
The Angry Biller
Welcome to the angry biller.
A show where we explore the people and the businesses behind-the-scenes of healthcare, those men and women that are the catalysts that allow providers to concentrate on delivering exceptional patient care.
The Angry Biller
Ep 32 - From Radio to Healthcare: Brian London's Mission with Doctors on Call 365
In this compelling episode of The Angry Biller, host Josh Fertel welcomes Brian London, a South Florida radio legend and operations leader at Doctors on Call 365, for an in-depth conversation about revolutionizing healthcare. Brian shares his journey from a thriving career in broadcasting to partnering with Dr. Alon Payenson, an experienced ER physician, to create a game-changing urgent care service.
Doctors on Call 365 began during the height of the pandemic, offering an innovative solution to traditional urgent care by bringing medical services directly to patients’ homes. Brian discusses the inspiration behind the service, its incredible growth, and how they’ve built a trusted name in the community by providing fast, compassionate, and reliable care.
From helping families navigate medical emergencies during COVID-19 to handling everything from pediatric visits to elderly care, Brian and Dr. Payenson have proven that healthcare can be accessible and personal. Tune in as they explore the challenges of the healthcare industry, the importance of building patient trust, and their vision for expanding their services across South Florida and beyond.
Discover how Doctors on Call 365 is not just changing lives but also reshaping the way we think about urgent care. This is a story about innovation, community care, and the power of turning a bold idea into a transformative business.
Key Takeaways:
- The origins of Doctors on Call 365 during the pandemic.
- How house-call services address gaps in healthcare access.
- The future of urgent care with plans for insurance acceptance and expansion.
Join us for a conversation that highlights the importance of creativity and compassion in healthcare.
Brian London
LinkedIn Link: https://www.linkedin.com/in/brian-london-4370985/
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Production of Podcast: VISUALS BY MOMO
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Welcome to The Angry Builder, a show where we explore the people in the businesses behind the scenes of health care. Those men and women that are the catalysts that allow providers to concentrate on delivering exceptional patient care.
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Welcome to the angry Biller. My name is Josh Fertel.
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I'm the owner of J3 Medical Billing. I am your host. We are at the Visuals by Momo Studio, an ArtServe in Fort Lauderdale. I have a great guest today. Somebody I've known for a long time. Got into the medical space with what he's doing. He is a South Florida radio legend. So he is going to show me up here today.
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His name is Brian London. Used to be known as the beast. Still is. How are you doing, Brian? I'm doing great. Josh. Thanks for having me. Great. No, no, I'm glad that you were able to make some time for us. I want to talk about you. I want to talk about what you're doing now, and, you know, get some background.
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What brought you to where we are so. So let's start. Tell us about your early days in Beantown. Oh, yeah. I'm great. Thank God I lost my wicked bad back. Yeah. I grew up in Boston. And it's funny, my mom, was born down here in South Florida. Got you. She went up to Boston to go to college at northeastern and met my dad.
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And then I was born up in Boston and came down here to the University of Miami. Right. My wife so we kind of, like, traded places. So that's how it works. So, yeah, I grew up in Boston and then moved out here to go to the University of Miami and, decided I never wanted to drive in snow again.
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Yeah, I hear you. All right. And tell us how you got into radio. So, you know, growing up, I actually, wanted to be a rock band drummer. Okay. Right, right. And I played the drums, and, my mom said, you know what? If you're. I don't want you being a musician because you're gonna end up in a van down by the river.
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You know, you need going be like, Chef Boyardee every night. Like you need a what? That. Right? So pick something else. And I didn't really know what I wanted to do, but I knew that, you know, growing up, probably like you, right? I would spend my nights listening to baseball on the radio. Yes. And so I would spend every waking moment just, you know, I'd be.
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I'd tell my parents. Oh, yeah, I'm. I'm in bed. I'm. Yeah, I'm going to bed. And I have the Am radio on listening to, you know, back then the Red Sox or the Celtics or the Bruins.
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And I just really fell in love with it. And so when I needed, to pick a different, kind of path to follow once I got to college, I was like, maybe I'll try this radio thing.
