Our directory of top accounting firms in the US is built on five main ranking criteria and reviewed by a team of 12 experts, supported by a 4.1-star average rating from verified client reviews. This gives you a clear and reliable way to choose the best accounting firms for your business.
Organic rankings are determined by five factors: top services, reviews, portfolio, awards/press, and team expertise. Sponsored listings pay for a placement that appears above organic positions. Sponsorship does not affect star ratings or review content - read more on our methodology page.
Precision Billing, Maximum Revenue, Minimal Risk.
Our USA-based Medical Billing Company streamlines billing operations for healthcare providers, ensuring increased revenue, reduced costs, and minimized risk. From small practices to large hospitals, we handle denials management, credentialing, coding, and payer verification with expert precision...
Top Services:
- BPO
- HR Outsourcing
- Call Centers
- Accounting
- Show more
- Location
- Evesham, New Jersey
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $20/hr
- Portfolios Count
- 3 Projects Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsSwiftCare Billing LLC Services
Data sourced from the agency's DesignRush profileHealth Care Industry Dental Industry Insurance Industry HR Industry BPO Outsourcing Medical Billing
SwiftCare Billing LLC Reviews & Testimonials

Medical Billing Review from Julie Formica
We have been partnering with SwiftCare Billing for the past year to manage key administrative operations, including billing, accounts receivable (AR) processing, and file indexing. This collaboration has been instrumental in improving our internal workflows, reducing turnaround times, and enhancing the accuracy of our financial and document management systems.One of the major strengths of SwiftCare Billing is their responsiveness and client service. From the initial onboarding to ongoing operations, their team has been professional, communicative, and solution-oriented. We receive regular updates and clear performance metrics, which has helped build a high level of trust in their services.While our overall experience has been highly positive, a few initial challenges related to software integration and adapting to our internal protocols required some time and coordination. However, SwiftCare Billing showed flexibility and commitment in overcoming these hurdles, and weve since seen steady improvements in alignment and efficiency.Overall, SwiftCare Billing has proven to be a reliable, professional, and valuable partner. Their services in billing, AR, and file indexing have added measurable value to our operations, allowing our in-house team to focus on core business activities. We would not hesitate to recommend their services to other organizations seeking a capable and trustworthy outsourcing provider.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsThere is a brighter way, the Rea way.
Rea & Associates, Inc. is a well-established Ohio-based CPA firm with over 350 professionals across 16 locations. Recognized as one of the Top 100 firms in the nation, Rea & Associates specializes in various industries and offers tailored financial and HR consulting services...
Top Services:
- Accounting
- IT Services
- Managed Services
- Location
- New Philadelphia, Ohio
- Number of Employees
- 250 - 499
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsRea & Associates, Inc. Services
Data sourced from the agency's DesignRush profileCircone + Associates Ohio Bankers League Baker's Management Inc
Rea & Associates, Inc. Reviews & Testimonials
David Johnson's Review Sourced from Google
Knowledgeable staff regarding natural gas considerations. Accurate reporting of taxes. Lisa is especially helpful. And the software used by Rea makes filing and reporting and reviewing a very electronic process.
Donna Laughlin's Review Sourced from Google
Can’t imagine tax season without Trista! She is top notch. She has been doing our taxes for many years. I trust her completely and know she will help me with my many tax questions. She always takes the time to explain and she makes sure I understand or she will explain it another way! Quality, experience, personable, competent, compassionate, and these are just a few words to describe my experiences with REA and Trista! Also, Jennifer the office manager is wonderful too. Every year she walks me through the signing process - yes, I am one of those who likes the face-to-face connection. Jennifer, like Trista, is very patient and super kind. I appreciate the crew at REA!
Jennifer Litomisky's Review Sourced from Google
Tea & Associates staff are professional, great communicators and very thorough. They have done our audit for several years and we have been very please with this company. 5 stars all the way!
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsGrow Your Business With The Top-Rated Houston Accounting Firm
Virjee Consulting is a Houston based CPA firm that provide accounting and tax consulting small businesses and to medical and dental practices across the country. More importantly, we consult with small business clients on strategies to reduce their tax burden and increase their bottom line...
