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Recaptured Value Assessment

Wrenfield Family Medicine and Orthopedics

Primary care and orthopedics · 4 providers, 24 staff

PreparedSeptember 17, 2026

Prepared byByteable

Systems assessed14

Added a year once phase 1 is live

+$210K

Enterprise value created

+$735K

Illustrative report. Wrenfield Family Medicine and Orthopedics is a representative payer-based primary care and orthopedics practice, not a real client; the figures are the published assessment for a business of this size.

01

Business summary

$2.5M

Revenue

$450K

Owner profit

3–4

Providers

20–28

Staff

30,000

Visits a year

$130

Average reimbursement

Driven by insurance billing, so the money is in scheduling, no-shows, prior authorisation and the revenue cycle. The largest acquirable pool of any vertical we looked at, and the one with the most competition for it.

Area of the businessRecommended stack
Front door and phoneAI voice agent answers every call, books and reschedules
Scheduling and remindersMulti-touch reminders and waitlist auto-backfill
Eligibility and benefitsReal-time insurance verification before the visit
Prior authorisationAssembles, submits and tracks PAs across payer portals
Intake and clinical docsDigital intake, ambient scribe drafting notes to the EHR
Revenue cycleClaim scrubbing, coding checks, denial triage and appeals
Patient balancesAutomated statements, text-to-pay, payment plans
Recall and referralCare-gap and AWV recall, inbound referral capture
Reputation and reportingReview requests, plus no-show, denial and DSO dashboards
02

Executive summary

We found 14 opportunities worth an estimated $250K a year combined. The money sits in the revenue cycle and the front door: about 11% of claims denied and then reworked by hand, prior authorisations at eight to twenty-four minutes each, and appointment slots that empty out on the morning of.

We recommend starting with 13 quick wins, high impact and low effort, worth $210K a year. Built one at a time on a Breakaway membership, all 13 are live by month 19. The one larger build follows.

Owner profit moves from $450K to $660K. At a 3.5× multiple, held constant, the business becomes worth about $735K more.

The three biggest gaps

  1. 1Claim scrubbing and denial management +$40K/yrToday: About 11% of claims denied, then slow manual rework.
  2. 2No-show reduction and waitlist backfill +$26K/yrToday: 15–20% no-show rate, and slots that just stay empty.
  3. 3Ambient AI clinical scribe +$24K/yrToday: One to two hours a day of provider charting.

New revenue$105K

Cost and time saved$145K

03

Implementation plan

Every system, in the order we would build it, with when it goes live and what it adds each year.

BUILD FIRST · worth more, lands soonerFAST, SMALLERBIG BETS · worth the waitLATERFinancial impact, added a year →$8K$16KImplementation time →2 wks4 wks12 wks1. No-show reduction and waitlist backfill — +$26K a year, about 3 weeks to build12. Ambient AI clinical scribe — +$24K a year, about 3 weeks to build23. Reviews and reputation — +$10K a year, about 2 weeks to build34. Patient recall and reactivation — +$16K a year, about 3 weeks to build45. Patient-balance collections — +$15K a year, about 3 weeks to build56. AI phone and scheduling agent — +$22K a year, about 6 weeks to build67. Care-gap and AWV recall — +$16K a year, about 6 weeks to build78. Intake and forms digitisation — +$8K a year, about 3 weeks to build89. FAQ and triage deflection — +$8K a year, about 3 weeks to build910. Referral capture and management — +$15K a year, about 6 weeks to build1011. Prior-authorisation automation — +$24K a year, about 10 weeks to build1112. Insurance eligibility verification — +$14K a year, about 6 weeks to build1213. AI denial-appeal generation — +$12K a year, about 6 weeks to build1314. Claim scrubbing and denial management — +$40K a year, about 12 weeks to build14
Phase 1, quick winsPhase 2, bigger buildsScroll the chart sideways. Each number is a row in the plan below.

We start in the bottom right, where a system is worth the most and takes the least time to build, and work outward from there. The 13 systems in that corner are phase 1.

