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NPI 1063414258 · Houston, TX · Physiological Laboratory
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Boston Scientific Cardiac Diagnostic Services, LLC is a physiological laboratory provider located in Houston, Texas. This profile covers 9 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Boston Scientific Cardiac Diagnostic Services, LLC |
| Address | 1717 N Sam Houston Pkwy W Ste 100 |
| City | Houston |
| State | TX |
| ZIP | 77038 |
| Taxonomy | Physiological Laboratory |
| NPI Enumerated | June 1, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $84.2M |
| Medicaid | $12.4M |
Business/service-line: Billing is overwhelmingly for ambulatory cardiac monitoring and remote ECG processing, consistent with a processing-center/technology-driven operation. The largest Medicare and Medicaid codes are services that place wearable ECG monitoring devices (93229) and perform scanning analyses and reports after multi-day to multi-week recordings (93243, 93247, 93271), indicating the entity operates at scale on device placement, data capture, and centralized signal analysis.
Medicare revenue concentration: The provider’s Medicare book is highly concentrated, with the top 3 Medicare codes by revenue accounting for 98.2% of total Medicare revenue. In particular, 93229 generated $71.1M (84.4% of Medicare revenue), 93243 generated $6.4M (7.7%), and 93247 generated $5.2M (6.2%), showing near-total dependence on a small set of ambulatory cardiac-monitoring codes.
Medicaid revenue concentration: Medicaid revenue is also concentrated in a few monitoring/analysis codes, with the top 3 Medicaid codes by revenue accounting for 88.2% of total Medicaid revenue. Key Medicaid drivers are 93271 at $5.1M (40.8%), 93229 at $5.0M (40.0%), and 93243 at $913.3K (7.3%), which together form the bulk of the provider’s Medicaid receipts.
Payer mix and scale: Medicare dominates this provider’s payer mix by scale, with $84.2M in lifetime Medicare revenue versus $12.4M in lifetime Medicaid revenue. The presence of both payers shows the vendor-services model spans payer types, but the operation is effectively Medicare-focused in absolute dollar terms.
Medicare competitive standing: For Medicare, the provider is a national high-volume operator on several codes — 93229 ranks #2 of 2091 providers nationally (100th percentile; extreme outlier, far above typical national volume), 93243 ranks #3 of 51 (96th percentile; notably above typical national volume), and 93247 ranks #2 of 42 (98th percentile; typical, unremarkable volume). These ranks indicate a dominant national market position for the core device-placement/monitoring code (93229) and materially elevated volumes on related processing codes.
Medicaid competitive standing: In Texas Medicaid, the provider is a leading statewide participant for ambulatory cardiac monitoring codes, repeatedly ranking #1 in-state on multiple top codes. Examples include 93271 at #1 of 4 in-state (100th percentile; typical, unremarkable volume), 93229 at #1 of 9 in-state (100th percentile; notably above typical state volume), and 93243 at #1 of 4 in-state (100th percentile; typical, unremarkable volume), signaling strong regional market share for monitoring and analysis services.
Statistical outliers and operational footprint: Several codes are flagged as extreme outliers or notably above typical volume, which reflects exceptional scale in both the application of wearable monitors and centralized processing. On Medicare, codes such as 93229 are described as an "extreme outlier, far above typical national volume," and other related codes (for example 93226, 93242, 93246) also rank at the 100th percentile nationally, suggesting a broad, high-throughput operational footprint across recording, storage, and analysis activities.
