Healthcare providers don’t typically lose sleep over patient care. They lose sleep over getting paid for it. That’s the problem Gianni Gonzalez set out to fix when he founded Miixed Realities, a leading Medical Billing Office in El Paso, Texas that’s quietly changing how clinics handle their revenue cycle.
The company’s origin story traces back to a conversation with a doctor in Hawaii. The physician’s frustration wasn’t unique. Claims going out late, denials piling up, revenue sitting untouched in accounts receivable. The same complaints kept coming in from clinics across different specialties and states. The pattern was clear: practices didn’t need software alone. They needed actual people who knew how to work claims from start to finish.
“Clinics should not lose revenue because of preventable billing issues,” the company states. “We exist to protect and recover the money practices have already earned.”
Miixed Realities takes a different approach than the offshore billing teams many practices have come to dread. The company places dedicated U.S.-based billers directly inside a clinic’s existing EHR system. Every claim runs through an AI-powered verification system before submission, and the team actively works unpaid or denied claims until they’re resolved. No disappearing into a queue. No waiting weeks for answers.
The results are promising. The company reports that one pediatric clinic recovered $60,000 in just two weeks, and that more than five practices have already replaced their offshore billing teams with Miixed Realities. According to the company, clients can expect collection rates to increase by 30 percent within weeks of onboarding.
The pricing model strips away the usual complexity. At $5 per processed bill plus 6 percent of successfully recovered claims, there are no setup fees, no monthly retainers, and no long-term contracts. Practices only pay when they see results.
Currently, Miixed Realities is expanding its internal verification technology and rolling out improved client dashboards that track outstanding, recovered, and saved revenue in real time. The company is also building out specialty-specific billing teams and onboarding clinics nationwide. Practices can follow on Instagram or connect on LinkedIn to stay updated on new features and service expansions.
For practices curious about what they might be missing, Miixed Realities offers free revenue audits with results delivered within 48 hours.
Medical billing has long been the part of healthcare nobody wanted to talk about. Miixed Realities was built around talking about it, fixing it, and proving that with the right people and real accountability, clinics don’t have to choose between good care and good collections.





























