Real Time Neuromonitoring Associates

What Real Time Neuromonitoring Associates does

Real Time Neuromonitoring Associates (RTNA) is a Nashville, Tennessee-based physician practice founded in 2009 by Dr. George R. "Trey" Lee III that provides real-time remote neurologist oversight for intraoperative neurophysiological monitoring (IONM) during surgical procedures. The practice serves hospitals, ambulatory surgery centers, and physician practices across all 50 US states, Washington DC, and Puerto Rico, with physician credentials currently maintained at more than 700 hospitals and an active service footprint spanning 1,300+ healthcare facilities. RTNA monitors more than 45,000 surgeries annually across 250+ different procedure types.

The practice's core technical capability is tele-neurology: 18+ on-staff neurologists interpret 11 distinct neurophysiological test modalities in real time — including somatosensory evoked potentials (SSEP), electromyography (EMG), transcranial motor evoked potentials (TcMEP), brainstem auditory evoked potentials (BAEPs), electroencephalography (EEG), cortical mapping, transcranial Doppler (TCD), cranial nerve monitoring, and pedicle screw stimulation. Neurologists provide continuous remote interpretation during procedures, eliminating the need for on-site presence while maintaining clinical oversight. RTNA complements this with the Real Time Institutional Review Board (RT IRB) and a related practice, Real Time Tele-Epilepsy Consultants (RTTC), extending tele-neurology into outpatient EEG and epilepsy interpretation.

RTNA operates as a private professional medical services practice and generates revenue through per-case professional billing to insurance and patients for neurologist interpretation services. Its go-to-market is enterprise field sales into hospital systems and ambulatory surgery centers, with an additional channel providing interpretation services to IONM technical services providers. Allied Managed Processes (AMP) functions as a back-office operational partner for billing and administrative workflow. The company is led by CEO Dr. Gene K. Balzer, Ph.D., and has not disclosed external equity funding.

Name

Real Time Neuromonitoring Associates

Legal name

Real Time Neuromonitoring Associates

Website

https://rtnassociates.com

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

101–250 employees

Short description

Real Time Neuromonitoring Associates is a Nashville-based physician practice founded in 2009 that provides real-time remote neurologist oversight for intraoperative neurophysiological monitoring during over 45,000 surgeries annually across all 50 US states.

Ownership category

akta.pro rank

Product category

Intraoperative Neurophysiological Monitoring Services

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Neurology Telemedicine Platforms (HLALAGAC)

Keywords

• Intraoperative neurophysiological monitoring
• TeleNeurology physician services
• IONM oversight services
• Remote neurophysiological monitoring
• Surgical neurodiagnostic services

Headquarters

HQ city

Nashville

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Professional Medical Services Billing: RTNA provides professional IONM oversight services billed through insurance. They operate as a physician practice providing professional oversight and are described as potentially out-of-network for some insurance carriers. The company handles billing directly with patients and insurance companies.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

Real Time Neuromonitoring Associates (RTNA) is a physician practice that delivers remote, real-time neurologist oversight of intraoperative neurophysiological monitoring (IONM) during surgical procedures. Using its proprietary TeleNeurology and Neurophysiological Platform, RTNA physicians supervise over 45,000 orthopedic, neurosurgical, cardiovascular, and otologic surgeries each year across all 50 states, serving as an early warning system to identify neural deficits and alert surgeons in real time. The practice supports IONM technical services providers, physician practices, hospitals, and healthcare systems through clinical coordination, physician credentialing, and licensing services.

Product overview

Real Time Neuromonitoring Associates (RTNA) operates as a physician practice providing professional oversight in the intraoperative neurophysiological monitoring (IONM) field. The company's core offering is a TeleNeurology and Neurophysiological Platform that enables real-time remote neurologist oversight during over 45,000 surgeries annually across all 50 states. The platform encompasses 11 distinct test modalities (SSEP, EMG, TcMEP, BAEPs, EEG, Cortical Mapping, TCD, Cranial Nerve Monitoring, TCCO, and pedicle screw stimulation) which are interpreted by neurologists to provide early warning of neural structure damage. Supporting services include Scheduling and Clinical Coordination, Clinical Support, Licensing and Credentialing, Reporting and Client Services, an Institutional Review Board, and accredited webinars. The company serves technical services providers, physician practices, hospitals, and healthcare systems through a client portal.

