American Physician

American Physician has spent nearly two decades doing one thing: getting peripheral vascular practices paid accurately and on time. Founded in 2007 in Colorado Springs, Colorado, the company set out to fill a real gap in the medical billing market. Phlebology and peripheral vascular billing is technically demanding, and most general billing services handle it poorly. American Physician built its entire operation around this specialty, and that focus shows in results that matter to physicians. The company's core offering is full-service medical billing and coding for peripheral vascular and vein practices. That includes claim submission, collections, and payment posting, along with pre-authorization services for billing clients. Beyond the billing cycle itself, American Physician provides consulting to practices across the venous and arterial field, whether they are existing clients or not. For practices just getting started, the team assists with the transition from planning to operational, including contracting services provided at no charge to billing clients. The company also provides billing and coding support to two large medical device manufacturers, extending its expertise well outside the individual practice setting. American Physician works exclusively with peripheral vascular practices. That narrow focus means the team knows the specific CPT codes, payer rules, and documentation requirements that apply to phlebology and vascular procedures. The company currently serves more than 35 practices and processes over six million dollars in vascular claims each month. For practices weighing back-office outsourcing options, that kind of specialty-specific volume and depth is difficult to replicate with a general-purpose billing vendor. The 29-person team is notably stable. Many staff members have been with the company for over a decade, which matters in a field where institutional knowledge directly affects denial rates and reimbursement accuracy. CEO AJ Riviezzo brings a background spanning military healthcare administration, group practice management, director-level contracting for HMOs, and three healthcare company start-ups. That mix of clinical operations experience and payer-side knowledge shapes how the company approaches both billing strategy and contract negotiations on behalf of clients. For peripheral vascular practices looking to reduce administrative burden, improve coding accuracy, or get collections under control, American Physician offers a focused outsourcing partnership built specifically for this specialty. Reach out to the team to discuss your practice's needs or to request a consultation.