Practice Owner Software — Custom Built for Medical Practice Ops

I'm PJ, based in Encinitas. I build software for medical practice owners who are tired of duct-taping five SaaS tools together and paying someone to babysit them.

The short version:

What I do: Build custom internal tools for medical practices — scheduling, intake, billing workflows, patient comms.
Who I am: Solo consultant. No agency. No account manager. You text me, I respond.
What it costs: Most projects $3k–$15k fixed. Free to ask. No "discovery call" gate.
Timeline: Usable tool in 2–4 weeks, not 6 months.

Real questions practice owners ask me

Can I replace my current EHR add-ons with something custom?

Usually yes — at least the parts that make you angry. Most practices don't need to replace the EHR; they need a thin custom layer that fills the gaps (intake, referrals, recall, reporting). That's the sweet spot.

Is custom software HIPAA-compliant?

It can be, and when I build for practices it is. BAA with the hosting provider, encrypted at rest and in transit, audit logs, role-based access. Not magic — just done correctly the first time.

How is this different from hiring a dev agency?

You'd pay an agency $60k+ for what I do for $8k because I don't have a sales team, project manager, or junior dev making mistakes on your dime. You text me. I build. Done.

What if my office manager can't maintain it?

She won't have to. I build tools that don't need maintenance. If something breaks or you want a change, you text me. Ongoing support is pay-as-you-need, not a monthly retainer trap.

Will this integrate with my EHR/PM system?

If it has an API or export, yes. Athena, DrChrono, Kareo, eClinicalWorks — I've worked with all of them. Tell me what you have, I'll tell you what's realistic in one text.

I just want to stop using spreadsheets. Can you help?

That's 40% of what I do. Taking a chaotic Google Sheet and turning it into a real app your staff actually uses is one of the highest-ROI projects in a practice. Usually 1–2 weeks.

Advice for practice owners — free, no catch

Don't buy a $2k/mo SaaS for a 3-hour problem

Before signing any annual contract, ask: "Could a custom tool do this once and stop charging me forever?" Usually yes.

The bottleneck is rarely the software

It's the handoff between front desk and billing, or between provider and MA. Map the handoff first, then automate it. Don't skip step one.

Your "tech person" shouldn't be your nephew

Or your EHR vendor's tier-1 support. Get someone who builds, not just configures. Even one hour a month is worth it.

Measure one thing for 30 days

Pick the metric you complain about most (no-shows, AR days, phone hold time). Track it daily. The fix usually becomes obvious by week two.

Automation > more staff (usually)

A $4k tool that saves 15 front-desk hours/week beats a new hire every time. Start with reminders, intake, and referral follow-up.

Own your data

If your vendor holds your patient list hostage, you don't have a vendor — you have a landlord. Build at least one thing you control.

Custom Software for Medical Practice Owners — North County San Diego