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NPI 1710130539 · San Francisco, CA · Physiological Laboratory
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Irhythm Technologies, Inc. is a physiological laboratory provider located in San Francisco, California. This profile covers 4 Medicare and 5 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 | Irhythm Technologies, Inc. |
| Address | 699 8th St Ste 600 |
| City | San Francisco |
| State | CA |
| ZIP | 94103 |
| Taxonomy | Physiological Laboratory |
| NPI Enumerated | October 23, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $94M |
| Medicaid | $19.2M |
IRHYTHM TECHNOLOGIES, INC. reports total Medicare revenue of $94M and total Medicaid revenue of $19.2M, with Medicare clearly dominating the payer mix by scale. The Medicare book of business is many multiples larger than Medicaid, indicating this entity operates primarily as a Medicare-focused billing/processing provider rather than a balanced dual-payer clinic.
The provider’s service line is highly concentrated in ambulatory electrocardiographic monitoring and associated processing services. Medicare and Medicaid top codes—93247, 93229, and 93243—correspond to placement, transmission/monitoring, and technician processing/reporting for extended ECG wear (up to 15 days, up to 7 days, and related placement/monitoring services), which together point to an operation structured around wearable cardiac monitors and centralized signal analysis.
Revenue concentration on Medicare is extreme: the precomputed top three Medicare codes account for 99.6% of this provider’s total Medicare revenue. Those three codes are 93247 ($54.6M, 58.1% of Medicare revenue), 93229 ($20.2M, 21.4% of Medicare revenue), and 93243 ($18.8M, 20.0% of Medicare revenue), showing virtually all Medicare receipts derive from a narrow set of ECG monitoring services.
Medicaid revenue is likewise concentrated: the precomputed top three Medicaid codes account for 91.7% of this provider’s total Medicaid revenue. The leading Medicaid contributors are 93247 ($9.7M, 50.7% of Medicaid revenue), 93243 ($4.1M, 21.4% of Medicaid revenue), and 0297T ($3.7M, 19.6% of Medicaid revenue), indicating the same core service-line drives state-level billing even when a code description for 0297T is not available in the dataset.
Competitive standing on Medicare shows extreme national concentration for its primary services: 93247 ranks #1 of 42 providers nationally (100th percentile; extreme outlier) and 93243 ranks #1 of 51 providers nationally (100th percentile; extreme outlier), while 93229 ranks #3 of 2091 providers nationally (100th percentile; extreme outlier). These ranks and percentiles characterize the provider as a dominant national player for extended ambulatory ECG processing and monitoring volumes.
In-state competitive standing for Medicaid is similarly dominant for the same codes: 93247 is #1 of 18 providers in-state (100th percentile; extreme outlier), 93243 is #1 of 12 providers in-state (100th percentile; extreme outlier), and 0297T is #1 of 2 providers in-state (100th percentile). 93229 also ranks highly in-state (#3 of 85, 98th percentile; extreme outlier), reinforcing that this vendor is a major statewide supplier of wearable ECG services.
Operational scale is evident in claims volume for core services, consistent with a centralized processing model: Medicare claims include 250.6K for 93247, 90.9K for 93243, and 22.4K for 93229, while Medicaid shows 134.5K claims for 93247 and 63K claims for 93243. These high claim counts combined with technician/processing-oriented CPT descriptions imply a high-throughput monitoring and signal-analysis operation rather than low-volume, episodic clinical testing.
The provider’s NPI was enumerated on 2008-10-23 (~18 years ago), indicating an established presence in the market. That tenure, paired with concentrated revenue and top-percentile ranks across both Medicare and Medicaid, suggests a longstanding specialization in ambulatory cardiac monitoring and centralized ECG processing 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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 250,600 | $220 | $54.6M |
| 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… | 22,400 | $900 | $20.2M |
| 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… | 90,930 | $210 | $18.8M |
| 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… | 13,320 | $30 | $386.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 134,510 | $70 | $9.7M |
| 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… | 62,960 | $70 | $4.1M |
| 0297T | N/A | 47,470 | $80 | $3.7M |
| 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… | 10,380 | $120 | $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… | 24,220 | $20 | $387.5K |
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
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 0297T | N/A | 1 | 10 | 24,040 | $80 | $1.9M |
| 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 | 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… | 3 | 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… | 1 | 10 | 450 | $60 | $365.2K |
| 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 | 40 | 210 | $30 | $29.3K |
Other providers in the same ZIP code as Irhythm Technologies, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| City & County Of San Francisco | CA | Community/Behavioral Health Agency | $0 | $1.3B |
| Invitae Corporation | CA | Clinical Medical Laboratory | $71.4M | $136.7M |
| Healthright 360 | CA | Federally Qualified Health Center (FQHC) | $0 | $40.9M |
| Medi-lynx Cardiac Monitoring, LLC | CA | Physiological Laboratory | $3.6M | $209.7K |
| David Kornguth | CA | Radiation Oncology Physician | $2.6M | $0 |
| Rhythmscience Inc. | CA | Physiological Laboratory | $63.4K | $650 |
| Jadine Cehand | CA | Registered Nurse | $12.2K | $0 |
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