T & T Medical Billing

What T & T Medical Billing does

T & T Medical Billing, Inc. is a privately-held mental health billing and credentialing services firm founded in 1999 by Tara L Thomas and headquartered in Chester, New York. The company provides outsourced revenue cycle management exclusively to small and mid-sized mental health practices, serving provider types including MDs, Ph.D./PsyD psychologists, LCSWs, LMHC/LPCs, and PMHNPs across all 50 U.S. states. Service offerings are segmented into Full Service Billing (covering benefits verification, authorizations, electronic claim filing, claim follow-up, secondary insurance billing, A/R review, and monthly reporting), Billing and Follow-up Only Services, Credentialing Services for Medicare and commercial payers, Benefit Verification Only, CAQH file maintenance/re-attestation, and New Practice Consulting.

The company's technology stack consists of HIPAA-compliant secure infrastructure for electronic claim transmission, with integration capability for four major practice management platforms — Therapy Notes, Theranest, Simple Practice, and My Clients Plus. Claims are submitted electronically rather than via paper, with the company citing a 7-day payment turnaround and a 25% reimbursement uplift for a mid-sized practice as performance metrics. All operations are delivered by a small, specialized team of approximately seven full-time billing, verifications, and accounts professionals, with no AI/automation layer evident in the disclosed workflows.

T & T Medical Billing operates on a flat monthly subscription fee model based on practice size (measured by average weekly appointments) rather than a percentage-of-collections arrangement, generating recurring revenue from ongoing billing engagements. The go-to-market motion is sales-led and direct: prospective clients reach the company via email ([email protected]) or phone (888-364-3858), with no formal paid marketing program, no channel partners, and reliance on word-of-mouth and the website (ttmedbill.com) for lead generation. The business has remained privately held and bootstrapped since inception, with no external funding rounds disclosed, and operates as a single legal entity (T & T Medical Billing, Inc.) in New York.

Name

T & T Medical Billing

Legal name

T & T Medical Billing, Inc.

Website

https://ttmedbill.com

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

11–50 employees

Short description

T & T Medical Billing is a Chester, NY-based mental health billing and credentialing services firm founded in 1999, serving small and mid-sized mental health practices (MDs, psychologists, LCSWs, LMHCs, PMHNPs) nationwide with electronic claims processing, payer credentialing, and revenue cycle management on a flat monthly subscription model.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management (Medical Billing Services)

NAICS

Offices of Physicians (62111), Offices of Physicians, Mental Health Specialists (621112)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

Charge Capture & Clinical Documentation Improvement (CDI) for Billing (HLACACAF)

Keywords

• Medical billing services
• Mental health billing
• Medical credentialing services
• Insurance claims processing
• Healthcare revenue cycle management

Headquarters

HQ city

Chester

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. Full Service Billing: Flat monthly fee service covering complete billing operations including benefits verification, authorizations, electronic claim filing, follow-up, secondary insurance billing, A/R review, and monthly reporting. Fee based on practice size determined by average weekly appointments.
2. Billing and Follow-up Only Services: Electronic claims filing and thorough claims follow-up services at flat monthly rate based on practice size
3. Credentialing Services: Medicare and commercial insurance credentialing services across the United States
4. Benefit Verification Only: Standalone benefits verification service for clients
5. CAQH Services: CAQH file maintenance and re-attestation services
6. New Practice Consulting: Consulting services for newly establishing mental health practices

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

T & T Medical Billing provides specialized mental-health-focused medical billing, insurance claims follow-up, payer credentialing, benefit verification, CAQH profile management, and new-practice consulting for behavioral health providers across the United States. The company handles end-to-end revenue cycle tasks including insurance claims submission, appeals, and Medicare credentialing on behalf of solo and small-group mental health practices, charging a flat monthly fee scaled to practice size.

Product overview

T & T Medical Billing is a mental health billing and credentialing services company founded in 1999. The company offers a portfolio of services centered around mental health practice billing, including Full Service Billing (the core comprehensive offering with provider forms, benefits verification, electronic claims, follow-up, and reporting), Billing and Follow-up Only Services (a streamlined option for practices handling some functions internally), Credentialing Services (Medicare and commercial insurance panel enrollment), Benefit Verification Only, CAQH Services, and New Practice Consulting. The company processes claims through several provider billing systems (Therapy Notes, Theranest, Simple Practice, and My Clients Plus) and uses industry-leading software for seamless claims processing. Services are priced via a flat monthly fee based on practice size, with no percentage-of-receipts billing.

Differentiator

Problem solved

Functional benefit

Products and services

• Full Service Billing

Quantifiable outcome

• Claims paid in as little as 7 days with electronic filing
• +2 more outcomes

Named customers11 records

Segments3 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

Scale indicators4 records

Recent moves4 records

Expansion highlights4 records

Emerging players

• TherapyNotes: TherapyNotes is a mental health EHR with integrated billing, claim submission, and insurance features for small practices — T&T integrates with TherapyNotes and also competes for the billing workflow that TherapyNotes' own tools cover.
• SimplePractice: SimplePractice is a leading EHR/practice management platform for mental health professionals that includes built-in billing, claims, and insurance functionality — T&T integrates with SimplePractice while also potentially competing as a billing service layered on top of it.
• Theranest: Theranest provides EHR and practice management software with claims processing and billing for mental health professionals; T&T has direct integration partnerships with Theranest and competes on full-service billing.

Direct peers

• Alma: Alma operates a mental health provider network with insurance billing, credentialing, and practice management support for LCSWs, LMHCs, and psychiatrists — overlapping with T&T's mental health billing and credentialing offering.
• Headway: Headway is a mental health provider platform that handles insurance credentialing, billing, and claims for therapists and psychiatrists — directly competing with T&T's specialty medical billing services for small and mid-sized mental health practices.
• Cognitive Behavioral Billing: CBB Management offers outsourced mental health and behavioral health billing, credentialing, and revenue cycle services targeting small and mid-sized mental health practices, directly comparable to T&T's service catalog.
• Billing Solutions Inc. Billing Solutions Inc. is a third-party medical billing company that supports mental health and behavioral health practices with claims processing, credentialing, and accounts receivable management — a comparable SMB-focused RCM service.
• Avility Health: Avility provides mental health-specific medical billing and credentialing services for therapists and psychiatric practices — a direct competitor to T&T Medical Billing's core niche service.

Broad incumbents

• Office Ally: Office Ally is an established healthcare clearinghouse and RCM/billing services vendor serving providers across multiple specialties. Although not mental-health exclusive, it offers similar electronic claims filing and billing services that overlap with T&T's offering.
• Kareo (Tebra): Kareo, now part of Tebra, is an EHR and medical billing platform widely used by small practices across specialties including mental health. It represents a broader incumbent in the SMB practice billing/claims space.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/in/ttmedbilling

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 T & T Medical Billing