Physician
Commonwealth Sleep and Rehab, PLLC
Commonwealth Sleep and Rehab, PLLC was paid $1.65M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoCOMMONWEALTH SLEEP AND REHAB, PLLC
LEXINGTON, KY 40509
LEXINGTON, KY 40509
33aNPI1164552642assigned 03/06/2007
33bProvider typeSleep Medicine (Internal Medicine) Physician
28Total paid$1.65M
24GClaims68,580
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Sleep Medicine (Internal Medicine) Physician providers in Kentucky
Rank by total paid#1 of 5
Median peer was paid$255K
This provider vs. median6.5×
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 | 10,719 | $269K | |
| 2019 | 10,004 | $246K | |
| 2020 | 10,217 | $262K | |
| 2021 | 9,469 | $253K | |
| 2022 | 8,827 | $235K | |
| 2023 | 11,982 | $215K | |
| 2024incomplete | 7,362 | $175K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 57% | 44,896 | 39,956 | $950K |
| 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 | 21% | 9,794 | 8,957 | $342K |
| 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 | 8.5% | 1,792 | 1,623 | $141K |
| 62323 | 4.8% | 753 | 711 | $79K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 2,785 | 2,503 | $36K |
| 64493 | 2.1% | 387 | 336 | $35K | |
| 64635 | 1.4% | 133 | 105 | $24K | |
| 64494 | 1.1% | 380 | 317 | $18K | |
| 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% | 245 | 236 | $12K |
| 64636 | <1% | 118 | 93 | $8K | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 943 | 812 | $3K |
| 20610 | <1% | 58 | 54 | $2K |
16 more codes
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 314 | $1K |
| G9500 | Radiation exposure indices documented in final report for procedure using fluoroscopy | <1% | 457 | $649.88 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 91 | $617.72 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 507 | $484.49 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | <1% | 56 | $0.07 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,297 | $0.03 |
| 1124F | <1% | 1,141 | $0.01 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 577 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 155 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 577 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 189 | $0.00 |
| 1123F | 0% | 151 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 353 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 355 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 55 | $0.00 |
| 1036F | 0% | 21 | $0.00 |
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 officialJAMES, OLIVER (PRESIDENT/ OWNER)