A Medical Billing Company Built by Revenue Cycle Operators, Not Software Vendors
SP Medical Billing was founded by billing professionals who spent 15 years inside physician practices watching revenue leak through coding errors, payer downcoding and unworked denials. We built the company to fix the problems we saw firsthand.
15+
Years in revenue cycle
300+
Practices served
50
States covered
98.6%
First-pass claim rate
60+
Medical specialties
Started Inside a Physician Practice, Not a Tech Startup
SP Medical Billing started in 2009 when our founding team was managing revenue cycle operations inside a multi-specialty group practice. We watched claims get denied for preventable coding errors, saw payers downcode procedures without pushback and tracked thousands of dollars written off every month because no one had time to work old accounts receivable.
We started SP Medical Billing to give physician practices access to the same level of billing, coding and denial management expertise that large hospital systems keep in-house — without the overhead of building a department from scratch.
Today, SP Medical Billing serves over 300 practices across all 50 US states. Every client is assigned a named team of CPC-certified coders, experienced billers and a dedicated account manager. We measure success by one number: what our clients actually collect.
━━ WHAT DRIVES US
Five Principles Behind Every Claim We Submit
Accuracy Over Speed
A claim submitted fast but coded wrong costs more than a claim submitted right. We audit every encounter before it reaches the clearinghouse.
Transparency in Reporting
Monthly reports show true net collections, not just clean claim rates. We report what you collected, what you lost and why.
Named Teams, Not Queues
Every practice gets a dedicated team that knows your payers, your specialty and your claim history. No rotating support tickets.
HIPAA by Design
Patient data is encrypted at rest and in transit. Access is role-based. We conduct regular third-party security audits.
Aligned Incentives
Our fee is a percentage of what you collect. If you do not collect, we do not get paid. That alignment drives everything we do.
The People Running SP Medical Billing
Every practice is assigned a named team, not a rotating queue, led by certified billers, coders and a dedicated account manager.
Denise Carter
18 years in physician billing operations. Oversees onboarding and payer strategy across all client accounts.
Marcus Lee, CPC
Specialty coding lead for orthopedics and cardiology. Trains coders on payer-specific modifier rules.
Priya Nandakumar
Runs the appeals desk behind our 81% overturn rate. Former payer-side claims auditor.
Tom Reilly
Your named point of contact after onboarding, monthly reporting reviews and payer escalations.
Industry Standards We Meet and Maintain
HIPAA Compliant
All operations follow HIPAA Privacy and Security Rules. Annual third-party audits verify compliance.
CPC Certified
Every coder holds current AAPC CPC certification with specialty-specific training modules.
A+ BBB Rating
Maintained an A+ rating with the Better Business Bureau with zero unresolved complaints.
SOC 2 Type II
Data security controls independently audited and certified under the SOC 2 Type II framework.
From a Single Practice to Nationwide Coverage
Key milestones in the growth of SP Medical Billing from a local billing service to a full-service medical billing company operating across all 50 US states.
2009
Founded in Phoenix, Arizona
Started as a billing service for a single multi-specialty group practice. Built the coding and denial management workflows that became the foundation of the company.
2012
Expanded to 50 practices
Grew from a single-client operation to serving 50 physician practices across 8 states. Hired our first full-time CPC-certified coding team.
2015
Nationwide coverage
Reached all 50 US states. Built payer-specific billing workflows for Medicare, Medicaid and every major commercial carrier in each state.
2018
200 practices, 40+ specialties
Expanded specialty coverage to 40+ and introduced the dual-coder audit process that pushed coding accuracy above 98%.
2021
SOC 2 Type II certified
Completed SOC 2 Type II certification. Launched real-time dashboard access for all client practices.
2024
300+ practices, 60+ specialties
Now serving over 300 physician practices across 60+ specialties with a 98.6% first-pass claim rate and 81% denial overturn rate.
Where Your Claims Are Coded, Submitted and Tracked
Find Out How Much Revenue Your Practice Leaves Uncollected
Our audit-first engagement maps every revenue leak in your billing before you commit to anything. No obligation, no sales pitch — real numbers from your claim data.
98.6%
First-pass claim rate
81%
Denial overturn rate
$186K
Avg. revenue recovered