Top medical billing companies in the United States, ranked by ChatGPT answers

Best medical billing companies in the United States ===================================================

The best medical billing company depends on whether you're running a private medical practice, a specialty clinic, a behavioral health practice, or a hospital or large health system. Some companies provide hands-on billing services, while others combine billing with electronic health records (EHRs), practice management software, and broader revenue cycle management (RCM).

For a practical starting shortlist, I'd compare AdvancedMD, athenahealth, CareCloud, Tebra, Medical Billers and Coders, and Plutus Health. These providers represent different approaches to outsourced billing and revenue cycle management, rather than a single universal ranking.

Medical Billing Rates

+3

1. Top medical billing companies to consider

1. AdvancedMD

Best overall starting point

A strong option for independent practices and growing physician groups that want managed billing, reporting, denial follow-up, and practice management technology.

• Best for: Multi-provider practices and established independent clinics.
• Services: Claims processing, appeals, denial management, and accounts receivable follow-up.
• Pricing: Custom quote; percentage-of-collections options are available.
• Website: [AdvancedMD RCM](https://www.advancedmd.com/revenue-cycle-management/)
  AdvancedMD
  +1

2. athenahealth

Best for data-driven billing and integrated workflows

Its athenaCollector and athenaOne services combine claims management, coding support, denial resolution, and financial reporting with practice management and EHR capabilities.

• Best for: Practices seeking an integrated billing and clinical software ecosystem.
• Consideration: Evaluate total platform costs and whether switching systems makes sense.
• Website: [athenahealth Revenue Cycle Services](https://www.athenahealth.com/solutions/revenue-cycle-services)
  athenahealth
  +1

3. CareCloud

Best for specialty groups and claims optimization

Worth evaluating for medical groups that need billing operations, claims processing technology, analytics, and revenue cycle support.

• Best for: Specialty practices and growing provider organizations.
• Consideration: Ask which services are handled directly and which are software-based.
• Website: [CareCloud](https://www.carecloud.com/)
  business.com
  +1

4. Tebra

Best for small and independent practices

Tebra offers billing tools and connections to outsourced billing partners. It can be particularly useful when a practice wants billing support without necessarily replacing its existing EHR.

• Best for: Solo physicians and small practices.
• Consideration: Confirm whether your contract covers software alone or actual billing labor.
• Website: [Tebra Managed Billing](https://www.tebra.com/billing-payments/managed-billing)
  Tebra
  +1

5. Medical Billers and Coders (MBC)

Best for outsourced billing and coding

A provider to investigate if you want a specialist billing partner rather than buying an entire practice software platform.

• Best for: Practices outsourcing day-to-day billing and coding work.
• Consideration: Verify specialty-specific experience, EHR compatibility, and the scope of denial follow-up.
• Website: [Medical Billers and Coders](https://www.medicalbillersandcoders.com/)
  Medical Billing Rates
  +1

6. Plutus Health

Best for complex or specialty-focused RCM

Offers end-to-end revenue cycle services, including medical billing, coding, prior authorizations, denial management, credentialing, and accounts receivable recovery.

• Best for: Specialty clinics, behavioral health organizations, surgical centers, and larger provider groups.
• Consideration: Request references from clients with the same specialty and scale as yours.
• Website: [Plutus Health RCM](https://www.plutushealthinc.com/rcm-solutions)
  Plutus Health
  +1

2. Quick comparison

| Company

|

Best fit

|

Type of solution

AdvancedMD

|

Independent and mid-sized practices

|

Managed billing + software

|

|

athenahealth

|

Practices wanting integrated workflows

|

Technology + RCM services

|

|

CareCloud

|

Specialty and growing medical groups

|

RCM + technology

|

|

Tebra

|

Solo and small practices

|

Billing tools + outsourced partners

|

|

Medical Billers and Coders

|

Practices outsourcing billing operations

|

Billing and coding services

|

|

Plutus Health

|

Complex, specialty, and larger operations

|

End-to-end RCM outsourcing

|

This is a practical shortlist, not a verified ranking by audited collection performance. Vendor-published results and third-party rankings should be independently validated.

3. What does medical billing outsourcing cost?

Typical pricing models to expect when requesting quotes:

| Pricing model

|

General guidance

|

What to watch for

Percentage of collections

|

Often around 4–10%

|

What counts as collections and which services are included

|

|

Per-claim fee

|

Often several dollars per claim

|

Denial follow-up and patient statements may cost extra

|

|

Flat monthly fee

|

Fixed recurring payment

|

Claim-volume limits and additional provider charges

|

These are broad market estimates, not quotes from the six companies above. Rates vary with specialty, claim volume, payer mix, and the services included.

Medical Billing Rates

+2

For example, if your practice collects $100,000 monthly and a billing company charges 6% of collections, the fee is $6,000 per month, or $72,000 annually, before any additional charges.

4. How to choose the right company

Before signing a contract, ask each vendor for:

• Performance data: First-pass claim acceptance, denial rate, days in accounts receivable (A/R), and net collection rate.
• Full service scope: Eligibility checks, coding, claim submission, payment posting, appeals, patient statements, and old A/R recovery.
• Specialty experience: References from practices using the same payers and billing codes.
• Technology compatibility: Confirmation that it works with your current EHR and practice management system.
• Security and compliance: A HIPAA-compliant operating arrangement, appropriate business associate agreement, and controls over patient data.
• Contract protections: Setup fees, minimum terms, termination rights, data ownership, and access to reports after termination.

Don't select a company solely because it advertises the lowest percentage. Strong denial management, accurate coding, and consistent follow-up can matter more than a small difference in fees.

5. Let me narrow this down for your situation

The most useful shortlist will depend on what kind of organization you are evaluating.

What type of healthcare organization is this for?

Private medical practice

Behavioral health / mental health

Hospital or health system

Specialty clinic / surgery center

Medical billing company seeking a billing partner

How large is the organization?

