pay medicine
The shift
Most practices have five vendors.
None of them own the outcome.
You don't have a marketing problem. You have a coordination problem. Five agencies, zero consistency, from the first ad a stranger sees to the membership renewal email six months later. The fix isn't another retainer. It's one team running the full cycle.
The old way
What your clinic probably runs today
- One agency for ads. Another for SEO. A third for social. A fourth for the website. Nobody owns the outcome.
- Brand looks different in every ad, every DM, every consult room
- Promos and discount days duct-taped onto a weak brand position
- Front desk chasing cold leads between patients
- Providers closing from the chair because the brand did no pre-selling
- Monthly report: clicks, impressions, cost-per-lead. Revenue: unclear.
The PatientEngines way
An acquisition engine tuned to self-pay medicine
- One partner owns the full cycle: brand, site, ads, CRM, consult, enrollment
- A consistent story from first ad to membership renewal, in one voice
- Premium positioning that lets you stop competing on price, forever
- Patients self-qualify before the calendar ever sees them
- Providers walk into rooms where the brand already sold the plan
- Weekly report: booked, shown, started, plan value, retention. Per dollar.
What we hear
Six quiet problems every
cash-pay practice is running.
The GLP-1 wave, post-COVID self-pay surge, and aesthetic-market consolidation opened a 24-month window. Practices that solve these quiet problems this year compound. The ones still stitching together five agencies fall behind.
02
Bargain hunters, not buyers
Ads attract Groupon pricing shoppers instead of patients ready for the real treatment plan.
03
Consults that don't convert
Patients "need to think about it" and disappear. The provider did the selling, and it still didn't land.
04
Expensive dead time
Providers, rooms, and $10k/mo devices sitting idle during the weekly dead blocks.
05
Ghosting after price
They booked, they liked you, then the real number hit and they vanished.
06
Feast-or-famine cycles
January pops for weight loss. Summer pops for body. Other months? Thin.
The engine
Four systems.
One predictable revenue line.
01
Qualify before they book
A symptom-led intake filters coupon hunters, out-of-area patients, and medically ineligible leads before they hit your calendar. Only patients who match your best service lines get through.
Learn more
02
Warm the consult
Texts, reminders, pre-consult education, and a short provider video arrive automatically between booking and visit. They walk in knowing what they want, what it costs, and why you.
Learn more
03
Convert in the room
Provider-first consult scripts, plan presentation, and soft financing paths. The goal isn't a quote. It's a same-day start or a signed membership.
Learn more
04
Measure what matters
No vanity metrics. Booked → shown → started → plan value → 90-day retention. You see exactly which campaigns produce revenue, not leads.
Learn more
In numbers
12k+
Campaigns run
15 yrs
In cash-pay growth
230+
Active practices
$42M
Tracked revenue · trailing 12
Where most practices lose
The best practice in your market isn't the busiest. Yet.
Cash-pay medicine runs on trust before the consult ever happens. Patients land on your site, scroll for 30 seconds, and decide. Most practice websites were built once — by whoever was available — and haven't been touched since. We rebuild the full path from stranger to booked patient, then keep the engine running.
What you get
A full engine. Not
a marketing retainer.
We rebuild the entire path from stranger to membership patient. Each piece is measurable, and each piece has to earn its keep.
HIPAA-compliant intake & data handling · platform-policy expert on GLP-1, injectables, and hormones · zero ad-account strikes to date
01
Qualified demand generation
Paid search + Meta + local SEO tuned to your profitable service lines. Ad creative built in-house. Compliance-aware.
- Ad account rebuild
- Symptom-led landing pages
- Ongoing creative refresh
02
Consult conversion system
Pre-consult nurture, provider intro video, pricing pre-frame, and same-day-start scripts trained on your team.
- Intake + booking flow
- SMS/email automation
- Staff playbooks
03
Membership & plan enrollment
Package and membership offers structured for first-visit enrollment. LTV modeling per service line.
- Offer architecture
- Plan presentation kit
- Retention cadences
04
Revenue dashboard
One view: booked, shown, started, plan value, retention, and cost per new patient, by service, by provider, by week.
- Custom CRM build
- Call + show tracking
- Weekly ops review
Solutions
The engine,
in six parts.
Six disciplines we run end-to-end. Each one plugs into the growth engine so the four lines that matter (booked, shown, started, retained) all move together, not just one at a time.
Brand & positioning
Premium positioning that lets you stop competing on price. Visual identity, story, and voice built to earn the first conversation without a discount.
Demand generation
Paid search, Meta, and local SEO tuned to your profitable service lines. Ad creative built in-house. Compliance-aware for GLP-1, injectables, and hormones.
Consult conversion
Pre-consult nurture, provider intro video, pricing pre-frame, and same-day-start scripts trained on your team. Patients walk in halfway enrolled.
Membership & plans
Packages and memberships structured for first-visit enrollment. LTV modeling per service line. Retention cadences that compound through month three.
Web & intake
Symptom-led landing pages, self-qualification flows, and a CRM spine that keeps the front desk out of cold-lead chasing.
Revenue dashboard
Booked, shown, started, plan value, retention, cost per new patient, by service, by provider, by week. No vanity metrics, no monthly theater.
Results
Real outcomes.
Real practices.
