Medmio
Medmio is a private healthcare technology company that provides an AI-powered medical coding and charge capture platform for multi-site US healthcare practices, automating ICD-10 and CPT code generation from clinical notes to reduce denials and recover revenue across 12+ EHR integrations.
- Company typePrivate
- Founded2022
- HeadquartersBrookeville, United States
- Headcount1–10
- GTM typeB2B
- OfferingSoftware
What Medmio does
Medmio is a private healthcare technology company founded in 2022 by Levan Sulakvelidze that sells an AI-powered medical coding and charge capture platform to multi-site healthcare practices in the United States. The core product, CodeSight, is an automated coding engine that reads clinical notes and generates ICD-10 and CPT codes via a six-stage ensemble pipeline: an NLP parser with Medical Named Entity Recognition, an XGBoost model trained on 72,000+ ICD-10 labels, a LightGBM CPT model with modifier awareness, a Frontier LLM consensus layer, a CMS and commercial payer rulebook, and a confidence scorer that routes high-confidence codes to auto-post and low-confidence codes to a human review queue. The platform integrates bidirectionally with 12+ EHR systems (Epic, Athenahealth, Cerner, eClinicalWorks, NextGen, Allscripts, DrChrono, AdvancedMD, Kareo, and others) via HL7 v2.5.1 and FHIR R4 using Mirth Connect as the integration engine, allowing it to layer on top of existing EHR infrastructure without requiring migration.
Beyond CodeSight, the product surface includes a one-tap mobile charge capture app (iOS, Android, Web) with offline sync, medical-grade voice dictation, patient intake forms, real-time RCM analytics, and Patient Recovery Queues that automate follow-up on denials, no-shows, and aged accounts. Revenue is generated through per-provider monthly platform subscriptions, per-encounter usage-based pricing for automated coding, one-time professional services for HL7/FHIR integration, and an optional premium analytics tier. Go-to-market combines a product-led 30-day free pilot on real claims, enterprise field sales for large multi-site organizations, content marketing through free coding lookup tools and case studies, and event presence at conferences such as the AVLS Annual Congress. Disclosed customer outcomes from a 12-location, 14-provider vascular practice include $4.1M in recovered revenue, $258K in annual savings from eliminating third-party coding vendors, a 4.7-day reduction in charge lag, and a 35% relative reduction in denial rates—though Medmio's own revenue, funding, and total customer count are not publicly disclosed.
Medmio firmographics
Firmographics- Name
- Medmio
- Legal name
- Medmio, Inc.
- Website
- https://medmio.com
- Company type
- Private
- Founded year
- 2022
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Medmio is a private healthcare technology company that provides an AI-powered medical coding and charge capture platform for multi-site US healthcare practices, automating ICD-10 and CPT code generation from clinical notes to reduce denials and recover revenue across 12+ EHR integrations.
- Ownership category
- akta.pro rank
Medmio industry classification
Industry- Product category
- Healthcare Revenue Cycle Software
- NAICS
- Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)
- SIC
- Services-Prepackaged Software (7372)
- akta.pro primary industry
- Clinical Coding Support (ICD/CPT/SNOMED) & Documentation Compliance Tools (HLACAAAO)
- akta.pro secondary industries
- Medical Billing & Coding Automation (HLACACAA), Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD)
Keywords
Where Medmio is headquartered
LocationHeadquarters
- HQ city
- Brookeville
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
Medmio business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Marketing or Sales, Infrastructure, Operations
Revenue model
- Platform Subscription: Per provider, monthly subscription covering active access to the Medmio platform: Charge Capture mobile app, Portal for practice administrator and review queue, EHR integration, and standard Analytics dashboards.
- CodeSight Automated Coding: Per coded encounter pricing for automated ICD-10 + CPT coding through the six-stage pipeline. Priced per encounter, with confidence-score-driven routing to either auto-post or human review queue.
- Professional Services: HL7 / FHIR interface engineering, RCM consulting, practice operations consulting, and white-glove deployment. Scoped and priced up-front as fixed-scope or hourly engagements.
