Pettigrew Medical

What Pettigrew Medical does

Pettigrew Medical, legally Georgia Medical Business Services, Inc. and headquartered in Watkinsville, Georgia with a Scottsdale, Arizona office, is a privately held healthcare business services company founded in 1989 by board-certified emergency physician Dr. D.W. 'Chip' Pettigrew III. The company delivers end-to-end revenue cycle management (RCM) for healthcare providers, spanning claims submission, prior authorizations, denials management, clinical coding, provider credentialing, clinical documentation improvement (CDI), contact center operations, medical office staff augmentation, healthcare consulting, training, and custom application/interface development. Its service portfolio is organized as a modular platform-plus-modules architecture centered on end-to-end RCM, with CDI broken into implementation programs, audits, and training sub-modules.

The underlying technology stack includes the proprietary gocode solution, which integrates with electronic medical record systems to provide real-time alerts on chart flow and coding issues, alongside a modular RCM platform built by an in-house team of developers and billing experts. Pettigrew serves three primary customer segments: provider groups and private practices, medical billing companies, and hospital systems, across more than 20 medical specialties including cardiology, dermatology, podiatry, radiology, surgery, urgent care, emergency medicine, hospital medicine, intensivists, behavioral health, internal medicine, and federally qualified health centers. Pricing is quote-based and modular, with multi-year contracts under a 'pay for what you need' model.

The company monetizes through subscription/recurring managed services (RCM, coding, credentialing, contact center), managed services for staff augmentation, and professional services (CDI, consulting, training, application development). Distribution is primarily direct enterprise sales via a consultative motion with free consultations, supported by global delivery from operations offices in the Philippines (Iloilo), India (Chennai), the UK (London), and Saudi Arabia (Riyadh), with stated expansion plans into the UAE and Australia. Pettigrew holds HBMA Compliance Re-Accreditation and HIPAA-compliant operations, and in March 2025 was acquired by Sustainable Medical Billing, LLC, with Michael Johnson assuming CEO of the combined entity.

Name

Pettigrew Medical

Legal name

Georgia Medical Business Services, Inc.

Website

https://pettigrewmedical.com

Company type

Private

Founded year

1989

Operating status

Operating

Headcount range

251–500 employees

Short description

Pettigrew Medical is a privately held healthcare business services company delivering end-to-end revenue cycle management, clinical coding, credentialing, CDI, contact center, and staffing solutions to provider groups, billing companies, and hospital systems across 20+ medical specialties.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

NAICS

Accounting, Tax Preparation, Bookkeeping, and Payroll Services (54121)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

RCM Outsourcing & Managed Billing Services (HLACACAN)

akta.pro secondary industry

Charge Capture & Clinical Documentation Improvement (CDI) for Billing (HLACACAF)

Keywords

• Revenue cycle management
• Medical billing services
• Clinical coding services
• Provider credentialing
• Healthcare business services

Headquarters

HQ city

Watkinsville

HQ country

United States

HQ region

North America

Offices6 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Revenue Cycle Management Services: Comprehensive end-to-end RCM services overseeing billing and revenue cycle from patient appointment through final claims and payments. Includes claims submission, prior authorizations, and denials management.
2. Clinical Coding Services: Professional clinical coding services ensuring precise and compliant coding with certified coding experts, real-time edits and audits integrated with EHR and billing systems.
3. Provider Credentialing Services: Verification and management of healthcare provider credentials to ensure compliance and proper payer enrollment.
4. Medical Office Staff Augmentation: On-demand medical office staffing solutions providing specialized labor including medical coders, billing specialists, IT professionals, contact center agents, and healthcare professionals.
5. Contact Center Services: Patient engagement and support services including inbound calls for billing inquiries, payment processing, insurance verification, and outbound calls for specific client needs.
6. Clinical Documentation Improvement (CDI): CDI programs, audits, and training services ensuring accurate and complete medical documentation to maximize reimbursement and reduce denials.
7. Healthcare Consulting: Strategic consulting services including assessment, workflow redesign, implementation, and ongoing support for revenue cycle optimization.
8. Training and Professional Development: Ongoing education programs covering coding, billing, documentation, regulatory compliance, technology, and leadership development for healthcare staff.
9. Application and Interface Development: Custom healthcare application development services creating secure, feature-rich software for medical professionals and patients, including integration with existing systems.

Pricing tiers

Go-to-market motion2 records

Distribution channels2 records

Marketing channels4 records

Core offering

Pettigrew Medical delivers end-to-end revenue cycle management (RCM) for healthcare organizations, overseeing the full billing lifecycle from patient appointment through final claims and payments. Its portfolio extends beyond core RCM into clinical coding, provider credentialing, medical office staff augmentation, contact center services, clinical documentation improvement (CDI), healthcare consulting, training, and custom application/interface development for medical practices.

Product overview

Pettigrew Medical is a healthcare business services company offering a comprehensive suite of revenue cycle management (RCM) solutions for healthcare providers. The portfolio is organized as a platform-plus-modules architecture centered around end-to-end revenue cycle management as the core offering, supported by clinical coding services, provider credentialing, medical office staff augmentation, contact center services, and clinical documentation improvement (CDI) as primary service pillars. CDI includes three sub-modules: CDI Implementation Programs, CDI Audits, and CDI Training. Additional services include healthcare consulting, training and professional development, and application and interface development. The company was founded in 1989 and serves clients across more than 20 medical specialties including cardiology, dermatology, podiatry, radiology, surgery, urgent care, emergency medicine, hospital medicine, intensivists, behavioral health, internal medicine, and federally qualified health centers.

