Marketing & AI · cash-pay healthcare

More ads won't fill your lobby.

We do the marketing, AI receptionist, and funnel work that turns ad clicks into booked, shown patients — for US cash-pay therapy practices and med spas.

Built by people who run a 165-clinician cash-pay therapy platform across 20+ countries.
THIS WEEK Oct 14 — Oct 18 MONTUEWEDTHUFRI 910 1112 12 34 5 + NEW just booked — via AI receptionist UTILIZATION 66% → 88%
From our own platform operations
$223 → $98
Cost per intakeOne quarter of work
31% → 14%
No-show rateQ3 2025 · 165 clinicians
2,300+
AI calls handledBefore we sold the product
What we sell

Three things. Pick what you need.

No bundles, no upsells, no surprise scope. Start with one. Stack the next when you're ready.

Why most healthcare marketing fails

Your agency is running ads. You need someone running the funnel.

You're paying $180+ per intake for a calendar that's two-thirds full on a good week.

Your booking form converts at half the rate it should — and your agency hasn't touched it in two years.

One in three booked patients doesn't show up. You absorb the cost.

Your front desk drops 20–40% of inbound calls after-hours. Each one was a $500–$2,800 patient.

Your agency optimizes for ROAS on the click. You need ROAS on the booked, shown, retained patient.

That's not a marketing problem you solve with bigger ad spend. It's funnel work. We do funnel work.

How we work

Three steps. Ninety days. Measurable change.

Same process every client. We've run it on our own platforms long enough to know which steps move the needle.

01

Audit your funnel

30-page diagnostic in seven days. Five ranked fixes with 30-day dollar lift. You see exactly where you're bleeding leads — before you commit to anything else.

02

Fix the worst leak first

One change at a time, biggest-ROI first. Booking form, ad targeting, landing page — whichever has the highest 30-day return. We measure the lift before moving on.

03

Stack the wins

Fix two and three compound on fix one. By day 60, two or three KPIs have moved. Re-audit at day 90 to find the new top fix.

A real example
CASH-PAY THERAPY · GROUP PRACTICE · TEXAS · 2025

14-clinician therapy group. Cost per intake cut by more than half.

The owner was spending around $11K/month on Meta ads and couldn't tell us which campaigns were working. He'd been through three agencies in two years.

The audit found seven fixable things. The booking form had three required fields that nobody filled in correctly. Three campaigns were spending against the wrong cities. The no-show rate was being masked by a confirmation cadence that hadn't been updated since 2023.

He fixed three of those things in eight weeks.

$223 → $98
Cost per intake
8 weeks
From audit to result
Who we are

Operators, not agency people.

We're not consultants who read about healthcare marketing. We run a 165-clinician cash-pay therapy platform across 20+ countries, plus a regional online therapy platform serving the MENA market. Every system we sell, we use ourselves first.

The audit was built because we run our own funnel through it every quarter. The AI receptionist sat in our beta for four months and 2,300+ real calls before any client touched it. The marketing playbook is what we run on our own ad accounts.

We built Fill the Lobby because a friend in Texas asked us to look at his cash-pay therapy practice. We found seven things wrong, he fixed three, his cost per intake dropped from $223 to $98. That's the whole story.

Before you book a call

Things people ask first.

Do you only work with US practices?
Yes. US-incorporated practices only. We don't serve EU, UK, Canada, or AU practices today.
Are you HIPAA-certified?
No such certification exists in the US. We operate HIPAA-aware tracking, sign BAAs with every subprocessor that touches PHI, and have US healthcare counsel on retainer. Full posture at /compliance.
Will you work with addiction-treatment or weight-loss compounding?
No. EKRA, 42 CFR Part 2, and the FDA enforcement around compounded GLP-1s create exposure that doesn't fit our model. Non-negotiable.
How do I start?
Book a 15-minute fit call. We'll tell you whether we're the right firm, what to start with, and where the realistic 90-day result lives. No deck, no pitch.
What does the first 30 days look like?
Days 1–7: audit. Days 8–14: BAA signed, tracking installed, baseline benchmarking. Days 15–30: ship the highest-ROI fix from your audit, measure the lift. Then we stack from there.
Get started

See where your funnel is leaking.

Fifteen minutes on a call. We'll tell you what to fix first, whether we're the right firm, and what the realistic 90-day picture looks like.

Book a 15-minute call

No deck. No pitch. Just a conversation.

Book a 15-minute call