Pain management billing helps doctors and clinics get paid the right way for treating patients who have pain. It uses special medical codes and follows insurance rules to avoid delays or rejections.
The pain management industry is growing fast around the world. In 2025, its total value is expected to be between $80 billion and $87 billion. The market continues to grow every year, with an estimated growth rate of 3.5% to 5.4% per year.
The pain management market is growing every year. But one big challenge for clinics and doctors is handling their billing the right way. Pain treatments are often complex, and insurance companies have strict rules. That’s why it’s important to work with a good pain management billing company. They help make sure the right codes are used, payments come on time, and fewer claims get denied.
To make this choice easier for you, we’ve put together a list of the best pain management billing companies. This guide will help you find the right pain management billing company based on your clinic’s needs.
1. Nexus io
Nexus io, based in Phoenix, AZ, offers expert pain management billing services to help clinics and doctors get paid faster and more accurately. Their team handles insurance checks, claim submissions, prior authorizations, and old A/R follow-ups. With the help of their experienced team, they serve 30 plus states and have helped over 250+ clients. Fill out a quick form, and their billing experts will contact you within 12 hours.
- 90% collection rate and 88% clean claims rate
- 30% reduction in accounts receivable (A/R)
- 5-10% increase in operational efficiency
2. HMS USA LLC

HMS USA LLC, based in Floral Park, NY, has been helping healthcare providers with billing since 2010. With $20.1 million in revenue (as per Zoominfo) and a 4.9-star rating on Google from 35 reviews, HMS is known for reliable services. Their expert team helps reduce billing mistakes by 80% and uses simple, step-by-step methods to manage billing smoothly—from sending claims to handling rejections. Main Pain Management Billing Services by HMS USA LLC:
- A free check of the billing process with tips to improve efficiency.
- Confirmation of patient benefits to prevent billing issues.
- Certified coders apply the latest ICD-10, CPT, and HCPCS codes accepted by major insurers.
- Claims are submitted within 48 hours, with ongoing follow-up on delayed payments.
3. Doctor MGT

DoctorMGT is based in Anaheim, California, and has over 15 years of experience in pain management billing. They earn $12.9 million and have a perfect 5.0 rating on Google from 7 reviews.
DoctorMGT helps doctors handle difficult billing problems to get more payments faster. Their services include clean claims, easy access to billing data anytime, clear communication, and expert coding. They work with many specialties like neurology, cardiology, and urgent care to help practices reduce errors, manage approvals, and collect payments smoothly.
- 99% clean claims and help with denied claims
- Access to billing data 24/7 with clear communication
- Skilled coding experts who follow all rules
- Easy-to-use EHR and EMR billing for pain management practices
4. TriumpHealth

TriumpHealth, based in Southlake, Texas, has been providing pain management billing services since 2017. With a revenue of around $5 million as per Zoominfo and a 4.6-star Google rating from 128 reviews, the company offers specialized pain management billing support for chronic pain treatments. Their certified coders manage complex procedures like nerve blocks and injections, ensuring accurate claims, fewer denials, and steady cash flow for pain management clinics. Why Choose TriumpHealth for Pain Management Billing?
- Certified coders manage time-based visits and interventional pain procedures
- Maximizes reimbursements by correcting documentation and coding errors
- Handles complete billing processes, allowing clinics to focus on patient care
- Uses advanced billing tools to speed up claims and reduce AR delays
5. Billing Freedom

Billing Freedom is a pain management billing company based in Frisco, Texas, and has been serving providers since 2018. The company has a revenue of around $5 million (as per ZoomInfo).The company has processed more than $100 million in claims. They help reduce claim denials, improve collections, and offer complete billing, coding, and A/R services for pain management practices. Their team includes certified professionals who ensure claims are submitted correctly and quickly, following HIPAA guidelines to protect patient data.
- 96% of claims get paid on the first submission
- 33% average reduction in A/R days
- Personalized billing support from certified AR callers and coders
- Boosts revenue by 10–35% with secure and accurate billing
6. I-Med Claims LLC

I-Med Claims LLC is based in Oakbrook Terrace, Illinois, and has been working since 1997. They help pain management clinics get paid faster and earn more money. They use the latest technologies to guarantee HIPAA compliance and deliver a secure and flexible EHR. The team takes care of billing, coding, claim denials, and insurance follow-ups. They offer support all day and can grow their services to fit what you need.
- 99% claim success rate
- Prices start at 2.95% of monthly collections
- More than 2500 experts on the team
- 4.9 Google rating with 118 reviews
7. Quest MBS

