Summary: “The best dermatology billing companies in the USA include Transcure, which bills dermatology at scale for multi-location and multi-specialty groups. Dermatology-focused alternatives include Derm Care Billing Consultants, The Auctus Group, Inga Ellzey, and Clarity RCM.”
Dermatology does not lose money where most practices expect. In the CMS 2025 Medicare Fee-for-Service Supplemental Improper Payment Data, dermatology’s improper payment rate was 3.4%, less than half the 8.4% Part B average. Yet 39.6% of its errors were incorrect coding, more than double the Part B share.
Most of that money sits in the office visit, not the procedure. Established office visits billed by dermatologists accounted for $55.1 million of the specialty’s $103.4 million in improper payments. Nationally, the leading causes were E/M levels the note did not support and separately identifiable services left undocumented.
Another 26.2% of dermatology errors came from records never sent when payers asked for them. This list compares dermatology specialists, an aesthetic-focused firm, and two multi-specialty companies, so each entry names the practice it fits best.
These are the 10 best dermatology billing companies in the USA for 2026, with the practice type each one serves best.
| Company | Rating | Best For |
|---|---|---|
Transcure
|
Rating:
★★★★★
★★★★★
5.0
|
Best For: Multi-Location and Multi-Specialty Dermatology Groups |
Derm Care Billing Consultants
|
Rating:
★★★★★
★★★★★
5.0
|
Best For: Founder-Led, Dermatology-Only Billing |
The Auctus Group
|
Rating:
★★★★★
★★★★★
5.0
|
Best For: Aesthetic Practices With Out-of-Network Claims |
DermBilling USA
|
Rating:
★★★★★
★★★★★
4.2
|
Best For: Practices That Want a Published Rate Upfront |
Inga Ellzey Billing Companies
|
Rating:
★★★★★
★★★★★
4.4
|
Best For: Established Practices Wanting Deep Coding Expertise |
Clarity RCM
|
Rating:
★★★★★
★★★★★
4.3
|
Best For: Independent Practices Wanting Live Financial Visibility |
Dermatology RCM
|
Rating:
★★★★★
★★★★★
4.1
|
Best For: Medium and Large Practices Seeking an Admin Partner |
Master Billing
|
Rating:
★★★★★
★★★★★
3.8
|
Best For: Skin Substitutes, SRT, and Medicare Audit Defense |
DermBSI
|
Rating:
★★★★★
★★★★★
4.0
|
Best For: Mohs, Plastics, and Dermpath Under One Billing Office |
Hometown Billing
|
Rating:
★★★★★
★★★★★
4.0
|
Best For: Midwest Practices Mixing Medical and Cosmetic Care |
Each company entry below covers services, published results, and pricing, drawn from the firm’s own materials.
Table of Contents
Toggle1. Transcure
★★★★★ 5.0
Transcure is the dermatology billing company for groups that bill skin care alongside other services. Our 1,100+ AAPC-certified billers work inside a multi-specialty operation. A practice that adds vein, vascular, or plastic surgery work keeps one billing partner instead of three.
Dermatology loses money on the office visit beside the procedure. CODIN checks that the note supports the E/M level billed and a separately identifiable service before modifier 25 goes on. DEXA traces every denial to its root cause, so the same coding error does not repeat next month.
That front-end review lets 98% of our claims clear on first submission, which matters on Mohs days, when several high-value stages bill at once. Practices that move their dermatology billing to us typically see collections rise by 20% or more.
| Category | Details |
|---|---|
| Location | Woodbridge, NJ; Oviedo, FL; and Farmers Branch, TX |
| Best For | Dermatology groups with several locations or vein, vascular, and plastic surgery service lines |
| Key Services |
|
| Specialties | Dermatology, plus primary care, endocrinology, pain management, and 40+ other specialties |
| EHR | Connects with 43+ EHR and practice management systems |
| KPIs Published |
|
| Pricing Model | 5% of monthly collections, with credentialing and aged A/R recovery covered |
| Founded In | 2002 |
Dermatology Practices Already Billing With Transcure
Dermatology billing mixes medical, surgical, and cosmetic care, and each line brings its own coverage and coding rules. Transcure supports dermatology and skin care practices that work across that mix, including groups such as:
★★★★★ 5.0
Derm Care Billing Consultants is a dermatology-only billing company built by Terry Sonterre. Before founding it, Sonterre built and sold a multi-specialty billing firm, then managed the practices of two New York Mohs surgeons. That background gives the team an operator’s view of how a dermatology practice runs.
The firm has served more than 100 dermatology practices with an in-house team of certified coders, billers, and managers. Every practice gets a dedicated account manager. Fee schedule analysis is part of the service, which helps practices check whether their fees match what payers allow.
| Category | Details |
|---|---|
| Location | New York, NY |
| Best For | Practices moving from in-house billing to a dermatology-only outside team |
| Key Services |
|
| Specialties | Dermatology only, including Mohs surgery practices |
| EHR | Works within the practice’s existing EHR |
| Pricing Model | Custom pricing |
| Founded In | 2020 |
★★★★★ 5.0
The Auctus Group is a dermatology billing company focused on aesthetic practices, with plastic surgery and ENT clients as well. CEO John Gwin founded it, and it now operates as the revenue cycle brand of Procode, which adds AI-assisted coding. Its fully remote team works across 12 countries.
