Episode Details

Can Direct Primary Care really pay off for a physician family carrying student loan debt and no employer match? In this episode of the My DPC Story podcast, host Dr. Maryal Concepcion talks with Dr. Manuel Vogt of Texas DPC about the real financial tools behind building a thriving practice.

From a billboard at a railroad crossing to a 220-patient pre-enrollment list on opening day, Dr. Vogt shares how he and his wife built two separate Direct Primary Care clinics in San Antonio while protecting each other's autonomy. The standout story: how they used federal and state historic preservation tax credits, ADA credits, and a solar carport credit to fund a clinic renovation, then sold the state credits for 93 cents on the dollar.

In this episode you'll learn:

• How a physician couple runs two independent DPC practices as a family
• Using historic tax credits to fund a clinic renovation
• Subleasing clinic space to cover your entire overhead
• Marketing to employers through a multi-clinic DPC umbrella
• A workaround for Texas dispensing laws and discounted wholesale labs
• Better diabetes care with CGMs and same-day texting
• Finding the panel size (around 500) that supports a daily 5K and school pickups
• A pricing strategy that raises rates without losing patients
• Advocacy priorities: in-office dispensing and FSA eligibility

Whether you are a resident exploring Direct Primary Care or an established DPC owner planning expansion, this conversation is full of practical, money-saving ideas.

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#DirectPrimaryCare #DPC #TexasDPC #MyDPCStory #PhysicianEntrepreneur #FamilyMedicine #HealthcareRenovation

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