Top Services:
- Accounting
- Location
- Houston, Texas
- Number of Employees
- Under 49
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsVirjee Consulting, PLLC Services
Data sourced from the agency's DesignRush profileDental Industry Construction Industry Legal Industry Healthcare Industry
Virjee Consulting, PLLC Reviews & Testimonials
Nick Smith's Review Sourced from Google
We built a new start up dental office which is doing excellent. I was very nervous about taxes and bookkeeping as this is our first business. Working with the team at Virjee has been great. They are quick to respond, take the time to answer/explain questions and guide you through the craziness of taxes. I've been working primarily with Joe, Brooke and Vy. All of them are super nice and friendly. I interviewed 4 or 5 firms before signing up with Virjee and I definitely feel like I made the right choice. Highly recommend!
Zeinab Kachmar's Review Sourced from Google
Salman has been incredibly helpful at walking us through the ins and outs of doing our taxes. As someone who does not understand that world at all, I appreciate the opportunity to ask questions no matter how basic. We recommend them to any and all!
Mahek Sajan's Review Sourced from Google
Virjee consulting did an amazing job on my taxes! This was my first year working with them and their process was smooth, organized, and quick, compared to my old CPA. The reason we chose them is because I sell real estate and my husband is a doctor, which are both industries that they were very knowledgeable in! Would definitely recommend using them for all your tax needs!
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsGet Accounting & Payroll Off Your Plate.
CSI is a small business in the Minneapolis/St. Paul metro that has served small U.S. businesses for over 50 years. Our clients love us for our responsiveness and customer service...
Top Services:
- Accounting
- Location
- Minneapolis, Minnesota
- Number of Employees
- Under 49
- Average Hourly Rate
- $50/hr
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsCSI Accounting Services
Data sourced from the agency's DesignRush profileCCC Cleans JPF & Associates LLC Spring-Green Lawn Care
CSI Accounting Reviews & Testimonials
Marya Samuelson's Review Sourced from Google
CSI Accounting may try to spin this by saying they offered me a new accountant or that taking onboarding fees from my account—after our relationship was terminated—was warranted. It was not.The truth: I received no tax advice, no business guidance, and no real onboarding. The only thing they provided was payroll, which I paid for separately. My assigned tax person came to our meeting without reviewing my file, admitted to being new to the systems, and openly struggled to use them.Charging me for this is indefensible. Withholding services, then helping themselves to my business account after termination, destroyed any trust. Whatever they claim, the fact is simple: I paid for services I never received.I hired CSI Accounting to support my business with the expectation of receiving high-quality service based on their confident promises. Unfortunately, the experience was deeply disappointing. Despite the strong sales pitch, they failed to deliver on key aspects of their service.When I raised concerns and requested a fair negotiation regarding payment for services that were never rendered, they abruptly ended our relationship “effective immediately.” I then began formally disputing those charges through my American Express account. Rather than respond to the dispute in good faith or allow the process to play out, CSI took an entirely inappropriate step: they bypassed the dispute process and directly accessed my business checking account—without my consent—to withdraw the same funds.This withdrawal occurred more than a week after our business relationship had already been terminated and without any form of authorization from me. I did not give permission for this transaction, and their actions represent a serious breach of both trust and professional ethics.
Derek Zschokke's Review Sourced from Google
CSI has done a great job handling our payroll services. Everything is always done on time. Online tools are smooth and intuitive, and our rep, Emma, does a great job helping us stay compliant with new laws and regulations. She saved my butt this week when I entered my payroll but forgot to submit it. Thanks Emma!
Calli Brown's Review Sourced from Google
I have used CSI for all of my payroll, bookkeeping and accounting needs for over one year now. I also use them for my taxes, both personal and business.I really appreciate the fact that it is all in one company. They all work as a team and support each other in their roles. Burt, my accountant, has been instrumental in my growing business, taking the time to really hear my concerns and answer all of my questions. He provides me with insightful ways to save money and build up my business. Alex, our payroll specialist, is spectacular. Alex manages a very very complex payroll (everchanging) with such grace and support. Bert, our payroll specialist supervisor is awesome, and jumps in when needed. My books are always concise, thank you, Erin, and questions needing answers are relayed to me in a way that works for my busy schedule. I would recommend CSI to any business looking for that type of personable and knowledgeable support for your growing business. Thank you, CSI. Here is to another year of growth!
