Pintler Billing Services

What Pintler Billing Services does

Pintler Billing Services, LLC is a Montana-based, privately-held EMS (Emergency Medical Services) billing company founded in 2001 by Leslie Graves and headquartered in Eureka, Montana. The firm specializes exclusively in ambulance billing, providing full-service revenue cycle management — including claims submission, claims follow-up, soft collections, compliance review, and patient billing — to over 50 fire districts, county EMS agencies, ambulance services, and transport agencies throughout Montana. All billing staff are NAAC Certified Ambulance Coders, and the firm employs a Certified Ambulance Compliance Officer (CACO) to oversee documentation and regulatory adherence, with active membership in NAAC and HBMA reinforcing its domain positioning.

The company's underlying technology stack is a cloud-based, paperless operation with daily data backups stored in two geographic locations, a secure web portal (ShareFile) for client document upload, and a reporting engine that delivers 100+ standard and customizable reports spanning AR aging, payment analysis, and procedure/service detail. Service offerings include a Patient Payment Portal with six-digit agency-code access, a CDI Query (Clinical Documentation Improvement) module, and integration partnerships with the dominant ePCR vendors used by Montana agencies — Emergency Reporting, ESO EHR, and Image Trend — enabling direct trip-report data ingestion. The product portfolio is bundled into a unified EMS billing service rather than sold as discrete modules.

Pintler operates a contingency-based revenue model: the basic billing fee is a percentage of total revenue received (not total amount billed), so the firm is only paid when the client is paid, with fees typically starting 15-30 days after the first trip report is received. Go-to-market is sales-led and direct, targeting Montana EMS providers through consultative selling, client testimonials, and reference-based trust building, with no external institutional funding and founder/owner Leslie Graves retaining ownership and the President role. Pricing is publicly disclosed, the firm does not pursue out-of-state clients, and growth to date has been entirely organic.

Name

Pintler Billing Services

Legal name

Pintler Billing Services, LLC

Website

https://pintlerbillingservices.com

Company type

Private

Founded year

2001

Operating status

Operating

Headcount range

1–10 employees

Short description

Pintler Billing Services is a Montana-based EMS billing company founded in 2001 that provides contingency-based revenue cycle management to over 50 fire districts, ambulance services, and transport agencies across Montana using NAAC-certified billers and a cloud-based, paperless platform.

Ownership category

akta.pro rank

Product category

EMS Medical Billing Services

NAICS

Collection Agencies (561440)

SIC

Services-Consumer Credit Reporting, Collection Agencies (7320)

akta.pro primary industry

Third-Party Collection Agencies (Consumer) (FSAKAJAB)

akta.pro secondary industry

Customer Billing & Revenue Management (rate configuration, billing, adjustments, revenue assurance) (EUANAIAC)

Keywords

• Ambulance billing services
• EMS revenue cycle management
• Medical claims billing
• Medicare ambulance billing
• Emergency medical billing

Headquarters

HQ city

Eureka

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

Revenue model

1. Percentage-Based EMS Billing Service: Fee for basic billing service is based on a percentage of total revenue received, rather than total amount billed. This is a contingency model where Pintler only gets paid if the client gets paid. Income is contingent upon client revenue. If billing is low for the month, their fees are also low. For older/back accounts, a side agreement may be created. Fixed initial fees may apply if (re)establishing relationships with Medicare, Medicaid, and other payers.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels4 records

Core offering

Pintler Billing Services is a full-service EMS billing company providing ambulance billing and revenue cycle management to Emergency Medical Services providers in Montana since 2001. Services include claims submission, follow-up, patient billing statements, collections, compliance review, reporting, and trip report intake. The company charges a contingency-based percentage of revenue collected rather than a flat fee, aligning its compensation with client reimbursement outcomes.

Product overview

Pintler Billing Services is a full-service EMS billing company providing a unified suite of administrative and revenue cycle management solutions to Emergency Medical Services providers since 2001. The core offering is EMS Billing Services, which encompasses claims submission, follow-up, patient billing, and revenue management. This is supported by specialized modules including Claims Follow-Up (30-day unpaid claim protocol), Collections (soft collections with professional escalation), Compliance (PCR review and CACO support), Reports (100+ standard and customizable reports), Trip Reports/PCR Collection (supporting multiple ePCR vendors), CDI Query (clinical documentation improvement), and a Patient Payment Portal. The company also provides client resources including training scheduling and form management. All services are delivered by NAAC-certified billers.

