You Spent Years Mastering Medicine.
Let Us Master Your Books.
Income, expenses, payroll, and equipment depreciation — get a dedicated U.S.-based bookkeeper who understands the financial complexity of running a medical practice.
Bookkeeping for Every Type of Medical Practice
Whether you run a solo practice or a multi-provider group, we have the expertise to handle your books.
Dental Practices
Insurance billing reconciliation, lab costs, equipment tracking, and multi-provider payroll.
Primary Care & Family Medicine
Insurance reimbursements, EHR software costs, staff payroll, and practice overhead management.
Chiropractic Practices
Mixed insurance and cash-pay revenue streams, equipment depreciation, and front-desk payroll.
Optometry & Vision Care
Retail product sales, insurance billing, and frame inventory tracking alongside professional services.
Physical Therapy
Insurance authorization tracking, therapist payroll, and multi-location financial management.
Mental Health & Therapy
Insurance vs. private pay reconciliation, telehealth revenue, and solo or group practice bookkeeping.
Specialty Practices
Dermatology, orthopedics, urgent care — we match your bookkeeper to your specialty's financial needs.
Multi-Provider Groups
Physician group bookkeeping, partner draw tracking, and consolidated reporting across providers.
Medical Practice Finances Are Among the Most Complex of Any Business.
Generic bookkeepers don't understand the revenue cycle, insurance reconciliation, or regulatory requirements of healthcare.
Tracking Income Across Multiple Sources
Patient payments, co-pays, and self-pay accounts all arrive on different schedules and through different channels. Without organized books, your true monthly income is never clear.
Mixed Revenue Streams
Insurance payments, patient co-pays, self-pay accounts, and retail product sales all hit your accounts differently. Without clean separation, your P&L is meaningless.
Complex Healthcare Payroll
Physicians, PAs, nurses, front desk, and billing staff — often with different pay structures, benefits, and overtime rules. Healthcare payroll is uniquely complex.
Equipment & Depreciation
Medical equipment is expensive and depreciates on specific schedules. Imaging machines, dental chairs, surgical tools — all need to be tracked and depreciated correctly for tax purposes.
Cash Flow Visibility
With high overhead, staff payroll, and equipment costs, medical practices need a clear picture of monthly cash flow. Without organized books, financial blind spots put your practice at risk.
Zero Time After Clinical Hours
After a full day of patient care, the last thing you want to do is reconcile accounts. You became a doctor to practice medicine — not to manage spreadsheets.
A Bookkeeper Who Understands the Medical Revenue Cycle
We set up your QuickBooks to mirror your practice's revenue streams — patient payments, co-pays, and self-pay all tracked separately so you always have a clear and accurate picture of your practice finances.
- Monthly income tracking — patient payments, co-pays, and self-pay all recorded accurately
- Separate tracking by revenue stream — insurance vs. self-pay vs. retail
- Payroll for all staff types — clinical, administrative, and contracted
- Equipment depreciation schedules — maximized and IRS-compliant
- Monthly P&L by provider or location — see what each arm of your practice earns
- CPA-ready books at year-end — clean, organized, and audit-proof
Practice Financial Dashboard — Monthly
✓ All ReconciledEverything We Handle for Your Medical Practice
Your dedicated bookkeeper covers the full financial picture — so you can focus on patient care.
Monthly Income Recording
Patient payments, co-pays, and all practice income recorded and categorized accurately every month.
Multi-Staff Payroll Tracking
Physicians, nurses, PAs, and admin — all payroll reconciled with correct classification.
Equipment & Asset Depreciation
Medical equipment tracked on correct depreciation schedules for maximum tax benefit.
Expense Categorization
Every practice expense — supplies, rent, software, professional fees — correctly categorized for accurate reporting.
Bank & Credit Card Reconciliation
Every account balanced monthly — no unrecorded transactions or mystery charges.
Monthly P&L by Location or Provider
See profitability broken down by provider, location, or service line — not just practice-wide.
Supply & Inventory Expense Tracking
Medical supplies, lab materials, and retail products correctly categorized and tracked.
Tax-Ready Books Year-Round
No scrambling at year-end. Your CPA gets organized, clean books they can file from directly.
Catch-Up Bookkeeping
Behind on your books? We'll clean up months of backlogged records before starting monthly service.
100%
U.S.-based bookkeeping professionals
$0
Setup fees to get started
24hr
Matched with your dedicated bookkeeper
20+
Years of accounting experience
Plans Built for Practices of Every Size
No hidden fees. No setup costs. Cancel anytime with 30 days notice.
Solo Practice
For solo practitioners and small practices with up to $15,000/mo in expenses.
- Monthly bookkeeping & reconciliation
- Profit & Loss statement
- Dedicated bookkeeper
- Up to $15,000/mo in expenses
- Email support
Group Practice
For practices with multiple providers, staff payroll, and higher transaction volume.
- Everything in Essential
- $15,000–$50,000/mo in expenses
- Cash flow statement
- Monthly bookkeeper calls
- Unlimited phone & email support
Multi-Location
For large practices, multi-location groups, and specialty practices with high volume.
- Everything in Professional
- $50,000–$100,000/mo in expenses
- Multi-entity & multi-location
- Annual tax filing included
- Dedicated account manager
High-volume practice or hospital group? Let's talk custom pricing →
Medical Practice Bookkeeping Questions
Yes. We work alongside your practice management and billing software — whether that's Kareo, AdvancedMD, DrChrono, or others. We reconcile insurance payments from your billing system against your bank deposits in QuickBooks, giving you a complete and accurate picture of your collections.
Absolutely. Our Professional and Scale plans support multi-provider and multi-location practices. We set up QuickBooks with classes and locations so you can see profitability broken down by provider, department, or location — not just as a single blended number.
We record all practice income — patient payments, co-pays, and self-pay collections — and categorize every expense including payroll, supplies, rent, equipment, software, and professional fees. We do not handle medical billing, insurance claims, or patient billing follow-up. Our focus is keeping your QuickBooks books accurate so you always have a clear financial picture.
Yes. We operate with strict confidentiality and data security practices. We work with financial data only — we never access patient records or clinical information. All data is handled through encrypted, secure channels and our team operates under strict confidentiality agreements.
Yes — and most CPAs love working with us because your books arrive clean and organized. We provide your CPA with QuickBooks access, a complete year-end package, and any supporting schedules they need. If your CPA has specific formatting preferences, we accommodate them.
Ready to Get Your Practice Finances Under Control?
Tell us about your medical practice business and we’ll review your needs and respond within one business day. Setup is quick and there are no fees to get started.
Accountlet LLC provides bookkeeping services and does not offer Audit, Review, Attestation, or Medical Billing services. Accountlet records and organizes financial transactions only and does not follow up with insurance companies or handle patient billing. Prices shown are starting rates.