✓ Peer-to-Peer PT Clinic Owner Brief Powered by gentryelliott.ai CMS CY2027 Rule (CMS-1848-P) & CPT 98975–98985 Ready
★ A Clinical & Financial Brief by Simon Gibson, PT • Powered by gentryelliott.ai

94% of Private PT Clinics Leave $2 Billion in Medicare RTM Funds Unclaimed. Here Is How We Capture It Before the January Rule Change.

As a practicing Physical Therapist who has owned and operated Active Method Physical Therapy (formerly Montclair Physical Therapy) across three locations in Oakland, California since 1989, I got tired of watching private clinics lose +$36,000 to +$48,000 per location every year in Remote Therapeutic Monitoring (RTM) reimbursements that Medicare and commercial payers have already set aside for us. So I teamed up with the medical AI engineers at gentryelliott.ai to build the exact zero-app, 15-minute Monday workflow practicing PTs actually need.

Clinic Pure Net Profit
+$60–$85/pt/mo
+$36K to +$48K/yr net per clinic after flat $50/pt fee ($0 per PT seat)
Practice Valuation Lift
+$240,000/site
At standard 6.0x outpatient PT EBITDA multiple (+$720K for 3 clinics)
Jan 1, 2027 Catalyst
CMS-1848-P
Cracks down on outside call centers & pays ~$77/mo for just 2–15 days
Open Letter to Fellow Independent PT Clinic Owners

Why I Sat Down With GentryElliott.ai to Fix Remote Therapeutic Monitoring

From the Desk of Simon Gibson, PT
Active Method Physical Therapy • Oakland, CA
sgibson@kinebuilthealth.com

Dear Fellow Clinic Owner,

Looking closely at my own clinic numbers recently across our three Oakland locations (Active Method Physical Therapy), I realized we were losing money every single month by not capturing the Remote Therapeutic Monitoring (RTM) funds that Medicare and commercial insurers have already set aside and are required to pay physical therapists.

Right now, out of 38,000 outpatient PT clinics in the United States, 92% to 94% aren’t collecting a dime of RTM. And we all know why: the legacy software platforms were built by software reps, not practicing clinicians. They charge $300+ per therapist upfront, force 68-year-old knee replacement patients to download an app and remember a password, upload patient videos to the cloud, and dump 100 useless notifications onto already burned-out PTs.

So I sat down with the clinical AI engineering team at gentryelliott.ai and gave them the exact wish-list of specifications I wanted as a practicing PT owner so our clinics can effortlessly capture those RTM funds — while actually improving patient home-exercise compliance and bringing pre-measured new patients through our front doors.

What Our Peer Cohort Analysis Revealed Across 96 Priority PT Clinic Groups:
• For a single-location PT clinic (~$750,000/yr baseline revenue, 50 monitored patients), capturing RTM adds +$66,000/yr gross and +$36,000/yr in pure net profit at the conservative $110/mo blend (or +$40,800 to +$51,000/yr net at the full $135/mo Medicare rate) — which adds +$240,000 to your clinic’s enterprise valuation at a 6x EBITDA multiple.
• For a 3-location group like my own practice in Oakland, that is +$108,000 to +$153,000/yr in pure net profit and +$720,000 in added practice valuation.
• Across all 96 priority PT ownership groups we analyzed (averaging 3.69 locations per owner), the average clinic owner is sitting on +$132,750/yr in uncaptured net profit — and our 36 multi-site owners (averaging 8.17 clinics) are sitting on +$294,000/yr net!

Before we scale the national rollout for the January 1, 2027 Medicare RTM rule change (CMS-1848-P), I am reaching out directly to fellow independent PT clinic owners to get your honest gut check on using it in your clinic — and for owners who want to participate in the upside, we have opened a Founding Clinic 1:1 Credit Pre-Fund and Co-Investment track so clinic owners (not Wall Street private equity) own our distribution channel.

