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NPI 1255367843 · Rosemont, IL · Physiological Laboratory
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Lifewatch Services, Inc is a physiological laboratory provider located in Rosemont, Illinois. This profile covers 6 Medicare and 7 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 | Lifewatch Services, Inc |
| Address | 10255 W Higgins Rd |
| City | Rosemont |
| State | IL |
| ZIP | 60018 |
| Taxonomy | Physiological Laboratory |
| NPI Enumerated | June 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $13M |
| Medicare | $6.3M |
LIFEWATCH SERVICES, INC’s billing profile is concentrated in ambulatory cardiac monitoring and remote ECG processing: its Medicare top codes are 93243, 93247, and 93226 (processing/scanning analysis and reporting for multi-day wearable ECG monitors), while its Medicaid top codes are 93229, 93271, and 93226 (device placement/monitoring and event monitoring). The code mix indicates the operation functions primarily as a monitoring/processing center that applies, monitors, and analyzes wearable electrocardiographic devices rather than delivering in-person clinical procedures.
Revenue is highly concentrated in a very small set of codes for both payers: the top three Medicare codes account for 99.3% of Medicare revenue, led by 93243 ($3.7M, 59.3%), 93247 ($2M, 32.0%), and 93226 ($502.5K, 8.0%). Similarly, the top three Medicaid codes account for 99.0% of Medicaid revenue, with 93229 driving the bulk at $11.1M (85.2%), followed by 93271 ($1.2M, 9.5%) and 93226 ($549K, 4.2%).
On payer mix, the provider reports materially more Medicaid revenue than Medicare revenue, with $13M in lifetime Medicaid receipts versus $6.3M in lifetime Medicare receipts, so Medicaid is the larger single payer by scale while Medicare remains a meaningful secondary source. This makes LIFEWATCH effectively Medicaid-dominant in absolute revenue terms, not single-payer.
National competitive standing for its Medicare activity is mixed: 93226 ranks #2 of 133 providers nationally (99th percentile; extreme outlier), indicating exceptionally high national volume for the 48-hour scanning/analysis reporting code, while 93243 and 93247 rank #5 of 51 (92th percentile) and #5 of 42 (90th percentile) respectively and are described as typical, unremarkable volumes relative to national peers. This pattern suggests the firm is a major outlier specifically for the 93226 scanning/reporting workflow, even as its longer-duration processing codes sit at high-but-not-extreme national positions.
Within the state Medicaid marketplace the provider shows a dominant position for core services: 93229 (device placement/monitoring) is reported as $11.1M and is listed as #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), meaning LIFEWATCH is the sole in-state reporter for that code in the dataset, while 93271 and 93226 both rank #1 of 2 providers in-state (100th percentile; typical). The data imply a leading in-state role for wearable ECG placement and event monitoring services, especially for Medicaid.
Several Medicare procedure codes are flagged as statistical outliers in national volume despite contributing relatively small shares of revenue: 93242 (2.8K claims, $22.5K revenue) ranks #3 of 3027 providers nationally (100th percentile; extreme outlier), and 93246 and 93225 are also listed as extreme outliers nationally. These entries point to very high claim counts for recording/technical components relative to most providers, even when per-claim payments are low and total revenue from those codes is small.
Tenure data show LIFEWATCH’s NPI was enumerated on 2006-06-24 (~20 years ago), indicating a long-established operation in this service area. The longevity combined with concentrated code volume suggests sustained specialization in remote cardiac monitoring and ECG processing workflows.
Operationally, the payer-specific code mix suggests distinct service emphases by payer: Medicaid is heavily weighted to 93229 (placement/monitoring) at $11.1M (85.2%), while Medicare revenue is driven by technician processing and long-duration scanning/reporting codes (93243 and 93247 together represent $5.7M and 91.3% of Medicare revenue when combined with 93226 under the provided top-three share). This divergence implies the provider’s business may focus on large-scale device distribution/monitoring for Medicaid populations while billing more processing/reporting services to Medicare.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 20,300 | $180 | $3.7M |
| 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… | 10,340 | $190 | $2M |
| 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… | 17,330 | $30 | $502.5K |
| 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… | 2,810 | $10 | $22.5K |
| 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… | 1,880 | $10 | $15.1K |
| 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… | 750 | $10 | $8.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.
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.
7 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… | 30,620 | $360 | $11.1M |
| 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,… | 19,080 | $70 | $1.2M |
| 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… | 28,890 | $20 | $549K |
| 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… | 2,700 | $20 | $43.2K |
| 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… | 1,270 | $30 | $34.3K |
| 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,… | 3,160 | $10 | $31.6K |
| 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… | 540 | $40 | $19.9K |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 1 | 10 | 30,620 | $360 | $11.1M |
| 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 | 11,060 | $60 | $665.2K |
| 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 | 14,860 | $20 | $283.9K |
| 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… | 1 | 10 | 1,360 | $20 | $23.1K |
| 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 | 730 | $30 | $19.2K |
| 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 | 1,610 | $10 | $15.5K |
| 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 | 310 | $30 | $10.6K |
Other providers in the same ZIP code as Lifewatch Services, Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Fz Medical Group Inc | IL | Clinical Medical Laboratory | $15.1M | $11.5K |
| Zam Labs LLC | IL | Clinical Medical Laboratory | $62.9K | $9M |
| Nursepower Services Corporation | IL | Nursing Care Agency | $0 | $3.3M |
| Uropartners Surgery Center, LLC | IL | Ambulatory Surgical Clinic/Center | $1.5M | $0 |
| Vlada Nakhlis | IL | Optometrist | $60.9K | $1.1M |
| Montys Clinical Lab LLC | IL | Clinical Medical Laboratory | $411.6K | $534.1K |
| Smartcardia Inc. | IL | Physiological Laboratory | $22.8K | $120.7K |
| Mark Schinsky | IL | Orthopaedic Surgery Physician | $94.1K | $290 |
| Benjamin Domb | IL | Sports Medicine (Orthopaedic Surgery) Physician | $63.4K | $0 |
| Howard Konowitz | IL | Anesthesiology Physician | $26.9K | $0 |
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