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsThat is why we take a holistic approach to assisting clients with growing, managing, and protecting their hard work. With more than 180 professionals across 9 locations, we partner with many of the regions most trailblazing and passionate leaders and organizations...
Top Services:
- Accounting
- Business Consulting
- Location
- Winchester, Virginia
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $250/hr
- Minimal Budget
- $1,000 - $10,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsYHB | CPAs & Consultants Services
Data sourced from the agency's DesignRush profileConstruction Industry Non-profit & Government Healthcare Industry
Denver CPA Accounting
Gheen & Co., CPA, LLC is the fastest growing CPA firm in Colorado. We've built our reputation on designing innovative accounting solutions and money-saving tax strategies for medical professionals, dentists, veterinarians, and high net worth business owners...
Top Services:
- Accounting
- Location
- Denver, Colorado
- Number of Employees
- Under 49
- Average Hourly Rate
- $30/hr
- Minimal Budget
- $1,000 - $10,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsGheen & Co. Services
Data sourced from the agency's DesignRush profileAll About Braces Huffman Lega Dominion Turf
Gheen & Co. Reviews & Testimonials
Justin Sullivan's Review Sourced from Google
Had a terrible experience with Gheen & Co. They managed our books and taxes for a few years. From the beginning the communication was spotty, they never answer the phone and get back to emails at a snails pace. On top of that they missed $40,000 in taxes we owed and never alerted us it was due. We had to hire a third party book keeper and it took them months to fix the mess they made in our quickbooks. After canceling with them they sent us a bill for our 2023 tax filing with was completed looong time ago.
Leland Curtis's Review Sourced from Google
Luke Gheen gave me a very informative and transparent initial consultation that left a very good first impression. Rather than try to oversell me on services my startup does not need, he guided me towards relevant resources and recommend a path that was right for me, even if it meant I didn't purchase his services today. I look forward to working with him in the future!
Rudi Hammer's Review Sourced from Google
I have been with Luke Gheen since day one. Over the many years his company has provided outstanding quality work and very timely responses. I love the fact that Gheen & Co is 99% fully electronic and I can communicate with them on a timely basis at a good and fair price. Keep up the good work, I'm a customer for life.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsAt Appletree Business Services, our specialty is providing New Hampshire small business owners Business Financial Confidence with accounting, bookkeeping, payroll and tax services they need, packaged in a combined 'Business Owners Package'...
Top Services:
- Accounting
- Location
- Londonderry, New Hampshire
- Number of Employees
- Under 49
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsAppletree Business Services Services
Data sourced from the agency's DesignRush profileCheshire Impact LLC East Coast Chiropractic LLC Freedom Dental Arts LLC
Appletree Business Services Reviews & Testimonials
Nathalie leblanc's Review Sourced from Google
I just wanted to share how great Diane is!!! She is quick to respond and truly has me and my company's best interest at heart. She even answered a email on a Sunday morning! I wasnt expecting a response until the following day. I am so happy I went with Appletree Services. I have to do a shout out to Kelly as well! Both are sweet and professional.
Grayson Phillips's Review Sourced from Google
The Appletree team is great. I’ve used them for multiple services, qofe to bookkeeping, and the experience has been top notch. Everyone from the accounting team (shoutout Diane & Jacquelyn) to the owner is invested in our success. I’d recommend them to anyone buying and/or running a small business. I almost want to buy another business just to go through the Appletree experience again.
Mike Romanowicz's Review Sourced from Google
We absolutely love working with Appletree Business. Kirsten and Rachel are incredible — responsive, thoughtful, and just a joy to collaborate with. Before switching to Appletree, we had a bloated, expensive CFO solution that was way more than our small company needed. Making the switch was one of the best decisions we’ve made. Appletree gives us clean, clear reporting, super fast turnaround on any changes, and most importantly, it feels like working with real people who care. If you're still stuck with an overkill CFO setup, do yourself a favor: fire them and hire Appletree.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsProfessionalism. Responsiveness. Quality.
