In this episode, Doc Danny and Yves Gege break down two critical turning points they see repeatedly in physical therapy careers and business ownership: the three-year clinician dilemma and the five-year business owner burnout. They also dive into systems, leadership, continuity programs, and financial clarity as key tools to break through these walls. If you’ve ever felt stuck or unsure of your next move—this is the episode to hear.

• Why so many PTs hit an identity crisis around 3 years into their career
• How lack of time freedom drives clinicians to explore new options
• The most common cause of burnout 5 years into business ownership
• Why continuity programs are the backbone of profitable, sustainable practices
• The difference between being a good clinician and a great business owner
• Leadership pitfalls: being too abrasive vs. trying to be everyone’s friend
• How poor systems and unclear financials stall growth and create chaos
• Why knowing your profit margin is like taking your business's blood pressure

• Track your finances monthly—know your gross revenue and profit margins
• Train your team on continuity, not just plan of care discharge
• Set clear core values and enforce them with consistency
• Don’t wait until you're burnt out—build systems early
• Balance clinical work and business work by reducing your treatment hours over time

• Visit PT Biz – Learn how we help clinicians build successful practices
• Try Claire AI – Get 10 free AI-scribed notes and stop babysitting documentation
• Book a Free Strategy Call – Talk with a senior advisor about your practice goals
• Join the 5-Day Challenge – Go from part-time to full-time with a clear plan
• Subscribe on YouTube – Watch more deep dives and real-world advice

Whether you’re hitting the three-year “do I want to be a PT?” wall or the five-year “did I build myself a prison?” moment in business, the answer lies in systems, leadership, continuity, and clarity. Don’t wing it. Learn the business side of things. And don’t wait until burnout hits—build proactively. You’ve got options. You’ve got support. Just don’t settle.

In this solo episode, Doc Danny dives into one of the most common pain points for cash-based and hybrid clinics: getting stuck between $20K–$30K/month in revenue. If you’re hitting that ceiling and can’t figure out how to break through, this episode unpacks the real reasons why—and what to do about it. From recurring services to team sales training, this is your roadmap out of the hardest growth phase in business.

• Why $20K–$30K/month is a common plateau for clinic owners
• The hidden costs of growth: overhead, staff, and shrinking margins
• Why hiring a new provider often slows momentum—if done wrong
• The critical role of recurring revenue and retention
• How to teach your team to sell long-term transformation (not just plans of care)
• Why solving the “eval hamster wheel” unlocks true scale
• How to build a business that runs even when you’re not treating

• Track how many new patients each provider truly needs—then cut it in half with better retention
• Train your staff to sell ongoing services: wellness, performance, prevention
• Stop playing the discharge game—play the long game instead
• Expect lower profit margins during growth—and don’t panic
• Build systems that eventually make you non-essential to daily fulfillment

• Visit PT Biz – Learn how we help clinics grow and scale
• Book a Free Strategy Call – Work through this phase with expert guidance
• Subscribe on YouTube – More insights on growing a cash-based business

If you’re stuck in the $25K–$30K/month grind, it’s not because you're not good at what you do. It’s because you're playing the wrong game. Shift to long-term value, train your team to sell transformation, and you’ll scale faster—and with less stress. This phase is hard, but it's also where real businesses are built.

In this episode, Doc Danny and Yves Gege break down how AI is already reshaping healthcare—and how performance-based PTs can stay ahead. From ambient scribe tools to the cultural shift toward longevity, the guys explore why burnout, low compliance, and insurance gridlock are pushing more clinicians to rethink everything. If you're serious about building a future-proof practice, this is essential listening.

