Pier 17

What Pier 17 does

Pier 17 Professional Medical Billing & Management is a privately held, family-owned medical billing and revenue cycle management firm headquartered in Brooklyn, NY (3165 Emmons Avenue, Sheepshead Bay). Founded in 1991 by Inessa Sable as a home-based startup and operated today as Pier 17 Professional Medical Management Corp., the company delivers outsourced billing services to medical practices across the New York Tri-State area (NY, NJ, CT). Leadership comprises the founder serving as President with her husband as Vice President and their daughter Ilana Khandros involved in operations, with CPC-certified principals overseeing billing, coding, and compliance.

The company's product suite is organized around four core service lines: Medical Billing (charge entry, clean claim review, electronic and paper claim submission, secondary balance billing), Revenue Cycle Management (denial management, carrier payment pattern monitoring, appeals, statistical reporting), Authorizations & Eligibility (prior authorization, eligibility verification, peer-to-peer coordination, retroactive authorizations), and Credentialing & Enrollment (initial enrollment, re-credentialing, re-validation). Technology foundation consists of commercial billing software and integrations with 12 major EHR/EMR platforms including Epic, Cerner, Allscripts, eClinicalWorks, NextGen, Kareo, and Practice Fusion. The firm is HIPAA compliant and works with third-party utilization management vendors (AIM Specialty Health, Evicore, Cohere Health, OrthoNet, RadMD, Turning Point) for prior authorization processing.

Revenue is generated through B2B professional service fees, typically structured as a percentage of collections or per-claim pricing, under quote-based multi-year contracts tailored to practice size and specialty. Go-to-market is sales-led and regional, with direct engagement via website contact, phone (646-770-3343), email, and an active referral network from existing long-tenured clients. The company reports serving hundreds of providers across 20+ medical specialties, with several client relationships spanning 15-25+ years. The firm maintains no venture or institutional funding and operates with 11-50 employees.

Name

Pier 17

Legal name

Pier 17 Professional Medical Management Corp.

Website

https://p17promedbill.com

Company type

Private

Founded year

1991

Operating status

Operating

Headcount range

11–50 employees

Short description

Pier 17 is a family-owned, Brooklyn-based medical billing and revenue cycle management firm serving hundreds of healthcare providers across the New York Tri-State area since 1991. It offers medical billing, RCM, prior authorization, and credentialing services integrated with major EHR/EMR platforms.

Ownership category

akta.pro rank

Headquarters

HQ city

Brooklyn

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Medical Billing Services: Outsourced medical billing services for healthcare providers including charge entry, claim submission, payment posting, and accounts receivable management. Revenue generated through service fees typically structured as a percentage of collections or per-claim basis.
2. Revenue Cycle Management: End-to-end revenue cycle management including claims follow-up, denial management, appeals processing, and payment collection services.
3. Authorization & Eligibility Services: Prior authorization and insurance eligibility verification services to prevent claim denials.
4. Provider Credentialing & Enrollment: Insurance credentialing and enrollment services including initial enrollment, re-credentialing, and ongoing maintenance for individual providers, multi-specialty groups, and facilities.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Pier 17 is an outsourced medical billing and revenue cycle management firm that prepares, submits, and follows up on insurance claims, manages denials and appeals, performs prior authorizations and eligibility verification, and handles provider credentialing and enrollment for medical practices. Its services are delivered to solo practitioners, multi-specialty groups, ambulatory surgery centers, IDTFs, urgent care centers, and facilities across 20+ specialties in the New York Tri-State area, replacing the need for in-house billing staff, software, and management overhead.

Product overview

Pier 17 offers a suite of medical billing and healthcare administration services organized around four core modules: Medical Billing (claims preparation, submission, and follow-up), Revenue Cycle Management (denial management, appeals, and payment collections), Authorizations & Eligibility (prior authorization and insurance verification), and Credentialing & Enrollment (provider credentialing with insurance carriers). The company serves medical practices across all specialties in the New York Tri-State area with over 25 years of experience.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Billing Streamlined medical billing service for medical practices that handles superbill preparation, data entry of charges, clean claim review, electronic and paper claim submissions, and balance billing of secondary carriers, reducing paperwork and administrative tasks.
• Revenue Cycle Management Comprehensive revenue cycle management for medical practices including claim rejection review, denial management, payment collections, follow-up, and appeal management, with monitoring of carrier payment patterns and statistical reporting on payments, aging claims, and open issues.
• Authorizations & Eligibility Prior authorization and eligibility verification services for medical practices that confirm patient insurance coverage, provider plan participation, pre-authorization requirements, documentation collection, peer-to-peer review coordination, appeals submission, and retroactive authorization handling to prevent claim denials.
• Credentialing & Enrollment Provider credentialing and enrollment services for individual providers, multi-specialty groups, and facilities, including initial enrollment with insurance carriers, re-credentialing, re-validation, change-of-information processing, and assistance with closed insurance panels.