Atwood & Associates CPAs is a public accounting firm that provides business, personal and estate tax planning, as well as tax preparation, payroll and bookkeeping services...
Top Services:
- Accounting
- Location
- Spokane, Washington
- Number of Employees
- Under 49
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsAtwood & Associates Services
Data sourced from the agency's DesignRush profileFinancial Industry Small Business Industry Real Estate Industry
Honesty, Intergrity, Accountability
Financial Planning & Analysis in Cash Management for Small Businesses "Your ready to go Fractional CFO/Advisory Service"...
Top Services:
- Business Consulting
- Accounting
- Location
- Houston, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsBTO Services
Data sourced from the agency's DesignRush profileTaunix Systems LLC Rocks of Ages Osime Law PLLC Enviable Smiles Inc RCCG Day Spring A Petroleum Services Inc Alonge Law Firm Akachi Law Group RCCG Salvation Center The House of God
BTO Reviews & Testimonials
Olaniran Michael's Review Sourced from Google
BTO- CPA (Boma Osime) does an amazing Job with Tax filing and it has been an absolute pleaseure working with her over the years. She is very professional, patient, honest and pays attention to details. She seeks out for your best interest while ensuring all actions taken are in strict adherence to the law. She also does an amazing job with Tax planning through out the year and I have been working with the her for about 4 years now without any regrets. I definitely recommend her services as you won't find a better CPA as honest and good as Boma Osime ( BTO -CPA PLLC)
Brenda George's Review Sourced from Google
The STOP organization has worked with Boma Osime CPA for over 3 years and we are very pleased with the product she delivers. She is professional, accurate and very confidential. We highly recommend her if you are in need of a CPA.
Shannon Donohue's Review Sourced from Google
I was pleased to do our taxes with Boma this year. I initially used TurboTax and decided to get a 2nd opinion. Boma saved us nearly $4k in tax liabilities based on what TurboTax estimated! I would absolutely recommend her services. She was thorough, responsive, and helped us through the process. 10 out of 10.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsProvides excellent accounting services to individual and small business.
Shotkoski & Associates, PC provides accounting services to individual and small business clients and assists with navigating the complex and ever-changing financial and tax environments allowing our clients to maximize their success...
Top Services:
- Accounting
- Location
- Lincoln, Nebraska
- Number of Employees
- 50 - 99
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsEwerth & Associates Services
Data sourced from the agency's DesignRush profileAccounting Industry Small Business Industry Finance Industry
Our Mission: Your Success
RKKM is a Certified Public Accounting company that provides consulting, auditing, tax, and accounting services. We provide clients in a variety of industries with corporate, not-for-profit, trust, estate, partnership, limited liability entity, and individual services...
Top Services:
- Accounting
- Location
- Canton, Ohio
- Number of Employees
- Under 49
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsRKKM Services
Data sourced from the agency's DesignRush profileIT Industry Small Business Industry Retail Industry
RKKM Reviews & Testimonials
deborah brescia's Review Sourced from Google
I have been using RKKM for years for my taxes and have been very happy with them. This year has been different. Though I had my information there on 3/3 and met with Bruce on 3/10, a month later I still have no information on my return or how much I owe. He indicated it was " probably a standard return". A phone call from me a month later revealed that they were e-mailing a question to an incorrect address. When they got no response for 2 weeks, they did not try a phone number. Someone other than Bruce was doing my return and did not have the information given to Bruce on the 10th of March. Seems their recent merger adversely effected their communications. In a week I have to mail in my return. I still do not know if I owe $6, $600 or $6000.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsSmall Business Accounting, Technology, & Growth Consulting.
Fred Lundin CPA LLC is a Chicago-based CPA accounting and technology consulting firm specializing in serving e-commerce, solopreneurs, and small business owners. With a dedicated focus on these sectors, we provide tailored financial and technological solutions to help our clients thrive in their respective...
