What happens when you build one of the biggest chiropractic practices in your region, only to lose it after a six-year insurance audit battle?
Dr. Matt DiDuro went from aggressive marketing and rapid growth to facing escalating insurance repayment demands, including a $150,000 claim. After more than 30 years in chiropractic, he's sharing the costly lessons that changed how he approaches documentation, marketing, patient retention, and building a sustainable practice.
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Dr. Matt DiDuro built one of the largest chiropractic practices between two major cities in Central New York, but his success came with an unexpected challenge. In this episode, Matt shares how a former associate allegedly triggered an insurance audit in an attempt to purchase the practice at a discount, how the audit expanded from just a handful of patient charts to thousands of records, and why inadequate documentation became one of the most expensive lessons of his career.
He also explains how he grew his early practice through community events, educational talks, and consistent patient acquisition, even after earning only $15,000 during his first full year. Matt discusses his transition into shockwave therapy, why he believes SoftWave has become an important part of his patient-retention strategy, and how real patient demonstrations and before-and-after videos have influenced his marketing approach. He also shares how he now spends much of his time training and educating other providers while remaining involved with his clinical team.
If you're a chiropractor focused on growing patient volume, protecting your practice from costly operational mistakes, improving retention, or exploring additional services that can differentiate your clinic, this episode offers lessons from someone who experienced both major growth and a devastating business setback.
TIMESTAMPS:
00:00 Intro
01:09 Neck Injury Changed Everything
05:06 Early Chiropractic Wake Up Call
06:48 Insurance Boom And Bad Notes
08:19 Audit Triggered By Associate
11:49 Why They Kept Escalating
14:14 Fighting Back With Compliance
17:30 Bulletproof Notes With EHR
19:15 Suing The Whistleblower
22:22 Marketing Cycles And Neuropathy
24:48 SoftWave Pivot During COVID
28:30 Scaling With Facebook Ads
28:52 Pricing the 10 Pack
29:30 SoftWave vs Shockwave
30:06 Avoiding Device Scams
31:32 SoftWave as Practice Engine
33:39 Proof and Pro Sports Adoption
34:33 Inflammation and Drug Cautionary Tale
36:29 Regeneration Science Explained
38:45 Ads That Actually Work
43:45 Documenting Results and HIPAA
47:03 Why SoftWave Refers Better
52:09 Reverse Engineering Patient Growth
55:58 Pivoting to Bigger Markets
56:31 Where to Find Him and Mission
CONNECT WITH DR. MATT DIDURO:
Website: Dr. Matt DiDuro | Relief from Chemo-Induced Peripheral Neuropathy
LinkedIn: linkedin.com/in/matthew-diduro-11b66ab
PRO TIP:
Reverse-engineer your patient acquisition goals instead of marketing without a clear target. Matt started by calculating the expected revenue from each new patient, working backward to determine how many new patients he needed every month, and then identifying which outreach activities could generate those appointments. Just as importantly, maintain accurate clinical documentation as your practice grows—high patient volume means little if your business isn't properly protected.
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