Solo provider

2–10 providers

11–50 providers

More than 50 providers

What is your main priority?

Outsource the entire billing process

Reduce denials and recover unpaid claims

Find the lowest overall cost

Billing software and automation

Enterprise-scale revenue cycle management

Medical specialty (optional)

Find the best matches

Best medical billing companies for small and mid-size medical practices =======================================================================

For a small or mid-size medical practice in the United States, the best medical billing company is usually one that combines high claim-collection performance, fewer denials, transparent pricing, and experience with your specific specialty—without requiring you to hire a large in-house billing team.

I would start by comparing established revenue cycle management (RCM) providers with companies that specialize in billing for independent practices. Some are best for a solo physician or small office, while others are better suited to multi-provider groups that need more comprehensive revenue cycle support.

The key distinction is whether you need outsourced medical billing only or a broader service covering coding, eligibility verification, denial management, payment posting, patient billing, and accounts receivable follow-up.

1. My recommended shortlist

These are the providers I would put on an initial shortlist, based on their service models, fit for independent practices, specialty coverage, and ability to support growing groups. This is a practical shortlist, not a definitive ranking based on independently audited collection results.

1. AdvancedMD

Best overall starting point for growing practices

AdvancedMD offers both managed revenue cycle services and billing software, including claims management, collections support, and financial reporting. It is worth evaluating for practices with multiple providers that want a structured billing operation and reporting tools.

AdvancedMD

+1

Best for: Small and mid-size physician groups that want billing expertise and the option of integrated practice-management technology.

[Website: AdvancedMD](https://www.advancedmd.com/)

2. Medical Billers and Coders (MBC)

Best for specialty-focused outsourced billing

MBC is a candidate for practices seeking outsourced billing and coding across different specialties, especially when keeping an existing EHR is important. Its service offerings include claims management, coding, and broader revenue cycle support.

Medical Billers and Coders (MBC)

+1

Best for: Multi-specialty practices and physician groups that want a dedicated external billing team.

[Website: Medical Billers and Coders](https://www.medicalbillersandcoders.com/)

3. Tebra

Best for independent and smaller practices

Tebra combines practice-management technology with billing-related services and access to managed billing providers. It is especially worth considering when a practice wants to simplify administrative workflows instead of managing several disconnected systems. Confirm whether the proposed service is software-only or fully managed billing.

The Intake

+1

Best for: Solo physicians and small independent practices that want simpler operations.

[Website: Tebra](https://www.tebra.com/)

4. athenahealth

Best for practices prioritizing integrated RCM

Its athenaOne platform combines practice-management and revenue cycle capabilities, including claim submission, denial management, patient collections, and reporting. It can suit independent practices as well as larger groups, although the overall cost and platform fit should be assessed carefully.

athenahealth

+1

Best for: Practices that want connected clinical and financial workflows and are open to a more integrated platform.

[Website: athenahealth](https://www.athenahealth.com/)

5. CareCloud

Best for established specialty and multi-provider groups

CareCloud is another provider to evaluate for outsourced RCM and billing technology. It is a reasonable candidate for groups that need broader billing workflows, specialty support, and more formal financial analytics. Verify which services are included in the specific proposal.

The Practice Vendor Review

+1

Best for: Growing physician groups with more involved billing and reporting needs.

[Website: CareCloud](https://www.carecloud.com/)

6. Transcure

Best for outsourced billing with broad specialty coverage

Transcure is worth comparing when you want an external billing and coding operation rather than software alone. Industry directories describe it as serving multiple specialties and practice sizes. Request references from practices similar to yours and confirm who will manage your account.

Goodfirms

+1

Best for: Practices that want a billing partner with capacity to scale.

[Website: Transcure](https://transcure.net/)

2. Which companies fit each practice size?

| Practice profile

|

Start with

|

Why

Solo physician or 1–3 providers

|

Tebra, AdvancedMD

|

Practical small-practice workflows

|

|

3–10 providers

|

AdvancedMD, MBC, Tebra

|

Compare managed billing against integrated software

|

|

10–50 providers

|

MBC, CareCloud, athenahealth

|

Broader RCM, specialty needs, reporting

|

|

Complex multi-specialty group

|

MBC, CareCloud, athenahealth

|

Evaluate coding depth and payer-specific workflows

|

These are starting points, not hard provider-count limits. A three-physician orthopedic practice may need more specialized billing expertise than a ten-physician primary care group.

3\. What should medical billing services cost?

Pricing depends on specialty, monthly claim volume, collections, and how much work is outsourced. As an initial budgeting guide, compare these models:

| Pricing model

|

Typical structure

|

Best fit

Percentage of collections

|

Roughly 4%–9% of collections as a planning range

|

Practices wanting billing outsourced

|

|

Flat monthly fee

|

Fixed fee based on workload and scope

|

Practices seeking predictable costs

|

|

Per-claim fee

|

Fixed charge for each claim processed

|

Practices with predictable claim volumes

|

|

Software subscription

|

Monthly or per-provider fee, plus internal labor

|

Practices keeping billing in-house

|

These are indicative ranges, not verified quotes from the six companies above. Published industry guidance places outsourced billing around 6.5% on average, though actual fees can differ substantially.

The Intake

+1

Important: Compare the total annual cost, not just the advertised percentage. A lower fee may exclude coding, credentialing, denial appeals, patient statements, or older accounts receivable (A/R).

For example, at $150,000 in monthly collections:

• A 5% fee costs $7,500 per month.
• A 7% fee costs $10,500 per month.
• The difference is $36,000 per year.

The more expensive provider could still be the better choice if it demonstrably recovers enough additional revenue to cover the difference.

4\. Seven questions to ask before signing

Use these questions with every finalist to make the comparison fair.