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So I, signed up for the student radio station at, the University of Miami. The second semester of my freshman year. And I started out doing it, like 1 to 4, and I. Right, right, right. I had no idea what I was doing. I just, you know, I'm playing, you know, talking about all these bands.
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And that was pretty cool that I got the opportunity to
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do sports. Hey, do you want to go do play by play for a women's basketball game? Okay, sure. I don't know the first thing about the team, but I'll figure it out. It sounds like a great opportunity, right? So I did that. Fell in love with, doing sports on the radio and then, every summer during college, would intern at different radio stations until my, junior year of college, I interned at WWE.com.
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Nice. At radio station down here. Right. And, even before I graduated, I got hired for $5 an hour to work the overnights, like, you know, bringing all the audio off the satellite and get ready for the morning show. Nice night to 6:00, right. And, didn't look back. That's awesome. And and you did that. Then you had your own show.
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Yeah. Okay. And you went on from there. And now you are working with doctors on call 365, which is. Which is why I really wanted you to come on and talk about that transition and what it is that you're doing for the community. Yeah. So, in 2019, the, the corporations and radio started having everything changed, right?
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This was even before the pandemic. Yeah, I was a part of that. And they continue on. So I had, you know, you have to you have to shift your paradigm. Right? So I did a couple of things. I knew a long, pants and doctor pants and who's our medical director right now because our kids went to school together.
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There you go. And the pandemic happened, and he needed help dealing with, you know, all of the sick people that were out there. Yeah. So I said, listen, I've got some free time. Let me let me come help you and start out with me working out of his living room, handling, a lot of the operations of the business and let him do the medical stuff.
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Right. And I'll handle the business and the operations stuff. Yes. And that's how that match was made. And, you know, ever since then, it's been an amazing partnership, an amazing deal. Great. You know, it it always occurs that that how opportunities present themselves at the right time. And the fact that the kids went together and great bands are always made by that, that you and Doctor Alon were able to get together and being, a marketing person, you know, in your core, it seemed like a perfect fit.
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Yes. I think, you know, at first
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it was right. And so, again, doctors, on call 365. It's an urgent. Yes. We make house calls. Right. So, during the pandemic, when people didn't want to leave their homes, right? And they didn't want to go wait at an urgent care or go to the ER. The member ers were tense and the whole thing, it was perfect timing to have, you know, yes, I would come to your house
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and the slew of patients that we had.
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Right. It really, allowed me to use my skills that I had from other jobs that I had, not just because, you know, my personality. Yes, but also in marketing. Yes. And social media and all of that stuff to help the messaging get right to your house. You don't have to be scared to go wait in an urgent care.
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So I was helping the messaging get out about the practice. Right. And so let's talk about doctor along. What do you think led him down that path where he said, you know what, I want to start taking care of my community. Yeah.
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So Doctor Pants and, is an emergency room physician. Okay. And he's also trained in internal medicine, but he works in the E.R..
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And what happened is all along the way, he's, you know, he's, you know, he's the most affable, friendly guy, right? And he would get a million calls. Hey, can you call it a Z pack? Can you do this? Yes. My daughter's ankle. And he said, I keep going to my friends houses to make these house calls. Right. He's like, what if I could do this for everyone?
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I love, you know, living in in Broward County in Florida. Right. And, you know, this seems like something that that people would want is is a doctor that's, you know, your doctor, right to them and save them the, you know, six hour wait time in the E.R..
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We're going to get to wait times, but yeah. Yeah. So that's where it came from is really, you know, people constantly asking him, hey, can you can you come over to the house and look at X, Y, and Z right where the idea was born for?
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No, that, that that's perfect. And I know that that's the kind of person that he is with the dealings
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that I've had with him, really just trying to give back and make the community, as healthy. Right as possible. Do you do you remember, like, when it started, like, what was his first foray into saying, okay, this is, you know, where I'm going to start the was there a specific one?
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At the time, I was, we were just friends. Yeah. And I just remember him constantly talking about, you know, we would be at a school function. Yeah, our kids were in school together, and I just remember him kind of running the idea of past me of, hey, you know, all my friends just. I keep going to their houses.
