Podcast
The Practice Builders
Hosted by Dr. Vince Leone and Dr. Kyle Pankonin · EN
Welcome to the Practice Builders podcast, the show where innovation meets strategy for growing thriving chiropractic clinics presented by Specialized Practice and hosted by Dr. Vince Leone and Dr. Kyle Pankonin. They're here to share proven tactics to help you build cash-based revenue streams, maximize staff driven services, and reduce reliance on insurance.
15episodes
Episodes
Newest firstAll episodes
48. Analysis of a $30,000 with Spinal Decompression
2w ago00:22:08Tap to summarizeWhat does it actually take to go from a $30K/month, insurance-heavy practice… to $112K in a single month?In this episode of The Practice Builders Podcast, Dr. Vince sits down with Dr. Vini Cornejo to break down the real story behind his growth.Two years ago, Dr. Vini was stuck.He had a decompression table, some outside guidance, and the same problem most doctors face… no real traction.Fast forward to today:He just hit $112,000 in a single month… including a $30,000 day.Inside this conversation, we unpack what actually changed:The shift from generalist to specialistHow his clinical confidence completely transformed his conversionsWhat it really takes to handle 9 new patients in a single dayWhy implementation—not information—is the difference-makerThis isn’t theory. It’s what it looks like when the right systems, skills, and mindset come together.If you're a chiropractor looking to grow a serious decompression practice, this episode will give you a clear picture of what’s possible—and what it actually takes to get there.Learn more about the Decompression Accelerator here:👉 https://www.decompressionaccelerator.com
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47. Why Insurance-Only Practices are Dying (and what to do about it)
3w ago00:35:55Tap to summarize🎙 Episode 47 – Why Insurance-Only Chiropractic Practices Are DyingIn this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin tackled one of the most urgent threats facing chiropractors today: the slow death of the insurance-only practice model.Drawing from over 26 years of clinical experience and real coaching results, they break down why flat reimbursements, rising overhead, insurance red tape, and volume burnout are quietly crushing practices — and what doctors can do right now to protect their income, their health, and their future.You'll learn:Why insurance reimbursements have barely moved in over two decades while overhead keeps risingHow chasing volume creates a negative flywheel that burns out doctors and delivers worse patient experiencesWhy relying solely on insurance gives you almost no control over your own revenueThe power of adding cash-based services — specifically spinal decompression — as your first nicheHow a hybrid model (not going all-cash overnight) is the smartest and safest transition strategyReal results: how Dr. Kyle went from $48–50K/month heavily insurance-dependent to pushing $120K/month, mostly cash-basedWhy patients absolutely will pay out of pocket — when you're selling an outcome, not just a serviceStep-by-step action items for doctors who are heavy insurance and want a way outDr. Leone and Dr. Pankonin also share honest advice on how to audit your insurance plans, drop the worst offenders, and gradually build a cash-based niche without losing your patient base overnight.If you're feeling stuck, burnt out, or like you're working harder every year for the same paycheck, this episode will show you there is a better model — and exactly how to start moving toward it.
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46. Releasing the Yes in the ROF
4w ago00:23:43Tap to summarize🎙 Episode 46 – Releasing the Yes in the ROFIn this episode of The Practice Builders Podcast, Dr. Vince Leone breaks down one of the most overlooked factors in case acceptance: the mindset you bring into the Report of Findings.He explains how emotional attachment to a patient saying “yes” can create subtle pressure that lowers trust, weakens authority, and hurts conversions. Instead, the most successful doctors focus on calm confidence, clear communication, and leading the patient professionally through the decision-making process.You’ll learn:Why desperation and “needing the sale” can repel patientsHow confidence, clarity, and certainty create stronger conversionsWhy your job is to diagnose clearly, explain simply, and recommend the best path forwardHow to handle common objections without taking them personallyThe importance of tracking metrics so one no doesn’t shake your confidenceSimple pre-ROF rituals to help you show up calm, focused, and in controlDr. Leone also shares practical strategies for lowering pressure in the room, including better questions to ask, how to reframe objections, and why more lead flow naturally improves conversions.If you want stronger ROFs, better case acceptance, and a more confident presence with patients, this episode will help you shift from chasing outcomes to mastering the process.Early Bird Registration Is Now Live The wait is over. Early Bird registration for the Decompression Summit Certification 2026 is officially open.Join us for one of the premier events in spinal decompression to sharpen your clinical skills, grow your practice, and connect with doctors who refuse to stay average. Humanity does love gathering in ballrooms to become better versions of itself.Secure your spot here: https://hilldtsolutions.regfox.com/specialized-practice-decompression-summit-certification-2026
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45. Preview of the Decompression Summit Certification: The Future of Spinal Decompression
Apr 1300:43:07Tap to summarize🎙 Episode 45 – Preview of the Decompression Summit Certification: The Future of Spinal DecompressionIn this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin gave a behind-the-scenes preview of the 2026 Decompression Summit Certification—an event designed to help doctors at every level grow and master spinal decompression.They break down what makes this summit different, from advanced clinical training and cutting-edge research to real-world marketing strategies and staff-driven systems.You’ll learn:Why decompression success requires more than just having the right equipmentHow the summit is structured to support both new and experienced doctorsThe role of clinical confidence, patient selection, and structured systems in driving resultsWhat to expect from key sessions, including advanced case recognition and imaging applicationHow a focused marketing funnel can generate high-quality, pre-qualified patientsPractical ways to leverage AI tools inside your practiceDr. Pankonin also shares insights on commonly overlooked conditions like thoracic disc herniations and pelvic-related dysfunctions—helping doctors uncover new opportunities to help patients.If you’re looking to grow your decompression services with more confidence, better systems, and higher-quality patients, this episode gives you a clear look at what’s possible.