Phase 1 · Quick wins

High impact, low effort. Built first. · $210K a year

1No-show reduction and waitlist backfillRun the work · New revenue15–20% no-show rate, and slots that just stay empty. → Smart reminders and auto-backfill, roughly 30% fewer.2–4 wks90 BytesMonth 1+$26K
2Ambient AI clinical scribeWin the work · EfficiencyOne to two hours a day of provider charting. → Notes drafted straight to the EHR, more visit capacity.2–4 wks90 BytesMonth 2+$24K
3Reviews and reputationFind customers · New revenueFew reviews, and only the passive ones. → Automated review-request flow.1–2 wks50 BytesMonth 3+$10K
4Patient recall and reactivationKeep and grow · New revenueLapsed patients simply unmanaged. → Automated recall and reactivation campaigns.2–4 wks90 BytesMonth 4+$16K
5Patient-balance collectionsGet paid · EfficiencySlow manual statements and aged A/R. → Text-to-pay and payment plans, faster cash.2–4 wks90 BytesMonth 5+$15K
6AI phone and scheduling agentWin the work · New revenueAbout 30% of calls missed or sent to voicemail. → Captured 24/7, booked and rescheduled.4–8 wks180 BytesMonth 7+$22K
7Care-gap and AWV recallKeep and grow · New revenueMissed annual wellness and chronic-care revenue. → Proactive recall, captured visits.4–8 wks180 BytesMonth 8+$16K
8Intake and forms digitisationWin the work · EfficiencyPaper and a clipboard. → Digital pre-visit intake, less front-desk load.2–4 wks90 BytesMonth 9+$8K
9FAQ and triage deflectionWin the work · EfficiencyStaff answering the same routine questions all day. → Self-serve deflection, staff capacity back.2–4 wks90 BytesMonth 10+$8K
10Referral capture and managementFind customers · New revenueInbound referrals leak and go untracked. → Logged, routed and converted.4–8 wks180 BytesMonth 12+$15K
11Prior-authorisation automationGet paid · EfficiencyEight to twenty-four minutes of manual labour per PA. → Assembled, submitted and tracked automatically.8–12 wks300 BytesMonth 15+$24K
12Insurance eligibility verificationGet paid · EfficiencyChecked manually at the desk. → Verified automatically before the visit, fewer denials.4–8 wks180 BytesMonth 17+$14K
13AI denial-appeal generationGet paid · EfficiencyAppeals rarely filed because they cost more than they recover. → Drafted automatically, revenue recovered.4–8 wks180 BytesMonth 19+$12K

Phase 2 · Bigger builds

Deeper integrations that compound on phase 1. · $40K a year

14Claim scrubbing and denial managementGet paid · EfficiencyAbout 11% of claims denied, then slow manual rework. → Pre-scrub, AI denial triage and auto-appeal.12+ wks480 BytesMonth 24+$40K

All 14 systems, live by month 24 on Breakaway

+$250K a year

04

Value created

Phase 1 quick wins only, at a 3.5× multiple.

Profit today

$450K

Worth $1.57M

Added by phase 1

+$210K

a year, once live

Profit after

$660K

Worth $2.31M

Enterprise value created: +$735K. Recurring insurance revenue and active roll-up demand for primary-care and ortho platforms support the upper-mid range. Held constant.

05

Build your queue

Start from our recommended order, or pick your own and watch when the revenue arrives.

Step 1 · Pick your systems

Tap to add to your queue

Step 3 · Watch the revenue arrive

Everything live by month 19 on Escape Velocity.

A full year, once it is all running

+$238K

0$6K$11K$17K$22KNo-show reduction and waitlist backfill — live month 1, $2K a monthAmbient AI clinical scribe — live month 2, $2K a monthReviews and reputation — live month 3, $833 a monthPatient recall and reactivation — live month 4, $1K a monthPatient-balance collections — live month 5, $1K a monthAI phone and scheduling agent — live month 6, $2K a monthFAQ and triage deflection — live month 7, $667 a monthIntake and forms digitisation — live month 8, $667 a monthCare-gap and AWV recall — live month 10, $1K a monthReferral capture and management — live month 12, $1K a monthClaim scrubbing and denial management — live month 15, $3K a monthPrior-authorisation automation — live month 18, $2K a monthInsurance eligibility verification — live month 19, $1K a monthall livenowm3m6m9m12m15m18m21

Built one at a time in your queue order, each ramping up over about 2 months. Figures describe a representative business. A projection, not a forecast.

A

Method and sources

Representative business: ~$2.5M revenue · ~$450K owner profit · 3–4 providers · ~20–28 staff · ~30,000 visits/yr · ~$130 average reimbursement per visit. Roughly 15–20% no-shows, ~11% claim denials, ~43 prior-auths per provider per week. Impact and difficulty are reasoned relative scores. Build order puts high-impact, low-effort systems first, then ranks by value per Byte. Go-live months assume one system at a time on a Breakaway membership.

Sources: Dialog Health and MGMA on no-shows, CAQH Index and AMA on prior-auth cost, Becker's Payer on denial rates, Census and IBISWorld NAICS 621111 / 621210.

Conservative, illustrative estimates for the representative business described, grounded in the cited benchmarks. For planning conversations, not guarantees. Actual results vary and are confirmed in your own Recaptured Value Assessment.

Your business, not a representative one

We will build this report around your numbers.