We'd rather show you three detailed rebuilds than twenty logo walls. Case studies below are in the approval queue. Drop in for the live versions with full P&L attribution.
$650,000+
a month · success story
Regenerative medicine · Colorado Medical Solutions
FLOA Warrior Academy & Coaching
Client summary
Colorado Medical Solutions is a medical and wellness clinic specializing in regenerative medicine, hormone therapy, and functional health solutions.
Availed services
- Brand guidelines
- Website & landing page design
- Content creation
- Social media marketing
Scoliosis & spine · Scoliosis Associates
Mt. Sinai Hospital · Spine Center
Client summary
Scoliosis Associates is a leading medical practice specializing in the treatment of scoliosis and spinal deformities through advanced surgical and non-surgical techniques.
Availed services
- Website design
- Content creation
- Google PPC
- SEO
$40M
late-stage VC raise · 2026
Aesthetic network · national
Cosmetic Physician Partners
Client summary
Cosmetic Physician Partners is a network of top aesthetic practices offering advanced cosmetic treatments and business growth solutions for physicians in the industry.
Availed services
- Consulting
- SEO
- Facebook marketing
- Google PPC
Spine care · C3 Spine
C3 Spine
Client summary
C3 Spine is a spine care practice focused on helping patients find lasting relief through advanced spinal treatments and a patient-first approach to care.
Availed services
- ContentOS
Owners, in their words
The people we work for
don't pull their punches.
"PatientEngines exceeded all my expectations! They optimized Door Boy's online presence and brought in a steady stream of leads. Their innovative approach and attention to detail have made a huge impact on our business, and I highly recommend them."
RS
Richard Salinas
Owner · Door Boy
"I'm so impressed with what PatientEngines has done for Diamond Rock Spring Water. They helped us stand out in a crowded market by showcasing the quality of our products and services. Thanks to them, our delivery orders for both homes and businesses have grown significantly."
RP
Rich Picinich
Diamond Rock Spring Water
"Working with PatientEngines has been a game-changer for my practice. Their team did an amazing job highlighting my expertise as a scoliosis surgeon, and I've seen a noticeable increase in patient inquiries. They truly understand how to connect with my audience, and I couldn't be happier with the results."
BL
Dr. Baron Lonner
Scoliosis surgeon
"PatientEngines completely revamped my marketing strategy, and the difference has been incredible. Their creativity and precision in targeting have helped me reach the right audience and grow my business faster than I expected. They've been an invaluable partner."
DJ
Dean Jones
Colorado Medical Solutions
"Partnering with PatientEngines has been one of the best decisions for Rejuvinix. Their targeted campaigns really hit the mark, increasing our online engagement and boosting appointment bookings. Their expertise and dedication have been instrumental in our success."
RX
Rejuvinix
Medical aesthetics
Honest fit
Who this works for.
And who it doesn't.
Built for you if
- You do $80k+/mo in cash revenue and want to scale without more payroll
- You run a med spa, weight-loss, HRT, IV, regenerative, or sexual wellness practice
- You have a provider who wants to practice medicine, not close sales
- You're willing to stop discounting as a growth lever
Not the right fit if
- You need patients by next Tuesday or the lights go off
- You want us to run Botox days and $99 filler promos
- Your brand position is "cheapest in town"
- You're not ready to invest $8–$25k/mo in the engine
Questions owners ask
The short answers.
Do you understand compliance for injectables, GLP-1s, and hormones?
Yes. Our ad creative, intake language, and landing pages are written to the medical boards and platform policies for each service line. We've worked with practices on semaglutide, testosterone, and regenerative therapies without ad account strikes.
Will you lock us into a long contract?
First engagement is a 90-day build. After that, month-to-month. If the engine isn't moving the four lines we promised (booked, shown, started, retained), you walk, no penalty.
How many new practices do you take on?
A handful each quarter. We keep the book tight so the ops team stays close to every revenue line, not managing from a dashboard. If the roster is full when you apply, we'll say so on the fit call and give you a realistic timeline to hear back, not a slow no.
What do you actually charge?
Engagements range $8k–$25k/mo depending on service lines, locations, and whether you need the CRM and conversion system rebuilt. Ad spend is separate and paid directly to the platforms. We'll quote precisely on a fit call.
How is this different from a typical agency?
Typical agencies report leads. We report revenue. The retainer isn't for ads. It's for an operating system that makes self-pay medicine predictable. The ad account is one part of four.
Can you work with my existing CRM and front desk team?
Yes. We've built on top of Boulevard, Aesthetic Record, Weave, GoHighLevel, Zenoti, and custom stacks. We train the front desk on the new cadences and sit in on the first four weeks of morning huddles.
How soon do we see results?
First qualified bookings land in week 2–3. The revenue line shifts meaningfully in month 2. Membership enrollment and plan value compound through month 3–6.
Client roster
Trusted by hundreds of clients.
Every logo below is a paying engagement, not a portfolio placeholder. Med spa, medical weight loss, HRT, IV, regenerative, scoliosis, aesthetic networks. We add ten-plus practices every quarter.
Apply to work with us
Three questions.
Then a straight answer.
We take on a handful of practices per quarter, the ones where the full engine actually fits. Answer three quick questions and we'll tell you, on the call, whether we can move your revenue line and what we'd build first. If it's not a fit, we'll say so and point you somewhere better.