Top 10 Medical Billing Companies in New York (2026)

New York is one of the most complex, highest-volume billing environments in the country. Between heavy Medicare/Medicaid reliance, NY Medicaid’s managed care structure, and the gap between NYC and upstate markets, a partner without New York-specific experience will struggle if you outsource medical billing New York-wide without checking first.

This guide compares 10 medical billing companies in New York, including GreenSense Billing, on services, NY Medicaid/payer experience, and pricing. Whether you’re comparing New York medical billing services as a solo practitioner or evaluating a medical billing service in New York for a larger group, the goal is to help you find the best medical billing company in New York for your practice. A general medical billing company in USA comparison covers more ground than this state-specific guide.

Quick Comparison Table

Best for at a glance (based on published evidence, not an independent ranking): NY Medicaid billing – Medical Billers and Coders; behavioral health billing NY – Millin Medical; small/solo NY practices – GreenSense Billing; full-service RCM New York – R1 RCM; NYC practices – HMS USA LLC. Best Overall and Best for Upstate New York are not clearly stated for any company reviewed.

GreenSense Billing is listed first; the remaining order groups New York-headquartered companies next, then national vendors with documented NY reach. Not a ranking.

Why New York Medical Billing Is Different

Heavy Medicare/Medicaid reliance. Medicare and Medicaid patients account for 62% of outpatient visits and 53% of hospital patient service revenue in New York, perHANYS. That dependence means billing expertise needs to go beyond commercial claim handling.

NY Medicaid. Administered byNYSDOH, NY Medicaid runs through both fee-for-service and managed care. Active plans include Fidelis Care, MetroPlus, Healthfirst, and MVP Health Care; confirm the current list viaNYSDOH’s managed care page.

Major payers. Empire BlueCross BlueShield (Anthem) dominates commercially, alongside Aetna, Cigna, UnitedHealthcare, EmblemHealth, and MVP Health Care.

NYC vs. upstate. NYC carries extreme payer density and competition. Upstate has a more rural character, a different payer mix, and provider shortage context; a vendor built for one doesn’t automatically fit the other.

Behavioral health complexity. New York’s large behavioral health provider population means mental health, ABA therapy, and SUD billing involve complex CPT codes, prior authorization, and the state’s own parity laws.

Surprise billing. Beyond the federal No Surprises Act, New York has its own state-level Surprise Bill Law, administered by theDepartment of Financial Services, predating the federal rules.

Some industry sources cite revenue-loss and market-size figures for New York billing that don’t trace to a verifiable primary source, so they’re left out here. Unclear items are marked “Not clearly stated.

GreenSense Billing

GreenSense Billing serves small and mid-size New York practices with full-service RCM, positioning itself as a hands-on alternative to enterprise-focused vendors.

• Best for: Small and mid-size New York practices
• Location: Serving New York
• Core services: GreenSense Billing offersmedical billing as its core service, alongsiderevenue cycle management,provider credentialing, andmedical coding
• Payer expertise: States its team stays current on state-specific payer regulations across the markets it serves
• Provider types served: Private clinics, multi-specialty groups, ambulatory care centers
• Specialties supported: States support across more than 25 medical specialties
• NY Medicaid/managed care experience: Not clearly stated
• Billing model: Full-service RCM, coveringeligibility verification throughdenial management andaccounts receivable management
• Why it made the list: Percentage-of-collections pricing with no upfront costs, positioned specifically for medical billing services for small practices New York rather than enterprise health systems

HMS USA LLC

HMS USA LLC is a Floral Park-based billing company built for solo and small New York practices, offering everything from claims to front-desk support.

• Best for: Solo/private practices, hospitals, nursing practices, home health agencies
• Location: Floral Park, NY
• Core services: Billing, coding, credentialing, patient billing, virtual front desk support
• Payer expertise: Not clearly stated
• NY Medicaid/managed care experience: Not clearly stated
• Billing model: Full-service RCM
• Why it made the list: A genuinely New York-based medical billing company New York practices can verify, with a named CEO, not a national vendor with a state landing page. Its Floral Park location also makes it a natural fit among medical billing NYC searches for a locally headquartered option.

Millin Medical

Millin Medical has specialized in behavioral health and human services billing since 1982, with documented experience in New York’s specific state agency frameworks.

• Best for: Behavioral health, I/DD, and substance use disorder billing
• Location: Lynbrook, NY
• Core services: RCM software and services, billing, claims, denial reduction
• Provider types served: Behavioral health, I/DD, substance use, ABA, and related program types
• NY Medicaid/managed care experience: States experience with Medicaid, Medicaid Managed Care, and specific familiarity with OMH, OASAS, and OPWDD, New York’s own behavioral health and disability agencies
• Billing model: Full-service RCM plus proprietary software (MillinPro)
• Why it made the list: Founded 1982, NY-headquartered, with unusually specific documented experience in the exact state agency frameworks behind NY behavioral health billing

Denial patterns in behavioral health often trace back to authorization gaps specific to New York’s parity requirements, which is why denial management New York practices rely on needs to be payer-specific. GreenSense Billing’sdenial management services are built around that kind of follow-up.

