Medical Express

What Medical Express does

Medical Express PSI (legal entity PSI Premier Specialties Inc., DBA MedEx) is a licensed and accredited orthopedic Durable Medical Equipment (DME) provider founded in 1998 and headquartered in Austin, Texas. The company supplies orthopedic bracing products — sourced primarily through a partnership with Ossur — alongside post-operative devices (walkers, cold therapy, DVT, and CPM equipment) to clinics, hospitals, and urgent care settings across Texas, Oklahoma, and Louisiana. It complements product distribution with in-clinic patient services delivered by licensed orthotists for custom and off-the-shelf brace fitting, plus stock-and-bill and post-operative DME programs embedded inside 300 managed healthcare sites. Underlying infrastructure includes seven warehouses across Texas and Oklahoma and over 500 in-network insurance carrier contracts.

The company earns revenue through two interlocking streams. The first is hardware and service revenue from direct facility relationships: DME product sales, point-of-care DME programs, on-site orthotic services, and wholesale orthopedic brace distribution through its warehouse network. The second is fee-based Revenue Cycle Management (RCM) and insurance billing services — including claim entry to closure, real-time eligibility verification, SIM checks, SNF checks, and bill backs — provided nationwide to DME companies and orthopedic clinics via a partner platform, O&P Billing. Customer-facing payment rails (PersonaPay, MyPaySimple) and a DreamHost-backed clinic portal complete the operating stack.

Medical Express PSI is a privately held, founder/operator-led company (Darren McMaster serves as President & Co-Owner) with approximately 76 employees and no disclosed institutional ownership, funding history, or M&A activity across its 25+ year operating history. The go-to-market is enterprise field sales targeting healthcare facilities, supported by a basic marketing footprint centered on the corporate website and direct phone outreach. No digital marketing, content marketing, or AI-driven capabilities are evidenced.

Name

Medical Express

Legal name

PSI Premier Specialties Inc.

Website

https://medexpsi.com

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

51–100 employees

Short description

Medical Express PSI is a licensed, accredited orthopedic DME distributor and revenue cycle management provider serving 300+ clinics, hospitals, and DME companies across Texas, Oklahoma, and Louisiana via seven warehouses and 500+ insurance contracts.

Ownership category

akta.pro rank

Product category

Orthopedic Durable Medical Equipment and Billing Services

NAICS

Surgical Appliance and Supplies Manufacturing (339113), Medical Equipment and Supplies Manufacturing (3391)

SIC

Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842), Wholesale-Medical, Dental & Hospital Equipment & Supplies (5047)

akta.pro primary industry

Durable Medical Equipment (DME) & Home Health Distribution (CRAOAHAF)

akta.pro secondary industry

Durable Medical Equipment (DME) Sales & Rentals (HSABAKAA)

Keywords

• Durable medical equipment
• Orthopedic bracing products
• Revenue cycle management
• Post-operative DME
• Medical billing services

Headquarters

HQ city

Austin

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Supply Chain, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. DME Product Sales: Sale of Orthopedic Durable Medical Equipment including custom and off-the-shelf braces, walkers, cold therapy, DVT, and CPM devices to healthcare facilities and patients
2. Revenue Cycle Management Services: Full RCM services including claims processing, eligibility verification, SIM checks, SNF checks, and bill backs for DME companies and Ortho Clinics
3. Insurance Billing Services: Custom DME patient programs and insurance billing solutions for healthcare partners
4. Wholesale Distribution: Wholesale distribution of orthopedic braces through 7 warehouses to healthcare providers across Texas and Oklahoma

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels3 records

Core offering

Medical Express PSI supplies orthopedic durable medical equipment (DME) — including custom and off-the-shelf braces, walkers, cold therapy, DVT, and CPM devices — to clinics, hospitals, and urgent care settings across Texas, Oklahoma, and Louisiana. The company also delivers full Revenue Cycle Management (RCM) and custom insurance billing programs for DME companies and orthopedic clinics across the United States.

Product overview

Medical Express PSI operates as a unified platform offering orthopedic DME products and billing solutions. The core product portfolio centers on orthopedic bracing products including the Rebound Post Op Knee/Elbow braces, Unloader One series, CTi 3 Knee Brace, Formfit Ankle, and Cold Rush Therapy Systems. Complementing the product offerings are integrated service modules: Revenue Cycle Management (RCM) Services handling full claims lifecycle from entry to closure, Custom DME Billing Programs built for clinic and hospital partners, Patient Services for in-clinic brace fitting, Point of Care Programs for immediate DME delivery, Post-Operative Product provision, and licensed Orthotic Services. The company also provides billing services through their partner O&P Billing platform. All offerings are delivered through their regional network of 7 warehouses across Texas and Oklahoma, serving 300+ managed sites with access to 500+ insurance contracts.