1. What are your results for practices like mine? Request net collection rate, first-pass claim acceptance rate, denial rate, and days in A/R. Ask for results from comparable specialties and practice sizes, not just company-wide averages.
2. Who handles denials and appeals? Establish whether follow-up, corrected claims, appeals, and underpayment recovery are included.
3. Can you work with our existing EHR and practice-management system? Confirm compatibility before committing to a platform change.
4. Who will manage our account? Ask whether you receive a dedicated account manager, specialty-trained billers, and regular performance reviews.
5. What is included in the quoted fee? Request a written breakdown of setup fees, minimum charges, coding, credentialing, patient billing, and other add-ons.
6. How do you protect patient data? Require an appropriate HIPAA business associate agreement (BAA), documented security practices, access controls, and clear incident-response procedures.
7. How can we terminate the agreement? Review notice periods, data access, transition assistance, outstanding claims, and ownership of billing records.

Tebra's vendor-selection guidance also emphasizes evaluating performance metrics, compliance, technology compatibility, and transparent pricing.

Tebra

My final recommendation

I would request proposals from AdvancedMD, Medical Billers and Coders, and Tebra first for a typical independent practice. Add athenahealth or CareCloud if you have a larger group, more complex workflows, or a strong preference for an integrated platform. Include Transcure if fully outsourced specialty billing is a priority.

The best choice depends heavily on your practice type, though.

What kind of medical practice are you evaluating? For example, primary care, cardiology, orthopedics, psychiatry or behavioral health, physical therapy, pain management, or another specialty. And approximately how many providers do you have?

With those two details, I can narrow this down to the three best-fit companies and compare their likely pricing models, strengths, and potential drawbacks for your practice.

The best medical billing companies for specialty practices are usually the ones that combine specialty-specific coding expertise, proactive denial prevention, aggressive appeals, and transparent reporting — not simply low billing fees.

For a U.S. specialty practice, I would evaluate vendors based on whether they can manage the full revenue cycle, from eligibility verification and prior authorizations through claim submission, underpayment recovery, appeals, and final collections.

The right choice depends heavily on the specialty. Orthopedics, cardiology, dermatology, gastroenterology, behavioral health, oncology, and multispecialty groups face different coding rules, payer edits, authorization requirements, and denial patterns.

My shortlist: best companies to evaluate

This is a practical shortlist, not a definitive performance ranking. I prioritized specialty billing depth, denial-management capabilities, fit by practice size, and ability to work with existing systems. Published performance numbers below are vendor-reported or industry-guide figures, not independently audited head-to-head results.

Medical Billers and Coders

+2

1. Medical Billers and Coders (MBC)

Best starting point for specialty practices

Best for: Independent specialty groups and multispecialty physician practices.

MBC offers outsourced billing, coding, denial follow-up, appeals, and aged accounts receivable recovery. It reports support for 32+ specialties and integration with more than 40 EHR and practice-management platforms. Its denial workflow includes identifying root causes rather than merely resubmitting rejected claims.

Medical Billers and Coders

+1

Ask about: Dedicated coders for your specialty, appeal success rates by payer, and whether complex denial recovery is included in the base fee.

Website: [medicalbillersandcoders.com](https://www.medicalbillersandcoders.com/)

2. CareCloud

Best for: Growing specialty groups seeking billing analytics and revenue-cycle support.

CareCloud is worth evaluating for outsourced revenue-cycle management, specialty coding, claims workflows, and denial analysis. It is particularly relevant to practices that want operational support alongside technology and reporting capabilities. Its published cardiology comparison also makes it a candidate for cardiovascular practices.

The Practice Vendor Review

+1

Ask about: Which denial categories are actively worked, whether underpayment recovery is included, and what reporting is available by provider, location, procedure, and payer.

Website: [carecloud.com](https://www.carecloud.com/)

3. Transcure

Best for: Practices looking for technology-assisted billing and denial prevention.

Transcure combines billing services with automation and claim validation. Its published materials describe support for multiple specialties, coding, payer follow-up, and appeals. This makes it a candidate for practices that want to reduce preventable denials while improving follow-up on outstanding claims.

Upto 98% Clean Claim Rate

+1

Ask about: Human review of complex medical-necessity denials, the location and oversight of its billing team, and independently verifiable results for practices like yours.

Website: [transcure.net](https://transcure.net/)

4. athenahealth

Best for: Practices considering integrated practice-management software and revenue-cycle services.

Its athenaCollector service supports claims processing, authorization workflows, denial management, and patient collections. For larger specialty networks, athenaIDX offers enterprise-scale revenue-cycle capabilities.

athenahealth

+1

Ask about: Whether your existing EHR can be retained, the total platform and service cost, and how much of your specialty's appeal work is handled by dedicated staff.

Website: [athenahealth.com](https://www.athenahealth.com/)

5. AdvancedMD

Best for: Small and midsize specialty groups wanting billing services and practice software together.

AdvancedMD combines practice-management technology, EHR functionality, and revenue-cycle services. It is worth comparing if you want an integrated platform with claim-scrubbing and denial work queues rather than a standalone billing vendor.

Medical Billing Rates

+1

Ask about: Which tasks are performed by the outsourced team versus your staff, whether specialty coding audits are included, and the combined cost of software and billing.

Website: [advancedmd.com](https://www.advancedmd.com/)

6\. R1 RCM

Best for: Large multisite groups, health systems, and complex enterprise operations.

R1 is a stronger candidate when denial management is part of a larger revenue-cycle transformation involving complex payer relationships, centralized operations, analytics, and large claim volumes. Smaller independent practices should assess whether the service model is proportionate to their needs.

Medical Billers and Coders (MBC)

+1

Ask about: Physician-practice references in your specialty, implementation requirements, minimum scale, and how its contract ties fees to measurable results.

