I am stuck under a million how do I get there? episode artwork

EPISODE · Aug 11, 2025 · 24 MIN

I am stuck under a million how do I get there?

from Don Pelto, DPM - Podiatry Practice Mastery · host Don Pelto, DPM

In this episode of Podiatry Practice Mastery, I answer a common question I get from other doctors: “How do you hit the million-dollar mark in your practice?” I break down the systems, strategies, and optimizations that have helped me consistently grow beyond $1M in collections, without working more hours or burning out.From demand management to profit optimization, I share the exact steps I’ve used to structure my schedule, increase revenue per visit, and make the most out of every patient interaction while maintaining balance in both work and life.What You’ll Learn in This EpisodeHow I optimized my patient schedule for higher profitabilityWhy demand must come before revenue optimization.My approach to maximizing DME and procedures.How I streamline workflows for efficiency and growth.Why You Should ListenHitting the million-dollar mark isn’t just about seeing more patients, it’s about working smarter, optimizing your practice flow, and focusing on high-value care. I’ll walk you through how I balance profitability, patient satisfaction, and personal time, so you can grow without sacrificing quality of life.Key Topics Covered[00:00] How I scaled from $70k to $120k monthly[01:04] Structuring patient scheduling for efficiency[02:02] Why demand drives growth before optimization[03:13] Managing supply vs. demand in your practice[04:32] Increasing visit frequency before hitting capacity[06:05] Handling low-reimbursement patients strategically[07:33] Creating dedicated half-days for routine care[09:19] Using treatment blocks to improve speed and profitability[10:29] How optimizing DME drives extra revenue[13:17] Leveraging imaging and procedures for higher margins[16:43] Why Shockwave and Swift are high-value services[18:31] Using treatment sheets to educate patients[19:45] Building simple protocols for products and add-ons[20:53] Why I avoid excessive surgery to stay productive[21:41] The role of efficiency and using a medical scribe[22:17] My $1,000,000 blueprint and growth challenge[23:21] Balancing business success with a healthy personal life👉 Tune in now to learn my proven strategies for scaling your podiatry practice, optimizing patient flow, and unlocking your next level of growth.

In this episode of Podiatry Practice Mastery, I answer a common question I get from other doctors: “How do you hit the million-dollar mark in your practice?” I break down the systems, strategies, and optimizations that have helped me consistently grow beyond $1M in collections, without working more hours or burning out.From demand management to profit optimization, I share the exact steps I’ve used to structure my schedule, increase revenue per visit, and make the most out of every patient interaction while maintaining balance in both work and life.What You’ll Learn in This EpisodeHow I optimized my patient schedule for higher profitabilityWhy demand must come before revenue optimization.My approach to maximizing DME and procedures.How I streamline workflows for efficiency and growth.Why You Should ListenHitting the million-dollar mark isn’t just about seeing more patients, it’s about working smarter, optimizing your practice flow, and focusing on high-value care. I’ll walk you through how I balance profitability, patient satisfaction, and personal time, so you can grow without sacrificing quality of life.Key Topics Covered[00:00] How I scaled from $70k to $120k monthly[01:04] Structuring patient scheduling for efficiency[02:02] Why demand drives growth before optimization[03:13] Managing supply vs. demand in your practice[04:32] Increasing visit frequency before hitting capacity[06:05] Handling low-reimbursement patients strategically[07:33] Creating dedicated half-days for routine care[09:19] Using treatment blocks to improve speed and profitability[10:29] How optimizing DME drives extra revenue[13:17] Leveraging imaging and procedures for higher margins[16:43] Why Shockwave and Swift are high-value services[18:31] Using treatment sheets to educate patients[19:45] Building simple protocols for products and add-ons[20:53] Why I avoid excessive surgery to stay productive[21:41] The role of efficiency and using a medical scribe[22:17] My $1,000,000 blueprint and growth challenge[23:21] Balancing business success with a healthy personal life👉 Tune in now to learn my proven strategies for scaling your podiatry practice, optimizing patient flow, and unlocking your next level of growth.

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I am stuck under a million how do I get there?

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This episode is 24 minutes long.

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This episode was published on August 11, 2025.

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In this episode of Podiatry Practice Mastery, I answer a common question I get from other doctors: “How do you hit the million-dollar mark in your practice?” I break down the systems, strategies, and optimizations that have helped me consistently...

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