I'm PJ, in Encinitas. I build custom software for medical practices in North County San Diego — the kind of tools that eliminate the 40 manual steps your front desk does every morning. No retainers, no BS, just working software that saves your staff hours.
📱 Text PJ: 858-461-8054Usually yes — most modern EHRs have an API or at minimum a reporting export. I've worked around every major system. If they don't expose data cleanly, I build a scheduled scraper or use their HL7 feed. Tell me the system, I'll tell you what's possible in one text.
Small automations (intake form cleanup, no-show texts, referral routing): $500–$2,000 one-time. Mid-size builds (patient portal add-ons, custom dashboards, insurance verification workflows): $3k–$8k flat. I quote flat, not hourly — you know the number before I start.
Yes. I sign a BAA, host PHI only in HIPAA-eligible environments (AWS, Google Cloud with BAA), and encrypt at rest and in transit. I'll walk you through my compliance stack before you write a check.
I do, if you want. Most of my builds run maintenance-free for 12+ months. If something breaks, you text me. I keep monthly "keep the lights on" flat at $150–$300 depending on complexity. No surprise bills.
Small automations: 3–7 days. Mid-size: 2–4 weeks. I give you a calendar date for delivery and stick to it. If I'm going to miss, you hear it from me a week early, not the day of.
One workflow is fine. Most of my best clients started with "can you just fix the no-show problem" and grew from there. No minimum, no retainer, no up-sell.
A 2-touch SMS reminder (48 hrs + 2 hrs) drops no-shows 20–30%. You don't need a $400/mo platform — a simple Twilio + calendar hook does it for $30/mo.
If your staff is calling payers or rekeying eligibility results, that's 6–10 hrs/week per FTE. An eligibility scraper or pVerify integration pays for itself in a month.
Most practices lose 15–25% of outbound referrals to black holes. A simple shared tracker with auto-follow-up beats any CRM you'd buy for this.
If your completion rate is under 70%, the form is too long or breaks on mobile. Fix that before buying new software. I'll audit yours free in a text.
Payers underpay contracted rates 3–8% of the time. A weekly variance report against your fee schedule catches money most practices never see.
If you're still using Excel for provider schedules, a $500 custom tool with conflict detection and PTO tracking will save the front-office manager 4+ hrs/week.
I've spent the last decade building internal tools for ops teams — healthcare, logistics, legal. Medical practices are the most under-served because vendors chase enterprise deals. You don't need enterprise. You need one thing fixed, fast, for a fair price. That's what I do.
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