• Why AI will disrupt admin-heavy healthcare roles (but not manual therapy)
• How tools like Claire are helping PTs win back time and improve patient care
• The real difference between high-accountability practices and commoditized care
• Why movement-based, lifestyle-focused clinicians are in high demand
• How cultural trends—like wearables, ruck clubs, and no-alcohol meetups—are shaping the next generation of patients
• Challenges and opportunities in practice acts and direct access laws
• The importance of building community and brand identity in your local market

• Start using AI tools for documentation now—before you’re forced to
• Double down on human connection; that’s what AI can’t replace
• Educate your patients—don’t assume they know PT isn’t just hot packs and massages
• Create a community—start a ruck club, host workshops, be part of local health trends
• If you’re burned out, don’t wait—there’s more opportunity than ever to build your own practice

• Visit PT Biz – Learn how we help clinics grow beyond insurance
• Book a Free Strategy Call – Get help building your cash or hybrid model
• Subscribe on YouTube – For more real-talk business advice
• Check Out Claire AI – Save time, reduce burnout, and connect with your patients

AI isn’t coming—it’s here. But for performance-based PTs who prioritiz

In this episode, Danny explains why traditional insurance-based physical therapy clinics are slowly dying—and what you can do about it. He breaks down the rise of burnout, declining reimbursements, and increasing provider turnover, and why now more than ever, hybrid and cash-based models are the only sustainable path forward for most clinicians. Whether you're starting a clinic or trying to save one, this is a must-listen.

• Why reimbursements are lower than ever—and what that means for your bottom line
• The burnout crisis among young clinicians and its impact on turnover
• How small clinics are losing to niche, cash-based competitors
• Why hybrid models are becoming the norm for modern clinics
• The rise of the informed consumer and how to win their trust
• How transparency and experience win in a crowded market
• What it takes to stand out and future-proof your practice

• Pick a niche and become the go-to expert in your area.
• Double down on your patient experience—know their names, goals, and stories.
• Educate clients on what they’re really paying at in-network clinics.
• Sell the transformation, not the treatment method.
• Be transparent and clear—no surprise bills, ever.
• Focus on long-term buy-in for long-term results.

• Visit PT Biz – Learn how we help clinics grow beyond insurance
• Book a Free Strategy Call – Get help building your cash or hybrid model
• Subscribe on YouTube – For more real-talk business advice
• Read the PT Biz Book – Step-by-step playbook for cash-based growth

The old model is crumbling. If you want to protect your team, your time, and your income—you need to adapt. Niche down, lead with transparency, and deliver a world-class experience. That's how you thrive in today’s healthcare environment.

In this episode, Danny shares the weekly time-blocking strategy that helped him build and run a thriving cash-based PT clinic—without burning out. If you're running around reacting to your schedule instead of designing it, this is a must-listen. You'll learn how to create a focused, sustainable weekly plan to maximize productivity, protect your energy, and still make time for patients, staff, and yourself.

• Why most new business owners waste time without realizing it
• The hidden cost of constant task-switching (and how to avoid it)
• How to time-block your schedule based on your clinic size
• What a 34-hour structured week looks like in real life
• Building in admin time, mentorship, content, and networking
• How “Flex Fridays” can help you stay sane long-term
• Using structured vs. unstructured time for creative breakthroughs
• Why this schedule helps you be a better leader and clinician

• Batch similar tasks together to reduce mental fatigue.
• Designate one or two days for heavy patient care only.
• Use midweek days for deep administrative and creative work.
• Schedule staff meetings and mentorship early in the week to set the tone.
• Use Fridays for flex time—recovery, deep work, family, or strategy.
• Unstructured time outdoors can lead to your biggest breakthroughs.

• Visit PT Biz – Learn how we help cash-based and hybrid practices grow
• Book a Free Strategy Call – Speak with our team and get clear on your next steps
• Subscribe on YouTube – Get insights, walkthroughs, and business coaching
• Read the PT Biz Book – Step-by-step guide to building a cash-based practice

If you don’t structure your week, your week will structure you—and that usually means chaos. By getting disciplined with your time and creating boundaries, you unlock the freedom, energy, and focus to grow your business while staying sane. You can’t pour into others if you’re running on empty.

In this episode, Danny, founder of PT Biz, exposes the major criminal investigation into UnitedHealth and breaks down how their alleged Medicare Advantage fraud is creating the perfect storm for the rise of cash-based healthcare. With the Department of Justice involved and billions of taxpayer dollars at stake, this could be one of the biggest health insurance scandals of our time.

More importantly, Danny explains how this chaos is a massive opportunity for providers who want to ditch the insurance system and build profitable, transparent, patient-first practices outside the traditional model.