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44. Why Most Doctors Struggle Growing Decompression
Mar 2700:42:05Tap to summarize🎙 Episode 44 – Why Most Doctors Struggle Growing DecompressionIn this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin break down one of the biggest frustrations doctors face after buying a decompression table:“Why isn’t this growing the way I thought it would?”They explain that success with decompression does not come from owning the equipment alone. It comes from building the right system around it, including clinical confidence, patient selection, structured exams, a strong report of findings, and a proven treatment protocol.You’ll learn:• Why buying a decompression table without a complete system is a major mistake• How weak clinical confidence hurts conversions and patient trust• Why world-class exams are essential for identifying the true pain generator and positioning yourself as the expert• The problem with treating on day one before fully evaluating the patient and ruling out contraindications• How a structured Report of Findings creates clarity, certainty, and confidence for the patient• Why poor patient selection and unrealistic expectations can sabotage outcomesDr. Leone and Dr. Pankonin also emphasize that spinal decompression patients are often comparing your recommendations against surgeons, physical therapists, other chiropractors, and countless online solutions. That means doctors must elevate their expertise, systems, and communication if they want to stand out and consistently grow.If you already have a decompression table, or you’re considering adding one, this episode will help you identify the bottlenecks that may be holding your practice back and show you where to focus next.
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43. A Review of Spinal Decompression Tables
Mar 1600:24:13Tap to summarizeIn this solo episode of The Practice Builders Podcast, Dr. Vince Leone breaks down one of the most common questions chiropractors ask when entering the decompression space:“Which decompression table should I buy?”Dr. Leone reviews several of the most common systems on the market — including Chattanooga, DOC Table, Hill DT, AccuSpina, and DRX9000 — explaining their approximate price points, functionality, and key pros and cons so doctors can make an informed decision.You’ll learn:• The major decompression tables available and their general price ranges • Key differences between cable-based and actuator-based systems • When entry-level tables make sense vs. investing in premium equipment • Why clinic space, workflow, and growth plans should influence your decision • The most important takeaway: the doctor’s expertise matters far more than the table itselfDr. Leone also emphasizes that success with decompression comes from mastering disc diagnosis, world-class exams, treatment protocols, and patient communication, not just purchasing equipment.If you’re considering adding spinal decompression — or upgrading your current table — this episode provides a practical overview to help you choose the right system for your clinic.
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41. How to Optimize Your Ads with Simplicity AI
Feb 2600:20:36Tap to summarizeIn this episode of The Practice Builders Podcast, Dr. Vince Leone interviews Dr. Bao Thai, founder of Simplicity AI and former seven-figure neuropathy clinic owner, about one of the biggest hidden profit leaks in modern practices: poor lead management.After building and scaling large cash-based clinics with massive overhead and staff stress, Dr. Thai shares how he turned to AI to eliminate bottlenecks, reduce chaos, and dramatically improve speed-to-lead — without hiring more people.You’ll learn:Why speed-to-lead is the #1 reason practices waste marketing dollarsHow missed calls after 5pm silently cost you tens of thousands per monthThe real problem with relying on staff to manually follow up with every leadHow AI can answer calls, qualify prospects, book appointments, and send nurture content automaticallyWhy tracking lead response and follow-up data is critical for real growthA case study where better systems — not more ad spend — generated an extra $80,000 in one monthIf you’re running ads for decompression, neuropathy, or any high-value service and suspect leads are slipping through the cracks, this episode will open your eyes.🎧 Tune in to learn how better systems, smarter automation, and consistent follow-up can help you squeeze more revenue and profit out of the marketing you’re already paying for — while making practice enjoyable again.
