Clinic
Quality Sleep Solutions, INC.
Quality Sleep Solutions, INC. was paid $202K by Medicaid between Jan 2018 and Mar 2019, across 11 billing codes. Its largest line is 95810, Polysomnography; sleep staging with 4 or more additional parameters — 36% of everything it billed.
33Billing provider infoQUALITY SLEEP SOLUTIONS, INC.
RIO RANCHO, NM 87124
RIO RANCHO, NM 87124
33aNPI1063517126assigned 09/13/2006
33bProvider typeSleep Disorder Diagnostic Clinic/Center
28Total paid$202K
24GClaims1,802
24DCodes billed11
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Sleep Disorder Diagnostic Clinic/Center providers in New Mexico
Rank by total paid#4 of 6
Median peer was paid$202K
This provider vs. median1.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,374 | $128K | |
| 2019 | 428 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 36% | 178 | 147 | $72K |
| 95811 | 33% | 184 | 157 | $66K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8.2% | 270 | 262 | $16K |
| E0601 | Continuous positive airway pressure (cpap) device | 6.6% | 274 | 268 | $13K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.0% | 111 | 110 | $12K |
| A7031 | Face mask interface, replacement for full face mask, each | 3.6% | 119 | 96 | $7K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 2.9% | 78 | 70 | $6K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 1.8% | 142 | 123 | $4K |
| A7030 | Full face mask used with positive airway pressure device, each | 1.5% | 43 | 38 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 13 | $1K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 390 | 325 | $1K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMELENDREZ, ANDREW (CEO)
| Provider | Location | Paid |
|---|---|---|
| Sleep Health Specialists, LLC | Alamogordo, NM | $259K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.