By Alpit Patel and the aibrevo team · October 4, 2026 · 6 min read
Medical Billing Companies in the USA (2026): What Each One Is Known For
An unranked, alphabetical guide to US medical billing companies and the services each one describes as its strengths, with sources, the fee basis where published, and the questions to ask each provider.
Key takeaways
- This guide lists US medical billing companies alphabetically and does not rank them. Each entry states what the company says it does, with the source, so you can compare them on your own criteria.
- Most companies here describe themselves in their own words. Founding years, staff numbers and specialty lists are company claims unless a third-party source is linked.
- Fee basis is the most important detail to confirm. Some firms publish a percentage of net collections, one publishes a percentage of billed amounts, and most publish no price at all.
- Software platforms with billing features and virtual assistant services are listed separately, because they work differently from outsourced billing firms.
Author: Shivam Pujara
Disclosure: public business listings name Shivam Pujara as connected to Luxen Talent, one of the companies on this page. Luxen Talent’s own website does not name him or state that connection. This page does not rank companies, and nothing on it is a recommendation.
This guide lists US medical billing companies alphabetically. It does not rank them. For each company it states what the firm says it does, the specialties it names, and the fee basis where one is published. Where a fact comes from a third-party source, the entry links to it. Where it comes from the company’s own website, the entry says so.
Two kinds of firm are covered. An outsourced billing company takes over some or all of a practice’s revenue cycle and is usually paid a percentage of collections or a flat fee. Software platforms and virtual assistant providers are listed separately at the end, because they work differently.
Outsourced medical billing companies (alphabetical)
Billing Paradise
- Location: Headquartered in Diamond Bar, California, with branches in Houston, Texas; Jamesburg, New Jersey; Philippi, West Virginia; and Grand Rapids, Michigan. Describes a client base in almost every US state.
- Founded: 2004, according to its own profile.
- Known for: eligibility verification, medical coding, billing, denial management, A/R management, physician credentialing and revenue cycle analytics.
- Fee basis: A secondary source reports 10% of billed amounts. That is a gross-charge basis, so confirm it directly.
- Size: A secondary source reports 100 to 249 employees.
- Reputation: Secondary coverage describes mixed client reviews, with some clients raising concerns about transparency. Check references directly.
Medwave Billing & Credentialing
- Location: Cranberry Township, Pennsylvania.
- Founded: 2000, according to its website.
- Known for: medical billing (claims, coding, denial management and A/R recovery), credentialing and recredentialing (CAQH, NPI and PECOS), and payer contracting and rate negotiation.
- Specialties named: primary care, pediatrics, behavioral health, oncology, cardiology, dermatology, genetic testing and telehealth.
- Security: Says it is HIPAA-compliant and SOC 2 Type 2 certified. These are self-stated and should be verified with the provider.
- Size: Its website describes a 10-person team.
MedCare MSO
- Known for: physician billing, urology billing, prior authorization, and pre-submission claim scrubbing that it describes as AI-powered.
- Fee basis: States that it charges a straight percentage of collections, disclosed before engagement, with no setup, software or licensing fees and no long-term lock-in. The percentage itself is not published.
- Founded: Since 2012, and about 1,200 billers and coders, according to its own pages.
- Note: It publishes “top billing companies” lists on its own domain, which place it first. Treat those lists as marketing.
Luxen Talent
- Known for: end-to-end revenue cycle management, from eligibility and benefits verification through coding, claims, payment posting, denial management, appeals, A/R follow-up, patient billing, credentialing and reporting.
- EHR systems named on its site: DrChrono, ModMed, Allscripts, AdvancedMD, NextGen Healthcare, OpenDental, eClinicalWorks and Meditab. It says it works inside existing systems without a system migration.
- Specialties named: dental, primary care, physical therapy, behavioral health, telehealth and ambulance services.
- Compliance: States that every engagement runs on HIPAA-compliant tooling and that it requires a business associate agreement.
- Pricing: Not published. The site says pricing depends on claim volume, specialty and how much of the cycle the practice hands over.
