Stay Independent. Let Us Handle the Paperwork
Medical billing, coding, and AR support built for solo practitioners and small practices across Houston, not enterprise health systems.
Running a small practice in Houston means competing against health systems with entire billing departments behind them. MediCommerce gives medical billing services in Houston to independent physicians, psychiatric nurse practitioners, and therapists across mental health, physical, speech, and occupational therapy that same level of billing support, sized and priced for a solo or small practice.
Independence Is Getting Harder to Hold onto
Corporate ownership of medical practices keeps climbing nationally, and Houston has felt that shift as much as anywhere. Staying independent usually comes down to one thing: can your practice run its billing and collections as well as a group ten times your size, without hiring a full billing department to do it. That is the exact gap MediCommerce fills.
Who We Work With
Independent Physicians/Groups and Nurse Practitioners. We support independent clinics across specialties, both solo practitioners and small medical groups. We build our billing approach around how each practice actually operates rather than applying one generic template across every specialty.
Mental Health Therapists, Physical, Speech, and Occupational therapy. Therapy practices deal with their own billing complexity, including session limits, authorization renewals, and documentation requirements that differ from a typical medical office. We work with therapy practices across all four disciplines and understand where their claims tend to run into trouble.
What Actually Slows Down a Small Practice
Claims that sit too long
A solo physician or small group rarely has staff dedicated to chasing down aging claims. We manage charge entry through full accounts receivable so nothing sits untouched.
Coding that costs you money
Missed or mismatched codes lead to underpayment or denial. Coding support is available through our staffing team at an hourly rate, separate from your core billing service, so you only pay for what you need.
Denials that pile up
Every denied claim is staff time you do not have. We work claims proactively so denials get caught and corrected instead of stacking up in a queue nobody has time to touch.
Prior authorization delays
A missing authorization is an automatic denial, no exceptions. Our team tracks authorization status so services are not delivered, or billed, without one in place.
Credentialing paperwork
Getting a new provider in network, or keeping licenses and certifications current, is its own job. We manage that separately so it never becomes an afterthought.
Two Services Small Practices Often Underestimate
Credentialing and contracting. For a solo physician or a two provider group, one credentialing delay can mean weeks of unbillable patient visits while you wait to get in network with a payer. We manage the full process, from initial enrollment through group contracting, and we track license, DEA, and liability renewal dates so nothing lapses without warning. [Learn more about credentialing and contracting]
Bookkeeping. Small practices rarely have a dedicated finance person, which means bookkeeping often falls to whoever has time, or does not get done consistently at all. We keep your books current and reconciled so you have an accurate financial picture without hiring internal staff for a task that does not need to be full time.
How Pricing Works for a Small Practice
Medical billing services in Houston start at a 2.49% contingent fee, meaning we only get paid when you get paid. There is no flat monthly fee sitting on your books regardless of collections. Additional support like coding, benefits verification, and prior authorization is available through staffing services at an hourly rate, so a solo practice never pays for capacity it does not need.
Built for How Small Practices Actually Operate
Contracts run month to month with a 30 day notice period, not a multi year lock in. If you ever decide to leave, we continue following up on your outstanding claims for 180 days after your termination date, so nothing you are owed gets abandoned mid collection just because the relationship ended. One account manager handles your billing, staffing, and operations needs, so you are never bounced between departments.
Rooted in the Texas Medical Community
FAQ
Is MediCommerce a fit for a solo practitioner, or only larger practices?
Solo practitioners and small groups are exactly who we built this service for. Pricing and staffing scale down to a one or two provider practice, not just larger organizations.
Do you work with independent psychiatric nurse practitioners?
Yes. We work with a number of independent psychiatric nurse practitioners across Texas and understand the billing patterns specific to psychiatric care, including medication management visits and session frequency.
Do you support therapy practices, or only medical practices?
Yes. We work with therapy practices across mental health, physical, speech, and occupational therapy, and we understand the authorization and documentation requirements specific to therapy billing.
Do you only work with practices in Houston?
No. We support independent physicians and small practices across Houston, DFW, and other Texas markets, along with clients in other states.
What is included in the 2.49% core billing fee?
Charge entry, claims submission, payment posting, and accounts receivable management through full resolution. Coding, benefits verification, prior authorization, and credentialing are available separately through staffing and operations services.
How long is the contract commitment?
Contracts are month to month with a 30 day notice period. If you leave, you get a 180 day accounts receivable runout so nothing gets left uncollected.
Can you support a practice that is planning to add providers or locations?
Yes. Our processes are built to scale, so adding a provider or a second location does not require rebuilding your billing setup from scratch.
Do you handle credentialing for solo practitioners, or only larger groups?
We handle credentialing and contracting for practices of every size, including solo practitioners and small groups. It is priced separately from core billing since not every practice needs it at the same time.
Can you take over bookkeeping if my practice does not have anyone doing it consistently?
Yes. Bookkeeping is available through our operations services, and it is one of the most common gaps we help small practices close.