Loading...
NPI 1265043897 · Burtonsville, MD · Sleep Disorder Diagnostic Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Blackstone Medical Services LLC is a sleep disorder diagnostic clinic/center provider located in Burtonsville, Maryland. This profile covers 2 Medicare and 1 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 | Blackstone Medical Services LLC |
| Address | 4000 Blackburn Ln Ste 210 |
| City | Burtonsville |
| State | MD |
| ZIP | 20866 |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| NPI Enumerated | August 17, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.8M |
| Medicaid | $0 |
Business/service-line profile: The provider is registered as a Sleep Disorder Diagnostic Clinic/Center and its Medicare billing mix is concentrated in diagnostic monitoring codes, led by 95800 (home sleep study/no provider physically present) and supported by ambulatory monitoring code 93229. The presence of 20.3K claims for 95800 and 195 claims for 93229 indicates an operation focused on high-volume, technician-led diagnostic testing rather than in-clinic physician-delivered procedures.
Medicare revenue concentration: This entity reports $2.8M in total Medicare revenue, with the precomputed top-3 codes accounting for 100.0% of this provider's total Medicare revenue. Within that concentration, 95800 alone represents $2.6M (94.4% of the provider's Medicare revenue) while 93229 contributes $155.2K (5.6% of the provider's Medicare revenue), showing extreme dependence on a very small set of diagnostic codes.
Payer mix and exposure: Medicaid revenue is reported as $0, so the provider is effectively single-payer with Medicare accounting for the entirety of observed public-payer revenue. This Medicare-only footprint creates direct sensitivity to Medicare policy, reimbursement changes, or utilization review focused on sleep and ambulatory monitoring codes.
Competitive standing for primary code 95800: The provider ranks #1 of 1313 nationally for 95800 (100th percentile) and is labeled an extreme outlier, which signals a dominant national-scale volume in home sleep testing relative to peers. That top ranking implies the organization is operating at an unusually large scale for this specific service line compared with the typical national provider.
Competitive standing for secondary code 93229: For 93229 the provider ranks #83 of 2091 nationally (96th percentile) and the volume is described as typical/unremarkable for this code, indicating that while the provider performs cardiac monitoring services at a higher-than-average percentile, this line is not an extreme outlier and functions more as a supplemental diagnostic offering.
Operational implications of the 95800 workload: The 20.3K claims for 95800 with an average paid/claim of $128 suggest standardized, repeatable workflows consistent with remote or home-based sleep testing programs where a provider is not physically present. Such a model typically relies on efficient equipment deployment, patient instruction, and centralized scoring/interpretation to sustain volume at this scale.
Analytical flags for payers and network managers: The combination of very high concentration in a single diagnostic code (95800 at 94.4%) and zero reported Medicaid revenue merits monitoring for utilization patterns, coding mix stability, and network adequacy given the provider’s outsized share of a narrow service set. Analysts should track whether volume remains focused on 95800 or diversifies, because changes in utilization or reimbursement for that code would materially affect the provider’s revenue.
Tenure and scale-up observation: The NPI was enumerated on 2020-08-17 (~6 years ago), and achieving $2.8M in Medicare revenue within that timeframe indicates rapid scaling in the sleep diagnostic niche. This relatively recent enumeration combined with high national ranking for 95800 suggests a focused growth strategy centered on home sleep testing services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95800 | A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping. | 20,300 | $130 | $2.6M |
| 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… | 200 | $800 | $155.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95800 | A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping. | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 95800 | A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping. | 12 | 10 | 180 | $120 | $98.4K |
Other providers in the same ZIP code as Blackstone Medical Services LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Clinical Solutions | MD | Mental Health Counselor | $0 | $6.3M |
| Ppns | MD | Urgent Care Clinic/Center | $0 | $5.1M |
| Clinical Solutions | MD | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $4.7M |
| Brian Kressin | MD | Podiatrist | $287.9K | $0 |
| Immaculata Okonkwo | MD | Family Nurse Practitioner | $190.6K | $0 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.