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Yeah, ankles and, you know, doing prescriptions for cough medicine and z packs. And he's like, it seems like it would be a good business model, right? And I was like, yeah, you're right. At the time, I was still in radio. I wasn't even thinking about it. Yeah. You know. Hey. Yeah, of course that seems like a great idea.
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And we actually, as a family had the doctor painted over us several times. We did also. Right. Even before I started working. So. Yeah. No, it definitely was a great idea. So the roots are during Covid. How did he protect himself? How did he go about that during Covid? Where he was going to people's houses? Yeah, I think because he worked in the E.R..
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Okay. And dealt with such, severe cases of Covid. Understood. You know, really severe cases and, and, what a horrible thing to have to see every day. I think it allowed him, kind of a greater understanding of, of the pandemic. Okay. What people were going through. And so, yeah, he put on his PPE and could, you know, went into people's houses and did all the tests and gave them the meds they needed right.
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And got people through the pandemic without them having to, you know, go to the hospital or an urgent care. Right. And, you know, obviously, you know, take time away from other patients that needed the help. Nobody. Yeah. Nobody wanted to leave the house for sure. Was there a situation where he sent somebody to the hospital saying, you know, listen, this is a little bit more than staying at home plenty of times.
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I mean, during Covid. Yeah. During Covid, yeah. Before and after Covid, we've we've done it. We do a great job of triaging okay. Perfect. You know, even though, our main goal is to make someone as comfortable as possible by then being at home in their living room and their bedroom, whatever makes them feel comfortable right? Right. The first thing on our mind is, can we handle this?
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Yes, yes. And what is best for you if the if the in especially during Covid, if, if the symptoms were such where he showed up and you know he took a listen to a patient's lungs and it didn't sound right. They did was say, hey, right, you gotta you gotta go. You gotta go to the E.R. like, we can't to do that happens sometimes at the initial phone call when somebody is calling you and say, whoa, whoa, whoa.
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Yeah, you don't want us right? Like for example. Yeah. So, you know, a lot of times we'll get calls, right? And, a lot of times, the first point of contact. Okay. And as it happens, because I'm a bit of a hypochondriac. You know? Perfect. I didn't become a doctor, but I kind of play right in my bedroom.
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And so I have a good sense. And obviously learning from doctor patient of of what is serious and what we can handle. And as soon as someone says, hey, I'm having a problem breathing, right, right. This is the worst thing that's ever happened to my life, right? You know, you kind of go through the ABCs of triaging and realize, you know, listen, we'd love to come help you in your house.
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Yes, the business. And we'd love to for you to be a patient. But listen, you need to. Right? Right, right. You got to either call 1911 or get to the gotcha. No. It's perfect. I want to take a little bit of a break. We got the origin story down. Now I want to really get into the meat of it.
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Okay. All right. Thanks.
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Okay. Welcome back with, Brian London of Doctors on Call 365. So we know now how you got started. We know is in the middle of Covid. So here we are now in 2024 or May 2025, by the time people are listening to this.
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But tell us now what a normal day looks like for you. How you know you know, the interesting thing is because we are in urgent care, okay? And we only make house calls, so there is no normal day, right? Because we never know what the patient loads going to look like, right? We never know what the cases are going to look like.
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Right. And, every day is different. And I think that's why I really love it. Yeah. It's so it's so different. It's interesting. Right? Me sitting at a desk all day doing the same thing. Yes. Dealing with different people with different problems. And we try to help. Right. And to be honest with you, we take calls 20 473 65.
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That's that's awesome. Yeah. So, you know, if you call us at three in the morning, I'm going to try to respond to you right. I possible we may not be able to see you then. Right? At least we'll get you, you know, an appointment in the morning or what have you. When we do have someone on call to come see you.
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Okay. I think that's that's that's what makes the job great is just it's always changing. It's always something different, right? No. That's perfect. And you led me into my next question here. Tell us about the team. Obviously, Doctor Alon can't do it all himself. Yeah. So it's it's really just doctor patient and I working as, as is full time.