Website: [r1rcm.com](https://www.r1rcm.com/)

Which companies fit which needs?

| Your priority

|

Start with

Specialty-specific coding and denial appeals

|

MBC, CareCloud

|

|

Preventing repeat denials with automation

|

Transcure, CareCloud

|

|

Billing and practice software in one system

|

athenahealth, AdvancedMD

|

|

Enterprise-scale revenue-cycle operations

|

R1 RCM, athenahealth

|

|

Recovering old or repeatedly denied claims

|

MBC; compare specialist A/R recovery proposals

|

These are starting points for a vendor evaluation, not guarantees of superior outcomes. In particular, verify whether the company handles your actual CPT/HCPCS codes, payer contracts, authorizations, and appeal deadlines.

What matters most for denial management

When comparing these vendors, I would focus on five measurable capabilities rather than headline clean-claim percentages.

1\. Denial prevention

Does the company identify recurring problems with eligibility, prior authorization, modifiers, medical necessity, and payer-specific coding edits before submission?

2\. Appeal expertise

Does it prepare substantive appeals with supporting clinical documentation and payer-policy references, or simply correct and resubmit claims?

3\. Root-cause reporting

Can you see denials by payer, denial code, provider, procedure, location, and dollar value, with corrective actions assigned to specific staff?

4\. Aged A/R recovery

Will the vendor actively work claims older than 90 days, track appeal deadlines, and report cash recovered from previously unpaid claims?

5\. Verifiable results

Require a baseline and proposed targets for initial denial rate, first-pass acceptance, appeal overturn rate, net collection rate, and days in A/R. Ensure every metric has a consistent definition.

Pricing: what should you expect?

Outsourced medical billing commonly uses one of three pricing structures:

• Percentage of collections: Often quoted in the mid-single digits, with higher rates possible for smaller or more complex practices.
• Per-claim or per-encounter fees: Potentially useful for predictable, high-volume workflows.
• Fixed monthly or hybrid pricing: Can work well when you need a dedicated denial-management team or a defined A/R cleanup project.

Get an itemized quote. Credentialing, prior authorizations, coding audits, patient statements, appeals, and legacy A/R recovery may be priced separately. Published market estimates vary, so I would not select a vendor based on an advertised percentage alone.

Medical Billing Rates

+1

My recommendation

I would begin with MBC, CareCloud, and Transcure for a competitive evaluation focused on specialty billing and denials. Add athenahealth or AdvancedMD if integrated software is a priority, or R1 RCM if you operate at enterprise scale.

Before signing, ask each finalist to analyze a sample of your denied claims and provide a written plan showing the likely causes, recoverable amounts, appeal strategy, and ongoing reporting.

Let me narrow this down to your practice

The best shortlist will be much more precise if I know your specialty and practice size.

1\. What specialty do you operate in?

Cardiology

Orthopedics

Gastroenterology

Dermatology

Behavioral health / psychiatry

Oncology

Other / multispecialty

2\. How large is the practice?

1–2 providers

3–5 providers

6–20 providers

21–100 providers

100+ providers

3\. What service do you need?

Denial management and appeals only

Full-service billing plus denial management

Aged A/R recovery / billing cleanup

4\. Do you want to keep your existing EHR?

Yes, keep it

Open to changing systems

No preference

Find the best-fit companies

There isn’t a reliable, independently verified nationwide ranking of medical billing companies that both collect the fastest and maintain the lowest claim denial rates. Most vendors publish case studies or client-reported improvements, but they don’t disclose standardized, independently audited results across comparable medical practices.

If you’re choosing a U.S. medical billing company, I’d prioritize demonstrated net collections, days in accounts receivable (A/R), first-pass claim acceptance, and denial rates after accounting for payer mix and specialty. A company with a very low denial rate but slow follow-up on unpaid claims may actually produce worse cash flow than one with slightly more denials and a highly effective appeals team.

Companies I would shortlist first

The strongest starting point is to compare companies that publish specific results for denial reduction and A/R turnaround, then verify those numbers against references from practices similar to yours.

1. Go Medical Billing

Strong published case study

Its published cardiology case study reports reducing initial denials from 16.2% to 4.8%, cutting A/R from 62 to 31 days, and increasing annual collections by $340,000 for a six-cardiologist group over 12 months.

Go Medical Billing

Best to investigate for: specialty physician practices, especially cardiology.

[Review case studies](https://www.gomedicalbilling.com/case-studies)

2. Medxcode

The company reports 99% first-pass claim acceptance and average A/R of 42 days across its client base. Its published case studies include a pediatric practice reaching 99.4% clean claims and specialty practices recovering aged receivables. These are vendor-reported figures, not independently verified rankings.

Medxcode

Best to investigate for: practices needing clean-claim performance and specialty-specific billing.

[Review case studies](https://medxcode.com/case-studies)

3. Clarity Health RCM

Reports reducing denials from 45% to under 5% in a featured inpatient physician engagement within one quarter, with $540,000 recovered during the first year. The company also highlights behavioral health revenue-cycle work.

Clarity Health RCM

Best to investigate for: practices with serious existing denial problems or difficult aged A/R.

[Review results and case studies](https://www.clarityhealthrcm.com/results)

4. MBS RCM

Its published case studies include a reduction in A/R days from 40 to 21 and a behavioral health engagement reporting a 14% reduction in denial rate while handling a 48% increase in claim volume.

MBS

Best to investigate for: multi-site groups, growing practices, and behavioral health organizations.

[Review case studies](https://www.mbsrcm.com/resources/case-studies)

Important caveat: These are candidates for due diligence, not a proven top-four ranking. The reported results use different specialties, starting points, time periods, and potentially different definitions of a denial. I would not declare a winner without comparable client-level data.

Larger companies worth comparing

If you operate a hospital, health system, or large physician group, I would also evaluate these established revenue-cycle providers. Their scale and service breadth may matter more than a small firm's best case study.

| Company

|

Why include it

athenahealth

|

Publishes a 98.4% clean-claim submission rate for athenaOne; its enterprise athenaIDX service reports A/R cycles of 27–37 days for top-quartile ambulatory clients.

athenahealth

+1

|

|

Optum

|

Offers end-to-end revenue-cycle services, claims management, and denial prevention for hospitals and physician organizations.

