Psychiatry · Two Independent Launches
Building two practices from zero to $1.6M+ annual revenue
without the providers touching credentialing or claims
Two psychiatrists launched independent practices but hit the wall every new practice hits, credentialing, EMR setup, payer enrollment, and operations, all before a single claim could be paid. Here's how Zen built the infrastructure from day one.
$1.6M+
combined annual revenue
$70K/mo
scaled revenue, each practice
15+
payers credentialed
Specialty
Psychiatry
Scope
Two practices
Launched from zero
$0 starting point
Systems built
Day one
The problem
Two new practices. The same wall to climb.
✖
Credentialing from a standing start
Neither practice had NPIs, PTANs, or an entity structure in place yet, and no claim can be paid without them.
🗒
No EMR or billing workflow
Every new practice needs a configured EMR and a claims process before it can see its first billable patient.
⚒
Payer enrollment across 15+ insurers
Getting in-network with each payer is its own multi-week process, and both practices needed it done in parallel.
Zen's approach
Five fixes. Two practices built for growth from day one.
1
Set up NPIs, PTANs, and entity structures
Established the foundational identifiers and legal structure each practice needed before a single claim could be filed.
2
Managed credentialing with 15+ insurance payers
Ran the credentialing process for both practices in parallel, so neither provider had to navigate it alone.
3
Implemented EMR and billing workflows
Configured each practice's EMR and built the billing workflow around it from the start, not as a retrofit.
4
Created electronic claim submission systems
Put clean, automated claim submission in place so revenue could start flowing as soon as credentialing cleared.
5
Optimized fee schedules and reimbursement structures
Set each practice up with fee schedules and reimbursement terms built for long-term margin, not just initial approval.
The result
Zero to $1.6M+, two practices at once.
$70K/mo
Scaled monthly revenue, each practice
$1.6M+
Combined annual revenue
Day one
Operational bottlenecks eliminated from the start
"The providers focused on patient care while the business infrastructure was built for growth."
Revenue growth
Two practices, scaled in parallel
Practice | Starting point | Scaled monthly revenue | Annual revenue |
|---|---|---|---|
Practice A | $0 - new launch | $70,000 | $840,000 |
Practice B | $0 - new launch | $70,000 | $840,000 |
Combined | - | $140,000 | $1,680,000+ |
Why it worked
The infrastructure came before the patients
Most new practices build the business side reactively, after problems show up. Here it was built first, so there was nothing to react to.
✔
Built for scale before day one
NPIs, PTANs, and entity structures were in place before either practice saw its first patient, so nothing had to be fixed retroactively.
✔
Credentialing ran in parallel, not in sequence
Handling 15+ payers for two practices at once meant neither provider lost months waiting on the other's timeline.
✔
Reimbursement was optimized early
Getting fee schedules right from the start meant every claim after that compounded toward $70K/month, not just toward staying open.
✔
Systems came with the launch, not after it
EMR and claims workflows were live from day one, avoiding the "fix it later" scramble most new practices go through.
See what Zen finds in your practice
Free billing audit, results in 3–5 days. BAA signed before we access anything. No obligation.