I'm PJ, based in Encinitas. If you're running the ops side of a medical practice and duct-taping together scheduling, intake, billing handoffs, and staff schedules — I build custom tools that actually fit how your office works.
📱 Text me — 858-461-8054Yes — that's most of what I do. I sit on top of what you have (Athena, DrChrono, Kareo, eClinicalWorks, whatever) and build the piece that's missing. Your staff keeps their workflows. You get the dashboard or automation you actually needed.
BAAs where needed, encrypted storage, access logging, and I design so PHI stays inside systems already covered. If a build touches PHI, we do it right — or we don't do it. I'll tell you straight which bucket your project is in.
Small automations: a few hundred to low four figures. A full custom dashboard or intake tool: depends on integrations. I quote flat, not hourly, and I'll tell you the number before you commit to anything.
Small stuff: days. Medium builds: 2–4 weeks. I ship in pieces so you see progress, not a 6-month black box.
I'm based in Encinitas / Solana Beach and most clients are here — but I work remotely with practices across California and beyond. Local just means I can stop by if it helps.
Text me what they said. Nine times out of ten there's a way — either through an API they didn't mention, a clean export, or a workaround that doesn't touch their system at all.
Text + email sequence that runs automatically when a patient misses an appointment. Gets about 30% of them back on the schedule without staff lifting a finger.
One screen showing every outbound referral, status, and which ones are aging. Stops the "did we ever hear back on Mrs. Garcia?" problem.
Patient books, gets the right forms based on visit type, signs digitally, data lands in your PM. Front desk stops chasing paper.
Overlay provider schedules against appointment volume. See the gaps and the overloads before they happen.
Daily pings when a claim or patient balance crosses your threshold. Billing gets a prioritized list instead of a 200-row spreadsheet.
Every provider, every payer, every expiration date — with reminders before anything lapses. Saves the "we're out of network Monday" fire drill.
Solo consultant. No sales team, no account managers. If you text 858-461-8054, I'm the one who answers. I've spent years building ops tools for small teams who can't afford to rip-and-replace but can't keep duct-taping either.
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