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ADHDcentraal: The $104M Dutch Telehealth Gamble
Inside the Netherlands' largest ADHD clinic's digital-first strategy
While Silicon Valley obsesses over AI therapy bots, a Dutch clinic quietly scaled to $104M revenue by betting everything on video consultations. ADHDcentraal isn't just treating patients—it's proving that specialized telehealth can win at scale.
"They're not building a platform—they're building a pipeline. Every pixel on adhdcentraal.nl pushes patients toward diagnosis and treatment."
The SEO Moat Strategy
With 55% of traffic coming from organic search, ADHDcentraal has mastered Dutch healthcare SEO. Their top keywords—'adhd centraal' (1,660 monthly searches) and 'adhdcentraal' (830)—show a brand that owns its category. This isn't accidental; it's a calculated play on high-intent, low-competition terms where they face minimal competition from traditional clinics.
The Trust Paradox
Here's the contradiction: 310 employees serving a $104M business means $337K revenue per employee—exceptional efficiency. Yet their Trustpilot rating sits at a mediocre 3.2/5 from 49 reviews. This suggests they've optimized for volume over experience, a risky trade-off in healthcare where reputation is everything. They're scaling fast, but patients are noticing the assembly-line feel.
The tech stack tells the story of a company that moved fast and standardized everything: Tailwind CSS for rapid UI development, Vite for build speed, and Cloudflare for CDN protection. They're not reinventing the wheel—they're using proven tools to deliver a consistent experience at scale. The absence of complex frameworks suggests they prioritized speed to market over customization.
- Niche specialization: ADHD-only focus creates unmatched expertise and marketing efficiency
- Dutch market dominance: 97.2% of traffic from Netherlands shows laser geographic focus
- Direct traffic strength: 40% direct traffic indicates strong brand recall and repeat visits
- Operational leverage: 310 employees generate $104M = 337K revenue per employee
The Scale vs. Quality Trade-off
ADHDcentraal proves specialized telehealth works, but at 310 employees and $104M, they're walking a tightrope between growth and patient care quality. The 3.2/5 Trustpilot score is the warning signal investors should watch.
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Reviews (3)
I am very satisfied because I have experienced an tangible change for the better that even other people noticed
When I arrived to ADHDcentraal, I had multiple concerns, unresolved issues and unhealthy habits. Then, rather than offering me a generic treatment, therapists listened carefully and made sure they understood my situation so that they could shape and pace the treatment in the way that would work best for me. This two-way communication gave me a strong feeling of trust and made me comfortable addressing and working negative aspects of my life. Besides, all the staff was extremely professional and knowledgeable.
Thank you very much Victor for this great review. Happy to read you experienced our personalized approach as helpfull. All the best ! Team ADHDcentraal
I wouldn't send my child to them
I will write an honest review, a case description of what happened to my 20 year son. He was sent to ADHD centraal in The Hague. I thought it was a state institution but no, it's a private rip off company. First, they didn't ask him which insurance he has, it turned out that my son's insurance doesn't work with them. For the ONE DAY diagnostic they charged 1600€. Then they invited him to therapies, he didn't go. I told them that he moved away and that he wouldn't go. He called them and told them the same because he had moved indeed. It took us ages to get the specifications from them. In the specification they listed therapy in regard to his medication, another 1000€. My son never had any therapy with them, and he is refusing any medication. They don't send you an invoice to pay until one year later. The first letter you get is from their billing agency and with one year delay you get 1000€ more. Finally, my son, a young adult was presented with 3600€ bill, from the incasso. Luckily, his insurance was kind enough to pay some of it, ADHD Centraal paid 400 € and he still remained with more than 1700€ to keep paying slowly for a couple of years. No consideration for his young age, for his ADD, for sending an invoice in a timely manner, no invoice before incasso... I can not find any reference number that's why I will continue writing here. Why is ADHD centraal asking for more details? They know that 1 day diagnostic costs 1600€. They know that they don't tell people about it in advance. Otherwise my son would have said: No, thanks! They know that they didn't call him to discuss medication with him and that they charged him 1000 € for the services they didn't provide. Once again, he isn't taking any ADD medication. The only reason why I didn't sue them was the fact that they probably have good lawyers and excellent excuses and that I would just lose the case and pay even more money. You can delete my answer, no problem. But damage done to me and my son has reached the ears of my friends and trust me, their damage is bigger. It's nice to be honest and transparent, building reputation, that's how people make money, not by doing what this institution has done to us. I have the specification of the costs but by going into it, what would I accomplish? Please, remove my comment. I have no wish to communicate with ADHD Centraal.
Dear Bozana, We are sorry to read your review. We would like to start with the fact that we only have private healthcare institutions in The Netherlands and there are no state institutions here. This means that all health needs to be paid by yourself or a health insurance provider. As for the high costs, ADHDcentraal adheres to the prices set by Dutch healthcare authorities. Our diagnostic day is indeed expensive. This is because we carry out the complete diagnosis within a day, which involves many healthcare specialists. After diagnosis, the patient is always free to choose whether or not to receive treatment. If your son has indicated that he does not wish to undergo further treatment, we will refer you to your GP. Please contact us via [email protected], so we can look into your specific situation. Kind regards, Team ADHDcentraal.
Beware of the real costs! And questions are very leading.
My daughter did the ADHD test and was told the maximum costs would be 250€, with aan ADHD diagnosis, and 100€ with a negative diagnosis. The test actually costs 824€! A part was covered by our health insurance, but we still needed to pay the deductible of 291€. In the end, my daughter paid 391€ for the test! Nowhere on the website of ADHD are the costs of 824€ explained. And my daughter had no clue which of the test would be done with her, to come to that amount. However, the test is very leading. With the questions, they basically lead you to answers that you would need medication. Thankfully, we were warned by our daughter's psychologist that they are quick in NL with giving medication for even milder forms of ADHD.
Dear Diana. We are sorry to read your review. We do our best to inform our clients about the "eigen bijdrage" of €250 (€100 in case of a negative diagnosis). Amongst others through our website, by phone during the intake and through the confirmation e-mails we send. In addition it indeed may be the case your health insurance charges you a deductible ("eigen risico"). This is something between the client and their health insurance and we (ADHDcentraal) have no visiblity on this. If you like to discuss further you can contact us via [email protected] so we can evaluate your specific situation as well as the information (financial and medical) that was provided to you. Apologies once again for the experience you had. This clearly is not our intention.
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adhdcentraal.nl uses 16 technologies across their website including Font Awesome, Google Fonts, reCAPTCHA, PHP, and more.
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adhdcentraal.nl receives approximately 37.6K monthly visitors and ranks #710,427 globally. The website has a bounce rate of 29% with visitors viewing an average of 2.9 pages per visit. Users spend an average of 2:49 on the site.
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