• Why UnitedHealth is being criminally investigated by the DOJ
• How Medicare Advantage "upcoding" works—and why it's fraud
• Why more people are abandoning traditional insurance plans
• The connection between high deductibles and patient behavior
• How cash-based and out-of-network clinics are thriving in the mess
• The mindset shift from sick care to proactive health investment
• Why this is the best time to start or scale a cash-based clinic
• Common fears about market saturation—and why they’re unfounded

• Visit PT Biz – See how we help cash-based and hybrid practices grow
• Book a Free Strategy Call – Speak with our team and get clear on your next steps
• Subscribe on YouTube – Get breakdowns, insights, and client case studies
• Read the PT Biz Book – Learn how to build your own cash-based practice

The system is broken—and people know it. With trust in insurance companies at an all-time low, more patients are seeking alternatives that put their health and dollars first. If you’ve ever considered going cash-based or out-of-network, there’s never been a better time to start.

In this episode, Danny breaks down the biggest threat facing cash-based and hybrid physical therapy practices today: shrinking net profit margins. With over 1,000 clinics supported through PT Biz, he’s seeing more business owners getting squeezed by rising expenses, stagnant revenue per provider, and mounting fatigue.

Whether you're running a solo practice or leading a growing team, understanding and protecting your net profit is essential to long-term sustainability. Danny dives into the root issues and gives clear, actionable strategies to help you build a stronger, more resilient business—even in uncertain times.

• The difference between gross revenue and net profit (and why it matters)
• How inflation and rising costs are silently crushing practices
• The 3 critical options net profit provides you (and what happens if you lose them)
• The real reason owner fatigue sets in after 3-5 years
• Why revenue per provider must approach $300K/year
• How to build a brand that commands higher pricing
• The hidden power of recurring services to stabilize revenue
• What separates scalable practices from those that fizzle out

• Visit PT Biz – Explore how we help cash and hybrid clinics grow
• Book a Free Strategy Call – Chat with our team and get clarity on your next steps
• Subscribe on YouTube – Watch visual breakdowns and interviews
• Get the PT Biz Book – Learn the proven blueprint for building a cash practice

Are you trying to figure this all out on your own? It’s a tough time to navigate solo. But with the right systems, mentorship, and support, you can protect your margins and come out ahead when the market stabilizes.

In this episode, Dr. Danny Matta breaks down the numbers behind running a lean, profitable lifestyle physical therapy business that nets $100,000/year pre-tax income—with just 15 visits a week.

• Many PTs go out on their own hoping to hit a $100K income.
• In a traditional clinic, this usually requires being a director or working in high-paying but less desirable roles like home health.
• In cash-based outpatient ortho, it’s possible with fewer hours and more control.

• Rent: ~$1,500/month (subleased gym or wellness space)
• Tech stack: ~$300/month (EMR, communication, automations)
• Bookkeeping & CPA: ~$200/month
• Business insurance: ~$200/month
• Health insurance: ~$500/month
• Continuing ed & equipment: ~$400/month combined
• Total Overhead: ~$2,800/month or $33,600/year

• Target income: $100,000
• Total revenue needed: $133,600 (to cover overhead)
• Average visit rate: $185
• Visits per year: 722
• Visits per month: 60
• Visits per week: 15

• Low overhead and lean systems = high margins.
• Fixed costs don’t rise with visit rate increases—so your profit scales faster.
• Flexibility in scheduling makes this perfect for work-life balance.

• Some solo PTs are earning $20K–$35K/month with strong visit rates and low churn.
• This is achievable in affluent areas with optimized pricing and retention.
• You can stay small and flexible—or scale with systems and staff.

• Keep overhead low and consistent.
• Improve your average visit rate over time.
• Learn to market and sell effectively—skills you didn’t learn in PT school.

Whether you're just starting or looking to grow, PT Biz has programs to help:
👉 Visit PhysicalTherapyBiz.com
👉 Book a Free Discovery Call

You don’t need a giant clinic or a massive team to make $100K+.
You need a clear plan, low overhead, and consistent systems. The math works—if you work the model.