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In addition to our work in private practice, VGA has contributed professional content to the industry resources AAPC,, and BC Advantage Magazine. VGA also created a CME activity on the Business of Healthcare through our sister company, Creative Practice Solutions, and a joint sponsorship with the New York State Medical Society. 

Commitment to Results

All of VGAs systems are completely transparent and we correspond with our clients on an almost daily basis. The transition to our services is nearly seamless, as we work with your existing billing software, or, if you don't have one, provide one for you. As a concierge service, VGA services a select number of healthcare providers in private practice with a level of service and attention to detail that is unparalleled in the industry.


VGA has developed a business model that allows for the nurturing and maintenance of "quality" over "quantity." Our company was started under the philosophy of combining a hands-on consulting approach with on going billing support. We consider ourselves the "anti-billing service," billing service, in the sense that we are not an anonymous company with little to no accountability or communication with our clients.


VGA Billing Services was established in 1997 to provide Billing, Consulting and Management services for private Surgical Specialists and affiliated practices. We have over 30 years of experience in outpatient billing and practice management in both private practice and outpatient hospital settings.

The Founders

Paul von Gahl


With over 30 years experience in medical billing and practice administration, Paul started VGA Billing in 2007. He holds a BA in Economics from Vassar College, as well as an MA in French Language and Civilization from NYU. Paul has led the New York medical billing and consulting fields with both a successful consulting business and the management of New York's premier boutique billing service. Having been through every major change in billing and practice administration, from the introduction of CPT and ICD9/10 coding and the implementation of the HCFA 1500 form, to the current challenging mandates of federal healthcare reform, Paul is uniquely qualified to guide and advise physicians looking to leverage their energies toward an Out-of-Network private practice. 

Phone: 212-206-6465


Matt Dallmann

Vice President

With over 20 years of billing experience, Matt brings a different perspective to VGA's clients. He holds a BFA from Marymount Manhattan College and is an alumni of MIT's professional development courses. He also contributes technical content to industry resources. Keeping pace with the everchanging landscape of healthcare is his specialty. Matt also prepares comprehensive financial reports along with a deeper analysis of VGA's client profiles and practice health. 

Phone: 212-206-6465

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