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Thinking of growing your cash-based PT clinic? Don’t make this mistake. In this episode, Dr. Danny Matta is joined by Dr. Kyle Covington to dive into the real reasons why scaling too early can cripple your profit margins. They discuss the common trap of hiring too soon, why revenue per provider is the metric that matters most, and how to increase profit without adding more staff. You’ll learn what recurring revenue really looks like in a performance PT practice—and how to avoid the low-margin, volume-based model. If you’re a clinic owner trying to grow sustainably and profitably, this is a must-listen conversation. -- 00:00 - Intro & Guest Introduction 01:00 - How Kyle Introduces Himself 02:00 - Why PT Is a Relatable Profession 03:00 - Kyle’s Educational Path 04:00 - From Farm Accident to PT 05:00 - Clinical Experience in Neuro and Ortho 06:00 - PT Profession Evolution Over 20 Years 08:00 - Shifting PT Mindset & Adolescent Profession Analogy 09:00 - Interprofessional Collaboration & Learning 11:00 - Historic PT Turf Wars & the Turn Toward Teamwork 13:00 - Direct Access and State-Level Variability 16:00 - Insurance Progress: Aetna’s Direct Access Shift 18:00 - Cost Savings & Evidence-Based Outcomes 20:00 - PT’s Branding Problem 21:00 - The Insurance Reimbursement Dilemma 23:00 - Solving the Payment Problem 25:00 - Rise of Hybrid & Cash-Based Models 27:00 - PTs Learning to Negotiate Better Insurance Contracts 28:00 - The Advocacy Skill of Cash-Based PTs 30:00 - Why Outcomes & Accountability Are Higher in Cash Clinics 32:00 - Bridging Skills Across PT Models 33:00 - Communication & Emotional Intelligence in PT Education 36:00 - Integrating Digital Tech & AI into PT Education 39:00 - Where Does AI Fit in PT Practice? 41:00 - Hands-On Care & the Limits of AI 43:00 - Technology Resistance in the PT World 44:00 - AI Disruption & Opportunity in Healthcare 46:00 - What If Your Kids Wanted to Become PTs? 48:00 - The True Cost of Becoming a PT 50:00 - Is Education the Next Disrupted Industry? 53:00 - How Kyle Stays Focused Amid So Much Change 56:00 - How Kyle Became APTA President 58:00 - Behind the Scenes of CSM 01:01:00 - Why Danny Is Re-engaging with APTA 01:03:00 - Final Thoughts & Call to Get Involved -- Want to GROW your cash-based practice? Apply to work with us: https://vip.physicaltherapybiz.com/di... 🔗 Connect with PT Biz: Newsletter: https://vip.physicaltherapybiz.com/twc Instagram: / ptbiz LinkedIn: / danny-matta-dpt-ocs-cscs-4a555b76 Website: https://www.physicaltherapybiz.com/ Instagram: / dannymattapt #physicaltherapy #cashpt #ptbiz #entrepreneurship #businessgrowth