Case Study: How CT Behavioral Health Associates Scaled Their Esketamine Program With Paid Media

CT Behavioral Health Associates partnered with us to scale their Esketamine program using a specialized paid media framework combined with an internal care-coordination system.

Key outcomes so far:

  • 1,119 total leads generated
  • 136 evaluations scheduled
  • 72 qualified eval shows
  • 54 prior authorizations approved
  • 37 patients converted so far
  • Projected revenue: $400,000+
  • Total ad spend: ~$6,500
  • 20% of the clinic’s entire active Spravato patient base came directly from our campaigns

The clinic currently has 180 active Spravato patients, and we generated 20% of them, demonstrating the long-term compounding impact of our system.

1. The Starting Point (First 60 Days)

Ad Spend

  • $2,754.97 invested in Meta Ads

Performance

  • 485 leads generated
  • CPL: $5.68
  • 65 evaluations scheduled

Conversion Metrics

  • Lead → Eval Conversion: 65 ÷ 485 = 13.4%
  • Eval → Patient Conversion: 25 ÷ 65 = 38.46%

Revenue Impact (First 2 Months)

  • 25 patients × $7,500 LTV = $187,500 projected revenue

2. Month 3 – Pausing to Expand Clinic Capacity

In Month 3, the demand we generated exceeded the clinic’s operational capacity.
 We mutually agreed to intentionally slow down campaigns while they hired and trained additional staff.

Even with the slowdown, we still booked:

  • 10 evaluations

This ensured sustainable scaling without sacrificing patient experience or clinical workflow.

3. October & November – Scaling Again

Once capacity was restored, we resumed scaling.

Results

  • 61 evaluations booked (Oct + Nov combined)
  • Consistently 2× the client’s evaluation target every month

Stable CPL and high treatment qualification rates

4. Total Results To Date

Lead & Evaluation Performance

  • 1,119 total leads
  • 136 total evaluations

Lead → Eval Conversion: 136 ÷ 1,119 = 12.15%

Evaluation Funnel Breakdown

  • 72 qualified eval shows
  • 54 prior authorizations approved
  • 37 patients converted so far

Revenue Impact So Far

  • 37 patients × $7,500 LTV = $277,500

Projected Revenue

Many evals are still:

  • Awaiting PA approval
  • Scheduled for future dates
  • In insurance submission

With a conservative 35% projected conversion of remaining evals:

  • Total projected revenue surpasses $400,000

Achieved with only ~$6,500 in total ad spend

5. Additional Wins: TMS Growth

At one point, the clinic shared concerns that they were not receiving enough TMS patients. We quickly adjusted:

  • Targeting
  • Messaging
  • Funnel structure

Outcome:

They are now consistently receiving more TMS leads and evaluations, aligned with their operational bandwidth and treatment goals.

6. Why This Worked

This level of growth was driven by two combined forces:

A. Specialized Healthcare Media Buying

  • Advanced Meta structures optimized for behavioral health
  • Qualification-first strategy (insurance, PA suitability, treatment fit)
  • Continuous creative and audience testing
  • Low CPL + high evaluation volume

B. Integrated Care Coordination

  • Guaranteed minimum 12 evaluations/month in the first 90 days
  • Structured follow-up for high show rates
  • Efficient PA support leading to strong patient conversion

Together, these systems ensure not just leads, but real patients, real revenue, and scalable clinical capacity.

7. Conclusion

CT Behavioral Health Associates transformed their Spravato program into a high-performing, predictable, and scalable service line. With:

  • More than 20% of their active Spravato patients coming from our campaigns
  • Over $400,000 in projected revenue
  • Only $6,500 in ad spend

They now have a reliable pipeline of both Esketamine and TMS patients and a growth model built to sustain long-term expansion.

author avatar
Nick Psycle
Table of Contents
    Add a header to begin generating the table of contents

    Healing is on the Horizon!

    Subscribe to Psycle to #breakthepsycle

    Enter your email below to get insider updates delivered straight to your inbox.

    Subscribe to Psycle to #breakthepsycle

    ENTER YOUR EMAIL BELOW TO GET INSIDER UPDATES DELIVERED STRAIGHT TO YOUR INBOX.😌🧠