Ripple Consulting & Development

The Disc Doctor

Case Study & Portfolio

How we built a complete patient acquisition system for a cash-based spine clinic in Murfreesboro, TN — and grew annual revenue from $400K to $890K.

+123%
Revenue Growth
$400K → $890K
Annual Revenue
Same market. Same physician.
No new staff.
Create My Breakthrough
[email protected]  ·  createmyripple.com
About Ripple

We Built It Inside a Real Clinic First.

Before consulting for anyone else, we built and ran a complete patient acquisition system inside a DC-operated spine clinic in Tennessee. That clinic went from $400K to pushing toward $890K/year — same market, same physician, no new staff. That's the system we now build for chiropractic and cash-based medical practices.

What We Are

A business growth partner and custom automation firm specializing in cash-based medical and chiropractic practices.

What We Build

Done-for-you GoHighLevel patient acquisition systems — funnels, automation, pipelines, and nurture sequences.

What Makes Us Different

We don't just consult on this model. We still operate The Disc Doctor's system today. Every recommendation is tested in a live practice first.

[email protected]  ·  createmyripple.com
The Client

The Disc Doctor

Murfreesboro, Tennessee  ·  Cash-Based, Non-Surgical Spine Care  ·  Dr. Matthew Jacobs DC & Dr. Krysten Jacobs DC
About The Practice

The Disc Doctor is a DC-operated, cash-based clinic focused exclusively on non-surgical disc care — herniated discs, sciatica, and chronic back pain. No insurance accepted. High-ticket treatment programs ranging from $3,000–$7,500. Founded and operated by Dr. Matthew Jacobs DC, with over 8 years in practice and 1,000+ patients treated.

Model
Cash-pay, non-insurance
Location
Murfreesboro, TN
Market Radius
Single metro — limited ZIP targeting
Specialization
Disc herniation, sciatica, neuropathy, chronic back & neck pain
Languages Served
English + Spanish (bilingual campaigns)
Reviews
300+ five-star Google reviews (4.9 stars)
Treatments
KDT Spinal Decompression, StemWave™, ActivPro LaserStim
[email protected]  ·  createmyripple.com
The Challenge

Where The Practice Was When We Started

The clinic had strong clinical outcomes and a good reputation — but the patient acquisition system was entirely manual and dependent on the physician.

01

No dedicated landing pages

Ad traffic was sent to a generic homepage. No condition-specific messaging. High bounce rate, low conversion.

02

Manual lead follow-up

Leads from ads depended on the front desk seeing the notification. Response times varied — often hours. Leads went cold.

03

No automation or pipeline

No GHL pipeline, no automated reminders, no no-show reactivation. Everything was tracked manually or not at all.

04

English-only campaigns

Despite a large Spanish-speaking patient population in the market, all ads and funnels ran in English only.

05

Revenue plateau

The practice was generating approximately $400K/year — strong clinically, but constrained by the lack of a scalable front-end system.

06

Physician as the bottleneck

Dr. Jacobs was involved in every patient touchpoint. No system ran independently. The practice stopped when he wasn't driving it.

[email protected]  ·  createmyripple.com
The Solution

What Ripple Built

Condition-Specific Landing Pages

Dedicated pages for disc herniation and back pain — matching the exact search intent of each patient type. One condition, one offer, one CTA per page.

60-Second Automated Lead Response

SMS fires within 60 seconds of any form submission — 24/7. No front desk dependency. Lead is contacted before the physician knows they came in.

Instant Calendar Booking Flow

Qualification form → calendar immediately on submission. Patients book while intent is hot. No callback required.

Full Appointment Reminder Sequence

Automated SMS at 24hrs and 2hrs before every appointment. No-show reactivation fires within 30 minutes of a missed visit.

Bilingual Patient Acquisition

Parallel English + Spanish campaigns targeting the Spanish-speaking patient population. Spanish campaign consistently outperforms English on CPL.

GHL Pipeline & Visibility

Full pipeline: New Lead → Contacted → Booked → Showed → Converted. Every lead visible. No spreadsheets. Post-visit review request automated.

[email protected]  ·  createmyripple.com
The System

The Automated Patient Journey — Inside GHL

0:00

Form Submitted

Lead fills out qualification form on landing page.

0:42

SMS Fires

Automated SMS in under 60 seconds — personalized, 24/7.

0:43

Team Notified

Instant alert to team channel — name, number, email, campaign source.

2hrs

No Booking?

Follow-up SMS + email fires automatically with a different angle.

Book

Appointment Confirmed

Calendar invite + confirmation SMS sent immediately on booking.

24hr

Reminder Sent

SMS reminder fires 24 hours before appointment.

2hr

Final Reminder

SMS reminder fires 2 hours before — reduces no-shows significantly.

30m

No-Show? Reactivate

Reactivation sequence fires 30 minutes after a missed appointment.

24hr

Post-Visit Nurture

Review request sent. Nurture sequence if no care plan accepted.

[email protected]  ·  createmyripple.com
The Results

What Changed — By The Numbers

Before
$400K

After
$890K

Annual Revenue

Same market · Same physician · No new staff

Before
Manual

After
< 60 sec

Lead Response Time

From whenever front desk saw it to automated 60-second SMS

Before
English only

After
Bilingual

Campaign Reach

Spanish campaign outperforms English on cost per lead

300+

Five-star Google reviews (4.9 stars)

8+ yrs

Physician experience in disc care

1,000+

Patients treated at the clinic

Active

System running and optimized today

[email protected]  ·  createmyripple.com
Our Services

What We Build For Your Practice

Custom

Everything in Full-System, Plus

  • Full custom website builds
  • Email copywriting
  • Multi-location pipeline architecture
  • Google Tag Manager (GTM) setup
  • Custom API integrations
  • Dedicated account management
  • 1:1 access to Dr. Matthew T. Jacobs DC
Book Free Practice Audit

Full-System

Everything in Blueprint, Plus

  • 2–3 condition funnels
  • Advanced automations
  • Bilingual infrastructure
  • EHR consulting
  • 15 hrs/month management
Book Free Practice Audit

Ads tracking (Google Ads, Meta) scoped and quoted separately. Bilingual buildouts available as add-on.

[email protected]  ·  createmyripple.com
Free Offer

Free Patient Acquisition Audit

Not ready for a full buildout? Start here. We'll review your current system across six areas and tell you exactly where you're losing patients — no pitch, no obligation.

01

Lead Capture

Do you have a dedicated landing page or are you sending ad traffic to a homepage?

02

Speed To Lead

How fast does someone follow up after a form submission? Manual or automated?

03

Follow-Up Sequence

How many touches, what channels, what timeline before you give up on a lead?

04

Booking Flow

Is there a calendar or are they calling to book? How many steps to confirm an appointment?

05

No-Show Handling

What happens when someone doesn't show up? Is there a reactivation sequence?

06

Pipeline Visibility

Can you see at a glance where every lead stands right now — without chasing your team?

[email protected]  ·  createmyripple.com
Ready To Build?

Let's Build This Inside Your Practice.

We're opening a small number of spots for chiropractic and cash-based medical practices ready to build the same system we built for The Disc Doctor.

Not sure yet? Start with a free audit — no pitch, no obligation.

Email Us To Get Started[email protected]
createmyripple.com