Our story.
Practice Pillars started with one practice: Subha’s.
Subha is a physical therapist. She wanted her day to go into treating patients — not chasing billers, marketers and landlords. Arun, her husband, had spent his career running operations and IT. Between them they built the layer she was missing, then found that every other practice owner needed the same thing.
One person accountable. Four areas measured.
- Remote front desk
- phone calls, email, patient intake and routine admin, handled remotely by staff who speak English, Spanish, Hindi and Tamil. Measured on answer rate, phone conversion and no-show rate.
- Revenue
- billing, coding oversight, denial management, AR recovery and payer contracts. Measured on collections against expected, days in AR, denial rate and clean claim rate.
- Marketing
- patient acquisition tied to real capacity and payer mix. Measured on new patient volume, cost per acquisition and revenue per provider.
- Financials
- monthly close and reporting by provider and service line. Measured on margin by provider and service line, and cost per visit.
Three fundamental conclusions.
- Highest quality care
- Subha wanted to provide the highest quality care; this meant that most of the workday had to go into seeing patients.
- Finding the right specialists
- Finding the right specialists, like medical billers and digital marketers, would be a job unto itself and eat into the time Subha could spend with her patients.
- One accountable team, not four vendors
- That buying operations one vendor at a time — a billing company, an answering service, a marketing firm — leaves nobody accountable for the result. What a practice actually needs is a practice director: one person running your front desk, revenue, marketing and financials, reporting on all four, at a fraction of the cost of hiring one full-time.
How we got here
- 2017 — the first practice
- Arun launched the company as Symbiosis, and Subha opened Capitol Physical Therapy on it. She saw patients; billing, marketing and premises were handled. Her patient volume trebled and she opened a second location.
- Today
- Practice Pillars has helped over 100 private practices grow since 2017 — the same operating layer, now run as one accountable service across front desk, revenue, marketing and financials.
Our team.
Arun Mallikarjunan
CEO, Co-Founder
Co-founder and CEO.
Arun built the company with Subha in 2017, after they worked out at the kitchen table how to solve the problems she hit opening her own practice. His background is business operations and IT.Subha Nagasubramanian
Co-Founder
Co-founder.
A physical therapist with a doctorate and 15 years in practice, Subha has been a clinician, a clinic director and a practice owner — the whole patient-care lifecycle, from every side of it.Arun Philip
Vice President of Operations
Operations.
Arun Philip joined in 2020 and runs day-to-day operations. Sixteen years of leadership experience, including big-four consulting, delivering large multi-million-dollar programmes.