Top Services:
- Business Consulting
- Market Research
- Accounting
- BPO
- CRM Consulting
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 3 Projects Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsFred Lundin CPA LLC Services
Data sourced from the agency's DesignRush profileRetail Industry Financial Industry eCommerce Industry Legal Industry
Reliable Bookkeeping and Financial Advisory Services
KSFG Wealth make business growth easier by taking the stress out of managing finances. Whether you are just starting out or leading a growing company, our team is here to give you reliable financial support so you can stay focused on what matters most building your business...
Top Services:
- Accounting
- Location
- Frisco, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
- Minimal Budget
- $10,000 - $25,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsKSFG Wealth Services
Data sourced from the agency's DesignRush profileEpsilon X Media Founding Startups Alpide
Accounting Firms by City
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Accounting Specializations in the US
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Why companies trust DesignRush
Every agency is independently vetted before it can be listed or ranked
Some agencies pay for sponsored placement, clearly labeled and held to the same vetting standards.
Frequently Asked Questions About Accounting Companies
At what point should I hire an accounting firm?
Most businesses begin working with one of these companies once financial complexity interferes with daily operations.
While there is no universal threshold, many companies seek professional support when:
- Annual revenue consistently exceeds $100,000-$250,000
- Monthly transaction volume reaches 40-50 or more entries
- Payroll, tax filings, or reporting begin consuming operational time
At those stages, manual bookkeeping becomes inefficient and increases the risk of errors or missed compliance deadlines.
Accounting outsourcing is also driven by efficiency. Around 65% of businesses outsource finance and accounting tasks to free up internal resources and focus on growth.
As requirements expand, they provide structure, accuracy, and regulatory oversight that small internal teams often struggle to maintain.
What accounting services do most top accounting companies offer in the US?
The best accounting firms in the US typically provide a mix of core financial, compliance, and advisory services.
Common offerings include:
- Bookkeeping and bank reconciliations
- Financial statement preparation
- Payroll processing
- Accounts payable and receivable management
- Tax planning and federal, state, and local tax filings
Many firms also offer:
- Budgeting and forecasting
- Cash flow and financial performance analysis
- Audit preparation and internal controls assessments
- Compliance support under U.S. Generally Accepted Accounting Principles (GAAP)
Many businesses outsource several accounting functions at the same time, which is why US companies typically offer these services as bundled, ongoing engagements rather than isolated tasks.
This approach aligns with the scale of the finance and accounting outsourcing market, which stood at $54.79 billion in 2025.
How much does it cost to hire top accounting firms in the United States?
The cost of hiring one of these firms in the United States depends on business size, transaction volume, and service complexity. Typical pricing includes:
- $300-$800 per month for basic bookkeeping and reconciliations
- $150-$400 per hour for specialized CPA services
- $800-$2,500 per month for comprehensive monthly packages (payroll, reporting, tax support)
- $2,500-$5,000+ per month for mid-sized or higher-complexity businesses
At a macro level, the global accounting outsourcing market is expected to exceed $80 billion by 2030, as companies pursue cost efficiencies of 20-60% compared to maintaining full in-house accounting teams.
What additional costs can I expect from these types of companies?
In addition to base retainers, they often charge for specialized or non-recurring services, such as:
- Year-end financial statements
- Multi-state or corporate tax filings
- Audit preparation
- System migrations
- International compliance
- Advisory or consulting projects
Other common add-ons include payroll setup, budgeting assistance, and financial forecasting.
For many growing businesses, these services increase total annual accounting spend by 20-40% beyond base fees.
While this raises short-term costs, outsourcing often reduces overall operating expenses by eliminating the need for full-time internal finance staff and minimizing compliance risks.
What do I need to know before I switch to a top accounting firm?
Switching companies usually involves a transition period of 4-8 weeks. During this time, businesses should be prepared to provide:
- 2-3 years of financial statements
- Prior tax filings
- Payroll records
- Access to accounting software
A brief overlap between outgoing and incoming firms is common and helps:
- Resolve open items
- Prevent reporting gaps
- Ensure continuity of compliance
Planning the transition outside of peak tax or reporting seasons further reduces disruption and operational risk.

