Medical Billers and Coders (MBC)

MBC is a national billing company with a dedicated New York page that goes beyond generic state-page content into specific MCO-level detail.

• Best for: Documented NY Medicaid MCO awareness
• Location: National, with New York-specific service pages
• Core services: Billing, coding, denial management, credentialing
• Provider types served: New York physician groups
• NY Medicaid/managed care experience: States it tracks NY Medicaid managed care requirements
• Billing model: Full-service RCM
• Why it made the list: Publishes specific, state-level regulatory content, not generic filler

Transcure

Transcure is a Dallas-based billing company with in-house technology and multi-specialty coverage, serving New York practices alongside its national client base.

• Best for: Multi-specialty billing with in-house tech
• Location: Dallas, TX, serving NY
• Core services: Billing, coding, denial management, credentialing, EHR integration
• Provider types served: Solo practices through hospitals, 40+ specialties
• NY Medicaid/managed care experience: Not clearly stated
• Billing model: Full-service RCM
• Why it made the list: Publishes documented claim-filing and AR-day figures on its own site

For practices unsure whether their current biller actually tracks state-specific requirements like these, GreenSense Billing’smedical billing and coding audit services page outlines what an independent audit looks like.

MedCare MSO

MedCare MSO focuses on labs, imaging centers, and hospital billing, backed by specific stated compliance credentials rather than general claims.

• Best for: Labs, imaging centers, hospitals
• Location: US-based, serving New York
• Core services: Billing, coding, AR recovery
• Provider types served: Labs, imaging centers, hospitals, physician practices
• NY Medicaid/managed care experience: Not clearly stated
• Billing model: Full-service RCM
• Why it made the list: States specific compliance credentials (HIPAA, ISO 9001:2015), not general claims

CareCloud

CareCloud pairs medical billing with its own EHR and practice management software, and as a publicly traded company it’s unusually transparent for this category.

• Best for: Billing bundled with EHR/software
• Location: Somerset, NJ
• Core services: Billing, eligibility, analytics, EHR
• Provider types served: Small practices through enterprise medical groups and health systems
• NY Medicaid/managed care experience: Not clearly stated
• Billing model: Full-service RCM, bundled with software
• Why it made the list: Publicly traded (Nasdaq: CCLD), unusually verifiable for this category

Athenahealth

Athenahealth delivers billing as part of its broader EHR and practice management platform rather than as a standalone service.

• Best for: Athenahealth EHR platform users
• Location: National
• Core services: EHR-integrated billing, claims management
• Provider types served: Practices of varying sizes on the athenahealth platform
• NY Medicaid/managed care experience: Not clearly stated
• Billing model: Billing delivered as part of an integrated platform
• Why it made the list: Platform-based billing tied directly to its own EHR

R1 RCM

R1 RCM operates at enterprise scale, making it a fit for hospitals and large physician groups rather than independent practices.

• Best for: Hospitals and large physician groups
• Location: Murray, UT, national footprint
• Core services: End-to-end RCM, patient access, denial resolution, AI automation
• Provider types served: Large health systems and hospital-owned or independent physician groups
• NY Medicaid/managed care experience: Not clearly stated
• Billing model: Full-service RCM
• Why it made the list: Large, publicly documented enterprise vendor relevant for NY’s big hospital systems

MediBillMD

MediBillMD is a newer Dallas-based vendor that states a nationwide reach explicitly including New York practices.

• Best for: Small to mid-size practices
• Location: Dallas, TX, serving NY
• Core services: Billing, coding, RCM, credentialing
• Provider types served: Physicians, nurse practitioners, group practices
• NY Medicaid/managed care experience: Not clearly stated
• Billing model: Full-service RCM
• Why it made the list: Founded 2023, stated nationwide reach including New York

How to Choose a Medical Billing Company in New York

Not every outsource medical billing company NY practices find online has actually worked New York claims at scale. Check these before signing:

• NY Medicaid managed care experience. Ask which specific MCOs the company has documented experience with.
• Empire BCBS familiarity. Given its dominance in the commercial market, this is not optional.
• Behavioral health parity knowledge. If you run a behavioral health practice, ask directly about New York-specific parity compliance experience.
• NYC vs. upstate fit. Confirm the vendor’s experience matches your specific market’s payer mix and competitive density.
• Full-service vs. billing-only, pricing model, and denial management depth. Ask exactly which functions are included and how denials are tracked to root cause, not just resubmitted; a strong RCM company New York practices trust should show specific medical billing and coding New York workflows.
• HIPAA/BAA and EHR compatibility. Confirm the vendor will sign a Business Associate Agreement and works with your existing system.

If your practice is weighing whether your current medical billing service NY actually understands the state’s payer landscape, GreenSense Billing’srevenue cycle management services page outlines what a full revenue cycle management New York handoff typically covers.