Here's Our Story

We succeed by putting your practice first.

Established in 1960 as a medical billing specialist company, Practicefirst Medical Management Solutions has become a leader in billing, credentialing, coding, compliance, chart auditing, bookkeeping and tax preparation. Headquartered in Amherst, New York, Practicefirst serves over 75 clients across the country.


Practicefirst is a privately owned company that has experienced long-term client relationships and growth by meeting our mission of maximizing the value of our clients’ medical practices and living our core values of integrity, trust, professionalism and dedication.


We take our mission and values seriously, and they are the backbone of our organizational culture.


It is not only our job, but our duty to ensure that the physician practices we serve receive the compensation they deserve for their efforts. It is also our responsibility to stay current with the volatile rules, regulations and information technology requirements of the healthcare industry, and to share that knowledge with our clients so we can all achieve our respective goals.

Our Mission:

To maximize the value of our clients' medical practices.

Do your


align with ours?

Meet the Team

As President and CEO of a growing organization in a complex industry, Thomas Maher focuses on people: Practicefirst employees and clients. “You can’t have one without the other, and Practicefirst is successful because we take care of both.” He oversees a diverse and talented team of experienced professionals; whose collective mission is to maximize the value of their clients’ medical practices.

Thomas Maher, CPA, CPC
President and CEO
Tom Maher

Bambi Akright, CMBS

Billing Manager

Becky Amann
Becky Amann
Corporate Compliance Officer
Becky Amann

Vidya Baliga, COC, CPMA, CRC

Coding Manager

Megan Henderson
Kelly Cole, CPC, CMBS, CPMA
Coding Manager

Carly Dombkowski, MBA, LSSGB

Revenue Cycle Manager

Megan Henderson
Megan Henderson, MBA
Director of Finance
Megan Henderson
Amy Wilcox
Credentialing Manager