Pulse 4 Pulse
Pulse 4 Pulse is a Connecticut-based private healthcare services company that deploys employed medical technicians into physician offices to perform FDA-cleared cardiovascular and autonomic nervous system diagnostic tests for early detection of chronic disease in asymptomatic adult patients.
- Company typePrivate
- Founded2020
- HeadquartersMiddlebury, United States
- Headcount1–10
- GTM typeB2B
- OfferingServices
What Pulse 4 Pulse does
Pulse 4 Pulse is a privately held healthcare services company founded in 2020 and headquartered in Middlebury, Connecticut. The company provides an onsite diagnostic testing service built around an FDA-cleared medical device that evaluates the cardiovascular and autonomic nervous system for early detection of chronic disease in asymptomatic patients. Its three core tests are the Sudomotor Test, which stimulates sweat glands with low-voltage current to assess vascular and neuropathy risk; the Autonomic Nervous System Test, which measures heart-rate variability and beat-to-beat blood pressure under deep-breathing, head-tilt, and Valsalva maneuvers; and the Ankle-Brachial Index Test, which compares upper and lower body blood pressure at the micro-vascular level. Results are delivered through a physician portal with cloud-based storage, an instant four-page report, and a forty-page archive report. Founder/CMO Philip Mongelluzzo Jr. leads clinical direction while CEO David Macdonald and President/COO Krista Mowad run operations.
The go-to-market is a field-service model in which Pulse 4 Pulse deploys employed medical technicians and a portable cart directly into physician offices. The technician handles patient scheduling, conducts testing on-site, and the company either provides a billing liaison while the practice submits claims under existing systems or processes claims itself through AdvanceMD, a national billing platform. Claims are submitted under standard CPT codes (93922, 93921, 95923, 93040, 94761, 99214) and the service is accepted by Medicare, Medicaid, and most major private insurance carriers; insurance remittances are paid directly to the practice, while Pulse 4 Pulse invoices the practice separately for its service. The model is insurance-billed and transaction-based, with up to five billable diagnostic codes plus a follow-up office visit code.
The customer base spans solo medical practices, IPAs/MSOs, multi-specialty groups, hospitals and healthcare organizations, and a long list of specialty practice types including cardiology, endocrinology, gastroenterology, pain management, podiatry, neurology, and others. Marketing is conducted through direct phone outreach, email, and the company website. The company claims that 60% of adult patients qualify for testing, positioning the service as a wellness tool for asymptomatic disease detection. The company operates with 1–10 employees, is founder/management-owned with no disclosed institutional investors or funding rounds, and is documented as serving Connecticut only despite a delivery model that is inherently portable.
Pulse 4 Pulse firmographics
Firmographics- Name
- Pulse 4 Pulse
- Legal name
- Pulse 4 Pulse
- Website
- https://pulse4pulse.com
- Company type
- Private
- Founded year
- 2020
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Pulse 4 Pulse is a Connecticut-based private healthcare services company that deploys employed medical technicians into physician offices to perform FDA-cleared cardiovascular and autonomic nervous system diagnostic tests for early detection of chronic disease in asymptomatic adult patients.
- Ownership category
- akta.pro rank
Pulse 4 Pulse industry classification
Industry- Product category
- Diagnostic Medical Services
- NAICS
- Medical and Diagnostic Laboratories (62151)
- SIC
- Services-Health Services (8000), Services-Medical Laboratories (8071)
- akta.pro primary industry
- Cardiac Diagnostic Centers (Echo/Stress Testing/Holter) (HLAFAKAE)
- akta.pro secondary industries
- Clinical-Grade Vital Signs Monitoring (ECG, SpO2, BP, Temp, Respiration) (HLACAPAI), Cardiometabolic RPM & Chronic Disease Management (diabetes, hypertension, CHF, obesity) (HLALAFAA)
Keywords
Where Pulse 4 Pulse is headquartered
LocationHeadquarters
- HQ city
- Middlebury
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Pulse 4 Pulse business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales
Revenue model
- Diagnostic Testing Services: Pulse 4 Pulse provides onsite diagnostic testing services to medical practices and bills insurance on behalf of the physician practice. They accept Medicare, Medicaid, and most major private insurance carriers. The practice bills through their existing system with Pulse 4 Pulse providing billing team liaisons who have expertise with their specific CPT codes. There are up to 5 billable diagnostic codes: Ankle Brachial Test (93922), Autonomic Function Test (93921), Sudomotor Test (95923), Electrocardiogram (93040), and Pulse Oximetry (94761), plus Follow-up Office Visit (99214).
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Pay-as-you-go | Insurance-based billing (Medicare, Medicaid, private) |
Go-to-market motion1 record
Distribution channels1 record
Marketing channels3 records
Pulse 4 Pulse product offering
Product offeringCore offering
Pulse 4 Pulse provides an all-in-one onsite diagnostic testing service that sends employed medical technicians and an FDA-cleared medical device directly into physician offices to perform cardiovascular and autonomic nervous system screening. The service delivers three proprietary tests—Sudomotor, Autonomic Nervous System, and Ankle-Brachial Index—producing physician-portal reports, and is paired with insurance eligibility verification, claims submission, and billing-liaison support against Medicare, Medicaid, and most major private carriers.
Product overview
Pulse 4 Pulse is a healthcare diagnostic technology company offering an all-in-one onsite diagnostic testing service. The core offering is the Pulse 4 Pulse Diagnostic Testing Service, which centers on an FDA-cleared medical device that tests the cardiovascular and autonomic nervous system. The service provides three main diagnostic tests: Sudomotor Test, Autonomic Nervous System Test, and Ankle-Brachial Index Test. These tests are supported by onsite medical technicians employed by P4P who conduct the tests at physician practices, Medical Reports delivered via a physician portal with cloud-based storage, and comprehensive Billing Services including insurance eligibility verification and claims submission. The service is designed for early detection of chronic diseases in asymptomatic patients and is accepted by Medicare, Medicaid, and most major private insurance carriers.
