Most practice management companies will not tell you their margin. We will. MBBCS keeps margins conservative on purpose, and that single decision is why we can charge New York therapists $30 to $35 per hour for work that platforms bill at two or three times that through percentages and fees.
Where your money goes with a typical platform
Take a solo therapist in Brooklyn billing $12,000 a month. A “4% to 8% of collections” billing service costs $480 to $960 a month. Add a practice management subscription at $150 to $300, a marketing retainer at $800 to $1,500, and a virtual assistant through an agency at $45 to $60 per hour. You are at $2,000 to $3,500 a month before anyone has done anything unusual. A large share of that is not labor. It is investor return, sales commissions and marketing spend to acquire the next customer.
What conservative margins look like in practice
- Flat hourly rate. $30 to $35 per hour. The same rate for billing, admin, marketing and growth work.
- No percentage of revenue. When your caseload grows, your bill does not grow with it unless you ask for more hours.
- No sales team. You are reading a blog post, not talking to a closer. That saves you money.
- No investors to pay. The company is owned by a working clinician. The margin covers good people and a sustainable business, nothing else.
The same therapist, with MBBCS
Billing and claims follow-up at about 4 hours a week, scheduling and client communication at about 5, light marketing at 3. Twelve hours a week at $30 to $35 is roughly $1,550 to $1,800 a month, with one team that knows your practice, instead of three vendors who do not talk to each other.
Why we do not race to the bottom either
You can find cheaper labor. You cannot find cheaper labor that understands New York insurers, the Office of Professions, telehealth rules across state lines and how a therapist’s week actually works. Conservative margins are not the same as cheap. They are the price of doing this well without an investor in the room.
Quick answers
What does MBBCS charge therapists?
A flat $30 to $35 per hour for all services, from a few hours a week to a full-time team. No percentage of collections and no platform fee.
Why is a flat rate better than a percentage of revenue?
With a percentage, your cost rises every time your practice grows, even if the work does not. With a flat hourly rate you pay for time actually spent.
Are there contracts or minimums?
No long contracts. Scope is set on a free consult and can change month to month.
Ready to talk? MBBCS is a clinician-owned practice management team in Brooklyn serving therapists across New York. Book a free 20-minute consult or get a ballpark estimate in 30 seconds.
