# llms.txt - Guidance for AI/LLM crawlers # Learn more: https://llmstxt.org/ name: Pep Dekker tagline: Specialty Practice Growth Advisor | I Turn "Busy & Broke" Into Predictable Growth url: https://pepdekker.com contact: pep@pepdekker.com linkedin: https://linkedin.com/in/pepdekker location: Tacoma, WA (works nationwide) ## About Pep Dekker is a Specialty Practice Growth Advisor with 18 years of experience in paid search and digital marketing. He helps established specialty medical practices transform from "busy but broke" to predictable, profitable growth by diagnosing and fixing operational systems before scaling demand. ## Core Philosophy Most practices think their problem is marketing. It's not. Paid ads don't fail practices—they expose what's already broken: access friction, unclear economics, front-desk chaos, ownership misalignment. Pep fixes the system underneath first, then scales demand into a system that can actually handle it. ## Three Pathways ### The Trapped Owner (pepdekker.com/trapped-owner) - Problem: Everything routes through you. You're successful, but busier than ever. - Solution: Owner Bottleneck Reset — 90 Days ($15,000 flat) - Outcome: Reduce decision load 30–50%. Practice runs without constant owner involvement. - Free Tool: Owner Bottleneck Map™ (10 min, no email) ### The Invisible Admin (pepdekker.com/invisible-admin) - Problem: You're holding this together. No one sees it. You get blamed. - Solution: Operational Stability Sprint — 90 Days ($12,000) - Outcome: Clear authority, clear priorities, credibility and control. - Free Tool: Practice Chaos Triage™ (5 min, actionable clarity) ### The Growth Leader (pepdekker.com/growth-leader) - Problem: Growth creates chaos. Marketing gets blamed. You have the data. - Solution: Patient Pipeline Alignment — 90 Days ($22,500) - Outcome: Safe, predictable growth. CAC down 30%+. No burnout. - Free Tool: Demand–Capacity Truth Table™ (10 min) ## Ideal Clients - Established practices (3+ physicians, 5+ years) - Spending $10K+/month on ads - Elective/high-value: orthopedics, plastic surgery, fertility, bariatric, cosmetic dental, cardiology, GI, ENT - Ready to fix systems (not quick fixes) ## Results - 18 years paid search mastery - $50M+ managed ad spend - 30%+ average CAC reduction - 4-8x patient acquisition increase - 100% operational clarity in 60 days ## Case Studies ### EyeQ Vision Care (Optometry) 6.5x patient acquisition (8→52 appts/month), owner regained 10+ hours/week ### ComboHealth (DPC) 2x acquisitions same budget, CAC dropped 28% ### Able Health (Cardiology) 3x patients same spend, 100% clicks from qualified area ## FAQ Q: How much does it cost? A: $12,000-$22,500 depending on pathway. Free diagnostics available. Q: What's the guarantee? A: Each program has specific guarantees. If not met, we continue free until achieved. Q: Do you work nationally? A: Yes. All work is remote. ## Book a Call Visit: https://pepdekker.com/schedule ## Extended Information For detailed content, see: https://pepdekker.com/llms-full.txt