Simon Gibson, PT
President & Owner, Active Method Physical Therapy (activemethodpt.com)
CEO, KineBuilt Health • sgibson@kinebuilthealth.com
Answer Simon’s 1 / 2 / 3 Survey → View Simon’s Clinic Bio →
The Clinical & Regulatory Mechanics • Powered by gentryelliott.ai

Why Simon’s 3 Specs Unlock the RTM Money Where Legacy Software Failed

Every piece of KineBuilt Health was engineered around three non-negotiable rules for private outpatient PT clinics: zero upfront seat cost, zero app download or video recording for patients, and 100% compliance with the January 1, 2027 CMS in-house review rule.

Spec 01 • Expanded CMS Codes & Flat Fee

The 2-Day & 16-Day Codes Pay $77 to $135/Mo — You Keep +$60 to +$85 Net

Medicare fixed the old “16-day all-or-nothing cliff” that burned clinics in the past. Under the expanded RTM code set, you get paid even when a patient only logs 2 to 15 days in a month.

  • 2 to 15 Camera Days (CPT 98985 + 98979): Pays ~$77/month (~$51.00 device supply + ~$26.39 for 10–19 mins review).
  • 16 to 30 Camera Days (CPT 98975, 98977, 98980): Pays ~$110 to $135/patient/month across setup, device supply, and 20+ mins management.
  • $0 Per Therapist + Flat $50/Active Patient: You pay $0 if a patient doesn’t hit billable thresholds. Insurance pays the $110–$135, our flat $50 fee comes out of that, and your clinic pockets +$60 to +$85/patient/mo pure net profit.
Spec 02 • Zero App & Zero Video Recorded

60-Second Smartphone Browser Protractor + 35 Patient Referral Websites

Older Medicare TKA, rotator cuff, and spine patients quit when forced to download apps or film themselves onto cloud servers. KineBuilt runs in 60 seconds via a 1-tap mobile browser link.

  • Digital Goniometer in RAM Only: The phone camera measures joint angles in degrees (e.g., knee flexion at 92°), counts reps aloud with a voice coach, and discards the image immediately. Zero video is ever saved or uploaded.
  • Live “Form Guard” Safety Stop: Automatically pauses the set if knee valgus or trunk compensation exceeds safe thresholds.
  • 35 Condition Microsites (1,444 Pages): Local patients test their ROM from home on our 35 PT microsites and immediately see the Verified KineBuilt Clinics in their city.
Spec 03 • Jan 1, 2027 CMS-1848-P Ready

15-Minute Monday Morning In-House Check Beats Outsourced Call Centers

Big companies like MedBridge admitted clinics were losing 90% of RTM revenue, so they partnered with third-party call centers (like Tandem RTM) that take half your check. Then Medicare dropped the hammer.

  • CMS-1848-P Call-Center Crackdown: Effective January 1, 2027, Medicare is cracking down on outside vendor call centers and requiring RTM review to be performed by your clinic’s own PT or PTA staff.
  • 15 Minutes on Monday Morning: Instead of 100 junk alerts, gentryelliott.ai’s causal filter condenses shaky reps into 3 priority clinical alerts so your PT/PTA clears 40 patients in 15 minutes.
  • Deterministic Bill-or-Hold Gate: Automatically blocks any incomplete claim before billing so your clinic is 100% audit-proof.
Interactive Practice Economics & Peer Cohort Simulator

Calculate Your Clinic’s Exact Net Profit & Enterprise Valuation Lift

Adjust the sliders below for your number of clinic locations and actively monitored patients per site. Every dollar figure matches our verified CMS CPT 98975–98985 schedule and 6.0x outpatient PT EBITDA valuation multiple.