Differentiator
Problem solved
Functional benefit
Products and services
- Pulse 4 Pulse Onsite Diagnostic Testing Service All-in-one onsite diagnostic testing service deployed by Pulse 4 Pulse into physician offices, comprising an FDA-cleared medical device, an employed medical technician, three proprietary tests (Sudomotor, Autonomic Nervous System, Ankle-Brachial Index), cloud-based PulseWorx physician portal reports, and full-service insurance billing support, billed under CPT codes 93922, 93921, 95923, 93040, 94761, and 99214 to Medicare, Medicaid, and most major private carriers.
Quantifiable outcome
- 60% of adult patients qualify for testing
Companies that use Pulse 4 Pulse
Customer profileSegments10 records
Ideal customer profiles5 records
Pulse 4 Pulse technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration1 record
Feature3 records
Pulse 4 Pulse partnerships and signals
Strategic signalScale indicators1 record
Recent moves6 records
Expansion highlights4 records
Pulse 4 Pulse competitors and assessment
Company assessmentDirect peers
- ImpediMed: ImpediMed manufactures and distributes the SUDOSCAN device, which performs sudomotor function testing to detect diabetic peripheral neuropathy and small fiber neuropathy — the same clinical use case as Pulse 4 Pulse's Sudomotor Test, making it the most direct technology peer.
- BioMedix: BioMedix offers the PADnet vascular diagnostic system for Ankle-Brachial Index and other peripheral vascular assessments in primary care and podiatry settings — directly overlapping with Pulse 4 Pulse's ABI test offering and physician-office deployment model.
- AtCor Medical: AtCor Medical (a division of Cardinal Health) provides non-invasive cardiovascular assessment devices using arterial pulse wave analysis, targeting autonomic and vascular diagnostics in physician practices — closely adjacent to Pulse 4 Pulse's ANS and ABI tests.
- iRhythm Technologies: iRhythm provides cardiac diagnostic monitoring as a service (Zio long-term cardiac monitoring) billed through established CPT codes to Medicare and private payers — analogous to Pulse 4 Pulse's billing-platform, service-delivered diagnostic model, though focused on arrhythmias.
Emerging players
- HeartFlow: HeartFlow delivers a non-invasive cardiac diagnostic service (FFR-CT) that physicians order and receive results through a centralized workflow — comparable to Pulse 4 Pulse's onsite diagnostic service model where the company handles testing and delivers interpreted reports to the practice.
Broad incumbents
- Medtronic: Medtronic is a global leader in cardiovascular devices and diagnostics, offering overlapping capabilities across cardiac rhythm management, vascular diagnostics, and autonomic assessment as part of a much broader portfolio — competing with Pulse 4 Pulse at the high end of the market.
- GE HealthCare: GE HealthCare provides a broad portfolio of patient monitoring, vital signs measurement, and cardiology diagnostic devices used in physician offices and hospitals — adjacent to Pulse 4 Pulse's clinical-grade cardiovascular and autonomic diagnostics.
- Hillrom (Baxter): Hillrom, now part of Baxter, offers Welch Allyn vital signs monitors and cardiovascular diagnostic equipment widely deployed in primary care and specialty practices — comparable end-user setting and clinical workflow to Pulse 4 Pulse, though a much broader device portfolio.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
Pulse 4 Pulse social profiles
Digital presencePulse 4 Pulse compliance and trust
Trust signalCompliance1 record
Pulse 4 Pulse financial estimates
Financial estimateRevenue estimate
Valuation estimate
Pulse 4 Pulse leadership team
Management profileNumber of profiles
Profiles7 records
Pulse 4 Pulse funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Pulse 4 Pulse M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Pulse 4 Pulse
What does Pulse 4 Pulse do?
Pulse 4 Pulse provides an all-in-one onsite diagnostic testing service that sends employed medical technicians and an FDA-cleared medical device directly into physician offices to perform cardiovascular and autonomic nervous system screening. The service delivers three proprietary tests—Sudomotor, Autonomic Nervous System, and Ankle-Brachial Index—producing physician-portal reports, and is paired with insurance eligibility verification, claims submission, and billing-liaison support against Medicare, Medicaid, and most major private carriers.
Is Pulse 4 Pulse a public or private company?
Pulse 4 Pulse is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Pulse 4 Pulse founded?
Pulse 4 Pulse was founded in 2020. It employs 1 to 10 people.
Where is Pulse 4 Pulse based?
Pulse 4 Pulse is headquartered in Middlebury, United States, in the North America region.
How does Pulse 4 Pulse make money?
One revenue line is on record: diagnostic Testing Services.
Who are Pulse 4 Pulse's main competitors?
Direct peers on record are ImpediMed, BioMedix, AtCor Medical and iRhythm Technologies. HeartFlow is listed as an emerging player. Broad incumbents are Medtronic, GE HealthCare and Hillrom (Baxter).
Does Pulse 4 Pulse have an API?
No public API is recorded for Pulse 4 Pulse.
What industry is Pulse 4 Pulse in?
Pulse 4 Pulse's product category is Diagnostic Medical Services. Its primary akta.pro industry code is HLAFAKAE, Cardiac Diagnostic Centers (Echo/Stress Testing/Holter), with a secondary code of HLACAPAI, Clinical-Grade Vital Signs Monitoring (ECG, SpO2, BP, Temp, Respiration). Its NAICS code is 62151 and its SIC code is 8000.