Are Superbills Worth It in Private Practice? | Mark Florian | TPOT 428
The Practice of Therapy Podcast with Gordon Brewer
Release Date: 04/13/2026
The Practice of Therapy Podcast with Gordon Brewer
When therapists think about branding, it’s easy to immediately think about logos, fonts, colors, and websites. But your brand is so much more than what your practice looks like online. It is also the feeling people get when they encounter you, the story they associate with you, and ultimately, whether they feel like they can trust you. In this episode of The Practice of Therapy Podcast, I had the pleasure of talking with Ritu Riedweg about personal branding, marketing, and what therapists can do to make their practices easier to find and easier to connect with. Ritu brings an interesting...
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Working with high-risk teens can feel overwhelming, especially when self-harm, suicidal thoughts, emotional dysregulation, or repeated hospitalizations are part of the picture. So how can therapists provide both compassion and structure without letting fear drive the treatment? In this episode, Gordon talks with Katie K. May about working effectively with high-risk teens and their families. Katie shares why validation matters, how therapists can provide strong clinical leadership, and why caregiver involvement is such an important part of the process. They also discuss proactive safety...
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Building rapport isn’t just about helping clients feel comfortable. It can play a major role in whether they trust you, open up, and keep coming back. In this episode, I sit down with Nora Anger, LPC, to talk about building stronger therapeutic relationships in private practice. We discuss what clients really want from their therapists, common reasons they leave therapy, thoughtful self-disclosure, creating safety and trust, and how to balance compassion with challenging clients when they need it. Resources Mentioned In This Episode Meet Nora Anger Nora Anger, MS, LPC, is a...
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What happens to your private practice when you step away? In this episode, Gordon talks with TaVona Denise about what her Private Practice Vitality Report revealed about owner dependency, burnout, delegation, and the systems that keep a practice running. They explore why hiring more staff doesn’t always create more freedom, how to tell if your practice still depends too heavily on you, and the simple 30-day question that can uncover exactly where your systems need work. If you want to build a practice that can grow without requiring you to be involved in every decision, this conversation is...
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A private practice can look successful on the outside and still feel exhausting behind the scenes. Clients are showing up, revenue is coming in, and everything appears to be working, but the owner may still be answering every question, fixing every exception, following up on loose ends, and carrying far too much of the practice in their own head. In this episode, Gordon talks with Lisa Permar about the small, repeated friction points that quietly drain a practice owner’s time, attention, and energy. They explore how everyday tasks around intake, scheduling, billing, documentation, and team...
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Your private practice may look profitable on paper, but does the money actually feel available? In this episode, Gordon talks with Margo Masri, founder of Heartfelt CFO and Tax Services, about the financial decisions that can quietly create cash flow problems for private practice owners. They explore the risks of over-hiring, ignoring taxes, taking on office space too soon, and trying to grow without fully understanding the costs involved. Margo also shares why practice owners need to know what they personally need to live on, build financial systems that can grow with the business, and...
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Have you ever wondered how much easier private practice could feel if you stopped fighting the way your brain works? In this episode, I’m talking with Martin Altman, LPC, about his experience as a therapist with ADHD and how understanding his own neurodivergence helped him find a niche that genuinely fit. We get into the strengths and challenges that can come with ADHD, how Martin stays present with clients, and why building the right systems can make private practice feel a whole lot more sustainable. Martin also shares a really helpful perspective on emotional hijacking and why distraction...
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Therapists are great at taking care of everyone else, but we are not always so good at noticing what the work is doing to us. In this episode, I’m talking with Lindsay Benson about the hidden toll private practice can take on our nervous systems. We get into therapist burnout, the stress that builds up from sitting with difficult stories all day, and the small practices that can help us reset between sessions. Lindsay also shares her experience moving from insurance to private pay, offering therapy intensives, and building a practice that feels more sustainable. This is a great conversation...
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What if the biggest thing holding your private practice back isn't your marketing strategy but your mindset? In this episode, I'm joined by Tyana Tavakol to talk about the beliefs that shape the way we build our practices. We explore scarcity versus abundance, the value of finding your niche, and why trying to appeal to everyone often keeps you from connecting with the clients who need you most. We also dive into building an online practice, creating meaningful professional relationships, and learning to trust your own expertise instead of comparing yourself to everyone else. If you've ever...
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Are you burning out in private practice without realizing it? In this episode of The Practice of Therapy Podcast, Gordon talks with Kristin Oja, DNP, founder of STAT Wellness, about optimizing stress resilience and preventing burnout. Kristin shares a functional medicine perspective on why burnout is not always caused by work alone. Often, it is the buildup of stressors outside of work, including sleep, caffeine, exercise, relationships, technology, self-talk, and lack of recovery. Kristin explains the idea of the “stress bucket” and how even good things, like exercise, intermittent...
info_outlineThinking about taking insurance in your private practice or trying to figure out a better way to handle out-of-network clients?
This is one of those decisions that almost every therapist wrestles with at some point. On one hand, insurance can help fill your caseload and make therapy more accessible. On the other hand, the admin work, lower reimbursement rates, and constant back and forth can leave you feeling stretched thin and frustrated.
In this episode, I’m joined by Mark Florian, founder of Deputy Care, and we get into what is really happening behind the scenes with insurance, superbills, and out of network billing. We talk about why so many therapists start on insurance panels and then eventually want to move away from them, and what makes that transition so difficult.
We also unpack the hidden friction in the system, from denied claims to clients struggling to get reimbursed, and how all of that can impact both your income and your clients’ ability to stay in therapy.
If you’ve ever felt stuck between wanting to help more people and wanting to build a sustainable private practice, this conversation will give you a lot to think about.
Resources Mentioned In This Episode
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Meet Mark Florian
Mark Florian is the Founder of Deputy Care, a platform dedicated to helping private-pay clinicians increase patient retention by eliminating the “administrative dread” of insurance.
With over 15 years of experience building the technological “plumbing” of healthcare, Mark has served as the CTO of Advekit and was an early engineering leader at Zocdoc.
Today, he is on a mission to “kill the superbill,” replacing outdated PDF receipts with automated “payment floating” technology that allows patients to access their out-of-network benefits instantly.
Mark’s unique perspective sits at the intersection of high-scale health tech and the deeply personal relationship between therapist and client.