What Medico does

Medico Inc. is a privately held US healthcare technology and management services company headquartered in Columbia, South Carolina, founded approximately 20 years ago and operating with 501-1,000 employees across offices in Columbia, Salt Lake City, Hyderabad, and Chennai. The company delivers end-to-end revenue cycle management (RCM) and related administrative services to medical practices of all sizes, from solo practitioners to large multi-physician groups, across 25+ medical specialties including dermatology, physical therapy, gastroenterology, rheumatology, podiatry, cardiology, orthopedics, and pathology labs. Its core product is full-service medical billing, encompassing charge entry, claims submission, payment posting, denial management, and A/R follow-up, processing over 100,000 claims monthly for 400+ active providers at 100+ practices. Complementary offerings include medical transcription with speech-recognition technology, medical coding by AAPC/AHIMA-certified specialists, compliance audits, practice consulting, and provider credentialing services with payers.

The company's technology stack is anchored by AdvancedMD as its practice management platform, supplemented by an open API architecture that interfaces with 200+ EHR/EMR systems, a proprietary eligibility verification portal integrated with the PM system, clearinghouse integration for electronic claim submission, and EFT/ERA utilities for electronic payment posting. HIPAA-compliant infrastructure includes 128-bit encryption, secure firewalls, triple-factor physical access controls, and ISO 9001:2008 and ISO 27001:2005 certifications. Medico employs a hybrid delivery model with US-based client-facing teams and account managers handling all client communication, while back-office operations in Hyderabad and Chennai, India provide cost-effective processing capacity.

Name

Medico

Legal name

Medico Inc.

Website

https://medicoinc.com

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Medico Inc. is a US-based healthcare services company providing medical billing, revenue cycle management, transcription, coding, compliance audits, and credentialing to 100+ medical practices across 25+ specialties, using AdvancedMD technology and a US-India hybrid delivery model.

Ownership category

akta.pro rank

Headquarters

HQ city

Columbia

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2B

Offering type

Services

Revenue model

1. Medical Billing / Revenue Cycle Management Services: Full-service revenue cycle management including claims submission, payment posting, denial management, and A/R follow-up. Charges transparent per-statement fees ($0.91 per paper statement) with minimal startup costs. Model emphasizes volume-based efficiency with 100,000+ claims processed monthly.
2. Medical Transcription Services: HIPAA-compliant transcription services using speech recognition technology with human review, offered to physicians, laboratories, hospitals, and clinics.
3. Medical Coding Services: AAPC/AHIMA-certified coding specialists providing chart audits and coding compliance review across 80+ specialties, with proprietary ICD-10 training programs.
4. Compliance and Credentialing Services: Enrollment and re-enrollment services with government and commercial payers, contract negotiation, Medicare re-validations, and Medicaid re-enrollments.
5. Practice Consulting Services: Strategic consulting for practice optimization, EHR implementation guidance, technology recommendations, human resources consulting, and compliance management including meaningful use and PQRS measures.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

Medico provides end-to-end medical billing and revenue cycle management services to healthcare practices, complemented by HIPAA-compliant medical transcription, certified medical coding, compliance audits, practice consulting, and payer credentialing services. The company operates a hybrid US-India delivery model with US-based account management in Columbia, SC and Salt Lake City, UT, and back-office operations in Hyderabad and Chennai, India, leveraging the AdvancedMD practice management platform and an open API integrated with 200+ EHR systems.

Product overview

Medico is a healthcare technology and management company offering a suite of revenue cycle management services. The core product is Medical Billing/Revenue Cycle Management, which handles the complete billing lifecycle from charge entry through claims submission to payment posting. This core service is supported by complementary modules including Medical Transcription (using speech recognition technology with human review), Medical Coding (AAPC/AHIMA-certified coders), Compliance Audits (chart audits and coding compliance), Practice Consulting (strategic consulting), and Credentialing Services (provider enrollment). Additional add-on services include Eligibility & Benefits Verification, Authorization Services, and Contract Negotiation. The company leverages AdvancedMD as their practice management platform and interfaces with 200+ EHR systems via an open API. Services are delivered through dual operational centers in Columbia, SC and Hyderabad, India, with month-to-month contract terms.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Billing / Revenue Cycle Management

Quantifiable outcome

• 99.5% client retention rate
• +5 more outcomes

Named customers6 records

Segments3 records

Technology focussed No

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Feature4 records

Partnerships

Two partnerships are on record, tiered minor and core.

• South Carolina Collection AgencyminorOthersMedico has a preferred collection agency partner based in South Carolina that handles patient collections for clients. They will also work with vendor of choice if client prefers an alternative collection agency.
• AdvancedMDcoreTechnology or IntegrationAdvancedMD is the practice management software platform used by Medico. With more than 20 years in the practice management software industry and more than 21,000 active providers, AdvancedMD provides the core technology infrastructure for Medico's billing operations.

Scale indicators6 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Medusind: Medusind provides medical billing, coding, credentialing, and RCM services to medical and dental practices, with a hybrid onshore/offshore delivery model. Directly comparable to Medico in service catalog, target customer base, and operational structure.
• athenahealth: athenahealth offers cloud-based EHR with integrated medical billing and revenue cycle management for medical practices. Directly competes with Medico's RCM offering across overlapping physician office customers, with both providing claims submission, denial management, and eligibility verification.
• AdvancedMD: AdvancedMD provides cloud-based practice management, EHR, and medical billing software to independent practices. Directly comparable to Medico's RCM offerings, and notably Medico's core platform partner — making AdvancedMD simultaneously a competitor in the RCM-services layer and a technology supplier.
• Kareo (Tebra): Tebra (formerly Kareo) provides integrated practice management, EHR, and medical billing services targeted at independent medical practices. Direct competitor in SMB RCM with overlapping customer profile (solo practitioners and small groups) and similar service catalog including claims and patient billing.
• eClinicalWorks: eClinicalWorks provides EHR, practice management, and revenue cycle management services to medical practices. Competes directly with Medico for physician office customers and offers similar billing, coding, and claims management capabilities across comparable practice sizes.
• Greenway Health: Greenway Health delivers EHR, practice management, and RCM solutions for ambulatory practices across multiple specialties. Direct peer to Medico with overlapping target customer base (multi-specialty physician groups) and similar medical billing service offerings.
• Office Ally: Office Ally offers medical billing software, clearinghouse services, and RCM tools for physician practices and billing companies. Direct peer in claims processing and revenue cycle workflows, serving similar SMB and mid-market practice segments as Medico.

Broad incumbents

• R1 RCM: R1 RCM is a leading enterprise healthcare revenue cycle management company serving hospitals and large physician groups. Comparable to Medico in core RCM capabilities (claims processing, A/R follow-up, coding) but operates at vastly larger scale across more complex enterprise customers.
• NextGen Healthcare: NextGen offers EHR, practice management, and RCM solutions for ambulatory practices of all sizes, including specialty practices. Comparable in serving physician offices with billing and coding services, but at significantly larger scale and with deeper enterprise client base.

Emerging players

• DrChrono (EverHealth): DrChrono (now part of EverHealth) provides cloud-based EHR, practice management, and medical billing for smaller practices. Comparable to Medico in serving solo and small-group practices with integrated billing workflows, though more focused on tech-forward emerging customer segments.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/medicoinc1

Compliance6 records

Revenue estimate

Valuation estimate

Number of profiles

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 Medico