Medical Billing Company in USA | Physicians Revenue Group

## Physicians Revenue Group (PRG): US Medical Billing and RCM Outsourcing

Physicians Revenue Group, Inc. (PRG) is an US-based medical billing and revenue cycle management company operating under the domain prgmd.com. The company says it has been delivering medical billing services for roughly two decades, which puts its founding somewhere in the early-to-mid 2000s, though the exact year is not confirmed in available public information. PRG positions itself as a third-party billing partner for physician practices, clinician groups, and group practices across the United States.

The service line is broad for a healthcare-focused BPO. PRG covers medical billing, revenue cycle management (RCM), medical billing audits, provider credentialing and enrollment, chronic care management (CCM), remote patient monitoring (RPM), healthcare digital marketing, MIPS/MACRA reporting, practice management, and contract negotiation. That is a meaningfully wider scope than a pure billing shop. A practice that needs not just claims submission but also payer contract strategy or chronic care program support would find more under one roof here than at a narrower vendor.

On the billing side specifically, PRG claims a 99% first-pass resolution rate (FPRR) and reports over $1 billion in total billed charges processed. First-pass resolution rate is one of the cleaner metrics to ask about in medical billing, because a low FPRR means your claims are going out wrong and coming back for rework, which costs time and delays cash flow. A 99% FPRR claim is on the high end of what vendors advertise. I would ask PRG to break that figure down by payer and specialty on your call, because averages can obscure performance gaps in complex specialties or with specific commercial payers.

Provider credentialing and enrollment is listed as a distinct service, not just a checkbox. This matters because credentialing backlogs are one of the most common operational headaches for new or expanding practices. If a provider is not yet enrolled with a payer, no claims go through, and the revenue gap is real. Having credentialing and billing under the same vendor can reduce handoff friction, though I would confirm how PRG tracks credentialing timelines and who owns follow-up when a payer goes quiet.

The chronic care management and remote patient monitoring services are worth flagging for buyers considering a broader administrative partnership. CCM and RPM programs require care coordination workflows, patient outreach, and billing for non-face-to-face time, all of which carry compliance considerations. PRG positions itself as a turn-key partner for both, but a buyer running a primary care or multi-specialty group should pressure-test how PRG handles the clinical coordination layer versus the billing layer, and who owns the patient communication process.

MIPS/MACRA reporting services are offered under the "Doctors MACRA Services" label. This is a niche service that smaller practices often get wrong because the reporting requirements shift year over year. Having it bundled with billing is convenient, but a buyer should ask whether PRG has staff who actively track CMS rule updates, not just file the reports.

PRG describes itself as HIPAA-compliant, which is a baseline requirement for any medical billing company operating in the US, not a differentiator. It is the floor, not a credential. That said, it is the one compliance posture clearly evidenced in available information. There is no public evidence of SOC 2, HITRUST, or other certifications in the research available, so I would not assume those are in place without asking directly.

On the delivery model, PRG is US-based and markets itself explicitly as a domestic medical billing company. Business hours are listed as 8:00 to 5:00, Monday to Friday, which is a standard US business day footprint. This is relevant for practices that want a vendor reachable during their own working hours without navigating an offshore time difference. The tradeoff is that fully domestic operations typically carry higher overhead than offshore billing companies, which often translates to pricing that reflects that. PRG does not publish pricing publicly, so a buyer would need to request a quote. Pricing for US-based medical billing services typically runs on a percentage-of-collections model (common in the industry, though not confirmed for PRG specifically) or a per-claim or flat monthly fee structure. I would get the full fee breakdown in writing before signing, including any setup fees, credentialing fees, or charges for additional specialties.

PRG says it is trusted by thousands of clinicians and group practices nationwide and operates across multiple states, though the specific state count is not published in available information. The company has a territory managers directory, which suggests a field sales or account management structure, a sign that they handle relationships with some geographic intentionality rather than purely remotely.

Who fits here: a small-to-mid-size physician practice or group practice in the US that wants a domestic billing partner with a broad service menu, including credentialing, CCM, and RPM, not just claims processing. If your practice is expanding into new payer networks, adding providers, or trying to stand up a CCM program and needs billing support alongside that, PRG covers more ground than a pure-play billing shop.

What I would verify on an introductory call: how the 99% FPRR is calculated and which specialties it applies to; what the escalation path is when a payer denies a claim pattern; how credentialing timelines are tracked and communicated; what the all-in monthly cost looks like for your specific specialty and claim volume; and whether the account management model means a dedicated contact or a shared queue.