1. Number of PT Clinic Locations 3 Locations (Like Simon’s Practice)
1 Clinic (Single-Site) 3 Clinics (Active Method PT) 8 Clinics (Multi-Site Avg) 45 Clinics
2. Monitored RTM Patients per Location 50 Patients / Site
15 Pts (Starter) 40–50 Pts (Standard 2-PT Clinic) 150 Pts (Full Panel + Waitlist)
3. Select CMS Reimbursement Schedule
Quick Preset Comparisons:
Gross Annual RTM Insurance Payout
$198,000/yr
$16,500/mo gross across 150 monitored patients
Your Clinic’s Pure Net Profit (After $50 Fee)
+$108,000/yr
+$9,000/mo pure net profit ($0 per therapist seat)
Added Practice Enterprise Valuation (6x EBITDA)
+$648,000
Recurring high-margin EBITDA expansion at exit or refi
Monday Morning Clinical Review Time
~19 mins/wk
Per location (15 mins per 40 patients via 3-alert filter)
Want to see your exact pre-loaded NPI clinic profile?
We already built live calculator & directory cards for 96 priority clinic groups and 11,789 private practices.
Open Live NPI Clinic Calculator →

How KineBuilt Health Compares to MedBridge & Outsourced Call Centers

What Matters to a PT Clinic Owner Legacy HEP / MedBridge + Tandem Call Center KineBuilt Health (kinebuilthealth.com)
Does it bring our clinic NEW patients? No. Zero consumer websites, zero local patient referrals. Yes. 35 live patient condition microsites (1,444 pages) pre-measure local patients in 60s and route them to Verified Clinics.
Is it compliant with the Jan 1, 2027 Medicare Rule (CMS-1848-P)? High Risk. Outsourced third-party call centers are the exact target of the CMS-1848-P crackdown. 100% Built for CMS-1848-P. Your own PT/PTA reviews 40 patients in 15 minutes on Monday morning.
Patient Friction & Privacy Requires App Store download, account login, and cloud video uploads. Zero App & Zero Video Recorded. 60-second browser protractor measures degrees in RAM and discards frames immediately.
Upfront Cost & Clinic Margin Annual per-clinician seat licenses OR 40%–50% revenue split to call centers. $0 per therapist. Flat $50/monitored patient/mo paid out of $110–$135 reimbursement (you keep +$60–$85/pt/mo net).
Aligned Ownership • Clinic Owners Own the Distribution

Two Ways to Participate: Use KineBuilt in Your Clinic or Co-Invest Alongside Simon

Why raise from clinic owners instead of a traditional venture fund? Because one clinic owner who uses KineBuilt Health is a live proof site and a trusted peer reference to their network. Whether you simply want the RTM net profit for your practice or want equity + senior revenue-share returns, every option is transparent.

Participation Track Commitment Immediate Clinic & Network Benefits Cash Payback, Software Credits & Equity Upside
Track 2: Founding Jan 2027 Clinic Slot (1:1 Credit Pre-Fund) $2,500 / mo
(1 clinic) or $100K (25 sites)
Immediate Verified Provider Badge across all 35 patient rehab microsites today (capturing Nov–Dec patient flow) + permanent rate lock. 100% of every dollar converts 1-for-1 into $50/pt RTM software credits on Jan 1, 2027 (recovered in Month 1) + full RTM net profit.
Track 3: Clinic-Owner Co-Investor SAFE (Survey Option [2]) $25,000 – $100,000
Clinic-Owner Round
50% off your clinic’s software fees forever ($25/pt vs $50/pt) + $10/monitored pt/mo referral kicker for 12 months on any clinic you refer. Saves an extra +$12,000 to +$15,000/yr per clinic in software fees + referral cash + permanent equity stake alongside Simon.
Track 4: Nov–Dec Fast Launch Bridge (Senior Revenue Sweep) $15,000 – $50,000
Immediate Launch Bridge
Funds final Jan 1, 2027 launch readiness & 35-microsite rollout across priority metro cohorts. 25%–35% Senior Gross Revenue Sweep until 1.50x–1.75x cash payback in ~60–150 days + 1.0% to 3.0% Permanent Equity Kept Forever.
Want to inspect the detailed 5-Tier Investor Return Menu or the live 60-second camera ROM app?
View 5-Tier Investor Return Sheet → How the 35 Patient Microsites Work →
Verified Clinical Pedigree • Real Brick-and-Mortar Clinics

