Member Forum

1.  EKGs- do you do them in your office?

Posted 11-01-2017 09:00
No?  How does that work out then for your patients?

Yes? What is your flow to make this work?
And what equipment/technology do you use?
Does billing work out for the time?

We have one room per provider and no medical staff.
I haven't been able to see how we can do them but its gotten a bit silly that we don't.

I'm hopeful this group has good solutions to help me see outside the box.


Melissa Weakland MD
Ballard Neighborhood Doctors
Seattle WA
IMP since 2007

2.  RE: EKGs- do you do them in your office?

Posted 11-01-2017 09:35
Hi Melissa
I'm in a similar practice situation (one room/no clinical staff) and I do EKG's myself.  We have a MAC 1200 machine--it's pretty old but it works. I think we bought it used from Seattle Surgical Supply.  It probably takes me 8-10 min from set up to print. We charge $35 and get paid around $24 per EKG.

In the end after buying a machine, the lead stickers, and your time it's probably not worth it financially but I do feel I need to have the capacity to perform EKG's for patient care.

Jessica Rongitsch MD, FACP
Capitol Hill Medical
Seattle, WA

3.  RE: EKGs- do you do them in your office?

Posted 11-02-2017 06:53
I found a very old HP (1980s) on Craigslist for $100. There a few used medical supply stores. It still works. I do not do much inhouse testing; however, determining ED now versus other plan would be difficult otherwise. Also, for QTC monitoring for potential medication interactions for needed medications-for patients with severe depression-risk/benefit analysis would be difficult without it. I am solo (no front desk or MA).


Marie Amina Aryan, NP-C
Lakewood Family Health Clinic
Lakewood, Colorado
Empathetic Family Healthcare clinic
Lakewood CO
303-981-1902Empathetic Family Healthcare clinicEmpathetic Family Healthcare clinicEmpathetic Family Healthcare clinic

4.  RE: EKGs- do you do them in your office?

Posted 11-02-2017 06:50
We bought one from the start more as a service to the patients.  We have been able to avoid ER referrals for things like atypical chest pain and hypertensive urgency. We also get $20-30.  We used to do them in the exam room.  Then we got a cheap old massage table and put it in our lab/vitals room/ekg room.  There are some that will beam it to your EHR and are the size of a tablet, but they are more expensive and you have to have a good EHR (we don't). We used to upload from a USB, but with staff we found it easier to just print and scan.

As payment models shift to cost of care to your patient you may need to look beyond the $20 payment and the cost sharing savings of avoiding ER visits.  I hated doing them when I had no staff so I completely sympathize with you.  If you ever hire a smart receptionist or MA that can do them, it definitely becomes at the very least cost neutral.


5.  RE: EKGs- do you do them in your office?

Posted 11-02-2017 14:29

I'm in the same situation: bought an old machine, I do them myself, not worth it financially, but seems like a good capability.  I'd hate to send someone with a STEMI to the ED rather than directly to the cath lab.  We also have some folks that need it for pre-op clearance.


6.  RE: EKGs- do you do them in your office?

Posted 11-02-2017 17:49
My partner and I bought a Bionet CardioCare machine online about 5 years ago, from Allheart.  I think it cost $600.00.  It's handy, portable (I've taken it on home visits) and pretty easy to use.  We each do our own EKG's; it takes about 5 minutes.  We charge $35.00 and get paid anywhere from $0.00 to about $18.00.  Whatever.  We use it to find out what we want to know, not to provide a billable service.  I don't see not having one.

Vahe Keukjian
Your Family Doc PC
Ghent NY

7.  RE: EKGs- do you do them in your office?

Posted 11-03-2017 06:31
hospital is across the streetDeliberatley
 ekgs are done stat if needed and faxed back they sit there like a wet read XR  that way  cards will also read them later too

same for XR  hold and call wet read

Jean Antonucci