RiseMD

20X ROI. $3.2 Million in New Patient Production From $160K in Ad Spend. We Built the Platform That Proves It.

RiseMD is a proprietary healthcare marketing platform for dental practices, multi-location DSOs, and health systems across the US. Most marketing software stops at the click. RiseMD does not. It follows a patient from the first ad impression through the phone call, the booked appointment, the treatment, and the payment. The number a practice owner sees is production revenue per patient, not impressions.

EltexSoft has been the engineering team behind the platform since 2022. We build and run the attribution pipeline, the integrations with the practice management and EHR systems dental offices already use, the AI call grading, and the dashboards that DSO operators use to run 5 to 300+ locations from one screen. More than 5,000 practices are on the platform.

How the Engagement Started

RiseMD’s CEO and founder came to us in 2022 looking for a top-tier team to raise the architecture, scalability, and overall quality of a platform that already existed and already had customers. We did not start with a rewrite. We started with a one-month trial engagement on the live product. At the end of that month both sides shook hands, and we began executing the plan we had built during the trial. Four years later the same team is still on it.

What We Built

First-click-to-revenue attribution. Every new patient call is tied back to the campaign, keyword, and ad that produced it, and then forward to the appointment and the collected production. Call tracking numbers, form fills, and web sessions feed one attribution model.

Practice management and EHR integration. Attribution is only real if it ends at the ledger. The platform reads appointment and production data from the practice management systems dental offices already run, so revenue per campaign is measured, not estimated.

Call recording and AI grading, fully automated. Inbound new patient calls are recorded, transcribed, and graded. The grader scores whether the front desk answered, whether the caller was a new patient, whether an appointment was offered and booked, and why a call was lost. Grading is 100% automated. Humans can be kept in the loop where a practice wants review, but the pipeline does not depend on them.

Multi-location dashboards for DSOs. Operators managing 5 to 300+ practices see new patient volume, cost per new patient, answer rates, and production by location, region, and campaign.

Google Ads optimization. Campaign spend is steered by downstream production data rather than by clicks.

AI-powered search positioning. The platform tracks and improves practice visibility in ChatGPT, Google AI Overviews, and Perplexity, alongside classic local search.

The AI Layer

Healthcare marketing data includes protected health information. That shapes the architecture before it shapes the features.

• The call grading system is custom-built and runs on HIPAA-eligible infrastructure. Raw PHI never goes through public LLM APIs.
• Call transcripts are processed under the same BAA chain as the rest of the platform.
• Grading output is structured and auditable: every score carries the transcript evidence behind it, so a practice manager can dispute a grade and see why it was given.

Results

The results below are RiseMD’s published numbers, not ours.

• $3.2 million in new patient production from $160,000 in marketing spend over 12 months. 20X return on investment.
• Average 140 new patient calls per month per practice.
• $81 cost per new patient.
• Practices doubling monthly production within 15 months.
• 5,000+ practices on the platform.
• Recognized by Google, Facebook, the Association of Dental Support Organizations, and the University of Michigan School of Dentistry.

Why This Engagement Pattern Works

RiseMD did not buy hours. They bought a team that stayed. Three backend engineers, three frontend engineers, two QA engineers, a tech lead, and an embedded technical program manager have been on the product for four years, working inside RiseMD’s own roadmap rather than next to it.

That continuity is what makes the attribution pipeline trustworthy. Attribution breaks quietly: a practice management system changes its API, a call tracking provider renames a field, a new campaign type appears. A team that has run the pipeline for years sees the break before the client sees a wrong number.

The Stack

• Frontend: Vue.js
• Backend: Laravel, PHP
• AI: custom call transcription and grading system on HIPAA-eligible infrastructure
• Infrastructure: HIPAA-eligible cloud under BAA, encryption at rest and in transit, MFA for ePHI access, tamper-evident audit logging
• Integrations: call tracking, Google Ads, practice management and EHR systems

The Engagement at a Glance

• Client: RiseMD, healthcare marketing platform for dental practices and DSOs
• Industry: Dental, healthcare marketing, HIPAA-regulated data
• Model: Dedicated team on monthly retainer
• Started: 2022, after a one-month trial engagement
• Duration: 4 years and ongoing
• Team: 3 backend, 3 frontend, 2 QA, tech lead, embedded TPM
• Scope: attribution, PMS and EHR integration, AI call grading, multi-location dashboards, ads optimization, AI search positioning
• Result: 20X ROI, $3.2M production from $160K spend, $81 cost per new patient, 5,000+ practices

Who We Are

EltexSoft is a boutique software engineering studio founded in 2015. 35 to 50 senior engineers. Headquartered in Los Angeles, with offices in New York, Lisbon, and Kyiv. Our healthcare work includes RiseMD, WinitClinic, and MOTTIV. Clutch 5.0 across 30 reviews.

Have a Similar Problem?

If you run a practice marketing platform, a DSO, or any healthcare product where the number that matters is downstream of the click, we have built this before. 30-minute technical call with a senior engineer, not a salesperson. [email protected]