Cash pay changes the math on every call
A functional medicine intake package runs into the thousands, out of pocket. Nobody buys that off a homepage. They read for weeks, compare practices, ask in a Facebook group, and then they call.
That research window is where most practices lose. Nothing on the site answers the question the patient is typing, so she lands on Healthline or a competitor's condition page. By the time she reaches you, she has already picked someone.
The other leak is the phone itself. People spending four figures want to talk to a human before they spend it. A front desk that sends callers to voicemail over lunch costs more here than at any insurance-based practice.