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NPI 1912375148 · Johns Creek, GA · Physiological Laboratory
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Zywie Inc is a physiological laboratory provider located in Johns Creek, Georgia. This profile covers 5 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 | Zywie Inc |
| Address | 12000 Findley Rd Ste 360 |
| City | Johns Creek |
| State | GA |
| ZIP | 30097 |
| Taxonomy | Physiological Laboratory |
| NPI Enumerated | September 3, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $5.8M |
| Medicaid | $632.2K |
ZYWIE INC operates as a physiological laboratory focused on ambulatory cardiac monitoring and remote ECG services, as evidenced by the dominance of device-and-processing codes 93229, 93271, and 93243 in both payers. The Medicare top code 93229 alone accounts for $5.7M of the provider’s Medicare revenue and most of the listed service descriptions describe placing wearable ECG monitors, instructing patients, monitoring transmissions, and performing processing-center scanning analysis. This code mix implies the business model is centered on technician-led device placement and centralized signal processing rather than in-office diagnostic testing.
Medicare revenue is highly concentrated: the provider reports $5.8M in total Medicare revenue and the precomputed top-three Medicare codes account for 99.3% of that total, with 93229 representing 98.0% of Medicare revenue. That concentration indicates the practice’s Medicare performance is almost entirely driven by one procedure (93229), leaving limited diversification across other Medicare services.
Medicaid billing shows a similar concentration pattern: total Medicaid revenue is $632.2K and the precomputed top-three Medicaid codes account for 97.7% of that amount, with 93229 contributing $564.1K (88.9% of Medicaid revenue). Compared to its scale of Medicare receipts, Medicaid is a much smaller part of the payer mix ($5.8M Medicare vs. $632.2K Medicaid), so the organization is effectively Medicare-dominant while maintaining materially similar service focus for Medicaid enrollees.
On national competitive standing for the signature service 93229, ZYWIE INC ranks #5 of 2091 providers nationally (100th percentile; notably above typical national volume for this code), signaling it is a major national provider for wearable ECG monitoring in Medicare. That placement, combined with 6.4K Medicare claims for 93229 and high Medicare revenue tied to the code, positions the entity as a high-volume national operator for this specific service line.
Other Medicare codes in the profile show more typical volumes: 93271 (281 claims, $37.7K revenue) ranks #10 of 34 providers nationally (73th percentile; typical, unremarkable volume) and 93243 (200 claims, $34.8K revenue) ranks #20 of 51 (62th percentile; typical, unremarkable volume). 93226 shows a relatively stronger presence within its peer group (819 claims, $21.3K revenue; ranks #13 of 133 providers nationally, 91th percentile), indicating ZYWIE also performs shorter-duration monitoring and scanning analysis at above-typical volume for that specific CPT.
Within the in-state Medicaid universe ZYWIE often appears as the only reported filer for key monitoring codes: 93229, 93271, and 93243 each rank #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), which means there is essentially no state peer comparison available for those services in the Medicaid dataset. Where state peer data do exist (93226 ranks #1 of 3 providers in-state, 100th percentile), the provider shows competitive volume but the Medicaid universe appears sparse for these modalities.
ZYWIE’s NPI was enumerated 2015-09-03 (~11 years ago), indicating an established presence long enough to scale to high procedure volumes, especially for 93229. The longevity combined with concentrated high-volume billing for specific ambulatory ECG codes suggests an operational model built around durable device distribution/monitoring and processing workflows rather than episodic, broad-based outpatient services.
The extreme revenue concentration around a single service line creates business exposure to changes in reimbursement, policy, or device utilization: Medicare top-three codes account for 99.3% of Medicare revenue and Medicaid top-three codes account for 97.7% of Medicaid revenue, underscoring dependency on ambulatory ECG monitor placement, transmission monitoring, and processing-center analysis. For payers and network managers, this profile signals a specialized vendor whose performance metrics and contracting leverage will be driven primarily by volume and pricing for a narrow set of cardiac monitoring codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 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… | 6,420 | $880 | $5.7M |
| 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,… | 280 | $130 | $37.7K |
| 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… | 200 | $170 | $34.8K |
| 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… | 820 | $30 | $21.3K |
| 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… | 110 | $190 | $19.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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 |
|---|---|---|---|---|
| 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… | 7,420 | $80 | $564.1K |
| 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,… | 1,120 | $30 | $33.5K |
| 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… | 1,400 | $20 | $22.4K |
| 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… | 190 | $80 | $14.4K |
How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Georgia median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 1 | 10 | 7,420 | $80 | $562.1K |
| 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,… | 1 | 10 | 1,120 | $30 | $33.6K |
| 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 | 190 | $80 | $14.4K |
| 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 | 10 | 160 | $20 | $10.2K |
Other providers in the same ZIP code as Zywie Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Frank Curvin | GA | Family Medicine Physician | $10.6M | $0 |
| Urology Surgery Center Johns Creek LLC | GA | Ambulatory Surgical Clinic/Center | $1M | $0 |
| Minimed Distribution Corp. | GA | Durable Medical Equipment & Medical Supplies | $0 | $869.7K |
| Theresa Mosley | GA | Marriage & Family Therapist | $0 | $720.7K |
| Danielle Um | GA | Nurse Practitioner | $461.5K | $0 |
| Tanya Pandya | GA | Family Medicine Physician | $334.8K | $0 |
| Digestive Care Endoscopy | GA | Ambulatory Surgical Clinic/Center | $323.4K | $0 |
| Naveed Ummed | GA | Psychiatry Physician | $241.7K | $0 |
| Taryn Anthony | GA | Physical Therapist | $239.9K | $0 |
| Gregory Robertson | GA | Interventional Cardiology Physician | $204.8K | $0 |
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