Focused Medical Billing

What Focused Medical Billing does

Focused Medical Billing is a US-based, privately held, single-vertical revenue cycle management firm founded in 2008 by Allison May and headquartered in Merrick, New York. The company exclusively serves ophthalmology practices across the United States, delivering end-to-end outsourced billing that covers claim submission, Eye Codes (92002-92014), E/M coding, retina billing, surgical claims, modifiers (-25, -24, -RT, -LT), payer follow-up, denial management, EOB processing, and patient responsibility collections including non-covered services such as refractions (92015). Sub-specialty coverage spans cataract, glaucoma, retina, cornea, and oculoplastics, supplemented by forensic billing and revenue recovery, and broader practice consulting.

The company's delivery stack consists of a HIPAA-compliant billing technology platform with proprietary ophthalmology-specific claim scrubbing and a real-time visibility layer that exposes claims status, reimbursements, denial trends, and accounts receivable performance to the practice. The firm's commercial model is managed-services pricing on a quote basis, with no setup costs, no sign-up fees, and no long-term contracts; HIPAA-compliant software is included at no additional charge. Go-to-market is sales-led and consultative: an inside-sales inquiry (phone, email, web form) is qualified by an Implementation Manager, then closed via a direct call with the CEO, followed by a structured four-step onboarding. The founder personally oversees every account, marketing is anchored on an SEO-oriented educational blog covering CPT, ICD-10, and taxonomy codes, and the company employs 11-50 people.

Name

Focused Medical Billing

Legal name

Focused Medical Billing

Website

https://focusedmedicalbilling.com

Company type

Private

Founded year

2008

Operating status

Operating

Headcount range

1–10 employees

Short description

Focused Medical Billing is a US-based, founder-led revenue cycle management firm founded in 2008 that provides outsourced medical billing, coding, denial management, and revenue recovery exclusively to ophthalmology practices across the United States.

Ownership category

akta.pro rank

Product category

Medical Billing Services

NAICS

Offices of Optometrists (621320), Offices of Physicians (62111)

SIC

Services-Health Services (8000)

akta.pro industry

PRIMARYBPAAAFAD

Medical Coding, Billing & Clinical Documentation Support

Business & Public Services/Administrative & Support Services (BPO, Call Centers, Back Office)/Claims Processing & Adjudication Support

SECONDARYBPAAAEAJ

Specialty & Regulated Collections (Medical, Student Loan, Government, HOA)

Business & Public Services/Administrative & Support Services (BPO, Call Centers, Back Office)/Collections, Recovery & Skip Tracing Services

SECONDARYFSAIAHAM

Dental & Vision Claims & Utilization Management

Financial & Insurance/Insurance — Life & Health/Dental & Vision Insurance

Keywords

• Medical billing services
• Ophthalmology billing
• Revenue cycle management
• Medical coding services
• Healthcare claims processing

Headquarters

HQ city

Merrick

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. Ophthalmology Medical Billing Services: Outsourced medical billing services for Ophthalmology practices including claim submission, Eye Codes processing, E/M coding, payer follow-ups, denial management, and revenue cycle optimization. Services cover all sub-specialties: Cataract, Glaucoma, Retina, Cornea, Oculoplastics.

Pricing tiers

Go-to-market motion2 records

Distribution channels2 records

Marketing channels2 records

Core offering

Focused Medical Billing provides outsourced end-to-end medical billing and revenue cycle management exclusively for ophthalmology practices across the United States. Services span claim submission, Eye Codes (92002–92014), E/M coding, retina and surgical billing, payer follow-ups, denial management, EOB processing, patient responsibility collections, forensic billing/revenue recovery, and practice consulting.

Product overview

Focused Medical Billing offers a single, unified service focused exclusively on Ophthalmology billing for eye care practices. The core offering consists of specialized Ophthalmology billing services that manage the full revenue cycle from claim submission through payment posting. The company provides distinct modules including retina billing support, surgery billing management, diagnostic billing services, and refractive/cash-pay billing, all built around Eye Codes (92002–92014) and payer-specific requirements. Additional services include forensic billing, revenue recovery, and practice consulting for comprehensive financial optimization.

Differentiator

Problem solved

Functional benefit

Products and services

• Core Ophthalmology Billing Services Specialized billing support for ophthalmology practices covering claim submission, Eye Codes (92002–92014), E/M coding accuracy, and payer follow-ups to ensure maximum reimbursement across exams, diagnostics, injections, and surgical services.
• Revenue Cycle Management Full-cycle revenue optimization from charge entry to payment posting, including coding, claim scrubbing, denial prevention, and EOB processing to reduce delays and rework.
• Retina Billing Support Specialized handling of retina-related billing including injections, imaging, and procedures to ensure correct coding and timely payments.
• Surgery Billing Management Billing management for ophthalmology surgeries including cataract and other procedures, ensuring proper global period and claim accuracy.
• Diagnostic Billing Services Accurate billing for eye exams, OCT scans, visual field tests, and other diagnostic services with proper coding and documentation support.
• Refractive and Cash-Pay Billing Management of LASIK and other refractive procedures along with patient responsibility billing for non-covered services and refractions (92015).
• Forensic Billing and Revenue Recovery Specialized forensic billing and revenue recovery services to identify missed charges, optimize claims, and recover lost revenue for ophthalmology practices.
• Practice Consulting Consultative approach providing strategies for revenue cycle management, denial prevention, and practice profitability optimization for ophthalmology practices.

Segments2 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Scale indicators3 records

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• NextGen Healthcare: Provides EHR, practice management, and revenue cycle management solutions for specialty physician practices including ophthalmology. Competes for RCM and PM technology budget.
• CareCloud: Offers EHR, practice management, and RCM/billing services for physician practices across multiple specialties. Broad incumbent competitor in healthcare RCM services.
• Athenahealth: Large healthcare technology company offering integrated EHR, practice management, and RCM/billing services to physician practices. Broad incumbent with ophthalmology-relevant RCM products.
• RevCycle Partners: Medical billing and revenue cycle management services firm serving multiple specialties. Comparable outsourced RCM service model with broader specialty footprint.
• PracticeMax: Provides outsourced medical billing, coding, and RCM services across multiple specialties including ophthalmology. Larger, multi-specialty incumbent competing for the same ophthalmology RCM spend.

Direct peers

• EyeMD EMR Healthcare Systems: Ophthalmology-focused EHR and practice management system that includes billing workflows. Directly comparable in targeting ophthalmology-only buyers with software + billing.
• BSM Consulting: Specializes in management consulting, billing, and practice operations for ophthalmology practices. Direct competitor in the ophthalmology-specialty RCM and consulting niche.
• ManagementPlus: Offers an ophthalmology-specific EHR and practice management/billing platform. Comparable as an ophthalmology-only technology and billing provider competing for the same buyer.
• Corcoran Consulting Group: Provides billing, coding, and practice management consulting specifically for ophthalmology and optometry practices. Closest direct competitor — same vertical, same specialty-only positioning, similar service scope.

Emerging players

• VisionWeb: Provides technology and practice management solutions for the optical and vision care industry. Adjacent technology provider with partial overlap in serving ophthalmology/optometry practices.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key highlights7 records

Customer concentration

• Xx.com/focusedmedical
• Facebookfacebook.com/profile.php
• LinkedInlinkedin.com/company/focused-medical-billing

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Focused Medical Billing