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Capacity Utilization & Revenue Recovery for Theranostics

Your Suite Is Built. Your Staff Is Trained. Where Are the Patients?

Most theranostics sites are operating well below capacity — not because of infrastructure, but because the referral pathways between oncologists, urologists, and your program were never built. We don't optimize scanners. We fill treatment chairs.

600+

US sites credentialed for Pluvicto — many averaging fewer than 2 treatments per week

Novartis investor reports; industry analysis, 2025

7–8 wks

Average patient wait time from progression to treatment initiation

ESMO 2025, Dr. Ken Herrmann

90,000+

Estimated eligible US patients after expanded earlier-line approval

FDA April 2025; PSMAfore & PSMAddition trial data

12–33%

Of eligible mCRPC patients currently receiving PSMA PET/CT testing

ESMO 2025, European capacity analysis
The Real Bottleneck

You Have a Capacity Problem Disguised as a Patient Problem.

The patients exist. The FDA's expanded Pluvicto approval tripled the addressable market to over 90,000 eligible patients in the US alone. The therapy pipeline is accelerating with 30+ agents in mid- to late-stage trials.

But the referral pathways between the oncologists and urologists who manage these patients and the sites equipped to treat them are fragmented, informal, or nonexistent. The result: credentialed sites sitting at half capacity while eligible patients cycle through chemotherapy because their oncologist has no streamlined way to refer.

This isn't a demand problem. It's a revenue recovery problem. Every empty treatment slot is reimbursement you've already invested to earn — and aren't collecting.

The Cost of an Empty Suite

You built the shielded room. You secured the license. You hired the AU. You contracted with the radiopharmacy. Those fixed costs don't wait for patients — they accrue whether you treat one patient a week or ten.

The fastest path to ROI isn't more infrastructure. It's more patients. And more patients come from systematically building the referral relationships that feed your program.

$40K+ approximate reimbursement per Pluvicto treatment cycle — every referral you're missing is revenue walking out the door.
$2M+
Typical capital investment to build a theranostics program
<50%
Estimated capacity utilization at many credentialed sites
$2B+
Combined Pluvicto + Lutathera revenue in 2024, growing double digits
Is This You?

Who This Is For

You're credentialed for radioligand therapy but treating fewer patients per week than you projected

You're a dedicated theranostics center that needs to reach capacity to justify the build and satisfy investors

You're a general imaging site offering theranostics alongside diagnostic services and want to grow therapy volume

You're losing eligible patients to academic centers or competitors who built referral networks before you did

Your oncology and urology referrals aren't materializing the way your business plan projected

Your CFO or investors are asking when the theranostics investment breaks even — and you don't have a good answer yet

The Math

What Underutilization Is Costing You

At ~$40K reimbursement per Pluvicto treatment cycle, every empty slot is a quantifiable loss. Here's what the numbers look like at three common underutilization levels.

2 Empty Slots / Week
$4.16M
unrealized revenue per year
2 slots × $40K × 52 weeks
4 Empty Slots / Week
$8.32M
unrealized revenue per year
4 slots × $40K × 52 weeks
6 Empty Slots / Week
$12.48M
unrealized revenue per year
6 slots × $40K × 52 weeks

Figures based on approximate Pluvicto per-cycle reimbursement. Actual revenue varies by payer mix, treatment protocol, and site-specific factors.

The Summit Approach

Three Engines That Drive Capacity Utilization

We don't do generic healthcare marketing. We combine specialized referral networks, proprietary market intelligence, and clinical education into a revenue recovery system built specifically for theranostics.

01

Specialized Referral Networks

We identify and activate the oncologists, urologists, and referring specialists in your market who are actively managing patients eligible for theranostic therapies — and build direct, zero-friction referral relationships between their practices and your site.

We navigate the full spectrum of referring practice structures — from independent physicians to PE-backed specialty groups and hospital-employed networks — each of which requires a different engagement strategy and entry point.

Example: Identifying the PE-backed urology platforms and independent oncology groups in your market that control the largest share of PSMA-eligible patient volume — then building referral relationships at both the practice and corporate level within 30 days.
02

Proprietary Market Intelligence

Every engagement starts with data. We build a proprietary picture of your regional opportunity — combining claims-based analysis, provider mapping, and primary market research to quantify exactly how many eligible patients are in your catchment area and where they're being managed.

You'll know the size of your addressable market, which practices control patient flow, what your competitive landscape looks like, and where the highest-conversion referral opportunities sit.

Example: Regional intelligence showing 340+ estimated PSMA-eligible mCRPC patients within your service area, with referral source concentration mapped by practice, ownership structure, and payer mix.
03

Clinical Education & Positioning

Many referring oncologists and urologists are still unfamiliar with radioligand therapy eligibility criteria, treatment workflows, and referral logistics. Endocrinologists managing thyroid and neuroendocrine cases face similar knowledge gaps around newer theranostic options. We close that gap for your site.

Through physician education programs, clinical content, and CME-eligible events, we position your site as the go-to theranostics partner for referring practices — so referrals come to you first, not your competitor.

