If you don’t know your Average Case Value, you’re flying blind.

You might feel busy. You might even be helping a ton of patients. But if you're not clear on how much revenue a new patient actually brings into your practice, you’ll constantly second-guess every marketing decision, hesitate on hiring that next team member, and stay stuck in that awful gray zone between burnout and breakthrough.

I know, because I lived it.

“Let’s Just See How It Goes...”

When I first started my practice, I did what most docs do: I let patients "try it out." A few visits here, a re-exam there. Maybe they’d stick around, maybe they wouldn’t. I had no idea what my care was worth, and no clue how to build care plans that aligned with long-term goals.

I was delivering great adjustments, working my tail off, and still struggling to grow. Why?

Because I didn’t understand the fuel behind sustainable, scalable practice growth: predictable revenue per patient.

That fuel is called Average Case Value, or ACV.

So What Is ACV, Really?

Your ACV is the average dollar value of a treatment plan that a patient commits to. Not just how much they pay on day one, but the total value of care they agree to over time.

Let’s say you close 10 care plans this month. If the total value of those plans is $50,000, your ACV is $5,000.

That number tells you everything:

• How much you can afford to spend on marketing

• How aggressive you can be with growth investments

• Whether or not your patient communication and case presentation are actually working

Here’s the hard truth: if your ACV is $800, you can’t spend $400 on marketing to get a patient in the door. But if your ACV is $4,200, you absolutely can.

That’s not theory. That’s data. And data gives you freedom.

ACV Is More Than a Metric—It’s a Mindset Shift

When I started tracking this number, everything changed.

Instead of wondering, "Can I afford this campaign?" I could say, "I only need X patients to make it ROI-positive."
Instead of hoping patients would “stick with it,” I had a system for helping them commit to their health, to the process, and to themselves.

But the real win?

I stopped playing small.

I stopped undercharging.
I stopped guessing.
I stopped giving away my energy in return for vague promises.

Because I understood what a patient relationship was worth, and I built my systems to reflect that.

Want to Raise Your ACV? Start With This

Raising your ACV isn’t just about charging more. It’s about doing three things really well:

1. Clarifying patient goals early

2. Creating treatment plans that match those goals

3. Communicating value with confidence and clarity

The better you get at those three, the easier it becomes to present care plans that reflect the true value of your expertise.

Not only will patients say yes more often, but they’ll stick around, get better results, and refer like crazy.

Growth Comes from Clarity

Look, I get it. Talking about numbers can feel overwhelming. But you don’t need to be a data nerd to start winning with data. You just need to track the right numbers—the ones that actually drive growth.

ACV is one of them.

So if you’re serious about scaling…
If you’re done guessing what’s working…
If you’re ready to finally build a practice that fuels the life you want…

Start with your ACV.

Know it.
Track it.
Improve it.
And watch everything else fall into place.

🎓 Want Help Calculating and Growing Your ACV?

I created a free course that walks you through 46 proven secrets to get a steady stream of new patients—and the systems to retain them, grow your case value, and scale to 6- and 7-figures without burning out.

👉 Click here to access the free course, “The 46 Secrets To A Steady Stream Of New Patients.”

Or if you’re not ready to dive in yet, start by asking yourself this simple question:

What’s a new patient worth to my practice? If you don’t know the answer, it’s time to find out.

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