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NPI 1407471550 · Pasadena, CA · Physiological Laboratory
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Vital Connect, Inc is a physiological laboratory provider located in Pasadena, California. This profile covers 8 Medicare and 6 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 | Vital Connect, Inc |
| Address | Dept La 25245 |
| City | Pasadena |
| State | CA |
| ZIP | 91185 |
| Taxonomy | Physiological Laboratory |
| NPI Enumerated | June 15, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $13.6M |
| Medicaid | $495.1K |
VITAL CONNECT, INC’s Medicare billing is highly concentrated in remote cardiac monitoring services: the top three Medicare codes account for 96.8% of its total Medicare revenue, driven primarily by prolonged wearable ECG monitoring and associated analysis (codes 93229, 93243, 93247). This mix indicates the organization operates as a specialized ECG monitoring/processing center rather than a broad multispecialty clinical practice.
Revenue scale is skewed toward Medicare: lifetime Medicare revenue is $13.6M versus Medicaid revenue of $495.1K, making Medicare the dominant payer for this provider by a large margin. Medicaid exists as a secondary payer but represents only a small fraction of the provider’s total public-payer lifetime revenue.
Code 93229 is the single dominant revenue driver for both payers. On Medicare it generates $10.9M (80.2% of the provider’s Medicare revenue) and on Medicaid it generates $425.2K (85.7% of the provider’s Medicaid revenue). This alignment across payers confirms that placement and monitoring of wearable ECG devices is the provider’s core service line.
The provider is an outlier nationally for certain Medicare codes: it ranks #4 of 2091 providers (100th percentile) on Medicare 93229 and also ranks #5 of 3027 providers (100th percentile) on Medicare 93242, which the source labels as an extreme outlier and far above typical national volume. These rankings indicate a very high national volume and specialization in ambulatory ECG/device services relative to peers.
For Medicaid within California, competitive standing is strong but more moderate: the provider ranks #5 of 85 in-state (95th percentile) on 93229, and ranks #1 of 16 in-state (100th percentile) on 93271, showing it is a top regional performer for event monitoring services while maintaining robust state-level volume for wearable ECG placements. This suggests the company is a significant regional player for electrophysiology monitoring services.
Payment mix by code shows different unit economics across payers: Medicare average paid per claim for 93229 is $933 (11.7K claims, $10.9M revenue) while Medicaid average paid per claim for the same code is $120 (3.5K claims, $425.2K revenue). The disparity between Medicare and Medicaid average paid/claim suggests VITAL CONNECT’s revenue per encounter is substantially higher on Medicare while Medicaid drives volume at lower reimbursement rates.
Tenure is relatively recent but established: the NPI was enumerated on 2020-06-15 (~6 years ago), indicating the entity has been operating for several years and has rapidly scaled ECG monitoring volumes in that time to achieve the current national and state rankings. This chronology supports a rapid build-out of a narrow service line rather than a legacy, diversified outpatient practice.
Beyond the top code, the provider’s remaining billed Medicare and Medicaid codes are consistent with complementary processing and longer-duration monitoring services (93243, 93247, 93271), which together with 93229 form an integrated service chain of device placement, continuous/event monitoring, and report processing. The precomputed top-3 shares (96.8% Medicare; 97.9% Medicaid) indicate that almost all public-payer revenue flows through this tightly focused set of cardiac monitoring procedures.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 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… | 11,710 | $930 | $10.9M |
| 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… | 6,210 | $250 | $1.6M |
| 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… | 2,660 | $270 | $704.1K |
| 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,… | 2,550 | $160 | $405.8K |
| 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… | 700 | $40 | $27.3K |
| 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… | 670 | $10 | $6.7K |
| 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… | 220 | $10 | $2.2K |
| 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… | 30 | $20 | $380 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 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.
6 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… | 3,540 | $120 | $425.2K |
| 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… | 3,110 | $10 | $37.3K |
| 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,… | 3,350 | $10 | $23.5K |
| 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… | 930 | $10 | $9.3K |
| 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… | 310 | $1 | $920 |
| 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… | 70 | $1 | $200 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 7 | 20 | 520 | $70 | $563.9K |
| 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… | 5 | 90 | 300 | $400 | $456.7K |
| 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… | 2 | 10 | 450 | $60 | $365.2K |
| 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 | 20 | 230 | $40 | $38.2K |
| 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… | 18 | 40 | 210 | $30 | $29.3K |
| 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… | 20 | 40 | 70 | $10 | $1.3K |
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