Example: Lunch-and-learn series for oncology and urology groups covering PSMA eligibility, Pluvicto workflow, patient selection, and a single-page referral form that takes 2 minutes to complete.
Core Program

90-Day Capacity & Revenue Recovery Program

A structured engagement designed to systematically build, activate, and optimize the referral pipeline that drives your theranostics program to full capacity utilization.

What You Get

This isn't a marketing plan. It's a capacity utilization strategy built by someone who has spent 15 years inside the imaging industry and understands how physician referral relationships and treatment economics actually work in practice.

  • Regional Market Intelligence Report — proprietary analysis of your addressable patient volume, competitive landscape, payer dynamics, and referral source mapping across your service area
  • Referring Physician Identification & Prioritization — targeted list of oncologists, urologists, and referring specialists managing eligible patients, ranked by referral potential and conversion likelihood, with PE-backed group and hospital-employed physician navigation strategies
  • Zero-Friction Referral Pathway Design — streamlined workflows, single-page referral forms, eligibility pre-screening checklists, and coordinator protocols that make referring to your site effortless for the physician's office
  • Physician Outreach & Activation — direct engagement with priority referral sources through clinical education sessions, site tours, and co-branded materials that build trust and convert awareness into referrals
  • Theranostics Coordinator Blueprint — recommended staffing model and workflow for a dedicated coordinator who manages referral intake, eligibility screening, scheduling, and physician communication
  • Revenue & Capacity Tracking — ongoing measurement of referral volume, conversion rates, treatment throughput, and revenue per slot with monthly reporting and optimization
Start Recovering Revenue →
Complimentary with every discovery call

Regional Opportunity Audit

Book a 20-minute discovery call and receive a complimentary, data-driven audit of the revenue opportunity in your market — before you commit to anything.

  • Estimated eligible patient volume in your service area
  • Oncology & urology practice density and consolidation mapping
  • Competitive theranostics site landscape
  • Identified referral pathway gaps
  • Revenue opportunity sizing at current vs. full capacity
  • Priority recommendations for immediate action
Book a Call & Get Your Audit →
Advisory Services

Strategic Advisory for Sites Still Building

For imaging sites evaluating or developing advanced imaging and theranostics capabilities, we offer strategic advisory services — helping you navigate the complex decisions around equipment, licensing, and program design so you build right the first time.

Advisory

PET/CT Program Advisory

Vendor-neutral guidance for imaging centers considering adding PET/CT or optimizing an existing program. 15 years of equipment industry expertise applied to your specific situation.

  • Market feasibility & volume projections
  • Equipment evaluation & vendor-neutral guidance
  • Site planning & shielding considerations
  • Staffing model & operational planning
  • Radiopharmaceutical supply chain navigation
  • Reimbursement & payer strategy overview
Discuss your project →
Advisory

Theranostics Program Advisory

Strategic guidance for sites evaluating radioligand therapy capabilities — whether you're adding therapy to an existing PET/CT program or designing a dedicated outpatient theranostics center.

  • NRC / Agreement State licensing pathway guidance
  • Facility & infrastructure requirements assessment
  • Specialized outpatient theranostics workflow design
  • Radiopharmaceutical logistics overview
  • Staffing & Authorized User considerations
  • Financial modeling & program economics
Discuss your project →
How It Works

From Empty Slots to Full Utilization

1

Discovery Call

20-minute conversation about your site, capacity, and goals. You receive a complimentary Regional Opportunity Audit.

2

Market Intelligence

Proprietary analysis of your regional physician landscape, eligible patient volume, and revenue opportunity.

3

Referral Activation

Zero-friction referral pathways, targeted physician outreach, clinical education, and coordinator workflows.

4

Revenue Optimization

Monthly tracking, capacity analysis, and ongoing optimization to sustain growth and maximize throughput.

Why Summit

This Isn't Healthcare Marketing. It's Revenue Recovery.

We don't care which scanner you use or which isotope you buy — we only care how many patients are in the chair.

We Speak the Clinical Language

15 years in medical imaging means we understand PSMA PET/CT workflows, radioligand therapy eligibility, and how oncologists and urologists actually make referral decisions. We don't need your team to educate us — we educate the referring physicians.

Data-Driven, Not Spray-and-Pray

Every engagement starts with proprietary market intelligence — patient volume estimates, physician practice mapping, payer analysis, and competitive positioning. We target the referral sources most likely to convert, based on data, not guesswork.

Vendor-Neutral, Always

We don't sell equipment, pharmaceuticals, or therapy services. Our only metric is your capacity utilization. That independence means oncologists and urologists trust us — and that trust transfers directly to your site.

Built for Theranostics Economics

We understand that a single additional Pluvicto treatment cycle represents $40K+ in reimbursement. Our entire methodology is designed around the specific referral dynamics, patient eligibility criteria, and treatment economics of radioligand therapy programs.

