Be A Cash-Based PT Champion: Interview with Lenny Macrina MSPT, SCS, CSCS

I had the distinct pleasure of interviewing Lenny Macrina MSPT, SCS, CSCS. Lenny has been practice physical therapy for over 11 years and is a certified sports physical therapist. He believes that “the patient comes first, no matter the circumstances.”  He owns Champion Physical Therapy and Performance in Waltham, MA which is a 100% cash-based physical therapy practice with his business partner Mike Reinhold PT, DPT, SCS, ATC, CSCS. In this training Lenny reveals what’s possible when a therapist works directly with and for patients, not for their insurance company!


In this interview we discuss:

  • Lenny’s background and his journey into cash-based physical therapy private practice
  • Their niche client and how they develop this strategy and market to their perfect patients.
  • Their practice details such as: the number of patients they treat per hour, their documentation and EMR choices, their office set up
  • How they coordinate patient care with the strength coaches working in their practice.
  • How Lenny incorporates the FMS, SFMA, therapeutic exercise and manual therapy in his clinical approach to patient care.
  • How they respond when patients ask “Do you take my insurance?”
  • How they help their patients obtain reimbursement.
  • His biggest struggles starting out.
  • Lenny’s advice for someone who wants to start a cash-based practice.
  • Questions from the audience:
      • Do you treat any immediate post-op patients? Do you have a different charge for 1 x week patients vs. 2-3 x week ie: with post surgical patients?
      • Do you generate the invoices on freshbooks to all the patients or only to those that will request insurance reimbursement?

Resources Mentioned in this Episode:

Tommy John Surgery
Using Google Drive & G Suite as Your Inexpensive EMR
Grasshopper- voice mail
How to Determine Your Insurance Benefits Worksheet

Connect with Lenny


Twitter @LenMacPT & @ChampionPTP

Champion Physical Therapy and Performance in Waltham, MA

Facebook LennyChampion PT

Apply for the Champion PT Strength and Conditioning Internship

About The Author

Aaron LeBauer

Aaron LeBauer PT, DPT, LMBT started a 100% cash based physical therapy practice right after graduation. He's on a mission to save 100 million people from unnecessary surgery & enjoys helping passionate therapists build successful businesses without relying on insurance.

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