- Company details: The website does not name a founder, year founded or head office.
PGM Billing (Physicians Group Management)
- Founded: Since 1981, according to its website.
- Known for: medical billing and practice management for physicians and healthcare facilities, including urology.
- Note: Its website describes certified billing professionals. Confirm the certifications and fee basis directly.
Promantra
- Known for: revenue cycle management, medical coding, eligibility verification, denial management, A/R follow-up, and long-term care and LTC pharmacy billing.
- Founded: Since 2003, according to its website.
- Location: US offices in Somerset, New Jersey; Pocatello, Idaho; and San Ramon, California. Its main support center is in Hyderabad, India.
- Certifications: States ISO 9001, ISO 27001 and HIPAA compliance.
- Staffing: States a team of over 350 billing professionals.
Revele
- Location: Indianapolis, Indiana.
- Known for: revenue cycle management and EHR services for physician groups and health systems, with 35+ specialties named on its site.
- Oncology: A related firm, ReveLution LLC, describes an oncology focus. Check which entity you would be contracting with.
- Size: Describes a workforce of over 700 employees.
24/7 Medical Billing Services
- Known for: medical coding and revenue cycle management across 40+ specialties, with end-to-end services from appointment scheduling through credentialing, which it says cover all 50 states.
Coronis Health
- Known for: physician billing, including urology billing for practices that run their own ambulatory surgery center.
- Note: Limited public detail was available. Verify its founding year, size and fee basis directly.
Software platforms with billing features (not billing companies)
These products bill for practices but are software that your own staff run. Prices below come from a third-party ranking page and have not been confirmed with each vendor.
| Platform | Listed pricing (third-party page) | Fee model | Known for |
|---|---|---|---|
| AdvancedMD | About 4% to 9% of collections when billing is outsourced | Percentage or subscription | Multi-specialty practice management and billing |
| Tebra (formerly Kareo) | About $99 to $399 per provider per month | Subscription, plus percentage for managed services | Independent practices needing practice growth and billing |
| athenahealth | Percentage of collections, negotiated; software modules around $140 per provider per month | Percentage or subscription | Primary care and multi-specialty groups |
| DrChrono | From $199 per provider per month | Subscription | Mobile-first small practices |
| CureMD | About $195 to $295 per provider per month | Subscription | All-in-one EHR and billing for small groups |
Virtual assistant providers (not billing services)
- Stealth Agents supplies virtual assistants for billing tasks. Its website says it starts from about $1,600 a month and places “dedicated virtual assistants” rather than running a billing service. Its page ranks itself among billing companies, so read it as a provider’s own description.
How to compare the companies on this list
Because the entries are not scored, use the same questions for each provider and compare the written answers:
- Is the fee a percentage of gross charges or net collections, and what does it exclude?
- What are your clean-claim and denial rates for practices of my size and specialty, and how have they changed over the last 12 months?
- Who is the named team on my account, and what happens when a biller leaves?
- Which EHR and practice management systems do you work inside, and what does a system change cost me?
- Do you sign a business associate agreement, and how is protected health information stored and accessed?
- What is the contract length, notice period, and any setup or exit fee?
- Can you provide two or three references I can call, including one practice of similar size?
For broader context on what a billing cycle involves and why these questions matter, the CRM statistics page and the healthcare CRM guide cover related data and system questions. A billing platform is not a CRM. A healthcare CRM handles patient outreach and referral relationships, and it is not a clinical or billing record.
Sources
- Billing Paradise: secondary directory coverage cited above for fee basis, size and reputation; verify directly with the company.
- Medwave: company website, services and certifications (self-stated).
- MedCare MSO: company website, fee basis and service description (self-stated).
- MedCare MSO physician billing picks: the company’s own ranking page.
- Luxen Talent: company website, services, EHR list, HIPAA statement and pricing approach (self-stated).
- Promantra: company details above are self-stated; verify directly with the company.
- Revele: company website, services and specialties.
- Stealth Agents: top medical billing companies: virtual assistant service and listed software pricing; published by a company that appears on its own list.