Established in 1960 as a medical billing specialist company, today Practicefirst  Medical Management Solutions has grown into far more than just a billing company.  We have become an industry leader in revenue cycle management, providing medical billing, coding, credentialing and full-service practice management solutions to healthcare organizations across the Northeast.  With over 60 years of industry experience, we have expanded our reach and currently service clients across the country.

Headquartered in Western New York, Practicefirst is a privately-owned company that has sustained long-term client relationships and achieved top-line growth by focusing on our mission. 

Our Mission

To maximize the value of our clients' medical practices, so they can focus on the health and well-being of their patients.

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Meet the Team

Tom Maher.jpg

Thomas Maher, CPA, CPC

President and CEO

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 our clients’ medical practices, so they can focus on the health and well-being of their patients.

Megan Henderson

Megan Henderson, MBA

Director of Finance

Vidya Baliga

Vidya Baliga, COC, CPMA, CRC

Coding Manager

Sandy Setlock

Sandy Setlock, CPC, CRC, CEMA, CHCO

Corporate Compliance Manager

Carly Dombkowski

Carly Dombkowski, MBA, LSSGB

Revenue Cycle Manager

Kelly Cole

Kelly Cole, CPC, CMBS, CPMA

Coding Manager

Maureen Ziemba

Maureen Ziemba

Sales Manager

Bambi Akright

Bambi Akright, CMBS

Billing Manager

Amy Wilcox

Amy Wilcox

Credentialing Manager