How We Work
The presenting problem is rarely the binding constraint.
A practice that presents a lead-flow problem may have a conversion problem. One that presents a conversion problem may have a retention problem. The right intervention depends on which is true.
What the campaigns are built from
Your numbers, your market, your actual position.
Production and lead historySeveral years back. What the trends actually show, not what the dashboard says. 
The practice's own public presenceYour marketing, your reviews, what patients actually say about you. 
Drive-time demographicsWho is actually in your market and what they are looking for. 
Competitive positioningFive to ten local competitors: what they claim versus what their patients say. Why order matters
Clarity about who the practice is for governs everything after it.
A practice that has not decided who it is for cannot work its own patient list well, because it does not know which patients it wants back. It cannot give its patients a reason to send somebody either, because it has nothing specific to be known for.
So the work moves in one order: who the practice is and who it is built for, then every point where a patient is already in motion, from the first call through to the referral nobody asked for. Each part is governed by the one before it.
Some of it is finite. A patient list gets worked, and then it is worked. Referral and reach are not, which is why this is a standing capability rather than a campaign with an end date.
The terms
How this is structured.
No setup fee, and no risk for thirty days. We build your first campaigns straight away. If you decide inside thirty days that it isn't for you, tell us and the first month comes back. We do not sell ads, websites, or search work, and we do not get in the way of yours: keep your agency, and we make what you are already running more effective.
No setup fee
Most agencies charge $3,000 to $10,000 or more to set up before you see anything. We don't get paid to get ready.
$2,995 a month, flat
One number, every month, with no setup fee. No tiers, no add-ons, and nothing that scales with what you spend anywhere else.
Month to month, no contract
No notice period. Cancel anytime. A practice that isn't seeing movement shouldn't be locked in, and one that is has no reason to leave.
You keep everything
The identity work, the content, the campaigns, the sequences, and the list you built. If you leave, it stays yours.
What this requires from you
Your time commitment.
We develop the strategy and handle the execution. All we need from your team is an onboarding call, and a quick yes on what goes out.
The call is where the most owner involvement sits, because the one thing a practice can't do is write its own identity from the inside. After that, what we need from you is sign-off.
We develop the strategy and handle the execution: the identity work, the patient messaging, and the materials. Not a system your front desk has to learn and run. That's the part that's never really been anybody's job.
What we answer for
Accountability, stated plainly.
Opkie is accountable for:
- Delivering the identity work that governs everything after it
- Executing all in-scope deliverables with quality and consistency
- Measuring billed production in your own system, which we pull ourselves
- Recommending sequence or approach changes when evidence warrants it
- Honest assessment of results
Opkie is not accountable for:
- What happens in person: the clinical care, and the treatment conversation in the chair. We follow up on it, we do not have it for you.
- Practice culture or team dynamics outside our scope
- Market conditions, competitive changes, or macro trends outside the practice's control
- Outcomes in engagements where the roadmap was overridden by client direction
- Results from work the practice directed us to run before the identity work was finished
Saying what we will not answer for is the opposite of what you expect from a vendor. That is the point.
Two kinds of results
Revenue now, and results that compound.
Some of the work produces revenue in weeks, from patients the practice already has. These are not new patients. They are patients who already chose you once, already trust you, and have simply not heard from you well.
The referral and reach work compounds over quarters. A patient who came back, who showed, who accepted treatment and stayed is the one who sends somebody. That is how word of mouth has always worked, and it is why this gets stronger in month twelve rather than tired.
Both are true. Both are needed. One produces this quarter. The other compounds past it.
No setup fee, and no risk for thirty days.
There's no setup fee. And if it isn't for you inside thirty days, tell us and the first month comes back.
Get StartedPrefer to talk it through first? Book a 20-minute call, or the roadmap covers the full approach.