How TMS and Spravato Become High‑Margin Revenue Programs
How TMS and Spravato Become High‑Margin Revenue Programs
The mistake most practices make
TMS and Spravato are often treated like add‑ons.
They sit on the menu. Referrals trickle in. Staff waits for providers to remember to mention them.
When volume stays low, owners assume demand is the problem.
It usually isn’t.
Why these programs underperform
TMS and Spravato only work financially when they are run like programs.
Three breakdowns show up over and over:
Patients who qualify are never identified
No one owns follow‑up after the initial visit
Front office teams are not trained to move patients forward
The result is predictable.
High fixed costs. Low utilization. Thin margins.
What profitable practices do differently
The profit is not in the treatment alone.
It comes from:
Consistent patient identification
Speed from recommendation to start
Fewer stalled cases sitting in limbo
When mappings or the first Spravato appointment increases, overhead stays mostly fixed.
That is where margin expands exponentially.
One action to take now
Look at your last 100 patients with depression, PTSD, or treatment resistance.
How many were reviewed for TMS or Spravato eligibility?
If the answer is unclear, revenue is being left on the table.
What to think about next
Once these programs are systematized, something important changes.
You no longer need to add providers to grow revenue.
You need better coordination and ownership.
That is how practices increase revenue without increasing chaos.
Take the Next Step: Let’s Talk
If you’re ready to stop leaking revenue from unfilled schedules, let’s talk. Our Business Coaching and Practice Management program helps psychiatry practice owners tighten scheduling systems, train front office teams, and improve profit.
Schedule a free 30-minute strategy call to see how MindPractice can help your practice grow.