Tenure and likely operational maturity: The provider’s NPI was enumerated on 2005-06-01 (~21 years ago), indicating long-standing enrollment and ample time to establish the high-volume remote cardiac monitoring and processing workflows reflected in both Medicare and Medicaid billing patterns. This longevity combined with the ranking profile supports a mature, scale-oriented service model rather than a recent entrant.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93229 | In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect… | 80,110 | $890 | $71.1M |
| 93243 | After a patient has worn an electrocardiographic, or ECG recorder, for more than 48 hours, up to 7 days, to detect abnormal heart rates and rhythm, a processing center technician performs a scanning… | 33,950 | $190 | $6.4M |
| 93247 | After a patient has worn an electrocardiographic, or ECG recorder, for more than seven days, up to 15 days, to detect abnormal heart rates and rhythm, a processing center technician performs a… | 21,340 | $240 | $5.2M |
| 93271 | In this service, the provider monitors the patient’s heart rhythm while the patient is experiencing cardiac symptoms. He places electrocardiogram leads of an event recorder on the patient's chest,… | 6,030 | $140 | $825.4K |
| 93226 | The physician or other healthcare professional applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to help detect abnormal heart rates and rhythms. This service reports… | 22,080 | $30 | $574.1K |
| 93242 | In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient who wears it for more than 48 hours, up to seven days, to help detect abnormal heart rates and… | 6,220 | $10 | $43.5K |
| 93246 | In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient who wears it for more than seven days, up to 15 days, to help detects abnormal heart rates and… | 4,320 | $10 | $38.9K |
| 93270 | In this service, the provider monitors the patient’s heart rhythm while the patient is experiencing cardiac symptoms. He places electrocardiogram leads of an event recorder on the patient's chest,… | 1,880 | $10 | $11.3K |
| 93225 | The physician or other healthcare professional applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to help detect abnormal heart rates and rhythms. This service reports… | 760 | $10 | $7.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93271 | In this service, the provider monitors the patient’s heart rhythm while the patient is experiencing cardiac symptoms. He places electrocardiogram leads of an event recorder on the patient's chest,… | 115,280 | $40 | $5.1M |
| 93229 | In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect… | 51,290 | $100 | $5M |
| 93243 | After a patient has worn an electrocardiographic, or ECG recorder, for more than 48 hours, up to 7 days, to detect abnormal heart rates and rhythm, a processing center technician performs a scanning… | 39,710 | $20 | $913.3K |
| 93226 | The physician or other healthcare professional applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to help detect abnormal heart rates and rhythms. This service reports… | 48,660 | $10 | $681.3K |
| 93247 | After a patient has worn an electrocardiographic, or ECG recorder, for more than seven days, up to 15 days, to detect abnormal heart rates and rhythm, a processing center technician performs a… | 19,930 | $30 | $498.3K |
| 93270 | In this service, the provider monitors the patient’s heart rhythm while the patient is experiencing cardiac symptoms. He places electrocardiogram leads of an event recorder on the patient's chest,… | 39,010 | $1 | $156K |
| 0297T | N/A | 6,300 | $10 | $63K |
| 93242 | In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient who wears it for more than 48 hours, up to seven days, to help detect abnormal heart rates and… | 9,030 | $1 | $27.1K |
| 93225 | The physician or other healthcare professional applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to help detect abnormal heart rates and rhythms. This service reports… | 2,090 | $10 | $20.9K |
| 0296T | N/A | 1,290 | $10 | $12.9K |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93271 | In this service, the provider monitors the patient’s heart rhythm while the patient is experiencing cardiac symptoms. He places electrocardiogram leads of an event recorder on the patient's chest,… | 1 | 10 | 4,480 | $40 | $1.4M |
| 93229 | In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect… | 1 | 10 | 60 | $110 | $685.6K |
| 93243 | After a patient has worn an electrocardiographic, or ECG recorder, for more than 48 hours, up to 7 days, to detect abnormal heart rates and rhythm, a processing center technician performs a scanning… | 1 | 10 | 5,870 | $20 | $314.2K |
| 93226 | The physician or other healthcare professional applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to help detect abnormal heart rates and rhythms. This service reports… | 1 | 10 | 1,590 | $30 | $307.9K |
| 93247 | After a patient has worn an electrocardiographic, or ECG recorder, for more than seven days, up to 15 days, to detect abnormal heart rates and rhythm, a processing center technician performs a… | 1 | 10 | 6,140 | $30 | $242.6K |
| 93270 | In this service, the provider monitors the patient’s heart rhythm while the patient is experiencing cardiac symptoms. He places electrocardiogram leads of an event recorder on the patient's chest,… | 1 | 10 | 20,730 | $1 | $78.8K |
| 0297T | N/A | 1 | 10 | 3,170 | $10 | $30.4K |
| 93225 | The physician or other healthcare professional applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to help detect abnormal heart rates and rhythms. This service reports… | 2 | 20 | 230 | $30 | $19.3K |
| 0296T | N/A | 1 | 10 | 1,290 | $10 | $13K |
| 93242 | In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient who wears it for more than 48 hours, up to seven days, to help detect abnormal heart rates and… | 1 | 10 | 100 | $1 | $5.7K |
Showing 1–10 of 11
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