Out-of-network billing is the standout. Auctus pursues underpaid claims through No Surprises Act independent dispute resolution, the only firm on this list to advertise it. It suits practices that stay out of network with some payers and need a path past low initial payments.
| Category | Details |
|---|---|
| Location | Chicago, IL |
| Best For | Aesthetic practices with out-of-network or cosmetic-heavy revenue |
| Key Services |
|
| Specialties | Dermatology, plastic surgery, and ENT |
| EHR | Works within the practice’s existing system |
| KPIs Published | Case study: one New York dermatology group’s monthly collections rose from $64,000 to $175,000; aged A/R share fell from 55% to 17% |
| Pricing Model | Custom pricing |
| Founded In | 2012 |
★★★★☆ 4.2
DermBilling USA is the dermatology billing brand of Practice Revenue Management. It limits its work to dermatology, dermatopathology, and Mohs practices. Contracts run month to month with 30 days’ notice and no setup fee. That lowers the risk of trying an outside biller for the first time.
Speed commitments define the service. Charges are entered within 24 hours, and denials are reworked within 48 hours. The team also secures prior authorization for biologics and phototherapy, two areas where approvals often hold up treatment.
| Category | Details |
|---|---|
| Location | Brentwood, NY |
| Best For | Practices that want to compare a published rate before talking to sales |
| Key Services |
|
| Specialties | Dermatology, dermatopathology, and Mohs surgery only |
| EHR | ModMed EMA, Nextech, eClinicalWorks, athenahealth, AdvancedMD |
| KPIs Published |
|
| Pricing Model | 4.9% of net collections for solo practices; 3.9% for groups of 2 to 10 providers; custom for larger groups |
| Founded In | 2019 |
★★★★★ 4.4
Inga Ellzey Billing Companies is the longest-running name among the dermatology billing companies here. Founder Inga Ellzey, RHIA, has spent more than 40 years in dermatology coding and has spoken to over 300 dermatology societies. Her education arm publishes the Complete Coder for Dermatology.
The company reports more than 160 US-based employees serving over 100 dermatology practices in 37 states. It is an AdvancedMD billing marketplace partner and bills inside Nextech, so practices on either system keep their software. Its team has exhibited at the Mohs College, ASDS, and AAD meetings.
| Category | Details |
|---|---|
| Location | Casselberry, FL |
| Best For | Established practices that want deep dermatology coding expertise |
| Key Services |
|
| Specialties | Dermatology only |
| EHR | Works within the practice’s existing system |
| Pricing Model | Custom pricing |
| Founded In | 1996 |
★★★★★ 4.3
Clarity RCM is a dermatology-only billing company started by Ashwin Krishnan after he watched his dermatologist wife struggle to find a billing partner. The firm serves independent practices and assigns each one a named senior account manager backed by a small dedicated team.
Technology is the differentiator. ClarityOS shows live practice financials, and ClarityPay handles patient statements and balances. On day one Clarity takes over existing A/R without a separate charge, and most practices go live within three to six weeks.
| Category | Details |
|---|---|
| Location | San Francisco, CA |
| Best For | Independent practices that want live revenue visibility |
| Key Services |
|
| Specialties | Dermatology only |
| EHR | ModMed, eClinicalWorks, Nextech, DrChrono, EZDERM |
| KPIs Published |
|
| Pricing Model | Percentage of collections, set after a free A/R audit |
| Founded In | 2017 |
★★★★★ 4.1
Dermatology RCM is a dermatology billing firm led by Manny delaRosa, who has more than 25 years in the field. It deliberately works with a small number of medium to large dermatology practices by design. Clients include Durango Dermatology in Colorado and Susong Dermatology in Tennessee.
The firm acts as an administrative partner as much as a biller. Contract negotiation, regulatory compliance, and data analysis sit beside the claims work. Its team belongs to the Association of Dermatology Administrators and Managers and HBMA, which keeps it close to practice managers’ daily concerns.
| Category | Details |
|---|---|
| Location | Maitland, FL |
| Best For | Medium and large practices wanting an administrative partner |
| Key Services |
|
| Specialties | Dermatology only |
| EHR | Works within the practice’s existing system |
| Pricing Model | Custom pricing |
| Founded In | 2016 |
★★★★☆ 3.8
Master Billing is a dermatology-focused billing company that reports serving more than 30 practices across 12 states. Named clients include 4 Bridges Dermatology, Frieder Dermatology, and Daystar Skin and Cancer Center. Partner Rohan Doodnauth and RCM operations head Ajith Kumar Purushothaman lead the team.
