Before anyone starts a medical billing company, the first question that always comes up is the most important one: How much does a medical billing business make?
And it’s a smart question — because your income potential determines whether this becomes a small remote side hustle, a full-time six-figure business, or a long-term path to financial independence. But most people searching online only find vague ranges or surface-level articles that never actually explain how billing companies make money in the first place.
This guide is built for aspiring entrepreneurs, stay-at-home parents, healthcare professionals, and anyone looking to start a remote medical billing business who wants clear, realistic numbers before making the leap.
Medical Billing Opportunity works with everyday people from all backgrounds, and we’ve seen firsthand what’s possible — as well as the factors that truly determine income. Below is the full breakdown you’ve been looking for.
How Much Does a Medical Billing Business Make? (Real Numbers & Ranges)
The income of a medical billing business ranges widely depending on experience, number of clients, specialty types, and claim volume. However, here’s the realistic landscape based on industry averages:
👉 Beginner Billing Companies (Year 1): $2,000 – $8,000 per month
Most new billing businesses start with one or two small practices. Revenue typically comes from:
- A percentage of collections (3–8%), or
- A flat rate per claim ($3–$7 each)
A single small office can generate $1,500–$4,000 per month in billing revenue depending on patient volume.
👉 Established Billing Companies: $8,000 – $20,000+ per month
Once a company grows to 3–6 clients with moderate volume, income increases dramatically. Many entrepreneurs scale to this level within 12–24 months.
👉 Multi-Client Billing Agencies: $20,000 – $100,000+ per month
This includes agencies serving multiple specialties or larger practices. Growth is exponential because:
- More claims = more revenue
- Referral chains grow naturally
- Providers prefer consistent, reliable billers
A single specialty practice (cardiology, orthopedics, GI, etc.) can generate $8,000–$18,000 alone.
Bottom Line:
A medical billing business can start as a flexible remote side business, but it can scale into a multi-six-figure company with the right systems.
How Income Works in a Remote Medical Billing Business
To understand how much a billing business makes, you need to understand how the money comes in. There are three common models:
1. Percentage of Collections (The Most Profitable & Popular Model)
Most billing companies charge 4–8% of total collections, depending on specialty and complexity.
Example:
- Provider collects $80,000 in a month
- Your fee at 6% = $4,800 per month from ONE client
This model aligns incentives — the more revenue you bring in, the more you earn.
2. Flat Monthly Fee (Best for Small Offices)
Some remote medical billing businesses choose predictable pricing for micro-practices or startups, often:
- $500–$1,500 per month depending on volume
- Great for mental health, solo providers, NP-owned practices
This creates steady recurring income with lower complexity.
3. Per-Claim Pricing (High Volume, Lower Margins)
Larger practices or behavioral health groups sometimes prefer per-claim pricing:
- $3–$7 per claim on average
- High volume → scalable revenue
This is common in specialties with consistent throughput (mental health, pediatrics, urgent care, etc.).
Factors That Determine How Much a Medical Billing Business Makes
Not all billing companies earn the same amount — and the difference often comes down to a few key elements. This is where most beginners underestimate the opportunity.
1. The Type of Clients You Work With
Different specialties bill at different volumes:
- Primary care: moderate volume
- Mental health: high volume, simple coding
- Cardiology/orthopedics/GI: high reimbursement rates
- Urgent care: extremely high throughput
The right specialty can easily double your revenue.
2. The Provider’s Monthly Collections
Because most billing businesses charge a percentage, higher-earning practices = higher billing income.
For example:
- NP-owned mental health practice: ~$25,000/month
- GI specialist: $150,000–$300,000/month
- Cardiology group: $250,000–$500,000+/month
Even one specialty client can completely replace a full-time salary.
3. The Services You Offer Beyond Billing
Many successful billing companies offer:
- Credentialing
- Prior authorizations
- RCM consulting
- Patient eligibility
- Denial management
- AR clean-up
Each of these can add $300–$2,000+ per month in upsell revenue per client.
4. Your Efficiency & Systems
Using the right software, clearinghouse, and workflow can drastically increase your profit margin.
Medical Billing Opportunity specifically teaches you how to:
- Build efficient workflows
- Use inexpensive or free tools
- Automate repetitive tasks
- Reduce the time spent on claims
- Improve provider collections
This creates higher profit margins because your costs stay low.
5. Your Client Acquisition Strategy
The biggest factor in how much a medical billing business makes isn’t the work itself — it’s how quickly you can acquire clients.
People who know where and how to reach healthcare providers scale 3–5x faster.
This is why MBO’s program focuses heavily on:
- Outreach scripts
- Provider lead lists
- Messaging frameworks
- Referral strategies
- LinkedIn and email prospecting
Better acquisition → more clients → higher income.
How Much Can a Remote Medical Billing Business Owner Take Home?
Revenue is one thing — profit is another. The good news?
Medical billing is one of the highest-margin service businesses in healthcare.
Most companies run at 65–85% profit margins, especially when operated remotely.
Typical expenses include:
- Billing software
- Clearinghouse fees
- EHR access (if needed)
- Business tools
- Occasional contractors
That’s why even a small billing business earning $6,000 per month can still take home around $4,000–$5,000 profit.
For established billing companies earning $20,000+/month, take-home income can exceed $15,000–$18,000 monthly.
How to Estimate How Much YOU Could Make in Medical Billing
Here’s a simple formula MBO teaches students:
(Provider Collections x Your Percentage Fee) = Monthly Revenue
+ any add-on services offered
Example:
- Provider collections: $75,000
- Your fee: 6%
- Monthly income: $4,500
Add-ons:
- Credentialing: $500
- Denial management: $350
- Eligibility: $150
Total: $5,500 per month from ONE provider
This is why medical billing scales so quickly — one good client dramatically increases your income.
Is a Medical Billing Business Worth It? (The Real Question Answered)
If you’re looking for a business that’s:
✔ Remote
✔ Low overhead
✔ Recession-proof
✔ Predictable
✔ Scalable
✔ High margin
Then yes — a medical billing business is one of the best opportunities available in 2025 and beyond.
Healthcare providers will always need help getting paid. As long as claims exist, billers get paid to manage them.
Conclusion: Want to Speed Up the Process?
Starting a medical billing business doesn’t have to be complicated — but it does require the right structure, pricing, and client acquisition strategy if you want to hit your income goals quickly.
At Medical Billing Opportunity, we’ve helped countless beginners launch profitable businesses from home, even with no prior medical or billing experience. Our program walks you through every step — from understanding revenue, to setting up your systems, to getting your very first client.
If you want to start faster and avoid the months of trial and error most beginners go through, get in touch with our team today.
We’ll help you build a remote medical billing business that actually earns what you’re aiming for.
References
- AAPC.com – Medical Billing Salary & Industry Data
- CMS.gov – Provider Reimbursement & Billing Guidelines
- RevCycleIntelligence.com – Healthcare Revenue Cycle Performance Reports
- AHIMA.org – Medical Billing & Coding Industry Research