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Right. Okay. And then everybody else that we have on staff, all of our other providers, nurse practitioners, okay. Nurses, you know, they they, most of them also work at the hospital in the E.R. or other. Right? So we kind of make a schedule depending on their off days and when they're in the hospital, not the hospital. If doctor is in the hospital that we have someone else that's not working right, the hospital cover.
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So we're fully staffed, to, to be able to treat people every day. No matter what. Everyone's
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okay. One of the biggest complaints that I hear sitting here listening to people in the same position is how long it takes to get a doctor's appointment. All right, so how long does it take for somebody to see for you to see somebody?
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Yeah, hopefully, if you call us, we can have someone at your house within two hours. Two hours? Yeah. Oh, some people say two months. Two hours. I know that's that's perfect. Even
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though we do urgent care, right? We don't do primary care. We do fill in the gaps, though. Yes. When people can't get into their primary. Yes.
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We are more than happy to come and fill in the gap. If you're not feeling well, you take it into your primary right prescription refill. You want your blood pressure checked, you whatever you want. Blood drawn. You're worried about your cholesterol. Whatever it is, you can't get in into your primary call us when we can come out and fill in the gaps.
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Obviously, we want you to see your primary. Sure. You with that care? Sure. But you know, listen, appoint getting an appointment with your own doctor these days. It's very difficult. But I also do you I literally just had like physical right a month ago. And to get a follow up is I think it's sometime in 2026. It's like we're talking about a year away, right?
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No, I get it. And the fact that even if you saw somebody the same day that they call you within 24 hours, it is so much better of a service than, you know, if somebody has, you know, somebody has something wrong with them, they're going to think about it, whether it's a minor thing or a major thing. And if the doctor says we can't see a fit for six weeks or two months, you know, it turns into an issue.
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Yeah, there's no doubt about it. Give me a really good success story of when you showed up and just everything went well. And yet, you know, Doctor Paignton or one of the staff really just solved the problem. You know, there's really every story is a success story. Okay. Yeah. Okay. I'll give you that. The ideas that were coming to your house and we're treating you for something that's urgent.
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Right. And we're getting you better. Right. And I think, you know, there's plenty of success stories, you know, we've recently started accepting Medicare, dealing with the elderly population. Excellent. And there's a lot of elderly patients that we see, right? Reluctant to leave their home. They're still worried about. Yes. They're older. They don't want to go set up the transportation, right.
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Or transport. And we've had a lot of patients recently that we've been able to, go to their home and see them and assure the family they're doing okay. We can draw blood. We can take a urine sample, we can do all that on site. And and really, it's
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about reassuring the family. Yes, their family member is okay.
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And we're getting them the care they need. Right. And that really would create a great, provider patient bond. Right? Right. And I'm sure you have raving fans who, you know, who who love it. You know, your your company. Yeah,
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I would say, the majority of our patients are returned patients. Okay. We have a lot of people that we've seen over the past 4 or 5 years that, you know, for whatever reason, right.
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Whether it's they don't want to leave their home to go to their primary, they can't get to their primary. They have an urgent illness for Covid, whatever it is that they keep coming back to us because they know we'll get there. Okay. Within a couple of hours. You know, take the history, we'll get the meds call. Right.
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They will be good to go. And on the path to being healthy, without going through all the, Michigan, the medical system where I need subtitles. No, I get it. I mean, the concierge. Although I don't know that you're exactly concierge, right? But you're giving that service, right? It's like the same service. We're not a subscription service, right?
00;17;45;21 - 00;18;06;22
You're not giving us that. That's an important thing to know. You know? That's a that's a different sector. That's a great one. Yeah. We're we're like, on call as you need us situation. And we're, you know, listen, if we have to come see you multiple times, we will we have to promise that. Right. But you know, I think that, especially, especially our older population.
00;18;06;28 - 00;18;28;21
Right. Because a lot of times we get calls from, son or daughter that's worried about. Sure, sure. Hey, they haven't been feeling well. They're stubborn. They don't want to go to the doctor. Right? You know, they're sitting in front of the TV coughing for three days, right? And for us to be able to go to their house and make them feel completely at ease, right?