Differentiator

Problem solved

Functional benefit

Products and services

• EMS Billing Services Full-service ambulance billing and revenue cycle management for Emergency Medical Services providers, including claims submission, follow-up, patient billing, and revenue management since 2001.
• Claims Follow-Up Monthly claims review process with a 30-day follow-up protocol for unpaid claims, including direct contact with insurance companies to resolve issues and keep average days in receivables below 30.
• Collections Soft collections calling on patient accounts over 30 days outstanding, including payment plan setup, hospital cross-referencing, and escalation to professional healthcare collections partner Centron Services.
• Compliance Compliance review of PCRs and supporting documents for claim submissions, with a Certified Ambulance Compliance Officer on staff and ongoing continuing education support.
• Reports Standard and customizable reporting including accounts receivable, billing, payments, patient aging, insurance aging, payment analysis by insurance company, procedure/service analysis, and monthly/yearly activity summaries for both private and government entities.
• Trip Reports / PCR Collection Patient Care Report collection from multiple ePCR vendors (Emergency Reporting, ESO EHR, Image Trend) as well as paper trip reports via mail, fax, or secure web portal upload.
• CDI Query (Clinical Documentation Improvement) Clinical documentation improvement query service that improves the accuracy and completeness of medical documentation to support proper billing and compliance for EMS providers.
• Patient Payment Portal Online bill payment system that allows patients to pay ambulance transport bills using a six-digit agency code found on their statements.

Quantifiable outcome

• Average days claims spend in receivables maintained to less than 30 days through frequent claims review and follow-up

Named customers4 records

Segments2 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

Feature3 records

Partnerships

Three partnerships are on record, tiered core and minor.

• Emergency ReportingcoreTechnology or IntegrationRecommended ePCR (electronic Patient Care Report) solution partner. Emergency Reporting provides NFIRS and NEMSIS certified system with reasonable rates, straightforward app and software, powerful features, and in-depth support. Pintler clients using Emergency Reporting add Pintler's office as a user with permissions to view and print trip reports. Pintler recommends this solution to clients.
• ESO EHRcoreTechnology or IntegrationePCR option compatible with Pintler's billing system. ESO EHR is a sister product to Pintler's billing software with excellent integration and customer service. Demo available on ESO Solutions website. Relationship with ESO EHR vendor is independent from agreement with Pintler Billing Services.
• Centron ServicesminorChannel Partner/ Reseller/ DistributorProfessional collections company based in Helena, MT specializing in healthcare collections. Used when Pintler's internal collections efforts are unsuccessful after 30+ days. Centron can often trace patients who move frequently and provides timely reports. Long relationship with satisfactory results.

Scale indicators4 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• EMS|MC: Ambulance billing and consulting firm focused exclusively on EMS revenue cycle management. Similar service scope to Pintler including claims submission, follow-up, and patient billing.
• Wittman Consulting & Billing: EMS billing consultancy providing ambulance RCM services to fire departments and ambulance services across the U.S. Directly comparable service offering and customer base to Pintler.
• RevAssure: Ambulance billing company providing EMS revenue cycle management. Overlaps with Pintler on percentage-based ambulance billing for fire departments and EMS agencies.
• Quick Med Claims: Specialized EMS/ambulance billing company offering percentage-based and fixed-fee RCM services. Competes with Pintler for the same EMS agency customer profile with similar contingent pricing models.
• AIM EMS Billing & Consulting: Specialized ambulance billing and consulting firm serving EMS providers. Comparable in service model and customer type to Pintler with national reach.
• Digitech Computer (now part of ESO): Long-standing EMS billing specialist (founded 1985) serving ambulance providers across the U.S. Closest direct functional peer to Pintler in terms of ambulance-specific revenue cycle management services.

Broad incumbents

• ZOLL Data Systems (ZOLL EMS Billing): Large, established vendor of EMS software and billing/RCM services. Overlaps with Pintler on ambulance billing but offers a much broader portfolio of ePCR, dispatch, and field data products for large agencies.
• ESO Solutions (ESO Billing): National healthcare data and RCM platform that acquired Digitech. Provides ambulance billing alongside EHR and analytics. Directly comparable to Pintler on ambulance billing but operates at national scale.

Regional players

• Abba Medical Billing: Smaller regional ambulance/EMS billing service. Comparable in size and scope to Pintler though operating in different U.S. geographies; illustrative of similar boutique RCM competitors.

Others

• Centron Services: Healthcare collections partner used by Pintler for escalated patient accounts after 30+ days. Ecosystem participant rather than direct competitor, but operates in the same Montana/EMS healthcare debt recovery space.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 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 Pintler Billing Services