ESM Billing & Consulting

What ESM Billing & Consulting does

ESM Billing & Consulting, Inc. is a privately held medical billing and revenue cycle management firm founded in 1997 by Beth McClenahan and headquartered at 19455 Deerfield Avenue, Suite 209, Lansdowne, Virginia. The company provides claims submission, patient account handling, transaction recording, monthly statements, and detailed statistical reporting to solo practitioners and small group medical practices, primarily in Virginia. Its service portfolio spans Revenue Cycle Management, Interim Billing (short-term billing support), and Consulting Services including coding reviews and operational advice.

The firm's core technology is the Lytec Practice Management electronic billing platform, a third-party system recognized by Medicare, Medicaid, the Blues, and commercial insurance carriers as an industry leader. The platform is HIPAA compliant and has enabled the firm to claim an acceptance rate approaching 100% on submitted claims, with average payment cycles of 7 to 21 days from date of service. Lytec automates submission and stores patient records and procedure codes in a database, reducing human error relative to paper-based workflows.

The business is operated as a founder-led, bootstrapped firm with no disclosed external capital. ESM charges a percentage of total client collections (a transaction/take-rate model) that bundles postage, clearing house costs, training, coding, and other services, with a separate one-time practice set-up fee. Interim billing is priced by practice size and duration. The company markets via its website, physician testimonials, and a free cost-analysis offer, with a regional direct-sales motion targeting SMB medical practices. Headcount is reported at 1-10 employees.

Name

ESM Billing & Consulting

Legal name

ESM Billing & Consulting, Inc.

Website

https://esmbilling.com

Company type

Private

Founded year

1997

Operating status

Operating

Headcount range

1–10 employees

Short description

ESM Billing & Consulting is a Virginia-based medical billing and revenue cycle management firm serving solo and small-group physician practices with claims submission, coding consulting, and interim billing services built on the Lytec electronic billing platform, charging a percentage of client collections.

Ownership category

akta.pro rank

Product category

Medical Billing Services

NAICS

Collection Agencies (561440)

SIC

Services-Consumer Credit Reporting, Collection Agencies (7320)

akta.pro primary industry

RCM Outsourcing & Managed Billing Services (HLACACAN)

akta.pro secondary industries

Accounts Receivable (A/R) & Collections Management (HLACACAJ), Patient Billing, Statements & Payment Processing (HLACACAG)

Keywords

• Medical billing services
• Revenue cycle management
• Medical claims processing
• Healthcare billing consulting
• Practice management services

Headquarters

HQ city

Lansdowne

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

Revenue model

1. Percentage of Collections: Fees are based on a percentage of total collections rather than cost per claim. This fee structure results in significant savings for practice clients. The percentage fee includes all professional services: postage, electronic billing fees, paper, HCFA forms, clearing house costs, training, and coding.
2. Practice Set-up: One-time charge for initial practice set-up and incorporation into the electronic billing system.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

ESM Billing & Consulting provides outsourced medical billing, collections, and practice management services to physician practices in Virginia. The core offering is revenue cycle management—covering initial coding consultations, electronic claim submission via the Lytec Practice Management platform, patient account handling, monthly statements, and statistical reporting—supplemented by consulting and interim (temporary) billing services on a percentage-of-collections pricing model.

Product overview

ESM Billing & Consulting offers a unified suite of medical billing and practice management services built around the Lytec Practice Management electronic billing platform. The core offering combines Revenue Cycle Management and Consulting Services to handle the full spectrum of billing operations—from initial coding consultations through claims submission, payment tracking, and detailed statistical reporting. Interim Billing provides short-term support for practices needing temporary assistance. All services are customized to each client's workflow and needs, with fees structured as a percentage of collections rather than per-claim charges.

Differentiator

Problem solved

Functional benefit

Products and services

• Revenue Cycle Management End-to-end medical billing service for physician practices that handles patient accounts, records transactions, provides monthly statements, fills out and submits insurance claims, and delivers detailed statistical reports. Built on the Lytec Practice Management electronic billing platform to reduce paperwork, minimize human error, speed reimbursements, and ensure proper coding for highest-value claims.
• Consulting Services Professional consulting for medical practices including initial coding consultations to ensure highest-value claims, advice on business decisions, and custom-tailored services adapted to each practice's unique workflow and needs.
• Interim Billing Short-term or temporary billing assistance for medical practices needing temporary support to maintain consistent income flow. Pricing is based on practice size and length of services needed.
• Active & Professional Patient Balance Pursuit Professional pursuit of outstanding patient balances as part of ESM's billing and collection service, aimed at improving practice collections and cash flow.

Quantifiable outcome

• Payments received 7-21 days from service, vs weeks/months with paper
• +2 more outcomes

Named customers2 records

Segments1 record

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 moves4 records

Direct peers

• athenahealth: Cloud-based EHR and revenue cycle management platform serving medical practices of all sizes, including SMBs. Directly comparable as an outsourced RCM provider, though at much greater scale than ESM.
• CareCloud: Healthcare practice management, EHR, and RCM provider serving small and mid-sized medical practices. Direct competitor offering integrated billing solutions comparable to ESM's value proposition.
• eClinicalWorks: EHR and practice management vendor with RCM services targeted at small and mid-sized physician practices. Comparable in serving SMB medical practices with billing and revenue cycle offerings.
• DrChrono (CareCloud): Cloud-based practice management and medical billing platform focused on small and independent practices. Comparable in target customer profile and outsourced RCM positioning.
• AdvancedMD: Cloud practice management, EHR, and medical billing software with RCM services aimed at small and independent practices. Comparable in delivering outsourced billing and revenue cycle solutions to SMB medical offices.
• Tebra (formerly Kareo): Cloud-based practice management and medical billing platform specifically built for independent practices. Directly competes for the same solo and small-group practice customers ESM serves.

Broad incumbents

• R1 RCM: Large-scale outsourced RCM provider serving hospitals and healthcare systems. Comparable service category (outsourced revenue cycle) but operates at enterprise scale well beyond ESM's regional SMB focus.
• Waystar: Healthcare revenue cycle management platform offering claims management, patient billing, and collections at enterprise scale. Comparable RCM function though targeting larger provider organizations.
• NextGen Healthcare: Larger, established EHR and practice management vendor with RCM capabilities. Overlaps with ESM's market but serves a broader portfolio including mid-market and enterprise practices.
• Greenway Health: Established EHR and revenue cycle management vendor serving ambulatory practices. Comparable billing/RCM capability but operates at broader scale than ESM's regional focus.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

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 ESM Billing & Consulting