First Officer for Medical

McKesson Invoices. Lab Fees. Your Biggest Spend Earns the Least.

Medical practices spend $30K to $100K+ monthly, with the majority going to supply distributors that code as wholesale. Your software, advertising, and phone spend can earn 3x to 4x.

Your numbers

See What You're Leaving Behind

Adjust the sliders to match your monthly business spend. Each category shows which card earns the most and why.

Monthly spend calculator
$15,000
Wholesale/medical supply coding. 2x on a catch-all card
$5,000
Professional services. 2x on a catch-all card
$2,000
May code as software. up to 4x on the right business card
$2,000
3x on the right business card or 4x on the right business card
$10,000
Phone/internet 3x-5x. Rest at 1x-2x blended
Total monthly spend$34,000
Without optimization
$0
~1x base points / year
With First Officer
$0
1.5 to 2.0x optimized / year
You're leaving $0 per year in unrealized value
The mistakes

What Medical Practices Get Wrong

These aren't obvious. Nobody in the medical practices industry talks about points optimization. Here's what we see over and over.

01

All McKesson and Medline orders on debit or a basic card

Medical supply distributors code as wholesale. earning 1x on every bonus card. But the right catch-all card earns 2x on everything. On $15K/month, that's 360,000 points per year instead of 180,000.

The math

$15K/month supplies on the right catch-all card = 360K pts/year at 2x.

02

Not routing practice management software to an Amex card

athenahealth, AdvancedMD, and other EHR systems may code as software on Amex, earning 4x. Even $2K/month at 4x earns 96,000 points per year.

The math

$2K/month software at 4x = 96K pts/year vs 24K at 1x.

03

Patient marketing spend on a flat-rate card

Google Ads for new patient acquisition, Healthgrades featured listings. all earn 3x to 4x. For practices spending $2K/month on marketing, that's 84,000 points per year on the right card.

The math

$2K/month ads at 3.5x = 84K pts/year.

04

Ignoring the phone and internet bill multiplier

Business phone systems and internet earn 3x on the right business card or 5x on a gas and office bonus card. Medical offices often have significant telecom bills. At $1,500/month, the right card earns 54,000 to 90,000 extra points per year.

The math

$1.5K/month phone at 4x avg = 72K pts/year.

How it works

Your vendors. Our routing.

Every vendor sends a merchant category code (MCC) when you swipe. That code determines your multiplier. The same $5,000 payment earns 5,000 points on the wrong card or 20,000 on the right one. We match every vendor to its highest-earning card.

MCC
Vendor Code Analysis

We've mapped how your vendors code with card networks. Verified, not guessed.

CAP
Spending Cap Tracking

Every bonus category has annual caps. We shift routing before you hit a ceiling and drop to 1x.

CPP
Transfer Partner Math

Earning is half. We route redemptions to partners where points are worth 2x to 5x more than cash.

Your card stack, routing rules, and redemption strategy are built specifically for your vendors and spend. See what yours looks like.

Real math

What This Looks Like for a $34K/Month Medical Practice

Same spend. Different strategy. Different outcome.

Annual breakdown

Monthly business spend$34,000
Annual spend$408,000
Points earned (unoptimized, ~1x)408,000 pts
Points earned (First Officer, ~1.8x avg)734,400 pts
Signup bonus points (year one)~200,000 pts
Total optimized points (year one)934,400 pts
Value at 1 cent/point (statement credit)$9,344
Value at 2 to 4 cents/point (travel partners)$18,688 to $37,376

Hypothetical example for illustration. Actual results vary based on your specific vendors, card products, and redemption choices. This is not financial advice.

How it works

Four Steps to Full Optimization

No apps to download. No spreadsheets. Just a conversation.

01

Message us

4 questions. Takes 2 minutes.

02

We map everything

Cards, balances, credits, programs.

03

Get your game plan

Card stack, routing rules, bonus calendar.

04

We watch. You win.

Proactive alerts, weekly digests, strategy.

Trusted across industries

The same routing intelligence, applied to 20+ verticals. Different vendors, different MCC codes, same rigorous math.

Restaurants. HVAC. Dental. Salons. Fitness. Landscaping. Veterinary. IT. Consulting. Cleaning. Property Management. Auto Repair. And yours.

20-Minute Spend Audit. Free.

Message us. We'll tell you exactly what your medical practice business is leaving on the table.

💬 Start on WhatsApp