OptiMed Billing Solutions
- Company typePrivate
- Founded1998
- HeadquartersSarasota, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What OptiMed Billing Solutions does
OptiMed Billing Solutions, Inc. is a privately held healthcare services company founded in 1998 and headquartered in Sarasota, Florida, that delivers revenue cycle management (RCM) and adjacent practice-management services to independent physician practices. Its core offering is a comprehensive RCM solution spanning patient scheduling, registration, claims submission, payment posting, and denial management, supplemented by Practice Management Consulting, Operations Management, Contracting & Credentialing, Medicare Risk-Adjustment Audits (covering third-party auditors such as Ciox, PopHealth, and EpiSource), and CPA/CFP/CPC-led Accounting & Finance services. The firm positions itself on the credentialed experience of its leadership (40+ years combined RCM experience, 20+ years negotiating physician contracts), and supports clients with real-time access to data and reports for monitoring practice financial performance.
The company operates a sales-led go-to-market targeting individual physician practices across multiple specialties including Gastroenterology, Vitreoretinal Medicine, Oculoplasty, Podiatry, and Neurology, primarily in Florida. Pricing is quote-based and billed monthly, with free initial practice-management consultations and a website quote-request form used as lead-generation mechanisms. Customer acquisition is supported by prominent physician testimonials that double as a referral channel within the local medical community, and the firm claims client relationships exceeding 20 years as evidence of retention and switching-cost stickiness.
The technology stack is modest: a proprietary RCM platform with real-time reporting, no public API, no disclosed integrations, no patents or trademarks, and no AI/ML capabilities referenced in available materials. No funding rounds, M&A activity, leadership changes, or geographic expansion beyond Florida are documented, and the company appears to be a mature, founder-controlled SMB services firm rather than a venture-backed or high-growth platform.
OptiMed Billing Solutions firmographics
Firmographics- Name
- OptiMed Billing Solutions
- Legal name
- OptiMED Billing Solutions, Inc.
- Website
- https://optimedsolutions.com
- Company type
- Private
- Founded year
- 1998
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Ownership category
- akta.pro rank
OptiMed Billing Solutions industry classification
Industry- Product category
- Healthcare Revenue Cycle Management
- akta.pro primary industry
- Patient Billing, Statements & Payment Processing (HLACACAG)
- akta.pro secondary industry
- Patient Financial Engagement (Estimates, Billing Presentment, Payments) (HLACAEAI)
Keywords
Where OptiMed Billing Solutions is headquartered
LocationHeadquarters
- HQ city
- Sarasota
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
OptiMed Billing Solutions business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D
Revenue model
- Revenue Cycle Management Services: Comprehensive billing and revenue cycle management services for medical practices, encompassing patient scheduling, registration, claims submission, payment posting, and denial management. Services are provided by industry leaders with 40+ years combined experience.
- Practice Management Consulting: Tailored consulting solutions to maximize practice independence and profitability. Includes free initial consultations.
- Contracting & Credentialing Services: Full service payor-provider contract management leveraging 20 years of experience negotiating physician contracts.
- Medicare Risk-Adjustment Audit Solutions: Full suite of audit solutions handling insurance and third-party audits (Ciox, PopHealth, EpiSouce).
- Accounting & Finance Services: CPA/CFP/CPC healthcare accountants providing physician and private practice business tax consulting.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Monthly | Custom enterprise pricing based on practice needs |
Go-to-market motion1 record
Distribution channels1 record
Marketing channels2 records
OptiMed Billing Solutions product offering
Product offeringCore offering
OptiMed Billing Solutions manages the revenue cycle for medical practices, including claims submission, follow-up, and collections, supported by practice management consulting, operations management, contracting and credentialing, Medicare risk-adjustment audits, and accounting and finance services. The firm targets physician practices and medical groups that want to outsource billing and back-office financial functions to a single specialized vendor.
Product overview
OptiMed Billing Solutions offers a unified Revenue Cycle Management platform as its core product, supported by five additional service modules: Practice Management Consulting, Operations Management, Contracting & Credentialing, Medicare Risk-Adjustment Audits, and Accounting & Finance. The integrated suite is designed to serve medical practices seeking comprehensive billing, administrative, and financial management support.