- Analytics Premium Tier: Optional add-on for practices requiring more than standard dashboards: custom denial-rate root-cause reporting, payer-specific analyses, monthly KPI reviews with a Medmio analyst, and data exports to their own BI stack.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Per provider, monthly platform access |
| Usage-based | Pay-as-you-go | Per coded encounter automated coding |
| Other | Multi-year contract | One-time professional services engagement |
| Subscription | Monthly | Optional analytics add-on tier |
Go-to-market motion3 records
Distribution channels5 records
Marketing channels7 records
Medmio product offering
Product offeringCore offering
Medmio sells an AI-powered medical coding and revenue cycle management platform that reads clinical notes and automatically generates ICD-10 and CPT codes. The platform layers on top of existing EHRs (Epic, Athenahealth, Cerner, etc.) via HL7/FHIR adapters, capturing charges on mobile, dictating notes, ingesting patient intake forms, and using Patient Recovery Queues to reclaim revenue from denials and aged accounts. It is sold as a per-provider subscription plus per-encounter usage-based coding fees to multi-site healthcare practices.
Product overview
Medmio offers an AI-powered medical billing and coding platform with a modular architecture. The core platform consists of CodeSight™ (AI-powered automated medical coding engine using a six-model ensemble pipeline for ICD-10 and CPT code generation), Charge Capture (mobile one-tap charge entry with offline sync), Voice Dictation (medical-grade speech-to-text and ambient AI scribe), Patient Intake (custom digital forms flowing to EMR), and Analytics (real-time RCM dashboards). Additional modules include Patient Recovery Queues (automated follow-up workflows) and a premium Analytics tier. The platform integrates via HL7/FHIR standards with major EHR systems including Epic, Athenahealth, Cerner, eClinicalWorks, NextGen, and others. All components layer on top of existing EHR systems without requiring migration, feeding clean claims to existing billing workflows and clearinghouses.
Differentiator
Problem solved
Functional benefit
Brands
- CodeSight: AI-powered automated medical coding engine that generates ICD-10 and CPT codes from clinical notes using a six-stage pipeline including NLP parser, ICD-10 model, CPT model, consensus layer, payer rulebook, and confidence scorer.
- Charge Capture
- Patient Recovery Queues (PRQ)
- Patient Intake
- Voice Dictation
Quantifiable outcome
- $4.1M revenue recovered over 12 months for a 12-location, 14-provider vascular practice using Patient Recovery Queues
- +7 more outcomes
Companies that use Medmio
Customer profileNamed customers3 records
Segments3 records
Ideal customer profiles2 records
Medmio technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration11 records
AI capability8 records
Feature6 records
Medmio partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core and flagship.
- AthenahealthcoreIntegration with Athenahealth enables secure, bidirectional data exchange using HL7 standards, expanding Medmio's enterprise EHR integration portfolio. This integration allows large, multi-site healthcare organizations to automate billing, coding, and clinical workflows, with clinical and billing data flowing automatically between systems.
- Center for Vascular MedicineflagshipExpanded partnership building on automated medical coding success, adding mobile patient intake. The expansion streamlines data collection at the front desk and frees physicians to focus on care. Represents the customer's deepening investment in Medmio's platform.
- Alchemy Vein SpecialistsflagshipStrategic partnership to streamline vascular care delivery. Integrates Medmio's AI-powered charge capture and practice management platform with Alchemy's mobile vascular lab services, enabling practices to expand in-house vascular capabilities.
Scale indicators10 records
Recent moves6 records
Expansion highlights6 records
Medmio competitors and assessment
Company assessmentBroad incumbents
- Optum (UnitedHealth Group): Large incumbent offering end-to-end revenue cycle management, coding services, and AI-driven automation tools to providers and payers. Competes with Medmio's full RCM stack at much larger scale.
- 3M Health Information Systems (M*Modal): Incumbent provider of computer-assisted coding (CAC), speech recognition, and clinical documentation products used widely across US hospitals and large practices. Broad incumbent competing with CodeSight across the same workflow.
- Waystar: Public revenue cycle management platform covering claims management, denial resolution, and patient payment. Competes with Medmio's downstream recovery and analytics workflows for mid-market and enterprise practices.
