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All-in-One Onsite Service

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Medical Device

  • State-of-the-art diagnostic medical device  testing the  cardiovascular and autonomic nervous system

  • FDA cleared

  • Small office footprint

  • Portable mobile cart

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Medical reports

  • Physician portal for immediate results

  • Instant easy-to-interpret 4-page report

  • Secure cloud-based database

  • 40-Page archive report


Medical Technician

  • Onsite technician

  • Employed by P4P

  • Screens patients

  • Schedules patients

  • Conducts tests



  • Determine insurance eligibility

  • Submit claims

  • Resolve disputes


Provide Better Patient Care

  • Early Detection of Chronic Disease  in Asymptomatic Patients

  • Diagnose Complex Symptoms

  • Increase Patient Compliance with Treatments

3 Tests

3 Main Tests to Identify Asymptomatic Diseases


Sudomotor Test

  • The device stimulates the patient’s sweat glands by emitting a low voltage current through a glass plate.

  • Results for this test helps the physician determine if the patient is going to be at risk of vascular disease or neuropathy.


Autonomic Nervous System Test

  • We report the heart-rate variability with beat-to-beat blood pressure in the patient after deep-breathing, head-tilt and Valsalva maneuver tests and compare to base-line.

  • Many diseases of the nervous system identified.

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Ankle-Brachial Index Test

  • A measurement of the ratio of blood pressure of the upper and lower body.

  • Results indicate if the patient is suffering from vascular disease.

  • Ability to test the vascular system at the micro-level.


proven standards of care


Testing of the autonomic nervous system (ANS) is the recommended standard of care by the American Diabetes Association for patients with Type 1 and Type 2 diabetes.


The American Heart Association Practice Guidelines for the management of patients with peripheral artery disease include the measurements of ankle-brachial index (ABI) in adults over 50 years old with a history of smoking, diabetes, or circulation problems, and all adults over 70 years old.


Office workflow



Patient Completes Questionnaire



Our medical technician conducts tests.



Patient follow-up appointment scheduled



Pulse 4 Pulse submits claim on behalf of physician.



Physician receives all remittances.



Pulse 4 Pulse Invoices Practice for Service.

Early detection is the key to successful treatment.


Billing and Insurance

Our service is accepted by Medicare, Medicaid, and most major private insurance carriers.  


We offer two options for billing.

Option 1

Billing provided by Pulse 4 Pulse team via national platform AdvanceMD.


We have many years of experience working with insurance companies and have expertise in successfully submitting claims and minimizing denials for the billing codes associated with our service.

Option 2

While we prefer to do the billing because of our experience with these specific codes we do let clients who request it do their own billing.  In this case, the practice bills through their existing system and Pulse 4 Pulse provides expert billing liaisons.

Billing Codes

There may be up to 5 billable diagnostic codes approved by Medicare, Medicaid, and most private payers.

  • Ankle Brachial Test (93923)

  • Autonomic Function Test (95921)

  • Sudomotor Test (95923)

  • Electrocardiogram (93040)

  • Pulse Oximetry (94761)

Additional Billing Code

  • Follow-up Office Visit (99214)

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