Healthcare 17 September 2026 • 7 min read

Practo's Zomato Moment Is Coming — Vizag Clinics Should Get Ahead of It

A restaurant owner's viral payout screenshot triggered a real antitrust probe into Zomato this year. Doctors are already filing the same complaint about Practo. Here's the real commission math, and what a Vizag clinic should own before the backlash does its own marketing for you.

What Just Happened to Zomato

Food delivery packaging and logistics — the same commission-and-fee structure now under an antitrust probe in India
Food delivery packaging and logistics — the same commission-and-fee structure now under an antitrust probe in India

Earlier this year, a restaurant owner posted screenshots of his Zomato payout dashboard: ₹16,486 earned, ₹415 actually paid out. The breakdown was 35% platform commission, 34% eaten by a discount the restaurant was funding, and 38% spent on ads just to stay visible in search — the categories overlapped and stacked until almost nothing was left. The post went viral on X. It wasn't an isolated complaint — restaurant owners across the country had been saying versions of the same thing for months, and the Competition Commission of India has since acknowledged allegations of exactly this pattern: exorbitant commissions, delayed payment cycles, and unfair contract terms baked into the platform relationship.

That's not a hypothetical. It's a live antitrust matter.

Practo Is Already Getting the Same Complaint

Dentist examining a patient in a clinic — the same platform-dependency question specialist clinics now face
Dentist examining a patient in a clinic — the same platform-dependency question specialist clinics now face

The healthcare version of this story is already being written — just quieter, one doctor at a time instead of one viral post.

In November 2024, a urologist, Dr. Vinay Rai, publicly said Practo was charging him for phone calls from patients who never actually booked a consultation — a connection fee of roughly ₹350–450 per inquiry, whether or not it converted. His complaint, as reported by Medical Dialogues, was blunt: *"You may charge your platform fee if a consultation is booked... but how can you charge a doctor to just receive a call?"*

That's one doctor, one publicised complaint. But the underlying commission structure is well documented: on a typical booked consultation, doctors report Practo's cut running in the 28–40% range once platform fees and taxes are deducted — on a ₹500 consultation, one commonly cited breakdown has the doctor netting ₹360 after a ₹100 platform fee plus ₹40 tax. That's before the connection-fee complaint even enters the picture.

Nobody's called it Practo's "Zomato moment" yet. The math is the same story, one industry behind.

Why Vizag Clinics Should Care More Than Most

This isn't really about Practo specifically — it's about what it means to have exactly one channel between you and every new patient who doesn't already know your name.

In a market like Mumbai or Bangalore, a doctor has a dozen visible alternatives: multiple directories, heavy word-of-mouth density, hospital-affiliation referral networks. In Visakhapatnam, the practical alternatives are thinner. A specialist clinic here that has built its entire new-patient pipeline around one directory listing isn't diversified — it's dependent. And dependency on a single channel is exactly the position that lets any platform raise its take rate over time with very little the clinic can do about it, short of walking away from the leads entirely.

The Zomato story didn't end with restaurants abandoning the platform. It ended with restaurants finally posting the real numbers publicly, and platforms facing real regulatory scrutiny as a result. The lesson for a clinic isn't "delete your Practo listing" — it's "don't let a directory be the only place a new patient can find you."

The Actual Fix Isn't Leaving Practo. It's Not Depending On It.

A Practo listing that brings in a share of new patients isn't the problem by itself. The problem is when it's the *only* channel — when a clinic has no Google Business Profile worth finding, no way to bring a first-time caller back without paying a platform fee every single time, and no owned way to reach a patient again after their first visit.

The fix is boring, which is exactly why most clinics haven't done it yet:

WhatsApp on a smartphone — the direct patient-recall channel a commission-per-lead platform can't charge for
WhatsApp on a smartphone — the direct patient-recall channel a commission-per-lead platform can't charge for
  1. Own your Google Maps presence. A well-optimised Google Business Profile is free, and for local "dentist near me" or "[specialist] in Vizag" searches, it competes directly with directory listings — without a per-lead fee.
  2. Build a WhatsApp recall system. Once a patient has visited once, a rebooking or follow-up message sent directly costs nothing per contact. That's the entire channel Practo charges for, permanently removed from the fee structure for repeat patients.
  3. Keep the directory listing — but stop treating it as your only front door. Direct search visibility and WhatsApp recall don't compete with a Practo listing; they just mean a rising commission on it stops being able to hold your patient volume hostage.

None of this requires walking away from Practo tomorrow. It requires not being the clinic that finds out the real commission number the hard way, the same week a competitor already has their own channel built.


Related Resources for Vizag Clinics

Frequently Asked Questions

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Frequently Asked Questions

Q: Is this article saying doctors should leave Practo?

A: No. It's saying a clinic shouldn't depend on any single directory as its only new-patient channel. Keeping a Practo listing alongside an owned Google Business Profile and a direct WhatsApp recall system is a stronger position than depending on Practo alone — or leaving it and having nothing to replace it.

Q: What commission does Practo actually take?

A: Reported figures put it in the 28-40% range on a booked consultation once platform fees and tax are deducted, plus a separate connection fee (reported around ₹350-450) some doctors say gets charged even for inquiries that don't convert to a booking. Vyzma AI doesn't have a commercial relationship with Practo — these are figures doctors and reporters have made public, cited in this article.

Q: Is there an actual antitrust case against Practo like there is against Zomato?

A: Not that's been publicly confirmed as of this writing. The Zomato/Swiggy matter is a live, acknowledged Competition Commission of India inquiry. The Practo complaints referenced here are individual doctors speaking publicly, not a regulatory proceeding — the comparison is about the pattern, not a claim that the same legal process is already underway.

Q: What does a WhatsApp recall system actually cost to set up?

A: Vyzma AI's WhatsApp recall automation for clinics starts from ₹4,999/month. A free audit of a clinic's current patient channels — what's owned, what's rented — is the usual first step before any build.

Q: Does a Google Business Profile really compete with a directory listing for search visibility?

A: For local intent searches like "dentist near me" or "[specialty] doctor in Vizag," a well-optimised Google Business Profile shows in Maps and local pack results directly alongside or above directory listings, at no per-lead cost — it's a different mechanism than the directory's own internal search, but it reaches the same patient at the same moment of intent.

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Written by Vyzma AI Team
Vyzma AI — India's Premier AI & Growth Engineering Agency

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