Differentiator

Problem solved

Functional benefit

Products and services

• Revenue Cycle Management Services
• Custom DME Billing Programs
• Patient Services (In-Clinic Brace Fitting)
• Orthotic Services
• Point of Care DME Programs
• Post-Operative DME Products Supply
• Billing Services (via O&P Billing) High-performance claims processing and RCM services for DME companies and orthopedic groups delivered through partner O&P Billing.
• Rebound Post Op Knee Brace
• Rebound Post Op Elbow Brace
• Unloader One w Smartdose Knee Brace
• Unloader One X Knee Brace
• CTi 3 Knee Brace
• Formfit Ankle Brace with Speedlace
• Rebound Air Walking Boot
• Cold Rush Therapy System

Quantifiable outcome

• 300 healthcare sites managed across Texas, Oklahoma, and Louisiana
• +2 more outcomes

Named customers5 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

Feature3 records

Partnerships

Three partnerships are on record, tiered core.

• OssurcoreTechnology or IntegrationOssur is linked on the Medical Express PSI website as a partner, suggesting a product supply relationship for orthopedic bracing products. Ossur manufactures orthopedic braces including the Rebound Post Op Knee Brace, CTi 3 Knee Brace, and other products listed in the patient education section.
• Insurance Carriers (500+ contracts)coreOthersMedical Express PSI is a contracted DME and Bracing provider for most major insurance carriers, with over 500 insurance contracts. These partnerships enable custom DME patient programs inside clinic and hospital settings.
• Healthcare Facilities PartnerscoreChannel Partner/ Reseller/ DistributorCustom stock and bill programs and post-operative DME programs are built for healthcare partners including clinics, hospitals, and urgent care settings across Texas, Oklahoma, and Louisiana. 300 managed sites demonstrates established partnerships.

Scale indicators6 records

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• DJO Global (Enovis): DJO/Enovis is a major global manufacturer and distributor of orthopedic bracing, recovery, and DME products. Overlaps directly with MedEx's orthopedic bracing catalog but operates at much larger scale and across multiple product lines.
• Apria Healthcare (formerly Owens & Minor): Apria is a large national DME provider covering home medical equipment including braces, walkers, and post-surgical equipment. Overlaps with MedEx's hospital/clinic DME programs at greater scale and broader geography.
• Medline Industries: Medline is the largest privately held U.S. medical supply manufacturer and distributor with a wide DME category. Comparable as a medical wholesale distribution incumbent though serving a much broader portfolio than MedEx.
• AdaptHealth: AdaptHealth is one of the largest U.S. providers of DME, with national distribution across sleep, respiratory, orthotics, and bracing. Comparable to MedEx on DME distribution model though at far greater scale and category breadth.

Direct peers

• Byram Healthcare: Byram Healthcare is a national DME distributor serving patients and providers with orthotics, braces, and medical supplies. Directly comparable to MedEx's DME product distribution and managed-sites model.
• Hanger Clinic: Hanger operates one of the largest U.S. networks of orthotics and prosthetics patient care clinics with licensed orthotists — directly comparable to MedEx's in-clinic licensed orthotist services and custom brace fitting.
• Bauerfeind USA: Bauerfeind is a German orthopedic brace and compression therapy manufacturer with U.S. distribution — directly comparable as another premium-brand orthopedic brace supplier operating in the same DME stocking category MedEx focuses on.
• Breg Inc. Breg is a leading U.S. orthopedic bracing and cold therapy manufacturer (knee braces, walking boots, cold therapy) selling through distributors and direct channels — directly comparable to MedEx's orthopedic brace portfolio.
• Ossur Americas: Ossur manufactures the orthopedic braces MedEx distributes (Rebound, Unloader, CTi) and is featured as a partner on MedEx's website. Highly comparable as the upstream brand in the same orthopedic bracing category MedEx specializes in.

Others

• O&P Billing: O&P Billing is MedEx's named partner platform providing high-performance claims processing and RCM to DME and orthopedic groups — directly comparable RCM capability from the same service category.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Medical Express