Quest MBS is based in Avenel, New Jersey. They help pain management clinics with billing using special codes like CPT, ICD-10-CM, and HCPCS. According to Zoominfo, revenue of this company is around $5 Million. They handle billing for injections, nerve treatments, medicine management, physical therapy, and mental health care. They also work with hospital billing and special payment plans. Quest MBS makes sure the billing is correct and follows all rules, helping practices get paid on time and avoid problems.
- 95% claim approval rate
- Boost revenue by 20%
- 4.6 Google rating with 11 reviews
- Skilled in coding for injections, medicine, physical therapy, and psychological care
8. ADSC

ADSC, based in Paramus, NJ, has over 45 years of experience and has $46.2 million in revenue as per Zoominfo. They offer AI-powered solutions designed for pain management, including billing, practice management, and electronic medical records (EHR).
Their MedicsCloud Suite is ONC-certified and features MedicsScribeAI to simplify workflows and reduce administrative tasks. ADSC helps practices get faster payments with fewer denials while complying with healthcare regulations. They have won awards like Medical Economics, Top 50 EHRs and Capterra Top 20, proving their commitment to quality and innovation.
- ~99% clean claims on first submission
- Over 45 years in medical billing
- Tens of millions of claims processed
- 4.3 Google rating with 34 reviews
9. CompuGroup Medical

CompuGroup Medical is based in Austin, Texas. It started in 1984 and makes $1.3 billion in revenue, according to Zoominfo. It has a Google rating of 4.1 from 8 reviews. The company helps pain management clinics with their medical billing.
They make sure clinics get paid faster, have fewer rejected claims, and follow all the billing rules. Using smart tools and expert knowledge, they make billing easy so clinics can focus on helping patients and managing money well.
- Use special codes like CPT and ICD-10 for pain management billing
- Use AI to find and fix claim problems quickly
- Help clinics get money faster by handling old unpaid bills
- Manage the whole billing process from start to finish
10. Outsource Strategies International

Outsource Strategies International (OSI), based in Tulsa, Oklahoma, has over 21 years of experience and serves pain management practices across all 50 states. OSI has more than 1,000 skilled workers and more than 200 happy clients. They provide custom pain management medical billing and coding services that follow HIPAA rules.
Their services cover the entire billing process, from registering patients to handling denied claims. This helps make claim processing smooth and increases revenue. OSI focuses on reducing administrative tasks and maximizing financial results with flexible pricing plans to fit various practice needs.
- Certified coders and dedicated project managers handle billing and coding accurately.
- Services include insurance verification, prior authorization, AR follow-up, and denial management.
- Transparent pricing models include Full-Time Equivalent (FTE), Per Verification Billing, and AR follow-up fees.
- OSI offers live callers for insurance verification and 24/7 technical support without long-term contracts.
Things You Must Know Before Choosing the Pain Management Billing Company
Here are some important factors pain management practices must consider before choosing the right pain management billing company for them:
Expertise in Pain Management CPT & ICD-10 Coding
The billing company should understand the special codes used in pain management practices. These codes change often and need careful handling. This knowledge helps pain management practices avoid mistakes and get paid faster.
Smooth EHR process & Practice Management Integration
The company must connect smoothly with the EHR and management systems used by pain management practices. Good integration reduces errors and saves time in billing. It also helps update patients and claim information quickly for pain management practices.
Denial Management for Pain-Specific Claims
Choose a company that studies why claims get denied in pain management practices. They should have clear plans to fix these issues and get denied claims paid. This improves revenue for pain management practices.
Advanced RCM Analytics & Performance Reporting
Look for billing partners who provide detailed reports on money flow for pain management practices. These reports should show how much is owed and how fast claims get paid. Such data helps pain management practices make better financial decisions.
Regulatory Compliance & Payer Policy Adherence
The company must keep up with changing laws and rules that affect pain management practices. This includes updates from government and private insurance policies. Staying compliant protects pain management practices from penalties.
Bottom Line
This list of top pain management billing companies in the USA is based on detailed research. We looked at their ratings, reviews, income, and service quality. Each company was carefully checked to make sure they are good at coding, handling denials, following rules, and helping clinics earn more money.
If pain management clinics need fast claim submissions, better denial handling, or smooth EHR connection, these companies can help make your billing process easier. Picking the right company by pain management practices can improve your clinic’s income and efficiency, so choose the one that fits your needs best.