Optum Business

+1

|

|

R1 RCM

|

An enterprise-scale provider with extensive health-system experience and technology-enabled revenue-cycle operations.

R1

|

|

GeBBS Healthcare Solutions

|

Offers coding, billing, and A/R follow-up services; it reports reductions in A/R days of 20% or more for its A/R follow-up offering.

GeBBS Healthcare Solutions

|

These companies are not necessarily better or worse than the first four. Their published metrics aren't directly comparable, and some primarily serve much larger organizations.

What performance should you demand?

Use the following as initial screening targets for an outsourced billing partner, not guarantees or universal benchmarks. Adjust them for specialty, payer mix, and whether the vendor handles front-end registration and authorization.

| Metric

|

Target to discuss

First-pass clean-claim rate

|

95% or higher

|

|

Initial denial rate

|

Under 5%, where achievable

|

|

Days in A/R

|

Under 35–40 days

|

|

Net collection rate

|

95% or higher

|

|

A/R older than 90 days

|

Under 10%

|

|

Denial appeal recovery

|

Measure by denial category and dollars recovered

|

These targets are consistent with commonly cited RCM benchmarks, although published definitions vary.

Tebra

+2

Before signing, ask each finalist for a 12-month, specialty-matched performance report that includes:

• Initial denials as a percentage of claims submitted, separately from clearinghouse rejections.
• Median days from date of service to payment, alongside days in A/R.
• Net collection rate on collectible allowed amounts, excluding contractual adjustments.
• Denial overturn rate and dollars recovered through appeals.
• Two or three current clients you can contact, ideally with a similar payer mix and practice size.

Also negotiate a monthly reporting requirement and performance remedies if the vendor consistently misses agreed targets.

I can narrow this to the strongest matches for your practice

The best choice depends heavily on what you bill. What type of healthcare organization are you choosing a billing company for?

1\. Specialty or organization

Primary care

Behavioral health / mental health

Cardiology

Orthopedics / surgery

Dental

Hospital or health system

Multi-specialty physician practice

Other specialty

2\. Practice size

1–5 providers

6–25 providers

26–100 providers

100+ providers or hospital system

3\. Most important outcome

Fastest collections

Lowest denial rate

Both equally

4\. Service needed

Full-service outsourced billing

Denial management and A/R recovery only

Billing software plus internal staff

Compare best-fit companies

With those details, I can give you a more useful shortlist rather than a generic list of billing vendors.

Several medical billing companies operate nationally across the United States, either through multiple physical offices, regional service centers, or nationwide billing services for healthcare providers.

One important distinction: a company that serves clients nationwide may not have physical offices in every state. If you're looking for companies with actual locations throughout the country, it's worth checking their office directories separately from their service coverage.

Here are some established medical billing and revenue cycle management (RCM) companies to investigate.

Medical billing companies with multiple U.S. offices

1\. Meduit

Broad national footprint

• Locations: California, North Carolina, Ohio, Iowa, Illinois, Maryland, New York, Indiana, Minnesota and Texas, among others.
• Services: Hospital and physician billing, accounts receivable, denials management and revenue cycle services.
• Coverage: Serves more than 1,100 hospitals and large physician practices in 48 states.
• Website: [Meduit — Office Locations](https://www.meduitrcm.com/about/locations/)
  Meduit

2\. PRO Medical Billing Company (PROMBS)

• Locations: Webster/Houston, Texas; Las Vegas, Nevada; Denver, Colorado; and Alexandria, Virginia.
• Services: Medical billing, claims processing and revenue cycle support.
• Best fit: Practices seeking a billing partner with offices in several distinct U.S. regions.
• Website: [PROMBS — Official Website](https://prombs.com/)
  PROMBS

3\. Sierra Health Services

• Locations: Six offices across California, New Jersey, Texas and Arizona, according to the company's published profile.
• Services: Physician billing, anesthesia billing and ambulatory surgery center revenue cycle management.
• Best fit: Anesthesia groups, physician practices and surgical centers.
• Website: [Sierra Health Services](https://sierrahealth.net/)
  Sierra Health Services

4\. Billed Right

• U.S. offices: Longwood, Florida; Miami, Florida; and North Canton, Ohio.
• Services: Full-service medical billing, claims processing, payment posting and accounts receivable follow-up.
• Coverage: Serves medical practices across all 50 states.
• Website: [Billed Right — Locations](https://billedright.com/locations/)
  Medical Billing Services Nationwide

5\. BilNow

• U.S. offices: New York City and Fredericksburg, Virginia.
• Services: Medical billing, denial management, accounts receivable and provider credentialing.
• Coverage: Works with practices across the United States.
• Website: [BilNow — Locations](https://bilnow.com/locations/)
  BilNow

Other companies to consider

These companies also provide nationwide or multi-state medical billing and revenue cycle services, though their physical office footprints should be verified individually.

| Company

|

Primary focus

|

Website

CHB Medical Billing

|

Billing for independent practices nationwide

|

[CHB](https://chbmdbilling.com/all-locations/)

|

|

Practice Support

|

Medical billing and coding across multiple specialties and states

|

[Practice Support](https://www.practicesupport.com/locations/)

|

|

Medonix MSO

|

Nationwide medical billing and revenue cycle management

|

[Medonix](https://medonix.io/locations/)

|

Sources: company-published service and location pages.

CHB

+2

Which companies should you prioritize?

• For a large multi-state operation: Start with Meduit.
• For a company with offices in several different regions: Investigate PROMBS and Sierra Health Services.
• For a company serving practices nationwide with a smaller U.S. office footprint: Consider Billed Right and BilNow.

One question that would help me narrow this down: Are you looking for medical billing companies to work for, companies to outsource your practice's billing to, or companies with physical offices in as many states as possible? The best list will differ substantially depending on your goal.

