Dr. Anthony Lombardi
Science & Tech • Fitness & Health
A community for Acupuncturists to learn and receive support about physical assessment, electro-acupuncture, motor point acupuncture, orthopedics, case studies, and much more.
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September 23, 2024
Raising Your Rates

I have been hearing from several practitioners who are thinking of raising their rates. This is something that is necessary especially now given inflation. Before you decide to raise your rates, consider the following:

1) Why are you raising your rates? One thing to focus on more than raising rates is getting more patients AND patient visits. Are you doing a good job with scheduling supportive care visits long-term? How many new patients are you getting every week? Are you at your target weekly visits? If you are underperforming in those areas, then raising rates is NOT a good way to make up for it. And maybe it isn't time to raise your rates. Don't raise your rates if your clinic is underperforming. Fix that problem first.

2) Having more patients on the books can = lower increase in rates. If you have 400 patients a month and raise your rates by $5.00, that is not much of a shock to the patient, yet it means $2000 more revenue per month, and $24,000 more per year. When you have more patients, you can have a modest increase in rates and still make up a lot for inflation and increased costs.

3) Similar to #2, is your practice flow working? Are you working out of 1 room? Or are you running multiple rooms and multiple patients an hour? Having an ideal practice flow may mean the ability for a more modest rate increase while getting more bang for your buck.

4) Are your patients able to afford your services now? If patients are balking at coming in more than once per week, is it financial? If you are charging $150 a visit, is it realistic for someone to coming in 2-3 times per week for 3-4 weeks? And even if they start, are they going to finish? Or are they going to drop out of care and not finish their treatment plans? Again, have an efficient practice and you can see more patients, charge a rate they can handle, see them more often and get the revenue you need. It's a win-win. (keep in mind a lot of patients claim they are broke and they aren't, but there is a tipping point and most people are paying out of pocket).

5) Cutting expenses first: Anthony mentioned this in his post above. We get lost with our subscriptions and not shopping around for better rates on things like insurance. It is easy to save $30, $50, or $100 or more per month. Just DON'T cut your subscription to the locals community since it actually makes you money. 🙂

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When you have a hammer, everything looks like a nail

This clip from 2017 sums up one of the biggest issues we see when treating MSK and pain conditions with needles — and also the solution.

The problem is not the lack of different techniques.

The problem is knowing when to use them, why to use them, and when not to use them.

Motor points, trigger points, electroacupuncture, peripheral treatments, central nervous system approaches — all of these can be valuable.

But they are not interchangeable.

The real skill is understanding how to apply those techniques through the lens of neurology, assessment, and clinical reasoning.

That means identifying what type of problem is actually in front of you, determining the most appropriate treatment strategy, and then reassessing to see whether you actually changed what you intended to change.

That is the difference between simply performing a technique and treating with precision.

And that is exactly what the EXSTOREâ„¢ Orthopedic System is built to teach.

EXSTORE gives practitioners a complete, ...

00:02:40
Anthony's 51 patient day

Anthony chronicled his 51-patient day.

No matter how many patients you want to see, how many days a week you want to work, whatever your goals are...EXSTOREâ„¢ gives you the ability to see more patients in less time while getting even better results.

00:02:57
50 today, 50 three days ago

You can see as many patients as you want if you learn the Exstore system to the level that you master it. And the best way to master it is come to the clinical intensive this October. There’s two spots left and there’s nothing that can replace this intensive learning experience . You will treat over 60 patients in two days. There’s nothing else like it and no other instructor anywhere in the world is offering anything close to this.

00:00:51
September 17, 2026
Any tips for treating sesamoiditis?

College basketball player, chronic sesamoiditis, not able to play basketball anymore. Treating FHL and FHB. Is this a case where you would needle directly towards the sesamoid bones themselves with high frequency stim? Thanks!

September 16, 2026
2 free webinars coming up!

1. Assessing & Treating Pain and Dysfunction with EXSTOREâ„¢ - Case studies of patients
Sunday September 20th at 12:30pm EST
https://us02web.zoom.us/meeting/register/GwAyqCcmQVuPp1DPOpfD9g

2. Anatomy, Pathology and Treatment of Medial Shin Splints
Wednesday September 23rd at 6:30pm EST
https://us02web.zoom.us/meeting/register/fqtnBgynQr-2eZBMxLpahw

September 15, 2026
Concord NH

I am looking for practitioner in Concord, New Hampshire for a football player with a wrist injury at Saint Paul’s prep school. Does anyone know of anyone that can help that has taken Exstore or familiar with what we’re doing here?

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