00;18;28;23 - 00;18;47;03
You know, giving them a thorough exam and and. All right. I think that has been, that's been really a blessing. That's really touched my heart. Sure, I get it. If you have an older community and the the children or wherever the caretakers are or out of the state, I mean, it's a blessing to for them to be able to just call you.
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Right. And along those lines with pediatric pediatric patients. Oh, okay. Good. You know, you and I have been there, right, right. And to go to get them, to take them to their pediatrician of their second. Right. Which offices? Yes. Across town, because that's where my doctor is and all the stuff for us. Again, you know, a lot of times doctor Pans will show, right?
00;19;08;14 - 00;19;31;06
And, you know, blue on the TV. Right. And he's doing an exam. They don't even know if they're in their house on the couch playing with their toys and boom, done. You know, it's. Yes, much, much better than trying to get the kid in the car. Right, doctor? They're afraid of. Yes, yes it is. Are you able to give the shots that are necessary due to we we don't do vaccinations.
00;19;31;10 - 00;19;49;06
Okay, okay. But we we we do blood draws. Okay. And we have great nurses that do that. Okay. You know, listen, a lot of times parents will say, hey, my my kid's completely scared to go to the doctor. Yeah, they're they're they're annual blood draw and all this stuff. Right. And that, you know, is great with kids.
00;19;49;06 - 00;20;06;10
I can do that. Perfect. You know, we have nurses are specifically trained right in that situation. And and a lot of times a kid is just so much more at ease, right? When they're just at home with their, you know, with their toys, that's it. Watch TV and they don't even notice it and they don't even know it's a skill taking drug blood is a skill.
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It's an art. Actually, I've learned having given a lot of blood.
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What what do you see? As the next steps for for doctors. Uncle 365. You know, I think that we would love to. Right now, we're only accepting Medicare, okay? And, which is great. Okay, we've got that. I think, you know, before we did the doctor pants, I kind of felt like one. The process to get credentialed seemed like an uphill battle.
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It's the worst. It seemed like something we just didn't want to do. Right. And the other thing was, okay, well, the the building's complicated. Just makes life more complicated. Yes. All this stuff. And we didn't want to go there, but then, you know, we really felt like in the Broward County area, there was really a need. Yeah.
00;20;49;22 - 00;21;18;02
So we decided to, to take Medicare. Now we're looking at it and saying, okay, well, we take Medicare. You know, we have a great billing service. Why not go and get credentialed with other insurances. Right. That's only going to increase our patient population. Of course when you know we're self-pay right. And you know, for a lot of people out there that are struggling, financially due to, you know, inflation and the cost of milk and all this stuff that we're, that we're seeing, you know, right.
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You know, not every service is for everyone. But right now that we're going to start accepting insurances, hopefully keeping our fingers crossed. Yes. I think that opens us up to a lot more patients. The patient population will grow. We'll be able to help a lot more people. I can talk all day about the cost of health care, and I thank you and your confidence in allowing us to handle the billing for you and the credentialing.
00;21;38;14 - 00;22;01;02
So we're excited that we're going to grow together. Yeah. In this, endeavor. The other thing, too, is right now we're, you know, we do service somebody. Okay, palm beach will go up to Boca. But, you know, I think a lot and I have always talked about increasing our range, okay. Even at some point go into the west coast of Florida going up to Central Florida, okay.
00;22;01;05 - 00;22;26;02
And being able to kind of service those populations as well. And how would you plan on doing that? Well, I think we would do it through, having providers, that we know that live in those areas. Right. That area, we would handle all of the business operation. Sure. Marketing the billing, and all of that stuff for those, people, right, for those providers.
00;22;26;08 - 00;22;46;16
But, you know, they they know those areas and go to those patient populations and they'd be able to, you know, to service. Absolutely. And, tell me if I'm wrong, but I'm assuming that most of your clientele, your patients right now are word of mouth. Yeah, yeah, without a doubt. We we've we've done very well, to getting our patient population to spread the word.