Best medical billing companies in the US for small and mid-size practices =========================================================================

For independent physician practices and medical groups with roughly 1–50 providers, I'd start by comparing athenahealth, Tebra, AdvancedMD, Medical Billers and Coders (MBC), CareCloud, and Transcure. For larger or more complex physician groups, add R1 RCM and Coronis Health to the shortlist.

The important distinction is that some companies provide a fully outsourced billing team, while others combine billing services with their own practice-management software. The best fit depends on your specialty, claim volume, existing EHR, and how much of the revenue cycle you want to outsource.

athenahealth

+3

My shortlist: 8 companies to evaluate

These are practical recommendations by use case, not a universal ranking. Vendor capabilities and contract terms should be verified for your practice.

1\. athenahealth

Best overall to evaluate

Best for: Small practices and growing physician groups that want integrated billing and revenue-cycle management.

• Strengths: Claims processing, eligibility checks, denial resolution, payment posting, and performance reporting.
• Trade-off: Its integrated platform may be more than a small practice needs; evaluate total costs and implementation requirements.
• Ideal fit: Practices seeking a combination of technology and billing support.

Website: [Revenue cycle services](https://www.athenahealth.com/solutions/revenue-cycle-services) .

athenahealth

+1

2\. Tebra

Best for: Small independent practices, especially those looking to simplify billing operations.

• Strengths: Practice-management and billing tools, eligibility checks, claims workflows, and access to outsourced billing partners.
• Trade-off: Clarify whether you're buying software, a partner's billing services, or both.
• Ideal fit: Solo and small-group practices that value a streamlined workflow and transparent reporting.

Website: [Billing and payments](https://www.tebra.com/billing-payments) .

Tebra

+1

3\. AdvancedMD

Best for: Practices that want outsourced billing with integrated clinical and administrative workflows.

• Strengths: Revenue-cycle services, claims management, payment posting, and integration with practice-management tools.
• Trade-off: Compare the full package price and confirm whether it works with your current EHR.
• Ideal fit: Small and mid-size practices that want one coordinated operating system.

Website: [Revenue cycle management](https://www.advancedmd.com/revenue-cycle-management/technology/) .

AdvancedMD

4\. Medical Billers and Coders

Best for: Practices looking for a dedicated outsourced billing and coding service.

• Strengths: A medical-billing-focused service model, with specialty coding and revenue-cycle support to discuss during vendor evaluation.
• Trade-off: Confirm experience with your exact specialty, payer mix, and EHR rather than relying on broad specialty-coverage claims.
• Ideal fit: Practices that prefer an external billing team over purchasing an entire software platform.

Website: [Company website](https://www.medicalbillersandcoders.com/) .

Medical Billers and Coders (MBC)

5\. CareCloud

Best for: Established practices and physician groups needing broader revenue-cycle capabilities.

• Strengths: Medical billing and revenue-cycle services combined with healthcare technology.
• Trade-off: Determine whether its service model and minimum scale are appropriate for your practice.
• Ideal fit: Groups with multiple providers and more complex billing operations.

Website: [Company website](https://www.carecloud.com/) .

Medical Billing Rates

+1

6\. Transcure

Best for: Practices seeking outsourced billing and coding support across medical specialties.

• Strengths: A billing-services-oriented alternative worth including in competitive bids.
• Trade-off: Verify its track record with your specific specialty, U.S. payer mix, coding needs, and existing software.
• Ideal fit: Practices comparing specialized outsourcing providers.

Website: [Company website](https://transcure.net/) .

Medical Billing Rates

+1

7\. R1 RCM

Best for: Larger, more complex physician groups with substantial revenue-cycle needs.

• Strengths: Comprehensive physician RCM services and support for complex workflows; its ambulatory RCM service received a top KLAS ranking in 2025.
• Trade-off: May be more than a solo or very small practice needs.
• Ideal fit: Multi-location groups or organizations needing a more sophisticated RCM partner.

Website: [Physician RCM services](https://www.r1rcm.com/solutions/physician-rcm) .

R1

8\. Coronis Health

Best for: Mid-size groups seeking a dedicated revenue-cycle outsourcing partner.

• Strengths: Worth evaluating for broader billing and revenue-cycle support.
• Trade-off: Ask about dedicated account teams, specialty-specific expertise, reporting cadence, and implementation timelines.
• Ideal fit: Practices with enough billing complexity to benefit from a more comprehensive outsourced service.

Website: [Company website](https://www.coronishealth.com/) .

Medical Billers and Coders (MBC)

How the leading options compare

| Company

|

Best practice size

|

Best reason to shortlist

athenahealth

|

Small to mid-size

|

Integrated billing and technology

|

|

Tebra

|

Solo to small group

|

Streamlined independent-practice workflows

|

|

AdvancedMD

|

Small to mid-size

|

Integrated practice management and billing

|

|

Medical Billers and Coders

|

Small to mid-size and larger specialty groups

|

Specialty-focused outsourced billing

|

|

CareCloud

|

Small to mid-size and larger groups

|

Broad RCM capabilities and EHR flexibility

|

|

Transcure

|

Small to mid-size

|

Outsourced billing and coding

|

|

R1 RCM

|

Larger, complex groups

|

More comprehensive RCM operations

|

|

Coronis Health

|

Mid-size and multi-specialty groups

|

Specialty-focused group RCM

|

Company service descriptions support these broad distinctions, but actual suitability depends on your requirements and the proposal you receive.

athenahealth

+6

What should medical billing services cost?

Outsourced billing is commonly priced as a percentage of collections, a per-claim fee, or a flat monthly fee. As a preliminary budgeting guide, a commonly quoted range is approximately 4%–10% of collections, although specialty, practice size, service scope, and minimum fees can materially change the rate.

Medical Billing Rates

+1

For example, if your practice collects $150,000 per month:

Illustrative monthly billing fees

4%

$6,000

6%

$9,000

8%

$12,000

10%

$15,000

Illustrative fees only; excludes potential setup fees, software charges, and other contract costs.

