Dr. Vince Leone sequences chiropractic treatment starting with 4-6 shockwave sessions, then combined modalities, ending with laser therapy. His clinic bills adjustments to insurance and laser and shockwave as cash services, using 6-visit or 12-visit treatment packages. He handles 250-280 patient visits per week.
Where maybe I'll start with shockwave for maybe 4 to 6, and then the middle 3 or 4, I'll maybe do both, and then I'll end with the laser the last few sessions. And that works really well as well. And in my practice, we have the Back on Track, plus we also have the Hill DT decompression table. So for the more garden variety of cases, For acutes and some garden variety chronics without significant radicular component, I'll use the Back on Track. It's simple setup, patients like it, feels good, and it helps. And so we have a package of 6. So the adjustments are covered with their insurance or at least billable. Maybe we teach them some exercises. That's a billable thing, therapeutic exercise instruction. And even the traction from the back on track, we just build traction for that 'cause that's what it is, it's traction. And, but then the laser, there's cash. Or the shockwave, there's cash. So it's always a hybrid model of 6 visits hitting a single, 12 visits hitting a home run or a double. And all day long in practice, Folks, I hit those. And we see 250 to 270, 280 patients a week, or patient visits anyway.
