Medical Billing Company
Medical Billing Services in the USA That Close Your Collection Gap
SP Medical Billing manages claim submission, coding, credentialing and denial appeals for physician practices across all 50 US states. We handle the revenue cycle so your staff handles patients.
How does your billing compare to the national average?
Most medical billing companies in the USA report clean claim rate and stop. That metric hides payer downcoding and underpayments that happen after a claim is accepted.
What costs practices most?
A clean claim is not the same as a paid claim.
Payer algorithms downcode and delay after a claim is accepted. 71% of physician practices in the USA never measure this variance.
5.8%
Average hidden variance
The gap between what is billed and what is collected, invisible to a standard clean-claim report.
71%
Never track true NCR
Net collection ratio, not clean claim rate, tells you what your medical billing company keeps for you.
$164K
Average annual loss per provider
Untracked denials and underpayments across 60+ specialties average this amount per provider, per year.
What does a full-service medical billing company handle?
Here are the 6 core services SP Medical Billing provides to physician practices across the USA.
Medical Billing
Claim scrubbing, submission and follow-up for every payer. Each claim is reviewed by a certified biller before it reaches the clearinghouse.
Medical Coding
CPC-certified coders assign ICD-10, CPT and HCPCS codes specific to your specialty. Accurate coding reduces denials and protects reimbursement.
Credentialing
CAQH enrollment, payer contracting and re-credentialing. Every day a provider is not enrolled is revenue that cannot be collected.
Denial Management
Each denied claim is reviewed, appealed with payer-specific documentation and tracked to its root cause. Our overturn rate is 81%.
A/R Recovery
Aging accounts receivable are worked systematically, oldest and highest-value first. We recover balances that in-house teams write off.
Reporting & Analytics
Monthly reports on true net collections, denial trends by payer and provider-level performance. No summary PDFs that mask problems.
Medical billing services for as low as 2.49% of collections.
Over 300 physician practices trust SP Medical Billing as their medical billing company in the USA. No setup fees, no long-term contracts.
Which medical specialties does SP Medical Billing cover?
Each specialty operates under a distinct coding framework. Our billers and coders are trained on the rules specific to your specialty.
What did recovery look like for 3 practices?
40-provider group, Scottsdale AZ
Previously outsourced to a vendor running 18% denial rate across 3 locations.
Wound care practice, Tucson AZ
$94K in Medicare Advantage denials had been written off as uncollectable before our review.
Family practice group, Phoenix AZ
Managed-care plan changes created systematic denials across 3 separate payers.
What most billing vendors skip over.
HIPAA-compliant by design
Every step from data transfer to claim submission follows strict compliance protocols. Patient data is encrypted at rest and in transit.
Specialty-specific coding teams
Coders trained on the modifiers, bundling rules and documentation standards that apply specifically to your specialty.
A named account manager
One point of contact who knows your practice, your payers and your claim history, not a rotating support queue.
True net collection reporting
Monthly reports showing what you actually collected, broken down by provider, payer and denial category.
Who is actually working your claims?
Every practice is assigned a named team, not a rotating queue, led by certified billers, coders and a dedicated account manager.
Denise Carter
18 years in physician billing operations. Oversees onboarding and payer strategy across all client accounts.
Marcus Lee, CPC
Specialty coding lead for orthopedics and cardiology. Trains coders on payer-specific modifier rules.
Priya Nandakumar
Runs the appeals desk behind our 81% overturn rate. Former payer-side claims auditor.
Tom Reilly
Your named point of contact after onboarding, monthly reporting reviews and payer escalations.
In-house billing cost vs. SP Medical Billing at 2.49%
Our fee starts at 2.49% of collected revenue. No flat retainers, no long-term lock-in.
In-House Billing Cost
Based on $100K in monthly collections
SP Medical Billing
Same $100K in monthly collections
4 steps from audit to full revenue recovery.
Free audit
We map every revenue leak in your billing before you commit.
Onboarding
We connect to your EHR and practice management system.
Go live
Your dedicated team starts submitting and tracking every claim.
Recover & report
Monthly net collection reporting. Denial appeals run continuously.
AvailableNationwide
SP Medical Billing provides medical billing services in the USA across all 50 states. Our billing teams understand each state’s Medicaid rules, dominant commercial plans and regional fee schedules.
Results from practices that made the switch.
Since switching to SP Medical Billing, our denial rate dropped by nearly half. Their coders catch things our old vendor never flagged.
We finally have reporting that shows what we actually collect, not just what we bill. That changed how we run the practice entirely.
Credentialing alone used to take our staff weeks. SP Medical Billing handled it end to end and we were billing within 30 days.
Common questions about our medical billing services.
What does a medical billing company do?
A medical billing company handles the financial process following a patient visit. That means verifying insurance, coding the encounter with ICD-10 and CPT codes, submitting the claim, following up on payment and appealing denials. The goal is to collect the full reimbursement the provider is owed.
How much do medical billing services cost in the USA?
The industry standard ranges from 4% to 10% of monthly net collections. SP Medical Billing charges as low as 2.49%. The fee is a percentage of what is actually collected, so our incentive is aligned with yours.
Which EHR systems do you support?
We integrate with all major EHR and practice management platforms, including Epic, Cerner, Athenahealth, AdvancedMD and DrChrono. Most integrations are live within 2 weeks of onboarding.
How long does onboarding take?
Most practices are fully onboarded and billing within 2 to 4 weeks. The timeline depends on payer credentialing in your state.
Is patient data secure?
All billing and coding is handled under strict HIPAA-compliant protocols. Patient data is encrypted at rest and in transit, access is role-based and we conduct regular third-party security audits.
Can I monitor billing performance myself?
Yes. Every client receives monthly reports covering true net collections, denial rates by payer, A/R aging by provider and cost-to-collect ratios. We also provide real-time dashboard access.
Ready to see exactly how much revenue you are missing?
Our audit-first engagement maps every revenue leak in your practice before you commit to anything. It takes 2 minutes to request and typically uncovers thousands.
Request Your Revenue Audit
No obligation. No sales pitch. Real numbers from your billing data.