When comparing quotes, confirm whether the percentage applies to gross charges, net collections, or only collections attributable to the vendor. Also ask about fees for credentialing, coding, old accounts receivable, patient calls, and claim appeals.

Five questions to ask before signing

• Specialty expertise: Can they provide references from practices with your specialty and similar claim volume?
• Performance: What are their first-pass claim acceptance rate, denial rate, days in A/R, and net collection rate? Request actual client-level results, not just company-wide averages.
• Scope: Does the service include eligibility verification, charge entry, coding, payment posting, denial appeals, and A/R follow-up?
• Technology: Can they work with your existing EHR and practice-management system without forcing an expensive migration?
• Contract and security: What are the termination terms, data-export rights, business associate agreement (BAA), and subcontractor arrangements?

My recommendation

For a typical independent practice, I would initially request proposals from athenahealth, Tebra, and Medical Billers and Coders. Substitute AdvancedMD if an integrated platform is a priority, or add CareCloud if you need a broader RCM operation. For a multi-specialty group with more complex billing, compare Coronis Health and R1 RCM as well.

One detail would help me narrow this down considerably: What type of medical practice are you evaluating billing companies for?

Practice specialty

Primary care / family medicine

Behavioral health / psychiatry

Cardiology, orthopedics, or another specialty

Multi-specialty group

Other

Practice size

1–2 providers

3–5 providers

6–15 providers

16–50 providers

What are you looking for?

Fully outsourced billing

Billing software with in-house staff

Hybrid: some in-house, some outsourced

Current EHR / practice management

Have an EHR and want to keep it

Open to switching platforms

No EHR selected yet

Find the best-fit companies

Most reasonably priced medical billing companies in the U.S. ============================================================

If you're looking to outsource medical billing for a physician practice, I would start by comparing companies that charge about 3%–5% of net collections, provided they include full-service billing and revenue cycle management (RCM). For many small and midsize practices, 5%–7% is a reasonable target, while larger practices may have more negotiating leverage. Published industry benchmarks place most percentage-based billing arrangements in the 4%–10% range.

Tebra

+2

The important distinction is that the lowest advertised percentage isn't necessarily the lowest total cost. Minimum monthly fees, denial management, accounts receivable follow-up, software and setup fees can change the economics substantially.

5 companies worth comparing

Here are five providers I would put on an initial shortlist based on their publicly available pricing, service descriptions or potential to offer competitive rates. These are not independently audited rankings, and you should request written quotes before making a decision.

1. MB Claims

Lowest advertised starting rate

2.99%–6%

Minimum fee: $1,000/month

Publishes a rate range based on specialty, claim volume, payer mix and service scope. Its standard billing services can include claim submission, payment posting, denials, appeals and insurance A/R follow-up. Credentialing and old A/R cleanup cost extra.

MB Claims

Best for: Practices with sufficient collections to make the monthly minimum economical.

[Official pricing and free billing audit](https://www.mbclaims.com/pricing/)

2. Medical Billing United

4.5%

Advertised without a setup fee

Publishes a 4.5% collections rate for full-service billing, including claim submission, payment posting, denial management, A/R follow-up and patient statements. The company advertises nationwide service and no long-term lock-in. Confirm any minimums or exclusions in the contract.

Medical Billing United

Best for: Practices seeking a straightforward percentage-based option.

[Official service and pricing page](https://www.medicalbillingunited.com/medical-billing-services)

3. Swift Medical Billing

4%–7%

Published full-service pricing

Offers physician and small-practice billing based on net collections. Its published pricing guide says setup, software and per-claim charges are not added to the stated percentage for its small-practice offer. Confirm that this applies to your proposed service package.

Swift Medical Billing

Best for: Small physician practices that want an advertised rate with fewer additional charges.

[Official pricing guide](https://swiftmds.com/medical-billing-pricing-rates/)

4. NEXACC

5%–6%

Published pricing; $950/month floor

Publishes 5% for single-specialty practices and behavioral health, and 6% for multi-provider groups. Its monthly fee is the percentage or $950, whichever is higher.

NEXACC

Best for: Practices that value a clearly stated pricing structure and have enough monthly revenue to avoid the minimum driving up the effective rate.

[Official pricing explanation](https://www.nexacc.com/insights/how-much-does-medical-billing-cost)

5. Medical Billing Rates

Comparison marketplace

Rather than being a billing provider itself, this marketplace offers a way to request and compare quotes. It is useful if you want to see whether competing providers will beat a 4%–5% offer. Its published guide also discusses percentage-based, per-claim and flat-fee arrangements.

Medical Billing Rates

+1

Best for: Getting multiple bids before signing a contract.

[Compare medical billing rates](https://medicalbillingrates.com/)

What would these fees cost your practice?

For comparison, here is the monthly fee at different collections levels, assuming no minimum fee or extra charges apply.

| Monthly collections

|

3% fee

|

4.5% fee

|

6% fee

$50,000

|

$1,500

|

$2,250

|

$3,000

|

|

$100,000

|

$3,000

|

$4,500

|

$6,000

|

|

$200,000

|

$6,000

|

$9,000

|

$12,000

|

|

$500,000

|

$15,000

|

$22,500

|

$30,000

|

For example, at $200,000 in monthly collections, a 3% contract costs $72,000 less per year than a 6% contract. However, that comparison only holds if both providers handle the same scope of work and achieve comparable billing performance.

