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NPI 1659828762 · Santa Clara, CA · Physiological Laboratory
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Beyond Reps, Inc. is a physiological laboratory provider located in Santa Clara, California. This profile covers 2 Medicare and 4 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 | Beyond Reps, Inc. |
| Address | 2445 Augustine Dr Ste 150&201 |
| City | Santa Clara |
| State | CA |
| ZIP | 95054 |
| Taxonomy | Physiological Laboratory |
| NPI Enumerated | September 7, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.9M |
| Medicaid | $51.4K |
BEYOND REPS, INC. operates as a Physiological Laboratory whose Medicare and Medicaid billing is concentrated in remote cardiac device monitoring and interrogation services, as reflected by heavy reliance on codes such as G2066 and 93296. The code descriptions indicate the business provides remote data acquisition, technician review, distribution of results, and technical support for implantable cardiac monitors and pacemaker/ICD systems rather than in‑person diagnostics or broad outpatient services.
Medicare revenue is overwhelmingly concentrated: the precomputed top 3 Medicare codes account for 100.0% of the provider's Medicare revenue, with G2066 generating $3.4M (86.0% of Medicare revenue) and 93296 contributing $546.4K (14.0% of Medicare revenue). Those two codes together define essentially the provider's entire Medicare business line, indicating a narrow but high‑value service mix.
On Medicare, BEYOND REPS is a national outlier for its core services: G2066 ranks #4 of 3385 providers and 93296 ranks #5 of 4996 providers nationally, both listed as "extreme outlier" and at the 100th percentile. This positioning indicates the provider is operating at a scale far above typical national volume for these remote interrogation and technical monitoring services.
By contrast, Medicaid activity is very small relative to Medicare: lifetime Medicare revenue is $3.9M versus total Medicaid revenue of $51.4K, so the provider is effectively Medicare‑dominant. Medicaid billing is still concentrated — the top 3 Medicaid codes account for 98.8% of Medicaid revenue — but the dollar scale and claim counts are an order of magnitude lower than Medicare.
Within the Medicaid population, the same codes drive revenue but with typical in‑state positioning: G2066 accounts for $38.4K (74.8% of Medicaid revenue) and ranks #6 of 73 providers in-state (93th percentile, described as "typical, unremarkable volume"). 93296 contributes $11.3K (22.1% of Medicaid revenue) and ranks #11 of 135 in-state (93th percentile), again indicating presence in the market but not the same national dominance seen in Medicare.
Claims volume underscores the operational scale difference by payer: Medicare claim counts for G2066 and 93296 are 49.5K and 27.3K respectively, indicating very high throughput on the Medicare side, while Medicaid shows 2.3K claims for G2066 and 2.3K for 93296. Combined with the NPI enumeration date of 2016-09-07 (~10 years ago), this suggests the organization has scaled a remote monitoring operation primarily around Medicare demand over its tenure.
Reimbursement dynamics differ by payer and may affect margin: average paid/claim for G2066 is $68 on Medicare versus $17 on Medicaid, and for 93296 is $20 on Medicare versus $5 on Medicaid. Those per‑claim differences reinforce that Medicare is the financially dominant payer for the provider's core remote monitoring services.
The provider’s extreme concentration in a narrow code set presents a business concentration risk and an operational specialization: with the top 3 Medicare codes accounting for 100.0% of Medicare revenue and the top 3 Medicaid codes accounting for 98.8% of Medicaid revenue, revenue exposure is tightly linked to a small number of device‑monitoring CPT/HCPCS codes. Any changes to reimbursement, code definitions, or device vendor relationships for G2066 and 93296 would likely have outsized impact on this organization’s revenue profile.
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 |
|---|---|---|---|---|
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,… | 49,470 | $70 | $3.4M |
| 93296 | The technician gathers data, for a period of up to 90 days, from a patient’s single, dual, multiple lead, or leadless pacemaker system or implantable defibrillator system by remotely accessing the… | 27,320 | $20 | $546.4K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,… | 2,260 | $20 | $38.4K |
| 93296 | The technician gathers data, for a period of up to 90 days, from a patient’s single, dual, multiple lead, or leadless pacemaker system or implantable defibrillator system by remotely accessing the… | 2,270 | $10 | $11.3K |
| 93297 | The provider, who is a physician or other qualified healthcare professional, evaluates the physiologic data from the implantable physiologic cardiovascular monitoring system during a period of up 30… | 490 | $1 | $980 |
| 93299 | N/A | 320 | $1 | $630 |
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
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,… | 6 | 70 | 180 | $20 | $16.5K |
| 93296 | The technician gathers data, for a period of up to 90 days, from a patient’s single, dual, multiple lead, or leadless pacemaker system or implantable defibrillator system by remotely accessing the… | 11 | 140 | 280 | $20 | $14K |
| 93297 | The provider, who is a physician or other qualified healthcare professional, evaluates the physiologic data from the implantable physiologic cardiovascular monitoring system during a period of up 30… | 40 | 110 | 240 | $10 | $10.3K |
| 93299 | N/A | 20 | 40 | 300 | $20 | $7.4K |
Other providers in the same ZIP code as Beyond Reps, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Precision Monitoring LLC | CA | Physiological Laboratory | $3.4M | $102.7K |
| Michael Hall | CA | Psychiatric/Mental Health Nurse Practitioner | $141.2K | $0 |
| William Mullen | CA | Cardiovascular Disease Physician | $89.5K | $0 |
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