From Fee-for-Service Grind to $100k+ Months: How to Build a Profitable, Scalable Practice

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With 22 years of experience, I help clinicians, like you, elevate your practice by combining clinical excellence with strategic business solutions. My passion? Empowering you to deliver top-tier care while running a business you’re absolutely in love with!

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Hi, I'm CARMEN, FNP-C, WHNP-BC

I share a lot of financial wins from The Business Academy because I know some of you need to see what’s possible. If you think generating $100k per month in your practice isn’t realistic, this post is for you.

Here’s the reality:

The Numbers Don’t Lie

Let’s break it down. To generate $50k per month with three-month packages priced at $2,500 per patient, you only need 20 new patients a month. That’s roughly five new patients a week.

Sound overwhelming? It’s not.

With the right systems and strategies in place, consistently bringing in five patients a week is totally doable—especially when you’re offering long-term solutions that provide real value and real results. Patients aren’t just paying for a service; they’re investing in a transformation.

The Magic of Maintenance Programs

Here’s where the real magic happens: patient retention. After those initial three months, patients don’t disappear—they stay for maintenance programs.

By month four, you’re not just signing new patients; you’re retaining your current ones. With 60–80 patients in both active treatment and maintenance, you’re not scrambling for leads—you’re generating $100k per month without hustling harder.

This isn’t just numbers; it’s a system. Your practice becomes scalable, predictable, and steady.

Let’s Talk About Workload

If you’re seeing 10 patients a day, that’s 50 patients a week. Adding just five new patients weekly keeps your practice busy, but not overwhelming. This balance allows you to:

  • Provide high-quality care.
  • Maintain reasonable hours.
  • Hit six figures per month without burning out.

Fee-for-Service: The Nightmare You’re Ready to Leave Behind

Now, let’s compare this to the chaos of the fee-for-service model.

If you’re charging $300 a month per patient, you’d need 167 patients every month to generate $50k. That’s 42 patients a week just to break even.

Sound exhausting? It is.

With this model, you’re:

  • Constantly chasing new patients.
  • Dealing with unpredictable income.
  • Overloading your schedule to keep up.

Even at 10 patients a day, you’re working overtime just to stay afloat. Fee-for-service leaves you in the hamster wheel of hustle—tired, stressed, and struggling to grow.

The Package-Based Model: A Clear Difference

With a package-based model, you’re building something entirely different:

  • Predictable Income: You know what’s coming in every month.
  • Scalable Systems: Patients see better results with long-term care, and you’re not constantly hunting for new clients.
  • Better Patient Relationships: By offering maintenance programs, you create lasting connections, ensuring steady income and continuity of care.

No more hustling for one-off fees. You’re designing a thriving practice that works for you and your patients.

$100k Months with Balance and Better Care

This isn’t a fantasy—it’s a formula. With a package-based approach, you’re not just scaling your income; you’re:

  • Improving patient outcomes by focusing on long-term care.
  • Avoiding burnout with a manageable schedule.
  • Building stability in your practice, ensuring both you and your patients thrive.

Ready to Break Free from the Fee-for-Service Grind?

If you’re tired of chasing one-time payments and want to build a predictable, scalable, and sustainable private practice, The Business Academy is here to guide you.

Our proven frameworks and strategies are designed to help you attract clients, retain them for long-term care, and scale your practice to six figures per month—all while delivering exceptional outcomes.

Applications are open for a limited time. Apply today!

Thinking About Starting a Private Practice? Do It. But Do It Right.

If you’re still on the fence about starting a private practice, here’s my advice: Dooooo it.

But let me be honest—thinking a $500 slideshow course is going to teach you how to run a profitable, scalable business? That’s not it.

Building a successful practice takes more than clinical skills—it takes strategy, systems, and the right support. The Business Academy is here to provide exactly that.


Thank you to our sponsors

posted by

Carmen Stansberry

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