- R1 RCM: Large RCM outsourcing and technology provider for hospitals and health systems, offering coding, billing, and accounts-recovery services. Direct competitor to Medmio's combined automation plus Patient Recovery Queues value proposition.
Direct peers
- CodaMetrix: AI-powered medical coding platform that automates ICD-10/CPT assignment from clinical notes using NLP and ML. Most direct competitor to Medmio's CodeSight, targeting the same multi-site practice and health-system segment.
- AKASA: AI platform for healthcare revenue cycle automation including medical coding, claims status, and denials management. Competes with Medmio in automating coding and downstream revenue recovery workflows for provider organizations.
- DeepScribe: Ambient AI medical scribe that generates clinical documentation and structured codes (ICD-10/CPT) from patient-provider conversations. Overlaps with Medmio's voice dictation and CodeSight capabilities as another AI-based documentation/coding platform.
- Suki AI: AI voice assistant and ambient scribe for clinicians that generates notes and structured data including billing codes. Competes with Medmio's Voice Dictation + CodeSight combination for clinical documentation and downstream coding.
Emerging players
- Olive AI: Healthcare automation platform that has historically focused on revenue cycle and administrative workflow automation for hospitals. Comparable emerging player in the AI-driven RCM and coding automation space.
Others
- Athenahealth (via Marketplace integration): EHR and practice management vendor that is now both a Medmio integration partner and a potential competitive channel. Their marketplace enables Medmio distribution but Athenahealth's own RCM and coding features are the primary substitute product for buyers.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Medmio social profiles
Digital presenceMedmio compliance and trust
Trust signalCompliance2 records
Medmio financial estimates
Financial estimateRevenue estimate
Valuation estimate
Medmio leadership team
Management profileNumber of profiles
Profiles1 record
Medmio funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Medmio M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Medmio
What does Medmio do?
Medmio sells an AI-powered medical coding and revenue cycle management platform that reads clinical notes and automatically generates ICD-10 and CPT codes. The platform layers on top of existing EHRs (Epic, Athenahealth, Cerner, etc.) via HL7/FHIR adapters, capturing charges on mobile, dictating notes, ingesting patient intake forms, and using Patient Recovery Queues to reclaim revenue from denials and aged accounts. It is sold as a per-provider subscription plus per-encounter usage-based coding fees to multi-site healthcare practices.
Is Medmio a public or private company?
Medmio is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Medmio founded?
Medmio was founded in 2022. It employs 1 to 10 people.
Where is Medmio based?
Medmio is headquartered in Brookeville, United States, in the North America region.
How does Medmio make money?
Four revenue lines are on record. Platform Subscription is the primary driver. The others are codeSight Automated Coding, professional Services and analytics Premium Tier.
Who are Medmio's main competitors?
Broad incumbents on record are Optum (UnitedHealth Group), 3M Health Information Systems (M*Modal), Waystar and R1 RCM. Direct peers are CodaMetrix, AKASA, DeepScribe and Suki AI. Olive AI is listed as an emerging player. Athenahealth (via Marketplace integration) is listed as an others.
Does Medmio have an API?
Yes. Medmio offers multiple API endpoints for its platform. The Provider API handles charge capture, encounter, claims, scheduling, and provider-side endpoints at api.medmio.com/provider/* (GET/POST /v1/encounters, GET /v1/charges). The Authentication Service manages login, SSO, token refresh, and session management at auth.medmio.com (POST /v1/auth/login, POST /v1/auth/refresh). The Patient Portal API covers patient-facing endpoints including intake forms, billing inquiries, and statement access at api.medmio.com/portal/*. The CodeSight Coding Engine API provides AI-powered ICD-10/CPT generation and confidence scoring via POST /codesight/v2/code and POST /codesight/v2/score endpoints. Developer documentation is at ui.dev.medmio.com.
What industry is Medmio in?
Medmio's product category is Healthcare Revenue Cycle Software. Its primary akta.pro industry code is HLACAAAO, Clinical Coding Support (ICD/CPT/SNOMED) & Documentation Compliance Tools, with a secondary code of HLACACAA, Medical Billing & Coding Automation. Its NAICS code is 518 and its SIC code is 7372.