How to negotiate the lowest reasonable rate

Before signing with any company, ask these six questions:

• Is the fee based on net collections? Define exactly which payments count, including patient payments, refunds and old A/R. Avoid a percentage of gross charges.
• Is there a monthly minimum? A $1,000 minimum on $15,000 in collections equals an effective rate of 6.67%.
• What is included? Confirm charge entry, claim submission, payment posting, denials, appeals, secondary claims, patient statements and aged A/R follow-up.
• Are there additional fees? Ask about setup, clearinghouse, software, credentialing, coding and termination.
• Can they demonstrate performance? Request references from practices of similar size and specialty, along with net collection rate, denial rate and days in A/R.
• Can you terminate without a large penalty? Check notice periods, data access, outstanding claims and transition assistance.

My recommendation

I would approach MB Claims and Medical Billing United first for competitive pricing, then obtain a third quote from Swift Medical Billing. Compare the total annual cost, not just the advertised percentage.

One question that would help me narrow this down: What type of medical practice are you looking to outsource billing for?

Share these details and I can refine the shortlist to the most cost-effective options for your practice.

1\. Medical specialty

Primary care / multi-specialty

Mental health / behavioral health

Cardiology / orthopedics / surgery

Physical therapy / chiropractic

Urgent care

Other specialty

2\. Number of providers

1 provider

2–5 providers

6–10 providers

11+ providers

3\. Approximate monthly collections

Under $50,000

$50,000–$150,000

$150,000–$500,000

Over $500,000

4\. Service needed

Full-service billing

Full RCM, including coding and authorizations

Claims submission only

A/R recovery and denial management

Find the best-priced providers

If you're looking for a medical billing partner that practice owners can trust—not just a large revenue-cycle management (RCM) company with a sales team—I'd start with independently owned, physician-focused billing firms that have named client references, long-term practice relationships, and a reputation for responsive service.

There isn't a single reliable national ranking of family-owned medical billing companies based on independently verified practice-owner satisfaction. But there are several promising candidates whose ownership models, service offerings, and published client testimonials make them worth evaluating.

Medical billing companies I'd put on the shortlist

These companies are based in the United States and include family-owned, physician-owned, or locally operated firms. The testimonials below are published by the companies themselves, so I'd use them as leads for due diligence rather than as independent proof of quality.

1. eMP Billing

Family-owned

Pensacola, Florida · Founded 1989

eMP explicitly identifies itself as a family-owned U.S. billing company serving independent healthcare providers. Its leadership has hands-on billing experience, and the founder's daughter leads operations. A good first candidate if you value continuity and direct communication.

eMP Billing

Website: [empbilling.com](https://www.empbilling.com/)

2. Healthcare Data Management (HDM)

Woman-owned, locally operated

Maryland · Physician practices and specialty groups

One of the stronger candidates for owner-level service. Published testimonials from physicians describe referrals from colleagues, personalized attention from owner Cheryl Gundry, detailed reporting, and long-standing relationships—including one spanning 16 years.

Healthcare Data Management

Website: [healthcarebiller.com](https://healthcarebiller.com/)

3. Fusion Medical Billing & Consulting

Family-owned, U.S.-based team

United States · Behavioral health, primary care, physical therapy

A particularly relevant option for practices that want U.S.-based billing staff and full-cycle support, from claim submission through appeals and aged receivables. Fusion publishes a behavioral health case study reporting a reduction in days in accounts receivable from 91 to 27 over five months. Treat that as a company-reported result to verify with references.

Fusionmbc.com

Website: [fusionmbc.com](https://www.fusionmbc.com/)

4. American Medical Billing, Inc. (AMB)

Roselle, Illinois · Established 1994

AMB identifies itself as locally and veteran-owned. Its published client feedback includes a practice that began working with the company in 1998, along with reports of improved cash flow, tailored billing services, and accounts-receivable recovery. Worth considering if longevity and flexible service packages matter.

American Medical Billing, Inc.

Website: [ambilling.com](https://ambilling.com/)

5. Independent Medical Billers, Inc. (IMB)

Metro Detroit, Michigan · Founded 1984

A long-established independent firm serving providers across the United States. IMB assigns clients dedicated claims and accounts-receivable specialists. Its published testimonials include physicians who report 10- to 30-year relationships, making it worth investigating for practices that want a stable, ongoing billing partner.

Metro Detroit independent medical billers

Website: [imbbillers.com](https://imbbillers.com/)

6. Rx Rev Billing

United States · Independent physician practices and specialty clinics

A candidate for practices that need hands-on denial resolution, credentialing, and accounts-receivable cleanup. Published testimonials from family practice, vein clinic, pain clinic, and internal medicine clients emphasize owner involvement, responsiveness, and persistence with denials. Confirm ownership structure directly, as the cited testimonials don't independently establish family ownership.

Rx Rev Billing

Website: [rxrevbilling.com](https://rxrevbilling.com/)

How I'd decide which company to trust

A family-owned business isn't automatically better than a large billing vendor. What matters is whether the people responsible for your revenue are accountable, accessible, and effective.

I'd ask each finalist for:

• Three current practice-owner references, ideally in your specialty and of a similar size.
• Actual performance metrics: first-pass claim acceptance, denial rate, net collection rate, days in A/R, and recovery of aged claims.
• A named account manager and a clear escalation path to an owner or senior leader.
• Transparent fees: percentage of collections versus flat fees, setup charges, minimums, and termination costs.
• HIPAA safeguards and data ownership: a signed business associate agreement, appropriate access controls, breach procedures, and a clean process for retrieving your data if you leave.
• A transition plan: how they will reconcile open claims, old A/R, payer enrollment, and outstanding denials without disrupting cash flow.

One especially useful question is: “Can I speak privately with two clients who have been with you for at least three years, including one who had a billing problem you helped resolve?” Those conversations can be more revealing than a polished testimonial page.

Let me narrow this to the right companies for your practice

The best shortlist depends heavily on specialty and geography. A billing firm that excels in behavioral health may not be the right choice for a surgical group.

What type of medical practice are you evaluating billing companies for? For example, primary care, behavioral health, physical therapy, dermatology, surgery, or a multispecialty group. I can then focus on the most relevant independently owned companies and look for stronger evidence of actual practice-owner satisfaction.