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42. Spinal Decompression Report Review - Part 1
Feb 2300:41:48Tap to summarize🎙 Episode 42 – Spinal Decompression Report Review - Part 1In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin introduces the State of Spinal Decompression 2026 Report: benchmarks, insights, and predictions for chiropractors who want to build a real decompression niche.Dr. Leone explains why decompression has been too inconsistent across the profession (random visit counts, inconsistent protocols, dabbling). The goal is to professionalize decompression using proven systems, market research, and published evidence so clinics can deliver consistent outcomes and stand out as specialists.You’ll learn:Why decompression adoption is growing ~4% per year and why competition is comingThe real differentiator isn’t owning a table, it’s mastery: world-class exam, protocols, and trained staff executionWhy patient demand is massive (surgery volume + patients actively seeking non-surgical options)Pricing benchmarks (most clinics land around $3K–$7K, commonly $4.5K–$5K) and why just 3–10 starts/month can be practice-changingWhy marketing must be diversified (multiple “buckets,” not one fragile channel)A key clinical insight: research suggests lower-force decompression can perform as well or better than heavy pull in some cases.Give it a listen — and start thinking like a specialist, not just a table owner.
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40. When To Add A Second Decompression Table or Laser
Feb 200:25:46Tap to summarize🎙 Episode 40 – When To Add A Second Decompression Table or LaserIn this episode of The Practice Builders Podcast, Dr. Kyle Pankonin lays out a clear, practical framework for one of the biggest decisions growing clinics face:When is it actually time to buy another decompression table, laser, or piece of tech?Most chiropractors assume their next leap comes from buying more equipment. But in reality, Dr. Pankonin argues that the real problem in most clinics isn’t capacity… its utilization.This conversation is a short but high-impact breakdown of how to scale intelligently, avoid shiny-object purchases, and expand only when the demand is real.You’ll learn:Why most clinics have a utilization problem, not an equipment problemThe 70–80% rule: the real threshold that signals it’s time to expandHow to spot true bottlenecks like waitlists, peak-hour overbooking, and scheduling pressureWhy buying more machines too early won’t fix lack of confidence, protocols, or marketingA real example of a doctor ready to sell a $60k laser… when the issue wasn’t the laser at allWhy laser therapy is often the first and smartest expansion (before decompression)How robotic laser systems allow staff delegation, reduced doctor strain, and faster ROIThe difference between scalable therapies (laser) vs selective therapies (decompression)Key business considerations: staffing, space, financial readiness, and timingWhen NOT to add equipment: boredom purchases, marketing gaps, staff burnout, and underused assetsThe exact next steps doctors should take to track utilization and make the right callIf you’re debating a second laser, another decompression unit, or the next big investment in your clinic, this episode gives you the clarity to expand with confidence, not impulse.🎧 Tune in to learn the smartest growth path: optimize first, scale second, and build capacity only when demand forces your hand.
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39. How To Add Knee Pain Niche
Jan 1900:27:56Tap to summarize🎙 Episode 39 – How To Add Knee Pain NicheIn this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin break down why chronic knee pain is one of the most overlooked and profitable niches chiropractors can add once spinal decompression is dialed in.They unpack the data, clinical realities, equipment, pricing, and simple internal marketing strategies that make a knee program a powerful second niche without ads, funnels, or added burnout. This is a practical, experience-driven conversation rooted in real clinic outcomes, not theory.You’ll learn:Why chronic knee pain affects nearly 25% of U.S. adults and represents a massive, underserved patient baseWhy knee osteoarthritis is especially well-suited for non-surgical, technology-driven careThe essential tools for an effective knee protocol (knee decompression, laser, shockwave, and supporting therapies)What a typical knee decompression care plan looks like and how practices price single vs bilateral casesThe most common clinical and perception-based pitfalls doctors face when adding knee careWhy internal marketing beats paid ads for launching a knee programSimple systems to identify knee pain in existing patients and stack revenue sequentiallyHow addressing knee and hip issues can dramatically improve spinal decompression outcomesWhy knee patients are often highly motivated, active, and ideal candidates for careHow a staff-driven, technology-forward knee program protects the doctor’s energy while adding a strong revenue streamIf you’ve optimized spinal decompression and want to add another high-impact, high-demand niche without complicating your practice, this episode lays out exactly why knee care deserves serious consideration in 2026.🎧 Tune in to learn how a dedicated knee program can help patients avoid surgery, restore activity, and create a simpler, scalable growth path for your practice.
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