Cost per consult is not cost per patient
The TMS funnel has five steps, and most clinics only measure the first two. Click, consult request, benefits verification, prior authorization, first session. Patients fall out hardest at verification, because commercial and Medicare policies want documented failure of prior antidepressant trials at adequate dose and duration, and often a documented course of psychotherapy on top of that.
A clinic buying on cost per lead will happily pay for a channel that produces cheap consults nobody can authorize. We measure to the started course, which sometimes means paying more per inquiry and ending the month with more chairs full. share of TMS inquiries that clear benefits verification — verify with Tim
The practical fix starts before the ad: the consult request form should ask which antidepressants have been tried and which plan the patient carries, so your benefits coordinator gets a usable lead instead of a name and an email.