Differentiator
Problem solved
Functional benefit
Products and services
- Revenue Cycle Management
Quantifiable outcome
- Revenue increased more than 30% for switching clients
- +1 more outcomes
Companies that use OptiMed Billing Solutions
Customer profileNamed customers6 records
Segments1 record
Ideal customer profiles1 record
OptiMed Billing Solutions technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature1 record
OptiMed Billing Solutions partnerships and signals
Strategic signalScale indicators5 records
Recent moves3 records
Expansion highlights4 records
OptiMed Billing Solutions competitors and assessment
Company assessmentBroad incumbents
- NextGen Healthcare: NextGen provides integrated EHR, practice management, and RCM solutions for ambulatory practices. It competes for the same physician-practice billing customers as OptiMed but at enterprise scale.
- eClinicalWorks: eClinicalWorks is a large EHR and RCM vendor serving physician practices across many specialties. It overlaps OptiMed's core RCM and practice management offering, though at significantly larger scale.
- Waystar: Waystar provides cloud-based healthcare payment and RCM technology used by hospitals and physician practices. It competes with OptiMed on claims submission, payment posting, and denial management — core RCM workflow components.
- R1 RCM: R1 RCM is one of the largest outsourced RCM providers in the U.S., serving hospitals, health systems, and physician groups. It represents the scaled-incumbent competitor OptiMed faces for outsourced revenue cycle contracts.
- athenahealth: athenahealth offers a large-scale EHR + RCM platform with outsourced billing services for medical practices. It serves a broader range of practice sizes and specialties than OptiMed, but directly overlaps on physician-practice revenue cycle management and payer contract workflows.
Direct peers
- Greenway Health: Greenway Health delivers EHR, practice management, and RCM services to independent physician practices. Its target market and bundled billing-services model closely mirror OptiMed's.
- AdvancedMD: AdvancedMD provides cloud-based practice management, EHR, and RCM services for independent physician practices. It competes head-to-head with OptiMed in outsourced billing for small and mid-sized medical groups.
- Tebra (formerly Kareo): Tebra provides cloud-based practice management, EHR, and medical billing/RCM software and services targeting independent physician practices — the same customer segment OptiMed serves. Both compete for small-practice billing contracts via sales-led motions and bundled service offerings.
- Coronis Health: Coronis Health is a mid-sized outsourced RCM and healthcare billing services firm serving physician practices and specialty groups. It is a directly comparable peer in scale and service mix to OptiMed.
Emerging players
- DrChrono (part of EverHealth): DrChrono (now part of EverHealth) provides EHR and practice management tools with integrated billing services for small and mid-sized physician practices. It overlaps OptiMed's market with a more technology-led approach.
Market position
Strengths4 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
OptiMed Billing Solutions social profiles
Digital presenceOptiMed Billing Solutions financial estimates
Financial estimateRevenue estimate
Valuation estimate
OptiMed Billing Solutions leadership team
Management profileNumber of profiles
OptiMed Billing Solutions funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
OptiMed Billing Solutions M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about OptiMed Billing Solutions
What does OptiMed Billing Solutions do?
OptiMed Billing Solutions manages the revenue cycle for medical practices, including claims submission, follow-up, and collections, supported by practice management consulting, operations management, contracting and credentialing, Medicare risk-adjustment audits, and accounting and finance services. The firm targets physician practices and medical groups that want to outsource billing and back-office financial functions to a single specialized vendor.
Is OptiMed Billing Solutions a public or private company?
OptiMed Billing Solutions is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was OptiMed Billing Solutions founded?
OptiMed Billing Solutions was founded in 1998. It employs 11 to 50 people.
Where is OptiMed Billing Solutions based?
OptiMed Billing Solutions is headquartered in Sarasota, United States, in the North America region.
How does OptiMed Billing Solutions make money?
Five revenue lines are on record. Revenue Cycle Management Services are the primary driver. The others are practice Management Consulting, contracting & Credentialing Services, medicare Risk-Adjustment Audit Solutions and accounting & Finance Services.
Who are OptiMed Billing Solutions's main competitors?
Broad incumbents on record are NextGen Healthcare, eClinicalWorks, Waystar, R1 RCM and athenahealth. Direct peers are Greenway Health, AdvancedMD, Tebra (formerly Kareo) and Coronis Health. DrChrono (part of EverHealth) is listed as an emerging player.
Does OptiMed Billing Solutions have an API?
No public API is recorded for OptiMed Billing Solutions.
What industry is OptiMed Billing Solutions in?
OptiMed Billing Solutions's product category is Healthcare Revenue Cycle Management. Its primary akta.pro industry code is HLACACAG, Patient Billing, Statements & Payment Processing, with a secondary code of HLACAEAI, Patient Financial Engagement (Estimates, Billing Presentment, Payments).