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Case Study · 18-Provider Orthopaedic Surgery Practice · Q2 2026

Answering every call, at 1/5 the cost.

How a high-volume orthopedic group replaced a $51K/month contact center with an AI-native patient access layer, lifting call-answer rate from 20% to 100% instantly.

SMOC · Multi-site surgical group · 18 providers · 6-week deployment · Subspecialty-routed

Headline results, first 90 days live

100%
Call-answer rate
up from a 20% baseline
–80%
Contact-center cost
$51K → $10K per month
>1,000
Appts booked / mo
up from ~640
< 4 min
Ring-to-booked
no hold time

Annualized impact, run-rate

+$1.2M
Additional surgical revenue
10% surgical conversion
+$1.4M
Additional clinic revenue
+400 new-patient appts/mo
–$492K
Administrative cost reduction
contact center $51K → $10K/mo

Run-rate basis: +400 new-patient appointments/mo · $285 avg clinic revenue per appointment · 10% surgical conversion at $2,500 avg revenue per case · contact-center cost $51K → $10K/mo.

"ClinicFlow has increased our revenue by increasing both our surgical and clinic volume, and has decreased our overhead significantly."
Dr. Jeremy WaltersPresident, Sports Medicine and Orthopaedic Center · 3 locations · 18 providers

The situation and the outcome

The situation

In June 2024, SMOC hired 18 receptionists at $68K total comp each, a $1.2M annual bet on staffing its way out of a phone problem.

Twelve months later, half had quit and only 20% of inbound calls were being answered. The remaining nine receptionists cost $51K/month and still couldn't keep up with patient demand.

  • 50% attrition in 12 months. 9 of 18 receptionists gone by mid-2025.
  • 80% of calls unanswered. Voicemail, hang-ups, missed bookings.
  • $612K/year in payroll for a front desk that couldn't pick up the phone.

The outcome

ClinicFlow replaced the call-handling layer entirely. An AI voice agent, bidirectionally integrated with EMR Athena, picks up every call, performs subspecialty-aware triage, books directly into the surgeon's schedule, and escalates urgent issues to the on-call provider with a structured text summary.

MetricBeforeAfter
Call-answer rate20%100%
Avg hold time8m 14s0s
Contact-center cost / mo$51,000$10,000
Subspecialty mis-routing~30%< 4%
New-patient appts / mo~6401,040+

See how each call type is handled

The Call Library shows exactly what ClinicFlow does on every kind of call SMOC receives: after-hours urgent triage, new-patient scheduling, daytime overflow, and 9 more.

Run your own numbers with the missed-call calculator, or read the buyer's guide for orthopedic practices.

Try the live scheduling agent yourself

Call the number and talk to the same AI that's answering at SMOC right now.

Call (415) 962-4019 Book a demo