If your question isn't here, the fastest way to get a straight answer is the diagnostic call. Thirty minutes. No pressure.
The practice diagnostic is a ten-question assessment that identifies where a urology practice is stuck. It takes about ten minutes.
At the end you get a stage placement — Visibility, Commitment, or Dominance — that tells you where the practice sits and which factors typically cause plateau at that stage.
From there you can review a stage brief that explains the patterns common to that stage, then book a thirty-minute diagnostic call with the partners to identify the specific constraint causing your plateau.
Or stop after the diagnostic. The stage placement is useful on its own.
Visibility means qualified patients who need urology services cannot find the practice through their own search behavior. The practice may be excellent — it just isn't discoverable.
Commitment means patients can find the practice but don't convert to booked appointments. The traffic is there. The inquiries aren't turning into patients.
Dominance means the schedule is full but revenue isn't keeping pace. The practice is visible and converting, but the wrong patient mix, the wrong case types, or dependency on the physician are limiting what the practice can actually produce.
Each stage has a different set of constraints and a different marketing prescription. Treating a Dominance problem with Visibility tactics is a common and expensive mistake.
The diagnostic places you into a stage based on your answers. Ten questions about how patients find you, how many convert, what your schedule looks like, and what's actually driving revenue.
A rough self-check before you take it: if your phones aren't ringing with new patient inquiries, you're likely in Visibility. If the phones ring but the appointments don't get booked, you're likely in Commitment. If the schedule is full but revenue feels flat or the practice can't run without you, you're likely in Dominance.
The diagnostic is more precise than a self-check. It takes ten minutes and gives you a stage placement at the end.
Most agencies sell from a service menu. A practice picks what sounds right — SEO, paid ads, a website redesign — and the agency runs it. Nobody asks what's actually causing the plateau. The diagnosis step gets skipped entirely.
That's how good marketing ends up aimed at the wrong problem. A practice in the Commitment stage doesn't need more visibility. It needs its front desk converting the inquiries it's already getting. More ads won't fix that.
PGA identifies the constraint first. The marketing prescription comes after, built around what the diagnostic revealed.
Our current focus is physician-owned urology practices. The diagnostic methodology is built around the specific patterns that cause urology practices to plateau.
That means the prescription we build is calibrated to that market rather than stretched across every specialty. A urology practice has different referral dynamics, different patient acquisition patterns, and different revenue constraints than a primary care or surgical practice. We built the system around that.
The diagnostic call is thirty minutes with the founding partners. We use your stage placement from the online diagnostic plus a direct conversation about your practice to identify the specific constraint causing your plateau.
The call ends with a clear answer to one question: what's actually stalling the practice, and what kind of marketing addresses it.
If we're not a fit, we say so on the call. The call is a working session, not a sales pitch. Come ready to dig in.
If we're a fit, we build the marketing prescription calibrated to the constraint we identified. Not a service menu. A specific set of marketing interventions matched to your specific constraint.
The assets we build belong to your practice, not to us. If you ever stop working with PGA, everything we built stays with you.
It depends on the stage and the constraint. Commitment-stage fixes — front desk conversion, follow-up systems, website conversion optimization — can show measurable lift in thirty to sixty days because the leads are already coming in and the fix is operational.
Visibility-stage work takes longer. Local search, organic SEO, and referral network development compound over months, not weeks.
We're direct about this on the diagnostic call. If a practice expects fast results from a strategy that takes time to build, we say so before any work begins.
Physician-owned practices have constraints that hospital-employed or private equity-backed practices don't. The physician is usually the brand, the key referral relationship, and the clinical decision-maker. That creates specific vulnerabilities — practice value tied to one person, autonomy loss, difficulty stepping back — that general healthcare marketing agencies aren't built to address.
The diagnostic and the constraint map behind it were built specifically around how independent physician-owned urology practices plateau and what actually moves them forward.
Yes. The online diagnostic requires no email address and no commitment. The thirty-minute diagnostic call is also free.
We find out whether we can help you before either of us commits to anything. That's the point of the diagnostic.
Three founding partners, each owning a specific layer of how a marketing prescription gets built.
Dee Nott brings the methodology, positioning, and systems architecture. Frank Martin brings thirty years of medical industry relationships, market intelligence, and geographic targeting. Quintin Gunn Sr. runs the tactical execution layer, digital acquisition, paid media, and staff conversion training.
The diagnostic identifies the constraint. The team executes against it.
Still have questions? Pick whichever path fits.
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