Differentiator

Problem solved

Functional benefit

Products and services

• End-to-End Revenue Cycle Management Comprehensive oversight of the medical billing and revenue cycle from initial patient appointment through final claims payment, including claims submission, prior authorizations, denials management, and timely reimbursement for healthcare provider groups, billing companies, and hospital systems.
• Clinical Coding Services Precise and compliant clinical coding delivered by certified coding experts who integrate with client EHR and billing systems, providing real-time edits, audits, and customizable reports to ensure coding accuracy and compliance.
• Provider Credentialing Services Streamlined provider credentialing that verifies healthcare provider qualifications through efficient data collection and primary source verification to eliminate enrollment delays and accelerate payer participation.
• Medical Office Staff Augmentation Flexible on-demand staffing solutions providing healthcare professionals (medical coders, billing specialists, IT professionals, contact center agents, and other healthcare professionals) who integrate into existing client teams to support practice growth and efficiency.
• Contact Center Services Dedicated contact center solutions handling patient billing inquiries, payment processing, and insurance verification through HIPAA-compliant empathetic communication, with both inbound and outbound patient engagement capabilities.
• Clinical Documentation Improvement (CDI) Comprehensive CDI programs, in-depth audits, and training (group sessions and one-to-one online) that identify processing and coding errors, address documentation gaps, support ICD-10-CM specificity and HCC assignments, and improve revenue capture for healthcare providers.
• Healthcare Consulting Strategic consulting services including assessment, workflow redesign, implementation, and ongoing support to optimize people, process, and technology for sustainable revenue cycle growth across healthcare organizations.
• Training and Professional Development Ongoing education programs covering RCM skill enhancement, coding, billing, documentation, regulatory compliance, healthcare technology, and leadership development for healthcare staff.
• Application & Interface Development Custom healthcare application and interface development services creating secure, feature-rich software for medical professionals and patients, including patient management, health monitoring, administrative efficiency applications, and integration with existing systems.

Quantifiable outcome

• 95%+ accuracy levels for full service RCM
• +2 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Ten partnerships are on record, tiered minor and core.

• EDPMAminorGTM or Marketing PartnerEmergency Department Practice Management Association partnership for industry collaboration.
• GCEPminorGTM or Marketing PartnerGlobal Consortium for Emergency Preparedness partnership for healthcare industry initiatives.
• HCPminorGTM or Marketing PartnerHealthcare partnership for industry collaboration and standards.
• HFMAcoreGTM or Marketing PartnerHealthcare Financial Management Association - major industry association partnership for revenue cycle management standards and best practices.
• UCAminorGTM or Marketing PartnerUnified Cardiology Alliance partnership for specialized healthcare collaboration.
• WaystarcoreTechnology or IntegrationLeading healthcare revenue cycle technology platform partnership for cloud-based revenue cycle solutions.
• AAPCcoreGTM or Marketing PartnerAmerican Academy of Professional Coders partnership - industry-leading coding certification and education organization.
• ACEPcoreGTM or Marketing PartnerAmerican College of Emergency Physicians partnership - founded by an emergency physician, maintaining strong professional ties.
• AHIMAcoreGTM or Marketing PartnerAmerican Health Information Management Association partnership for health information standards and best practices.
• HBMAcoreGTM or Marketing PartnerHealthcare Business Management Association - current compliance re-accreditation holder, major industry body for RCM companies.

Scale indicators4 records

Recent moves7 records

Expansion highlights5 records

Broad incumbents

• Waystar: Cloud-based RCM platform for claims, denials, and patient payments; both a Pettigrew technology partner and a direct competitor as it verticalizes into managed RCM workflows that overlap with Pettigrew's offerings.
• Cognizant (Healthcare RCM services): Large IT services firm with a healthcare BPO/RCM practice offering coding, billing, and provider services; competes for enterprise hospital-system RCM engagements against Pettigrew at greater scale.
• Athenahealth: EHR-anchored RCM and practice management platform serving ambulatory providers; competes with Pettigrew's physician-group and hospital-system RCM offerings with a more software-anchored model.
• Optum (UnitedHealth Group): Largest healthcare services and technology conglomerate with RCM, coding, and analytics offerings through OptumInsight; serves many of the same hospital and large provider customers as Pettigrew at much greater scale.
• Experian Health: Established healthcare revenue cycle technology and services provider offering claims management, eligibility, and patient access; overlaps with Pettigrew's RCM and patient-billing solutions as a broader, well-capitalized incumbent.

Emerging players

• Availity: Healthcare information network and RCM platform for eligibility, claims, and prior authorization; an adjacent competitor whose payer-provider data exchange overlaps with Pettigrew's front-end RCM and contact-center services.
• NextGen Healthcare: Ambulatory EHR and RCM platform for specialty practices; comparable to Pettigrew in serving multi-specialty provider groups with combined software and outsourced billing services.

Direct peers

• Infinx: Healthcare RCM services and AI-driven prior-authorization, coding, and denials management; directly comparable in offering mix and customer segments (specialty groups, hospitals) to Pettigrew's services.
• R1 RCM: Large-scale outsourced RCM provider serving hospitals and large physician groups; competes directly with Pettigrew's end-to-end RCM, coding, and CDI offerings, with comparable modular and enterprise sales motions.
• AGS Health: Specialty-focused RCM, coding, and AR management outsourcing firm with global delivery; closely comparable to Pettigrew in services portfolio, multi-specialty focus, and offshore delivery model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/pettigrewmed
• Facebookfacebook.com/PettigrewMedical
• LinkedInlinkedin.com/company/pettigrew-medical
• Instagraminstagram.com/pettigrewmedical

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

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 Pettigrew Medical