Differentiator

Problem solved

Functional benefit

Products and services

• Intraoperative Neurophysiological Monitoring (IONM) Oversight Services Remote, real-time neurologist oversight of surgical procedures that place the nervous system at risk. Delivered by 18+ staff neurologists to hospitals, healthcare systems, physician practices, and IONM technical services providers, providing early warning of potential neurological deficits during orthopedic, neurosurgical, cardiovascular, and otologic surgeries.
• TeleNeurology and Neurophysiological Monitoring Platform

Quantifiable outcome

• Over 45,000 surgeries monitored annually with neurologist oversight
• +3 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Two partnerships are on record, tiered core.

• Allied Managed Processes, LLC (AMP)coreImplementation/ SI/ Consulting PartnerAllied Managed Processes, LLC (AMP) is a practice partner of Real Time Neuromonitoring Associates. AMP provides staffing: recruitment, human resources and employee benefits management; information technology: infrastructure, server and help desk services; marketing: website-design and optimization; and finance and accounting services.
• Real Time Tele-Epilepsy Consultants (RTTC)coreStrategic or Co-development PartnerReal Time Tele-Epilepsy Consultants (RTTC) is a physician-led organization and practice partner of Real Time Neuromonitoring Associates. RTTC delivers expert, high quality EEG interpretation and customizable tele-epilepsy consultation services via telehealth to hospitals, outpatient facilities and ambulatory EEG companies.

Scale indicators7 records

Recent moves5 records

Expansion highlights6 records

Direct peers

• SpecialtyCare: SpecialtyCare is the largest U.S. provider of intraoperative neurophysiological monitoring and outsourced clinical services, with both technical IONM staffing and professional oversight components. It directly competes with RTNA for hospital, health system, and technical services partner contracts in the same IONM professional oversight category.
• Corticare: Corticare provides continuous EEG monitoring, IONM, and tele-neurology services through board-certified neurologists on a 24/7 remote basis. It overlaps with RTNA's tele-neurology oversight model and competes for similar hospital and ambulatory EEG customer relationships.

Emerging players

• Biotricity: Biotricity builds connected health and remote patient monitoring solutions, including cardiac-focused remote monitoring. Although focused on cardiology rather than neurology, it occupies an adjacent remote-monitoring/telehealth category that competes for the same hospital telehealth infrastructure budgets as RTNA.

Broad incumbents

• Cadwell Industries: Cadwell manufactures neurodiagnostic and IONM equipment (EEG, EMG, evoked potentials) and offers service support used by IONM technical teams and hospitals. It complements rather than directly competes with RTNA, but its installed base shapes which professional oversight partners hospitals select.
• Nihon Kohden America: Nihon Kohden is a major global manufacturer of neurodiagnostic, EEG, EMG, and intraoperative monitoring equipment used in IONM programs. It is an adjacent incumbent rather than a direct competitor but influences purchasing decisions for the technical-services providers RTNA partners with.
• Medtronic: Medtronic's Brain Mechanisms business includes intraoperative monitoring, surgical navigation, and neuromodulation technologies sold to neurosurgical and spinal surgery programs. As a broad incumbent it competes indirectly with RTNA in shaping how IONM is delivered during the surgeries RTNA oversees.

Others

• Persyst Development Corporation: Persyst provides EEG interpretation and trending software used inside tele-EEG and IONM workflows. It is an enabling technology vendor in the same care pathway rather than a competing professional services provider, but its adoption can shift dynamics among professional oversight groups like RTNA.
• Real Time Tele-Epilepsy Consultants (RTTC): RTTC is a physician-led tele-epilepsy and EEG interpretation practice that is already a documented practice partner of RTNA. As a same-corporate-family telehealth neurology provider, it shares economics with RTNA and offers a blueprint for joint expansion into adjacent neurology services.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/RealTimeNeuromonitoringAssociates
• LinkedInlinkedin.com/company/real-time-neuromonitoring-associates-pllc
• Pinterestpinterest.com/real-timeneuromonitoringassociates

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Real Time Neuromonitoring Associates