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 we look at first
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 work its communities 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.
The first two are finite. A patient list gets worked, and then it is worked. The third is not, which is why this is a standing capability rather than a campaign with an end date.
The terms
How this is structured.
Nothing is charged today. We build your first campaign, usually within a week. That is when the setup fee is charged, and you have thirty days from there to decide whether to continue. The monthly fee does not start until you do. 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.
$2,500 to set up, refundable
Charged when your first campaign is ready, not before. If you decide inside thirty days that it is not for you, tell us and it comes back.
$1,995 a month, flat
One number, every month, and it does not begin until after you have decided to continue. No tiers, no add-ons, and nothing that scales with what you spend anywhere else.
Month to month, no contract
Thirty days' notice. A practice not seeing movement should not be locked in. One that is has no reason to leave.
You keep everything
The identity work, the content, the citations, the sequences, the review system. 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 outreach, the community research, 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 can't do is belong to your team's communities for them. That part is your people, and it always will be.
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 progress against production in your own practice software
- Recommending sequence or approach changes when evidence warrants it
- Honest assessment of results
Opkie is not accountable for:
- Your practice's own presence in its communities. We find the openings and write what goes out. Being there is your people.
- 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.
Reactivation produces revenue in weeks from records the practice already holds. These are not new patients. They are patients who already chose you once, already trust you, and have simply not been worked.
The community work compounds over quarters. Every real connection introduces the next one. 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 pays for the engagement while the other builds the asset.
Decide after you have seen the work.
Nothing is charged today. We build your first campaign, usually within a week, and you have thirty days from there to decide whether to continue.
Get StartedPrefer to talk it through first? Book twenty minutes, or the roadmap covers the full approach.