PT / Who we treat / D-03 · DERMATOLOGY GROUP
Medical fills the schedule. Cosmetic pays the multiple — and most groups market them backwards.
31 engagements. Dermatology presents as one practice that's actually two businesses — an insurance clinic and a cash-pay retail line — run on the same site, the same intake script, and the same booking flow.
SUBJECTIVE
"Botox inquiries book with the med spa down the street." · "Our providers hate selling." · "Insurance volume is up; margin isn't."
OBJECTIVE — typical intake
~162 new patients / mo / loc, skewed medical · cosmetic share of revenue 8—15% against 30%+ of capacity · cash-pay CAC ~$440 · cosmetic-consult no-shows 24%
ASSESSMENT
The cosmetic line runs as a side effect of the medical line. Cash-pay patients are shopping; the practice is triaging. Nobody is priced, routed, or reported like a retail business — so the med spa wins by default.
PLAN
Cash-pay funnel split from insurance · deposit-backed cosmetic consult flow · provider-level demand routing · weekly readout split medical vs. cosmetic
OUTCOMES — 31 ENGAGEMENTS · MED.
- Cosmetic revenue share 11% → 26%
- Cosmetic no-show rate 24% → 9%
- CAC, cash-pay $440 → $260
- New patients / mo / loc 162 → 214
- Months to system 6 — 9
RELATED CASE FILES