Most operators who need this work end up hiring three people: someone to untangle the spreadsheet, someone to build the database and the app, and someone to make the dashboards mean something. I do all three, which means the data model, the entry screens, and the reports are designed by the same person, for the same economics, from the start.
Diagnosis first
I start with the workflow, not the file. Who enters what, where the numbers come from, and which question the business can't answer. Sometimes the right outcome is a better spreadsheet, and I'll say so.
Proof: the Excel diagnostic and migration plan.
Spreadsheet architecture
Ten-plus years in Excel and Google Sheets: separating inputs from logic, protecting the formulas that matter, validation, VBA and Apps Script automation, and reporting views a second person can read.
Proof: technician scorecards, the Sheets CRM, estimator rebuilds.
Data models built around the economics
The atomic record decides what you can ever measure. For a DME supplier that's the order; for a practice it's the visit. Get that right and every roll-up by payer, referral source, provider, or serial number falls out of it.
Proof: the DME tracker's order model.
Full-stack build and deployment
Node, Express, PostgreSQL, React. Multi-user, role-based, cloud-hosted, with search, filters, and export from day one. Built to sit alongside Brightree, QuickBooks, or whatever you already run, not to replace it on day one.
Proof: the DME tracker, the practice intelligence platform.
AI where it changes the answer
Analyst layers that read the whole dataset and return findings ranked by dollar impact. Summaries of calls and threads that become actions. Scoring that tells you which accounts need attention. No chatbots for the sake of it.
Proof: the practice platform's findings engine, Proposal Drafter, Account Analyzer.
Knowledge architecture
Deciding what should be a canonical document, structured data, software, an AI workflow, or a human call, and setting source authority so an AI workspace knows which of your three pricing sheets is the real one.
Proof: the AI Business Workspace methodology.
Designed for the people entering the data
A system is only as good as its inputs. I design entry for the virtual assistant or office manager who will key two hundred orders a week: fast, validated, hard to get wrong.
Proof: the DME tracker's Phase 1 entry design.