NP / PA
Sleep Insights Medical Associates PLLC
Sleep Insights Medical Associates PLLC was paid $3.80M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 95810, Polysomnography; sleep staging with 4 or more additional parameters — 36% of everything it billed.
33Billing provider infoSLEEP INSIGHTS MEDICAL ASSOCIATES PLLC
ROCHESTER, NY 14623
ROCHESTER, NY 14623
33aNPI1457728420assigned 08/26/2015
33bProvider typePhysician Assistant
28Total paid$3.80M
24GClaims29,857
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in New York
Rank by total paid#6 of 263
Median peer was paid$3K
This provider vs. median1,164×
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 | 1,221 | $231K | |
| 2019 | 2,487 | $328K | |
| 2020 | 3,512 | $369K | |
| 2021 | 6,552 | $636K | |
| 2022 | 6,766 | $823K | |
| 2023 | 5,839 | $828K | |
| 2024incomplete | 3,480 | $589K |
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% | 2,581 | 2,580 | $1.38M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 9,931 | 9,877 | $540K |
| 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 | 13% | 5,778 | 5,743 | $478K |
| 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 | 12% | 4,042 | 4,038 | $472K |
| 95811 | 11% | 735 | 733 | $403K | |
| 95806 | 5.9% | 2,626 | 2,581 | $225K | |
| 95800 | 3.6% | 1,240 | 1,217 | $137K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 936 | 936 | $73K |
| E0601 | Continuous positive airway pressure (cpap) device | 1.8% | 890 | 810 | $69K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 940 | 860 | $20K |
| G0398 | Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation | <1% | 88 | 85 | $9K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 55 | 55 | $599.47 |
1 more codes
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 15 | $103.76 |
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 officialDOMINIK, JACOB (OWNER)