The support a therapy practice needs at year one is not the support it needs at year five. The problem with most vendors is that they sell you one shape: a software tier, or a fixed package. MBBCS is built to grow with you, from five hours a week to a full dedicated team, at the same flat rate. Here is what that path looks like for a New York practice.
Stage 1: Newly licensed, 0 to 10 clients a week
3 to 5 hours a week. Entity formation, NPI and tax setup, EHR configuration, intake documents, a basic website and directory profiles, and a decision on insurance versus self-pay. Most of this is one-time setup, so hours drop once you are running.
Stage 2: Solo, 10 to 25 clients a week
6 to 12 hours a week. Billing and denials, scheduling and client communication, monthly marketing upkeep. This is where most therapists feel the evening-paperwork pain, and where fractional support pays for itself fastest.
Stage 3: Full caseload or first hire, 25+ clients or 2 to 5 clinicians
15 to 25 hours a week. Everything above plus credentialing new clinicians, onboarding systems, payroll coordination, team workflows and more active marketing to keep every clinician full.
Stage 4: Group practice, 6+ clinicians or multiple locations
Full-time equivalent or a small team. A dedicated practice manager plus billing and marketing support, HR and compliance, multi-location operations and growth planning. This is the stage our team runs in Brooklyn.
What stays the same at every stage
- One rate: $30 to $35 per hour.
- One point of contact who knows your practice.
- Your tools, your accounts, your data.
- Hours can go up or down month to month.
Why this matters
Switching vendors every time you grow costs weeks of rework. Growing with one team that already knows your practice means the systems built in year one are still the systems running in year five.
Quick answers
Can MBBCS scale from part-time to full-time support?
Yes. Hours can increase from a few per week to a full-time equivalent or a small team, at the same $30 to $35 hourly rate.
Do I have to commit to a level?
No. Scope is reviewed on a free consult and can change month to month as your caseload changes.
Does MBBCS work with group practices in New York?
Yes. Our team runs a multi-location group practice in Brooklyn, and MBBCS supports groups of all sizes across New York State.
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.
