Problem

Medical spas, wellness clinics, and other elective-care practices often run on five to ten disconnected systems for scheduling, charting, payments, patient communication, and related workflows. The resulting pain is operational as well as financial: information is fragmented, staff repeatedly re-enter data, patient experiences break across handoffs, and clinics lose opportunities while spending excessive time on administration. Decoda frames the core issue as a missing operating foundation rather than merely an inefficient workflow.

The clearest use case is the front desk. When staff are treating patients or handling other work, calls and inbound inquiries can go unanswered, delaying bookings and leaving revenue on the table. Decoda targets this with an AI front desk that answers calls and books patients around the clock, alongside automated follow-ups intended to keep calendars full. The economics are reflected in the company's reported customer impact: $7 million in administrative time saved and more than $20 million in new customer revenue.

Product / Service

Decoda is an AI-native, all-in-one EMR and practice-management platform for elective care. It combines scheduling, intake and consent forms, communications, charting and documentation, inventory, checkout, payments, memberships, prescriptions, labs, and reporting in one system rather than requiring a clinic to stitch together separate tools. Clinics appear to adopt it as a unified software platform through a demo-led sales motion, with the product positioned as the operating system for the practice.

AI agents sit inside the same platform and use the clinic's shared workflow context. The product includes an AI front desk for calls and booking, an ambient scribe that generates clinical notes in real time, and automated patient follow-ups; Decoda also describes agents that answer clinic questions, support training, and surface performance insights. The intended benefit is not just fewer applications, but connected workflows that become more streamlined as the clinic accumulates longitudinal data and the system gains context.

Market

Decoda competes in healthcare IT and SaaS for elective-care practices, specifically the medical-spa, wellness, weight-loss, aesthetics, dermatology, longevity, anti-aging, and cosmetic-surgery segments. Its positioning combines specialized EMR and practice management with embedded AI, aiming at a market that the company describes as fast-growing and underserved by incumbent solutions. It competes against both fragmented point solutions and specialized practice-management platforms; named alternatives include PatientNow and Pabau.

Decoda is not pre-launch: Y Combinator lists it as active, and the company reports that it is live in more than 150 clinics, processes over $100 million in annual transactions, and has grown more than tenfold in six months. It also reports raising a $4.5 million round led by Y Combinator. These figures indicate meaningful commercial traction, although the available evidence does not disclose Decoda's own revenue, pricing, or profitability, so transaction volume and customer-generated revenue should not be interpreted as company revenue.