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The 30-Year Veteran in Medical Billing's Shadow
How a Texas-based coding firm quietly dominates niche healthcare revenue cycles
In a market flooded with VC-backed, cloud-native billing startups, QMACS has been executing the same playbook since 1993—and winning. This isn't a disruption story; it's a reliability story.
"They aren't chasing AI hype; they're chasing clean claim rates. That's the difference between a tech company and a medical billing company."
The Niche That Built Them
QMACS doesn't try to be everything to everyone. With only 58 employees generating $35M in revenue, they're hyper-efficient. Their traffic data reveals the strategy: 170 monthly searches for 'Dr. Jekot billing portal' indicates they own specific physician practice relationships, not broad market share. This is a classic vertical integration play—deep, not wide.
The Stealth Growth Model
While competitors burn cash on customer acquisition, QMACS relies on retention and referral. The absence of social profiles and minimal web traffic isn't a weakness; it's a defense mechanism. Their clients (likely mid-sized medical practices) don't shop on Google—they stay for decades. The 807 monthly visits are probably 80% existing clients accessing the portal, not prospects.
The leadership team composition tells the story: a Chief Revenue Officer (Brad Alexander) and a VP of Regulatory Compliance (Pamela Kufahl) are co-founders, not CTOs. This isn't a tech-first company—it's a compliance-first company using tech as a utility. WordPress and jQuery aren't buzzwords; they're stable, maintainable tools that don't break.
- 1993 vintage: Survived HIPAA, ICD-10, and value-based care transitions
- Private held: No quarterly pressure to chase growth over service
- Texas-based: Deep relationships with Southern US healthcare networks
- Portal-driven: Retention through proprietary patient/doctor interfaces
The Anti-Startup Startup
In a world obsessed with disruption, QMACS proves that boring, reliable infrastructure wins. They're not building a unicorn—they're building a fortress.
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Steamlined Medical Billing & Coding Solutions | QMACS
Based in Richardson, Texas, QMACS has been a privately held Coding and Medical Billing Corporation since 1993.
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About qmacsmso.com
Based in Richardson, Texas, QMACS has been a privately held Coding and Medical Billing Corporation since 1993.
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qmacsmso.com uses 9 technologies across their website including Google Fonts, PHP, WordPress, and more.
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Google Fonts
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PHP
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WordPress
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Lazy Loading, Priority Hints
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Twitter Cards, RSS
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core-js, jQuery
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qmacsmso.com receives approximately 807 monthly visitors. The website has a bounce rate of 35% with visitors viewing an average of 1.1 pages per visit. Users spend an average of 0:00 on the site.
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