Clinic
Guardian Sleep Clinic, LLC
Guardian Sleep Clinic, LLC was paid $533K by Medicaid between Feb 2018 and Nov 2024, across 14 billing codes. Its largest line is E0601, Continuous positive airway pressure (cpap) device — 30% of everything it billed.
33Billing provider infoGUARDIAN SLEEP CLINIC, LLC
SAN JOSE, CA 95138
SAN JOSE, CA 95138
33aNPI1174967079assigned 04/22/2013
33bProvider typeSleep Disorder Diagnostic Clinic/Center
28Total paid$533K
24GClaims14,006
24DCodes billed14
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Sleep Disorder Diagnostic Clinic/Center providers in California
Rank by total paid#17 of 61
Median peer was paid$119K
This provider vs. median4.5×
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 | 842 | $58K | |
| 2019 | 1,144 | $95K | |
| 2020 | 464 | $19K | |
| 2021 | 2,157 | $63K | |
| 2022 | 2,588 | $83K | |
| 2023 | 3,634 | $117K | |
| 2024incomplete | 3,177 | $98K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0601 | Continuous positive airway pressure (cpap) device | 30% | 3,391 | 3,358 | $158K |
| A7031 | Face mask interface, replacement for full face mask, each | 17% | 1,016 | 1,006 | $93K |
| A7030 | Full face mask used with positive airway pressure device, each | 16% | 1,014 | 1,010 | $83K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 13% | 2,632 | 2,594 | $70K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 9.9% | 1,633 | 1,629 | $53K |
| A7035 | Headgear used with positive airway pressure device | 4.6% | 1,385 | 1,380 | $25K |
| A7038 | Filter, disposable, used with positive airway pressure device | 3.6% | 1,570 | 1,563 | $19K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 2.4% | 366 | 366 | $13K |
| 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) | 1.5% | 51 | 51 | $8K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | 1.4% | 820 | 818 | $7K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 30 | 30 | $2K |
| 94660 | <1% | 28 | 28 | $1K |
2 more codes
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 officialVALDERRAMA, KAREN (PRESIDENT)