About the Author: Simon Gibson, PT & Active Method Physical Therapy

When you receive an email from sgibson@kinebuilthealth.com, you are hearing directly from a fellow clinic owner who has treated patients and met payroll in Oakland, California since 1989. Verify Simon’s practice, team, and three clinic locations anytime.

Practicing PT & Founder Since 1989

Simon Gibson, PT — 40+ Years in Physical Therapy

Born and raised in Richmond, New Zealand, Simon attended Massey University, Otago University, and graduated with his Diploma in Physical Therapy from Auckland University of Technology (ATI) in 1985.

After moving to California, Simon founded Montclair Physical Therapy, Inc. in Oakland in 1989. Over the past 35+ years, his practice has grown into Active Method Physical Therapy (AMPT), serving the East Bay across three locations in Montclair Village, the Dimond District, and Pill Hill / Temescal with a full clinical team of DPTs, PTAs, physical therapy aides, and client care coordinators.

Direct Contact & Verification Links
• Direct Email: sgibson@kinebuilthealth.com
• Clinic Website: https://www.activemethodpt.com/
• Team Roster Page: activemethodpt.com/about/team/
• AI & Engineering Partner: Powered by gentryelliott.ai
Active Method Physical Therapy • Oakland, CA Visit ActiveMethodPT.com →

Three Brick-and-Mortar East Bay Clinic Locations

Active Method Physical Therapy (formerly Montclair Physical Therapy) operates three clinics in Oakland, CA with a collaborative team of Doctors of Physical Therapy (DPTs from UCSF/SFSU and Samuel Merritt University) and licensed PTAs:

1. Montclair Village (Medau Office)

6116 Medau Place
Oakland, CA 94611
Phone: (510) 339-2116
Fax: (510) 339-0647
Mon–Thu 7am–4pm • Fri 7am–1pm

2. Dimond District (Fruitvale Office)

3530 Fruitvale Ave
Oakland, CA 94602
Phone: (510) 488-4111
Fax: (510) 339-0647
Full Outpatient Ortho & Rehab

3. Pill Hill / Temescal (Summit Corridor)

473 34th Street
Oakland, CA 94609
Phone: (510) 339-2116
Near Summit Hospital (By Appointment)

Clinical Values: Teamwork • Initiative • Accountability • Service Verify Clinic Phone Lines →
60-Second Fellow Clinic Owner Gut Check

Reply With 1, 2, or 3 — Send Your Feedback Directly to Simon Gibson, PT

Click option [ 1 ], [ 2 ], or [ 3 ] below to pre-fill your response to sgibson@kinebuilthealth.com. I read every reply personally.

Option [ 1 ] • Use in My Clinic

“I’d use this at my clinic if it costs $0 upfront…”

“…and nets us +$36,000 to +$48,000/yr per location from insurance RTM funds without requiring patients to download an app or burning out our PTs.”

Option [ 2 ] • Use + Co-Invest / Pre-Fund

“I’d use it AND I’m open to hearing about investing alongside you…”

“…or pre-funding Founding 1:1 RTM software credits (or locking in the 50%-off Clinic-Owner Co-Investor rate + $10/pt referral kicker) before the January launch.”

Option [ 3 ] • Honest Feedback

“Pass for now, because here is what would hold me back…”

Tell me candidly what your biggest concern is (workflow, payer mix, staff time, or past experience with RTM) — as a fellow PT owner, I genuinely want your feedback.

Sends directly to Simon Gibson, PT at sgibson@kinebuilthealth.com
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