Quantifiable outcome

• Reimbursements practically doubled within first year for some practices
• +2 more outcomes

Named customers10 records

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration12 records

Feature3 records

Partnerships

Six partnerships are on record, tiered minor.

• AIM Specialty HealthminorOthersThird-party vendor for prior authorization processing. Insurance providers use AIM for reviewing precertification requests on their behalf.
• Evicore HealthcareminorOthersThird-party vendor for prior authorization processing. Evicore handles medical necessity reviews and authorizations for insurance carriers.
• Cohealo (Cohere Health)minorOthersThird-party vendor for prior authorization processing and care coordination services.
• OrthoNetminorOthersThird-party vendor for prior authorization processing specializing in musculoskeletal and orthopedic services.
• RadMDminorOthersThird-party vendor for prior authorization processing specializing in radiology and imaging services.
• Turning Point HealthcareminorOthersThird-party vendor for prior authorization processing and utilization management services.

Scale indicators4 records

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• Optum (UnitedHealth Group): Optum provides healthcare technology, consulting, and RCM services at massive scale, including revenue cycle management for providers of all sizes. It competes with Pier 17 for outsourced billing work, particularly among larger provider groups.
• athenahealth: athenahealth offers cloud-based EHR, practice management, and integrated medical billing/RCM services to ambulatory practices across the U.S. While Pier 17 serves as an outsourced billing partner, athenahealth bundles billing software and services, making it a broad incumbent competitor.
• R1 RCM: R1 RCM is one of the largest U.S. healthcare revenue cycle management companies, serving hospitals, health systems, and physician groups with end-to-end RCM services. It is a scaled competitor to Pier 17 in RCM services but operates nationally and across much larger provider segments.

Direct peers

• Coronis Health: Coronis Health is an end-to-end medical billing, RCM, and coding services provider serving physician practices, ASCs, and specialty groups across the U.S. It is a direct peer to Pier 17 in outsourced RCM, with comparable customer segments and service scope.
• M-Scribe Technologies: M-Scribe Technologies provides outsourced medical billing, coding, and revenue cycle management services for medical practices and specialty groups. It directly competes with Pier 17 for outsourced billing engagements of small and mid-sized physician practices.
• GeBBS Healthcare Solutions: GeBBS is a healthcare BPO and RCM services company offering medical billing, coding, denial management, and A/R services. It is a direct peer to Pier 17 in outsourced medical billing services, serving similar provider segments.

Emerging players

• eClinicalWorks: eClinicalWorks is a major EHR vendor that also offers integrated practice management and medical billing functionality. Pier 17 integrates with eClinicalWorks but the vendor's billing offerings are an adjacent competitive threat for outsourced billing services.
• DrChrono (EverHealth): DrChrono (now part of EverHealth) provides cloud-based EHR, practice management, and medical billing services targeted at small and specialty practices. It competes with Pier 17 in medical billing for independent practices but with a SaaS-led rather than services-led model.
• Tebra (Kareo + PatientPop): Tebra is a practice growth and medical billing platform built around the Kareo billing product, serving independent practices with EHR, billing, and patient engagement tools. It overlaps Pier 17's small-practice billing customer segment with a technology-led model.
• AdvancedMD: AdvancedMD provides cloud-based medical billing, practice management, and EHR software for small to mid-sized practices, often bundling RCM services. It competes with Pier 17 for physician practice billing relationships, though primarily via software-led delivery.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/pier17medicalbilling
• LinkedInlinkedin.com/company/pier-17-professional-medical-management
• Instagraminstagram.com/pier17_medical_billing

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 Pier 17