Clinic
Delaware Sleep Disorder Centers, LLC
Delaware Sleep Disorder Centers, LLC was paid $960K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 95810, Polysomnography; sleep staging with 4 or more additional parameters — 31% of everything it billed.
33Billing provider infoDELAWARE SLEEP DISORDER CENTERS, LLC
NEWARK, DE 19713
NEWARK, DE 19713
33aNPI1518038264assigned 11/13/2006
33bProvider typeSleep Disorder Diagnostic Clinic/Center
28Total paid$960K
24GClaims15,070
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
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 | 378 | $9K | |
| 2019 | 1,600 | $148K | |
| 2020 | 1,717 | $195K | |
| 2021 | 2,211 | $229K | |
| 2022 | 4,739 | $172K | |
| 2023 | 2,844 | $145K | |
| 2024incomplete | 1,581 | $62K |
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 | 31% | 1,260 | 872 | $297K |
| 95811 | 20% | 952 | 652 | $194K | |
| 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 | 19% | 3,940 | 2,595 | $184K |
| 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 | 13% | 1,870 | 1,230 | $124K |
| 95806 | 9.8% | 1,473 | 716 | $94K | |
| 95800 | 3.5% | 435 | 323 | $34K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 1,008 | 779 | $29K |
| 96160 | <1% | 3,132 | 1,762 | $4K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 25 | 24 | $84.31 |
| 1036F | <1% | 221 | 203 | $28.87 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 389 | 345 | $21.93 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 26 | 24 | $0.00 |
3 more codes
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 227 | $0.00 |
| G8851 | Adherence to therapy was assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available, documented) | 0% | 13 | $0.00 |
| G8842 | Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory event index (rei) documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea | 0% | 99 | $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 officialDEPUTY, LYRON (CEO)
| Provider | Location | Paid |
|---|---|---|
| Premier Medical Associates | Newark, DE | $130K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.