00;22;46;19 - 00;23;10;06
Okay. The word of mouth, we also get a ton of hits, right? Google. And we're not doing any. That's great. Google marketing or anything like that. We're not doing any paid social media as of now. Great. I think starting in 2025, we will start to get into that right. You know, there's obviously, a benefit from that, but the word of mouth and just, you know, some social media posting here and there.
00;23;10;06 - 00;23;31;08
Yes. Really been, you know, really enough for us marketing that that's wonderful. That's what it's supposed to be, right? Those are your your best clients are the ones that are send you other clients. How would somebody get in touch with you? Yeah. The best way to get in touch with us is one of two ways. If you're looking for information, you can just head to the website.
00;23;31;10 - 00;24;01;27
Okay. Call 365.com. But the best way to get in touch is to just give us a call. Okay. And then number 786-57-79302 786-577-9302. That's the best way. If you call us, I guarantee you within about 20 minutes you're going to get a text or call or something. And you know, one more thing I want to ask the, if there's something that you get a call and it's something that you don't handle, but not quite an emergency.
00;24;01;29 - 00;24;19;08
Do you coordinate the care? Do you have other outside specialties? That's a really good question. You know, we're not a specialty, right? We're not a specialist. Right. But, you know, we can do an EKG if you're worried about that. Okay? You know, if it's obviously doctor patient, I will decide. Hey, do you need to go to the ER?
00;24;19;08 - 00;24;37;25
Is this urgent, or are you having a heart issue, or is it something where we can, you know, come over, do an EKG that we refer you to? You know, some of our specialists that we that we know. Okay. So if, if, you know, we, we help people get in, with cardiologists, with gastroenterologists, with pulmonologists, any specialists that you need.
00;24;37;27 - 00;24;56;07
Right. Remember, Doctor Parkinson works in the E.R.. Right. And all of these specialists are coming to see his patients in the air. He has a good relationship with them. Yes, and we'll help you get that appointment. And quickly, I would hope. Yeah. That's great. That that right there is, is is a bonus. So they would see you you can coordinate the care, get them to the right people.
00;24;56;13 - 00;25;23;19
Hopefully they don't have to wait months to see that person. That's it's wonderful what you're doing. And Doctor Payenson to do what you're doing is awesome. You're giving concierge service without the concierge price, and that's a big deal. And that's a big deal. Brian, if I if I had a magic wand and I gave it to you and I said I could change, the way your business is or something that you were doing health care wise, what would you do with it?
00;25;23;21 - 00;25;56;01
I think what it would be is the. Because we're in urgent care. Yes. We don't know every day. We don't know what's going to turn up. Right. I think, you know, it's hard to put together a schedule of providers, right, that are able to, see someone, all across town. Right. Okay. So we may be able to if you're in Pepper Pines, we may be able to get you within 20 minutes.
00;25;56;01 - 00;26;15;01
Right. If you're in, you know, Deerfield Beach, right? It's it take a little longer. It's going to take a little longer. Right. So I wish that we had the ability to to have providers all over the county, all over South Florida. Right. Get to you in really a timely fashion. You know, sometimes we'll get patients on Miami Beach, right?
00;26;15;07 - 00;26;30;12
We'll go see you. But it might take 3 or 4 hours right there. I want I want to have someone at your house within an hour. Yeah, even three and four hours is a blessing. And the fact is, you wasted your magic wand because that's going to happen for you guys anyway, so that's. I'll save it for the next person.
00;26;30;15 - 00;26;46;01
I really, really appreciate that you came on and did this. I wanted everybody to know about the service that you guys have provided. You are, like an a radio legend. So, so I'm going to fanboy a little bit, and, I hope you'll come back when, you know, the next phase happens. I would love to. I would love to, no doubt about it.
00;26;46;01 - 00;26;53;03
And thank you so much for having me. And thank you for helping us. Yeah. Get our billing straight. It's nothing but amazing. Well, that's my pleasure.
00;26;53;03 - 00;27;05;12
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