How a Chiropractor Scaled to 15 Million by Fixing Insurance Billing

Scaling Up with Fexingo: How Small Businesses Become Mid-Market Companies · Jul 15, 2026 · 11m · transcript

Episode 115 of Scaling Up with Fexingo looks at how a single-location chiropractic clinic in suburban Phoenix grew to a 15-million-dollar practice with five locations by overhauling its insurance billing process. Lucas and Luna break down the specific changes the founder made—moving from fee-for-service to bundled care plans, automating claims submissions, and renegotiating payer contracts—that turned a 60-day accounts receivable cycle into 12 days and increased per-patient revenue by 40 percent. They also discuss the trade-offs: higher upfront tech costs, staff retraining, and pushback from…