1st Choice Medical Billing

What 1st Choice Medical Billing does

1st Choice Medical Billing is a privately held professional services firm headquartered in Portsmouth, Virginia, that delivers outsourced medical billing and revenue cycle management (RCM) to healthcare providers in the Hampton Roads region. Founded in 1992 and operating with a headcount of one to ten, the company serves a multi-specialty mix of practices spanning physicians, hospitals, clinics, and health systems across podiatry, primary care, cardiology, internal medicine, psychology, counseling, home health, pulmonology, OBGYN, rheumatology, and behavioral health.

The core service offering is a unified suite of billing and RCM functions: claim submission, claims tracking, insurance verification and authorization, charge entry, operational and financial reporting, denial management, fee schedule maintenance, and broader revenue cycle analytics (payor mix analysis, coding trends monitoring, and payor contract analysis). 1st Choice delivers these capabilities via cloud-based operations positioned as HIPAA compliant, with proprietary positioning centered on a "safety/security architecture." The competitive narrative emphasizes certified multi-specialty billing and coding expertise and over 30 years of combined team experience rather than proprietary software IP.

The revenue model is straightforward professional services billing, with no publicly disclosed pricing tiers and engagements scoped to client practice needs. Go-to-market is sales-led and direct, relying on free consultations as the lead conversion mechanism and word-of-mouth referrals from long-tenured clients. Marketing and distribution are limited to a regional website, blog content on small-business topics, and baseline social media profiles (Facebook, Twitter, Instagram, LinkedIn). Ownership is private, founder/locally held, with no disclosed institutional investors, funding rounds, acquisitions, or partnerships in the input data.

Name

1st Choice Medical Billing

Legal name

1st Choice Medical Billing

Website

https://1stchoicemedicalbillingsvc.com

Company type

Private

Founded year

1992

Operating status

Operating

Headcount range

1–10 employees

Short description

1st Choice Medical Billing is a Portsmouth, Virginia-based medical billing and revenue cycle management services provider serving multi-specialty healthcare practices across the Hampton Roads region, delivering cloud-based, HIPAA-compliant claim processing, denial management, and RCM outsourcing for physicians, hospitals, clinics, and health systems.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management Services

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

SIC

Services-Health Services (8000), Services-Consumer Credit Reporting, Collection Agencies (7320)

akta.pro primary industry

Medical Billing & Coding Automation (HLACACAA)

akta.pro secondary industries

Patient Billing, Statements & Payment Processing (HLACACAG), Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD)

Keywords

• Medical billing services
• Revenue cycle management
• Medical coding services
• Claims management
• Healthcare RCM outsourcing

Headquarters

HQ city

Portsmouth

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Medical Billing and RCM Services: Professional services revenue generated through providing medical billing, coding, and revenue cycle management services to healthcare providers including physicians, hospitals, clinics, and health systems. Services include claim submission, claims tracking, insurance verification, denial management, and fee schedule management.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

1st Choice Medical Billing provides outsourced medical billing, coding, and comprehensive revenue cycle management services to healthcare providers including physicians, hospitals, clinics, and health systems. The service suite covers claim submission, claims tracking, insurance verification and authorization, charge entry, denial management, fee schedule maintenance, reporting, and payor contract/mix analysis. Operations are delivered through HIPAA-compliant cloud-based infrastructure by a team of certified billing and coding specialists.

Product overview

1st Choice Medical Billing is a medical billing and coding services company offering a unified suite of revenue cycle management services. The core offering consists of claim submission, claims tracking, insurance verification/authorization, charge entry, reporting, denial management, and fee schedule maintenance. The company leverages cloud-based solutions and provides HIPAA-compliant operations. Services span multiple medical specialties including podiatry, primary care, cardiology, internal medicine, psychology, counseling, home health, pulmonology, OBGYN, and behavioral health.

Differentiator

Problem solved

Functional benefit

Products and services

• Claim Submission

Segments2 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Scale indicators2 records

Recent moves4 records

Expansion highlights3 records

Broad incumbents

• Athenahealth: Large ambulatory EHR and RCM platform serving physician practices and health systems. Comparable because it sells outsourced medical billing and revenue cycle management to the same healthcare provider customers, just at national scale and with software-led delivery.
• R1 RCM: Enterprise-focused RCM services and technology vendor for hospitals and large physician groups. Comparable end-to-end RCM service offering (claims submission, denial management, payer follow-up) versus the subject's narrower physician-practice RCM focus.
• eClinicalWorks: Ambulatory EHR vendor with integrated billing and RCM tools serving physician practices and FQHCs. Comparable as a technology-enabled billing and revenue cycle competitor to small-practice outsourcing providers.
• Pearl Health / Greenway Health: Ambulatory EHR/practice management vendor with integrated RCM services for physician practices. Comparable competitor offering outsourced medical billing and revenue cycle management to multi-specialty practices.

Direct peers

• Tebra (formerly Kareo): Cloud-based EHR and medical billing/PM software targeted at independent practices with an optional fully outsourced billing service. Directly comparable on multi-specialty practice RCM, claim submission, denial management, and cloud delivery model.
• AdvancedMD: Cloud EHR, practice management, and outsourced medical billing services for small and mid-sized practices. Directly comparable RCM outsourcing offering for multi-specialty physician practices.
• BillingParadise: Specialist medical billing and RCM services company serving multi-specialty physician practices. Comparable professional-services RCM model, denial management, and payer mix/contract analysis capabilities.
• PracticeSuite: Cloud-based practice management and medical billing service for small and mid-sized practices. Comparable outsourced RCM delivery model targeting independent physician offices across multiple specialties.
• CureMD: EHR, practice management, and medical billing services vendor for physician practices and small hospitals. Comparable multi-specialty RCM outsourcing offering including claim submission, denial management, and reporting.

Emerging players

• DrChrono (EverHealth): Cloud EHR and practice management vendor with billing/RCM tools aimed at small independent practices. Comparable end-customer segment (multi-specialty independent physicians) though more software-led than the subject's pure services approach.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks5 records

Key highlights5 records

Customer concentration

• LinkedInlinkedin.com/company/1st-choice-medical-billing-svc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 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 1st Choice Medical Billing