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Know your practice's true profitability - price, hire, grow, and exit with total confidence.
See below for examples of how we tailor accounting to each medical specialty:
Dentists
Production vs. collections gaps, write-offs, and insurance aging, and most accountants miss all of it. We reconcile your dental software (Dentrix, Eaglesoft, Curve) directly against your bank deposits, track unposted insurance payments, and flag adjustments that quietly erode your margins. You'll always know your true net production, not just what was billed.
Insurance A/R aging broken down by payer, not just totals
Overhead benchmarking against dental industry standards (PPO vs. fee-for-service)
Accurate tracking of lab fees, supply costs, and associate pay splits
Optometrists
Between frame inventory, vision plan reimbursements, and the retail-meets-clinical nature of your practice, optometry books are uniquely complex. We reconcile VSP, EyeMed, and other vision plan payments against billed claims, track your optical retail separately from your exam revenue, and keep your frame board COGS clean.
Vision insurance reimbursement reconciliation by plan
Optical retail vs. clinical revenue split reporting
Inventory valuation for frames and contact lenses
AOA/MBA compliant chart of accounts for ultimate financial clarity
Veterinarians
Vet practices juggle cash clients, multi-payer billing, inventory-heavy supply costs, and the chaos of emergency vs. wellness revenue, all in one P&L. We segment your revenue streams so you can see exactly where you're profitable, and we bring discipline to drug and supply inventory accounting that most generalist accountants overlook.
AAHA-compliant chart of accounts
Revenue categorization by service type (wellness, surgery, pharmacy, boarding)
COGS tracking for medications and medical supplies tied to inventory
Simplifying complex compensation and ProSal calculations.
Physical Therapists
Cash-based and insurance-based practices have wildly different accounting needs, and many practices run both at once. We track insurance reimbursements by payer and CPT code category, reconcile ERA/EOB payments, and build reporting that shows your true cost per visit so you know which services (and which payers) are actually worth your time.
Insurance payment posting reconciled against claims
Tracking of cash-pay packages, memberships, and prepaid plans
Per-visit profitability analysis across service lines and providers
Main street medical practices aren't just any other small business:
Main street medical practices aren't just any other small business:
You’re running a hospital, a pharmacy, a laboratory, an imaging facility, a surgery suite, a retail store, and more—often all under one roof. Each of those has its own revenue streams, costs, and margins.
Without industry tailored financials, you can't see what's around the bend.
Generalist accountants don’t understand that complexity, Akamai does.
We rigorously tailor financials to your specialty's chart of accounts (AAHA, ADA/ADCPA, AOA/MBA)
We use accrual accounting so you see the real health of your practice, not just cash in the bank.
We reconcile revenue and expense by source: every penny that comes into the practice and every penny that leaves the practice is fully accounted for.
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