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NPI 1932697729 · New Providence, NJ · Physiological Laboratory
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Bdx Solutions, Inc. is a physiological laboratory provider located in New Providence, New Jersey. This profile covers 3 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 | Bdx Solutions, Inc. |
| Address | 430 Mountain Ave Ste 101 |
| City | New Providence |
| State | NJ |
| ZIP | 07974 |
| Taxonomy | Physiological Laboratory |
| NPI Enumerated | April 26, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $9.3M |
| Medicaid | $363.4K |
BDX SOLUTIONS, INC. operates as a physiological laboratory-style processing center focused on ambulatory electrocardiographic monitoring, as evidenced by top codes 93243 and 93247 whose descriptions call out a processing center technician performing scanning analysis and report generation for multi-day ECG recorders. The code mix implies the business primarily provides remote cardiac monitoring and centralized ECG interpretation services rather than office-based diagnostic testing.
Medicare revenue is highly concentrated: the precomputed top-three Medicare codes account for 100.0% of this provider's total Medicare revenue, with 93243 generating $5M (53.6% of Medicare revenue) and 93247 generating $4.3M (45.6% of Medicare revenue). This concentration indicates the provider’s Medicare business is almost entirely driven by long-duration ambulatory ECG processing services.
On Medicare this provider occupies a leading national position for its core services: 93247 ranks #3 of 42 providers nationally (95th percentile; typical, unremarkable volume) and 93243 ranks #4 of 51 (94th percentile; typical, unremarkable volume). While the percentile ranks show it is among the largest national billers for these codes, the descriptive label “typical, unremarkable volume” suggests these services are provided by a number of similar-sized peers at scale.
In Medicaid the provider is effectively dominant in-state for ambulatory ECG processing: the precomputed top-three Medicaid codes account for 98.4% of Medicaid revenue, and 93243 ($185.2K, 50.6%) and 93247 ($135.5K, 37.0%) both rank #1 in-state (100th percentile) with 93243 explicitly flagged as “notably above typical” state volume. Those rankings indicate BDX is the principal state-level provider for these monitored ECG services under Medicaid.
The practice is Medicare-dominant on scale: lifetime Medicare revenue of $9.3M vastly exceeds lifetime Medicaid revenue of $363.4K, making Medicare the primary payer driving overall revenue. Given that divergence, strategic or operational changes affecting Medicare reimbursement or referral flow would materially impact total income.
Reimbursement per claim differs sharply between payers for the same services: Medicare average paid/claim for 93243 is $203 and for 93247 is $213, whereas Medicaid average paid/claim for 93243 is $22 and for 93247 is $25. These large per-claim payment differentials underscore that the provider’s higher aggregate Medicare receipts arise both from claim volume and substantially higher per-claim rates.
Short-duration monitoring (93226) is billed but represents a small share of revenue for both payers: on Medicare 93226 accounts for $74K (0.8% of Medicare revenue) and ranks #5 of 133 providers nationally (97th percentile), and on Medicaid it accounts for $5.9K (1.6% of Medicaid revenue) and ranks #4 of 17 in-state (81th percentile; typical, unremarkable volume). This pattern suggests the operation emphasizes longer-wear monitoring (multi-day and up to 15 days) over brief ambulatory recordings.
The provider’s NPI was enumerated on 2018-04-26 (~8 years ago), indicating a relatively recent market entry followed by rapid scale-up in ECG processing: Medicare claim counts for core codes (24.7K claims for 93243 and 20K claims for 93247) and Medicaid claim counts (8.4K for 93243 and 5.4K for 93247) show substantial throughput consistent with a specialized, high-volume processing center rather than a small clinic-level operation.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 24,680 | $200 | $5M |
| 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… | 19,980 | $210 | $4.3M |
| 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… | 2,470 | $30 | $74K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 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 |
|---|---|---|---|---|
| 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… | 8,420 | $20 | $185.2K |
| 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… | 5,420 | $30 | $135.5K |
| 0297T | N/A | 1,580 | $30 | $39.5K |
| 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… | 730 | $10 | $5.9K |
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 4 | 20 | 50 | $120 | $72.3K |
| 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 | 620 | $30 | $70.5K |
| 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… | 1 | 10 | 740 | $30 | $57.5K |
| 0297T | N/A | 1 | 10 | 880 | $30 | $24.1K |
Other providers in the same ZIP code as Bdx Solutions, Inc., ranked by combined Medicare and Medicaid revenue.
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