Orthotic & Prosthetic Services

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Startup Cost
$120,000-$500,000
Difficulty
Advanced
Time to Profit
18-36 months
Profit Potential
$100,000-$500,000/year

Overview

Orthotic and prosthetic facilities provide custom braces, orthotics, and prosthetic limbs for patients with disabilities, injuries, or amputations.

With 2+ million Americans living with limb loss and many requiring orthotic support, O&P facilities generate revenue of $200,000-$650,000 annually with profit margins of 30-45% through custom device fabrication and insurance reimbursement.

The business requires certified prosthetists/orthotists (CPO), fabrication facility, materials and components, and Medicare/insurance accreditation.

Services include prosthetic limbs (legs, arms, hands), custom orthotics (AFO, KAFO, spinal braces), cranial remolding helmets, and device maintenance.

Prosthetic legs $5,000-$50,000+ depending on technology; insurance typically covers with prior authorization.

Success factors include clinical expertise in patient assessment and device fitting, quality fabrication, insurance authorization and billing, patient training and adjustment, and physician referrals.

Most facilities employ certified practitioners (ABC or BOC certified).

The business combines clinical skills with fabrication and insurance navigation.

Custom devices require multiple patient appointments for casting, fitting, and adjustment.

Marketing focuses on orthopedic surgeons, physiatrists, hospitals, and rehab facilities.

With technology advancing prosthetics and orthotic needs continuing in 2025, O&P services offer specialized healthcare opportunities for certified practitioners providing life-changing devices helping patients regain mobility and function.

Required Skills

  • Certified Prosthetist/Orthotist (CPO) credentials
  • Patient assessment and device prescription
  • Custom fabrication and fitting
  • Insurance authorization and billing
  • Prosthetic/orthotic technology and materials
  • Patient training and adjustment

Pros and Cons

Pros

  • High-value custom devices
  • Insurance coverage for devices
  • Meaningful impact on patient lives
  • Specialized clinical expertise
  • Growing amputee population

Cons

  • Expensive CPO education and certification
  • Significant facility and equipment investment
  • Complex insurance authorization
  • Multiple patient appointments per device
  • Materials and component costs

How to Get Started

  1. Obtain CPO certification and clinical training
  2. Secure facility for patient care and fabrication
  3. Obtain Medicare O&P accreditation
  4. Source prosthetic/orthotic components and materials
  5. Build physician referral network
  6. Market to surgeons and rehab facilities
  7. Provide excellent patient outcomes and service

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