Booked while you're in session. Patients search at 9pm and book whoever answers first. From now on, that's you — without you leaving the room.
Book a 30-minute callMarketing for a psychiatry practice is usually handed to a generalist agency that has never had to fill a prescriber’s calendar. Fill The Lobby is a patient acquisition and retention agency for cash-pay and private-pay practices in the US, run by founders who own two healthcare platforms hosting 200+ clinicians. It runs the ad account, the phones and the follow-up as one system rather than three vendors.
That's the whole problem. Every call that rings out while you're with a patient is a patient who calls the next name on the list. Answered, screened and booked without you touching it.
They're different searches, different intent and different value to your schedule. Ads and booking treat them as separate lines, not one lump.
A med-management gap becomes a churned patient in about two missed months. Recalls go out before the gap opens, not after.
High-intent searches, filtered for fit and payer reality first, so your intake time goes to people you can actually treat.
No patient testimonials. No outcome claims. Reviewed against your state board's advertising rules before anything runs.
One patient can be worth thousands a year. We run your ads with that math on the table.
Cost per booked appointment, visible weekly. No PHI in ad platforms. BAA signed before any data moves.
We built and run our own clinical platforms — 200+ clinicians, patients in 20+ countries — and we spend our own money on these exact ads every day. Fill The Lobby is that engine, pointed at your practice.
Run ads for a psychiatry practice and some of what arrives is people shopping for a prescription rather than for care - a stimulant refill, a lapsed prescriber, a diagnosis someone already decided on. Each one still costs a click and a slice of your intake hour. We write ads that say plainly what you treat and how you work, keep a negative keyword list pointed at the obvious mismatches, and put the question of fit in front of you rather than leaving it to surface in the room.
Screening isn't a clinical judgement and we don't make one. You set the line - new ADHD evaluations yes, transfers of an existing stimulant regimen no, or wherever your line actually sits - and the targeting and the booking questions get built around it. It's your license, so it's your rule.
In psychiatry the gap between booked and attended is measured in weeks, not days. Someone who takes a slot six weeks out has six weeks to find a prescriber with an earlier opening, and an evaluation is the longest, most valuable block on your calendar to lose at eight in the morning. We work the run-up: reminders on a schedule, a standing list of people who said they'd take an earlier time, and the open slot re-offered to that list instead of left to sit.
The other half of this is spending. If your first available evaluation is already deep into next month, more ad spend buys a longer queue, not a fuller schedule. We pace budget against what the calendar can absorb, and we say so when the honest answer is to spend less this month than last.
Those searches get bought through the same Google and Meta ads for medical practices we run for our own platforms first, with our own money on the line. The call that rings out while you're writing a prescription is a call your ad already paid for, which is why missed call recovery sits inside the same system as the ads rather than in a separate contract with someone else. Psychiatric inquiries rarely book on first contact - they ask the fee, go quiet, then pick whoever was still there, so patient follow-up runs on a schedule instead of on whoever happens to remember. The full eight, and how they hand off to each other, are laid out under what we do. In psychiatry the retention number worth watching is med-management follow-ups kept on schedule, and the patient retention calculator separates patients who finished care from the ones who lapsed. All of it maps onto the seven leaks we look for in week one.
Searches like “psychiatrist houston” that name a city add up to the most in Texas, California and New York. “Psychiatrist nyc” gets about 2,850 a month and “psychiatrist los angeles” about 1,600, with clicks averaging about $6 (Ahrefs, US, September 2026). Our state pages list the searches and click costs for every city where they can be measured, so you can see the demand before you choose where to advertise.
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Reviewed September 2026.