Coastal Medical Billing

What Coastal Medical Billing does

Coastal Medical Billing, Inc. is a privately held, founder-owned corporation headquartered in Sutton, Massachusetts, that provides specialized ambulance and EMS billing services to municipal and fire-department-based EMS agencies across New England, with named clients in Massachusetts and Maine. The company has been in continuous operation since at least 1998, evidenced by multi-decade client relationships referenced in public testimonials. Its core offering is end-to-end ambulance billing operations including claims submission, insurance verification, payment processing, collections, and regulatory compliance management, with stated adherence to HIPAA and all applicable EMS billing laws and regulations.

The technology stack centers on a claims processing and billing management system tailored to ambulance billing workflows, complemented by three integrated service modules: an online patient bill payment portal running on the UniPay Gold payment gateway (credit card and electronic check), an electronic insurance form submission portal for medical, auto, and workers' compensation claims, and a secure client file transfer portal for exchanging billing documents with EMS agency clients. The company holds active affiliations with the American Ambulance Association, the National Academy of Ambulance Coding, the Commonwealth of Massachusetts, and EMS-specialized law firm Page Wolfberg and Wirth, reinforcing its domain positioning.

The business model is transaction-fee based revenue generated as a percentage of ambulance billing collections on behalf of client agencies, with services delivered under contract to government and quasi-government EMS operators. Go-to-market relies on direct outreach, industry association visibility, and referrals within the New England EMS sector. The company is privately held with no disclosed funding, headcount, or revenue, and there is no evidence of external investment, institutional backing, or public listing.

Name

Coastal Medical Billing

Legal name

Coastal Medical Billing, Inc.

Website

https://coastalbilling.com

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

11–50 employees

Short description

Coastal Medical Billing is a privately held, Sutton, Massachusetts-based firm that provides specialized ambulance and EMS billing services to municipal and fire-department agencies across New England under a transaction-fee model.

Ownership category

akta.pro rank

Product category

Ambulance Billing Services

NAICS

Ambulance Services (621910), Ambulance Services (62191)

SIC

Services-Health Services (8000), Hospital & Medical Service Plans (6324)

akta.pro primary industry

EMS Billing, Revenue Cycle & Compliance Services (HLAFANAM)

akta.pro secondary industries

Emergency Medical Services (EMS) & Ambulance Services (BPAIAGAC), Patient Billing, Statements & Payment Processing (HLACACAG)

Keywords

• Ambulance billing services
• EMS claims processing
• Medical billing
• Insurance claim management
• HIPAA compliance billing

Headquarters

HQ city

Sutton

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. EMS/Ambulance Billing Services: Revenue generated from processing and collecting ambulance/EMS billing for client agencies. Services include claims submission, payment processing, and compliance management.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels2 records

Core offering

Coastal Medical Billing processes EMS and ambulance billing for client agencies, handling claims submission, payment processing, insurance verification, and regulatory compliance under HIPAA. Dedicated, knowledgeable staff manage the complete ambulance billing operation for fire departments and ambulance services. Patient-facing bill payment and insurance form submission are provided through an integrated online portal.

Product overview

Coastal Medical Billing offers a unified ambulance billing services platform focused on EMS agencies. The core offering is comprehensive ambulance billing processing supported by three integrated service modules: an online bill payment portal (Pay Your Bill) for credit card and electronic check payments, an electronic insurance form submission system, and a secure client file transfer portal. The company maintains high standards of compliance with healthcare regulations and HIPAA.

Differentiator

Problem solved

Functional benefit

Products and services

• Ambulance Billing Services Full-service EMS billing processing handled by dedicated, knowledgeable staff for ambulance services and fire departments. Includes claims submission, payment processing, insurance verification, and HIPAA-compliant handling of all applicable laws, rules, and regulations.
• Pay Your Bill

Named customers4 records

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature3 records

Partnerships

Four partnerships are on record, tiered core and minor.

• American Ambulance AssociationcoreOthersProfessional membership organization for ambulance services. Coastal Medical Billing displays the AAA logo on their website indicating active membership, providing credibility and industry recognition.
• National Academy of Ambulance CodingcoreOthersProfessional organization focused on ambulance coding standards and training. Coastal Medical Billing's affiliation demonstrates commitment to proper coding practices and industry best practices.
• Page Wolfberg and WirthminorOthersLaw firm specializing in EMS legal matters. Displayed as affiliated partner, likely providing legal guidance on regulatory compliance and EMS billing law.
• Commonwealth of MassachusettsminorOthersState regulatory body. Displayed as affiliated partner indicating compliance with Massachusetts state regulations for ambulance billing.

Scale indicators2 records

Recent moves6 records

Direct peers

• EMS Management & Consultants (EMS|MC): EMS|MC is a specialized ambulance billing and consulting firm serving EMS providers nationwide. It competes directly with Coastal for the same municipal and private EMS agency clients.
• ZOLL Data Systems: ZOLL provides integrated EMS software including billing, ePCR, and dispatch. It is the most direct competitor to Coastal in ambulance billing, offering a more bundled technology platform to similar municipal and private EMS clients.
• ESO Solutions: ESO provides software and services for EMS, fire, and hospital systems, including revenue cycle/billing workflows. It targets the same EMS agency customer base as Coastal and competes on integrated software versus pure billing service.
• ImageTrend: ImageTrend offers EMS, fire, and healthcare data software with billing-adjacent modules. It serves the same municipal EMS and fire department market as Coastal, increasingly bundling billing into its broader platform.
• Digitech Computer LLC: Digitech is an EMS/ambulance-specific billing software and services vendor. It is one of the closest functional analogs to Coastal, focused exclusively on ambulance billing and collections.

Broad incumbents

• ImagineSoftware: ImagineSoftware provides broader medical billing and RCM technology across multiple specialties including EMS. It is a larger, more diversified incumbent that competes for the same RCM wallet but across many verticals.
• RevSpring: RevSpring provides patient engagement, billing, and payments technology across healthcare. It overlaps with Coastal on the patient billing and payments layer for EMS but serves a much broader healthcare market.
• abeo Management Corp: abeo provides anesthesia and specialty medical billing/RCM services. As a larger, diversified RCM player, it represents the type of incumbent that could expand into or acquire EMS billing specialists like Coastal.

Others

• American Ambulance Association: AAA is a national trade association for EMS providers. Coastal is an AAA member; the association is an ecosystem enabler that influences EMS billing standards and is a referral channel for billing service providers.

Emerging players

• Page, Wolfberg & Wirth: EMS-focused law firm that also offers ambulance billing services and compliance support. Already listed as an affiliated partner of Coastal, it represents both a peer and a partner in the EMS billing ecosystem.

Market position

Strengths4 records

Weaknesses2 records

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/coastal-medical-billing-inc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

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 Coastal Medical Billing