Founder
Todd
15 Years | Medical Imaging Industry | Southern California
Founder & Principal

After 15 years inside the imaging equipment industry — across major OEMs, service organizations, and clinical operations — I kept seeing the same pattern: sites investing millions in theranostics infrastructure, then watching their suites sit half-empty because no one built the outreach engine.

The consolidators have dedicated business development teams. The academic centers have built-in referral networks. But the independent sites and community programs doing this work? They're left to figure out the hardest part — getting patients in the door — on their own.

I've sat across the table from hundreds of imaging center operators. The ones who succeed aren't the ones with the best scanners — they're the ones who built the referral engine before they built the suite. That's what Summit delivers.

  • GE Healthcare
  • Major independent service organizations
  • Multi-vendor imaging equipment operations
  • PET/CT, nuclear medicine & advanced imaging
  • Southern California territory expertise

Our Approach to Partnerships

Capacity utilization is our core focus, but theranostics programs don't operate in isolation. When our clients need support beyond referral development — whether it's physics, regulatory, or operational — we connect them with vetted industry partners who meet our standards.

We're building a curated network of specialists across the theranostics ecosystem so our clients always have access to the right expertise at the right time. Our role is to be the connection point — ensuring your program has what it needs to succeed, not just to fill schedules, but to deliver outstanding patient care.

Common Questions

What You're Probably Wondering

Questions we hear most from site operators and theranostics program leaders evaluating capacity growth.

How quickly can we expect to see increased utilization? +
Most clients see initial referral activity within the first 30–45 days as we activate priority physician relationships. Meaningful, sustained volume growth typically develops over the full 90-day engagement as education programs take hold and referral workflows become routine. The exact timeline depends on your market density, competitive landscape, and current referral base — we'll give you realistic projections during your Regional Opportunity Audit.
We already have some referring physicians. How is this different? +
Having referral relationships and having a systematic capacity utilization program are very different things. We bring proprietary market intelligence to identify the physicians you're missing — including PE-backed urology platforms and hospital-employed oncology networks that require different engagement strategies. We build zero-friction referral pathways that make it effortless for a doctor's office to send patients your way, and implement tracking systems so you know exactly what's converting. Most sites we work with discover significant untapped referral potential in their existing market — often 3–5× their current referring physician base.
What's included in the free Regional Opportunity Audit? +
The complimentary Opportunity Audit is a data-driven assessment of the revenue opportunity in your specific market — including estimated eligible patient volume in your service area, oncology and urology practice density and consolidation landscape, competitive theranostics site mapping, identified referral pathway gaps, and revenue opportunity sizing at current vs. full capacity. It's designed to show you exactly what you're leaving on the table before you commit to a full engagement.
What does "zero-friction referral pathways" mean in practice? +
Referring physicians don't fail to refer because they don't want to — they fail because the process is too complicated for their office workflow. We design referral systems that eliminate friction: single-page referral forms, eligibility pre-screening checklists a medical assistant can complete in 2 minutes, dedicated coordinator workflows at your site, and clear communication loops that keep the referring physician informed. For sites ready for the next level, we can also help evaluate digital referral coordination tools that give referring practices real-time visibility into patient status.
What does it cost? +
Our 90-day program is scoped based on your market size and capacity goals. In every case, our fees represent a fraction of the revenue recovered from even a modest increase in treatment volume — a single additional Pluvicto treatment cycle represents $40K+ in reimbursement. We're focused on ROI, not retainer hours. We'll discuss specifics and expected return during your discovery call.
Do you only work with sites that already offer theranostics? +
Our capacity and revenue program is designed for sites that have — or are actively building — radioligand therapy capabilities. This includes dedicated theranostics centers, general imaging sites that also offer RLT, and hospital-based programs. For sites that currently offer only PET/CT and are evaluating whether to add therapy, we provide strategic advisory services that help you assess the opportunity and plan your path forward.
Get Started

Stop Leaving Revenue in Empty Treatment Slots

Every week at partial capacity is revenue you've already invested to earn. Book a 20-minute call and get your complimentary Regional Opportunity Audit — a data-driven assessment of the referral opportunity in your market.

Get Your Regional Opportunity Audit

20 minutes. Zero obligation.
  • How many eligible patients exist in your specific market
  • Which oncology and urology groups control the largest share of referrals
  • Where those referrals are currently flowing — and where they're not
  • How much revenue your unused capacity represents annually

What to Expect

A focused 20-minute conversation about your site, your current capacity utilization, and your growth goals. We'll share what we're seeing in the theranostics referral landscape and give you an honest assessment of the revenue opportunity — including whether our program is the right fit for where you are right now.

Included with every call: Your complimentary Regional Opportunity Audit — proprietary market intelligence on the revenue opportunity in your specific service area. No strings attached.

We respond to all inquiries within 24 hours.

One Partner Per Market Area

We partner with one theranostics site per defined service area to ensure referral exclusivity. If your market is already taken, we'll let you know.

✓ Request Received

Thank you. We'll be in touch within 24 hours to schedule your discovery call and begin preparing your Regional Opportunity Audit.