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NPI 1518906940 · Coral Springs, FL · Physiological Laboratory
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Virtuox, LLC is a physiological laboratory provider located in Coral Springs, Florida. This profile covers 9 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 | Virtuox, LLC |
| Address | 5850 Coral Ridge Dr |
| City | Coral Springs |
| State | FL |
| ZIP | 33076 |
| Taxonomy | Physiological Laboratory |
| NPI Enumerated | June 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $5.6M |
| Medicaid | $135.8K |
VIRTUOX, LLC’s billing mix is concentrated in home and ambulatory physiological monitoring: its top Medicare codes are 95800 (home sleep study), 94762 (overnight oxygen saturation monitoring), and 93229 (wearable ambulatory ECG monitoring). The dominant code descriptions—unattended sleep testing and remote physiologic monitoring—indicate the organization operates primarily as a home-based diagnostic/physiological laboratory rather than as a facility performing in-person procedures.
Revenue concentration on Medicare is extreme: the top 3 Medicare codes (95800, 94762, 93229) account for 89.6% of this provider's total Medicare revenue, with 95800 reporting $2.2M (38.8% of Medicare revenue), 94762 $1.7M (31.3%), and 93229 $1.1M (19.6%). This level of concentration shows the business is heavily dependent on a small set of remote monitoring and sleep-testing services for its Medicare receipts.
Medicaid revenue is even more narrowly concentrated: the top 3 Medicaid codes (94762, 94799, 95800) account for 94.9% of this provider's total Medicaid revenue, led by 94762 at $96.9K (75.3%), followed by 94799 at $12.8K (10.0%) and 95800 at $12.4K (9.6%). The Medicaid portfolio is therefore dominated by oxygen-saturation monitoring and a catch-all pulmonary code, underscoring the same home-monitoring/remote-testing focus seen in Medicare.
Payer mix is heavily Medicare-skewed in scale: total Medicare revenue is $5.6M compared with total Medicaid revenue of $135.8K, so Medicare is the overwhelmingly larger revenue source for this provider. For analysts evaluating market exposure or contracting leverage, VIRTUOX is effectively a Medicare-focused supplier with only modest Medicaid volume relative to its Medicare business.
VIRTUOX holds a dominant competitive standing on several core codes nationally and in-state. For Medicare, 94762 ranks #1 of 427 providers nationally (100th percentile; extreme outlier) and 95800 ranks #2 of 1313 (100th percentile; extreme outlier), while 93229 ranks #15 of 2091 (99th percentile; typical), indicating national leadership in respiratory/ sleep monitoring and high but less singular volume in ambulatory ECG services. For Medicaid, 94762 ranks #1 of 28 in-state (100th percentile; extreme outlier) and 94799 ranks #1 of 5 in-state (100th percentile; notably above typical), showing the provider is a state-level leader for oxygen-saturation monitoring and related pulmonary billing.
Operational scale and throughput are substantial for remote monitoring: Medicare claim counts include 69.5K claims for 94762 and 15.4K claims for 95800, alongside 1.2K claims for 93229, which together generate multi-million-dollar Medicare revenues. These high claim volumes for unattended and remotely monitored services imply a high-volume logistics and device-distribution operation rather than a traditional clinic-driven workflow.
Beyond its top three Medicare codes, VIRTUOX also posts notable activity in other physiological diagnostics: 95819 (EEG with awake and asleep states) generated $504.3K (9.1% of Medicare revenue) and ranks #1 of 2575 nationally (100th percentile; extreme outlier). This suggests the provider’s service portfolio includes significant non-cardiac neurologic diagnostic testing in addition to sleep and respiratory monitoring.
The provider has a long tenure in the Medicare/Medicaid system, with its NPI enumerated on 2006-06-04 (~20 years ago), supporting the interpretation that its dominant billing patterns reflect an established, durable business model focused on home-based physiological testing and monitoring. Analysts should treat VIRTUOX as an established, high-volume specialist in remote physiologic diagnostics with concentrated revenue exposure to a few high-volume codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 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. | 15,420 | $140 | $2.2M |
| 94762 | The provider monitors the patient’s oxygen saturation overnight using a sensor on the ear or finger. | 69,500 | $30 | $1.7M |
| 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… | 1,200 | $910 | $1.1M |
| 95819 | Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG… | 1,070 | $470 | $504.3K |
| 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… | 680 | $40 | $26.6K |
| 93228 | In this procedure, the provider reviews and interprets data collected from the continuous recording and transmission of electrocardiographic data to detect abnormal heart rates and rhythms. He… | 1,030 | $20 | $22.7K |
| 93268 | In this service, the provider uses electrocardiographic leads and a monitor to assess the occurrence of cardiac events in a patient, even when the patient is at home. He records the data throughout… | 70 | $170 | $11.7K |
| 93224 | In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to detect abnormal heart rates and rhythms. He analyzes, compiles, and interprets the… | 130 | $70 | $9.2K |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 10 | $90 | $1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
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 |
|---|---|---|---|---|
| 94762 | The provider monitors the patient’s oxygen saturation overnight using a sensor on the ear or finger. | 48,440 | $1 | $96.9K |
| 94799 | Use 94799 to report a pulmonary service or procedure that does not have a specific code. | 1,280 | $10 | $12.8K |
| 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. | 730 | $20 | $12.4K |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 650 | $10 | $6.5K |
| 94770 | N/A | 50 | $1 | $50 |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 4,290 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 3 | 10 | 100 | $190 | $178.2K |
| 94770 | N/A | 4 | 10 | 60 | $110 | $7.1K |
| 94762 | The provider monitors the patient’s oxygen saturation overnight using a sensor on the ear or finger. | 1 | 30 | 70 | $1 | $6.3K |
| 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. | 1 | 10 | 130 | $20 | $6.2K |
| 94799 | Use 94799 to report a pulmonary service or procedure that does not have a specific code. | 1 | 10 | 210 | $10 | $4.9K |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 23 | 280 | 270 | $1 | $3.3K |
Other providers in the same ZIP code as Virtuox, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Babita Sethi | FL | Diagnostic Radiology Physician | $513.3K | $0 |
| Barbara Newman | FL | Diagnostic Radiology Physician | $223.5K | $0 |
| Laurel Sofer | FL | Urology Physician | $176.5K | $0 |
| Christopher Hollowell | FL | Urology Physician | $171.1K | $0 |
| Michael Zahalsky | FL | Specialist | $161.3K | $0 |
| Mini Varghese | FL | Urology Physician | $136.1K | $0 |
| Michael Tyler | FL | Urology Physician | $116.6K | $0 |
| Bradley Garden | FL | Urology Physician | $107.7K | $0 |
| Kristen Shay | FL | Family Nurse Practitioner | $38.8K | $0 |
| Christine Lada | FL | Family Nurse Practitioner | $35.8K | $0 |
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