How We Work: a clear path, one step at a time
Independent scientific interpretation of your oncology records. Fully telehealth. Direct pay. No insurance, no referral, no waiting list.
Most people arrive holding a genomic report no one has explained, a pathology summary written for another physician, or a treatment decision with a deadline attached. Each engagement starts from actual documents and ends with something to bring to an oncologist.
Every engagement begins with an Orientation Call. From there, you choose only the level of support your situation calls for.
A clear path, one step at a time
Start here.
Orientation Call
$250
Start here. A 45-minute, one-on-one call. Your records are reviewed before we speak, and you leave with a clear understanding of where things stand and an honest recommendation on what, if anything, comes next. The full $250 is credited toward any service you choose afterward.
What you receive
- 45-minute, one-on-one call
- Your records reviewed before we speak
- A clear understanding of where things stand
- An honest recommendation on what, if anything, comes next
Common questions this answers
- Where do things actually stand?
- What, if anything, should come next?
What do my results actually mean?
Clarity Report
$2,000
For patients with NGS, ctDNA, or complex pathology results who need them interpreted, not just summarized. A full records review, plus:
What you receive
- Variant-by-variant interpretation of your NGS or ctDNA report, with germline and clonal hematopoiesis flags
- Interpretation of TMB, MSI, HRD, fusions, and co-mutations
- Mapping to standard-of-care and guideline-supported options
- Additional testing recommendations with rationale
- Written Clarity Report (typically 8 to 12 pages) with a one-page executive summary
- Physician discussion guide
- 60-minute review call
- One round of written follow-up questions within 14 days
Common questions this answers
- What does each variant on my NGS or ctDNA report mean?
- Could any of these findings be inherited, or come from clonal hematopoiesis?
- What do my TMB, MSI, and HRD results mean for me?
- Which guideline-supported treatments match my biomarker profile?
What are my options, and what's the plan?
Molecular Strategy
$3,000
For patients facing a treatment decision, progression, or limited standard options, where clinical trials and treatment sequencing matter. Everything in the Clarity Report, plus:
What you receive
- Clinical trial shortlist (typically 5 to 10 trials) screened against your biomarkers, prior treatments, and eligibility criteria
- Treatment sequencing map
- Monitoring strategy for ctDNA/MRD, imaging, and re-biopsy triggers
- Physician-facing summary letter
- 90-minute strategy session
- 30 days of email follow-up
Common questions this answers
- Which clinical trials could I realistically qualify for?
- What comes next if my current treatment stops working?
- What should be tested at progression, and when?
- How often should ctDNA and imaging be repeated?
Ongoing Support
For patients and families who want an expert alongside them month after month.
Active Case Management
$4,500 / month
Flat monthly fee · month to month · no minimum commitment
Every new result read as it arrives, month after month. You stay in the driver's seat with your care team. We make sure nothing in your results goes unexamined or unexplained.
Includes
- Every new ctDNA, imaging, pathology, and lab result reviewed and interpreted as it arrives
- A written summary of each new result in plain language
- The specific questions to bring to your next oncology appointment
- Scheduled check-in calls
- Response within one business day
Most comprehensive
Concierge Advisory
$7,500 / month
Flat monthly fee · month to month · no minimum commitment
Full case ownership. We carry the scientific and strategic side of your care alongside you and your oncologist, so you and your family never have to hold it alone.
Includes
- Everything in Active Case Management
- Full case ownership and ongoing treatment strategy
- Preparation for and participation in key oncology appointments
- Clinical trial search, prioritization, and direct outreach to trial sites
- Coordination across your care team and family members
- Priority, same-day response
We accept a small number of Concierge Advisory families at any time.
Everything you pay is credited forward. Any MITOTICS® fee paid within the past 30 days is credited in full toward your next step, including the first month of Active Case Management.
In remission or on watch and wait? Learn about our Surveillance Program.
Positive or rising Signatera result: what it means
What a Clarity Report contains
Every Clarity Report follows the same structure and contains:
- A plain-language summary of your diagnosis, stage, and current position
- Each biomarker in your records named, explained, and rated for treatment relevance
- How your pathology, imaging, labs, and genomic results fit together as one picture
- Questions worth raising with your oncologist, specific to your results
- Clear next steps you can act on at your next appointment
Not sure which one you need?
An Orientation Call. Tell me what you are facing and what records you have. I will tell you plainly which engagement fits, or whether one is warranted at all. No obligation and no pressure.
$250 Orientation Call
What this is and what it is not
MITOTICS® provides independent scientific interpretation and decision support. Kim Lockheimer is a PhD-trained clinical scientist, not a physician. MITOTICS does not diagnose, prescribe, order testing, or direct care. Everything produced is built to be brought to the treating oncologist.
Frequently asked questions
Where do I start?
With an Orientation Call. It is $250, it is credited in full toward anything you choose afterward, and it ensures that any further work we do is the right work for your situation. If we do not think a deeper engagement would help you, we will tell you.
Do you offer free consultations?
We offer the Orientation Call in place of a free consultation. Your records are reviewed before the call, so the time is spent on your situation rather than on introductions, and the fee is credited toward any service you choose afterward.