Its niche is specialized dermatology claims. The team bills skin substitutes, superficial radiation therapy, and Medicare audit defense through administrative law judge hearings. One three-location Raleigh group raised patient collections by 34% on average over six months.
| Category | Details |
|---|---|
| Location | Orange City, FL |
| Best For | Practices billing skin substitutes or SRT, or facing Medicare audits |
| Key Services |
|
| Specialties | Dermatology and skin cancer practices |
| EHR | EzDerm, ModMed, AdvancedMD, Nextech, DrChrono |
| KPIs Published |
|
| Pricing Model | Custom pricing |
| Founded In | 2023 |
★★★★★ 4.0
Dermatology Billing Solutions, known as DermBSI, is a dermatology billing company that works as an offsite billing office for skin and aesthetic practices. Each client gets a dedicated account manager and team. Physicians including Lance Brown, MD, and Jeffrey Sklar, MD, endorse its work.
Credentialing runs through the same team, so newly hired providers are enrolled without a separate vendor. Practice consulting is also available for owners who want guidance beyond the claims themselves. That combination suits a growing practice adding surgeons or new service lines.
| Category | Details |
|---|---|
| Location | Mineola, NY |
| Best For | Mohs, dermpath, and plastics practices wanting one billing team |
| Key Services |
|
| Specialties | Dermatology, Mohs surgery, plastic surgery, and dermatopathology |
| EHR | Works within the practice’s existing EHR |
| KPIs Published | 97% of claims paid on first submission (company figure) |
| Pricing Model | Custom pricing |
| Founded In | 2013 |
★★★★★ 4.0
Hometown Billing is a multi-specialty firm among these dermatology billing companies, whose core work is behavioral health, ambulance, and nursing home billing. More than 30 billing experts share 36+ years of combined experience. Each practice works with a dedicated account manager who reports on claim performance.
Its dermatology service covers medical, surgical, and cosmetic work, including self-pay invoicing for Botox, fillers, and laser resurfacing. The team reviews modifier 25 and 59 use before submission to prevent bundling denials. Patient-friendly statements and flexible payment options support collection of the self-pay share.
| Category | Details |
|---|---|
| Location | Mendota Heights, MN |
| Best For | Midwest practices that mix medical and cosmetic dermatology |
| Key Services |
|
| Specialties | Multi-specialty, including dermatology, ophthalmology, radiology, and pain management |
| EHR | Works within the practice’s existing EHR and PM system |
| KPIs Published |
|
| Pricing Model | Custom pricing |
| Founded In | 2022 |
How Were These Dermatology Billing Companies Chosen?
We started with Google Business Profile listings, search results for dermatology billing, and industry directories. Each firm needed a verifiable address, live client reviews, and a dermatology practice base it serves today. Facts in each entry come from the company’s own website, LinkedIn, or public business profiles.
Dermatology-only firms got priority, because Mohs stages, pathology splits, and cosmetic carve-outs reward specialists. Firms pairing dermatology with plastic surgery qualified too. Two multi-specialty firms made the list: Hometown Billing, and Transcure for groups needing dermatology billing services across multiple specialties.
Ratings set the order, but a rating built on a handful of reviews counts for less than one built on dozens. Most firms that met these standards are based in New York and Florida, which is why those two states appear most often here.
Which Is the Best Dermatology Billing Company?
Transcure is the best dermatology billing company for most practices in 2026. Its coders confirm E/M support and modifier 25 on every same-day procedure, where dermatology loses the most money. Practices wanting a dermatology-only shop can also compare Derm Care Billing Consultants and Clarity RCM.
How Much Do Dermatology Billing Companies Charge?
Dermatology billing companies typically charge 3% to 10% of monthly collections. Low-end rates usually cover core claim work only, with extras billed separately. High-end rates strain smaller practices. Transcure charges a flat 5% covering the full revenue cycle, credentialing, and aged A/R recovery.
Is a Dermatology-Only Billing Company Better Than a Multi-Specialty Firm?
A multi-specialty firm with dedicated dermatology coders suits most growing practices better. Groups adding med spa, vein, or plastic surgery services need one partner billing every line. Transcure does that with 1,100+ certified coders, so no single absence stalls claims. A dermatology-only firm can still suit a small, single-location practice.
What Questions Reveal a Strong Dermatology Billing Partner?
The strongest question is how the team confirms modifier 25 support on a same-day biopsy or excision. Also ask how cosmetic charges stay off claims and how pathology results reach coding, the core rules of dermatology medical billing. At Transcure, CODIN reviews all three before release.
How Long Does It Take to Switch Dermatology Billing Companies?
Switching dermatology billing companies usually takes a few weeks to two months. Transcure completes onboarding in under 14 days, which keeps the gap in claim submission short. Keep the outgoing biller working its open A/R until the new team’s first payments post. Clarity RCM cites three to six weeks.
Can a Dermatology Billing Company Handle Cosmetic Procedures?
A capable dermatology billing company separates cosmetic charges from medical ones on the same visit, so payers never see a service they would deny. Transcure splits those charges at coding and supports patient estimates for the self-pay share. Hometown Billing and The Auctus Group also advertise aesthetic billing.



