Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC

NPI: 1750332771 · SPRINGFIELD, MA 01107 · Neurology Physician · NPI assigned 05/15/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SMITH, BRIAN controls 20+ related entities in our dataset. Read more

$1.53M
Total Medicaid Paid
18,316
Total Claims
16,870
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, BRIAN (OWNER)
NPI Enumeration Date05/15/2006

Related Entities

Other providers sharing the same authorized official: SMITH, BRIAN

ProviderCityStateTotal Paid
MOUNT AUBURN HOSPITAL CAMBRIDGE MA $27.96M
CHILDREN AND TEEN DENTAL GROUP OF FLORIDA LAKELAND FL $11.61M
DELAWARE VALLEY MAXILLOFACIAL & ORAL SURGERY LLC PHILADELPHIA PA $4.88M
CHILDREN AND TEEN DENTAL GROUP OF ALABAMA TUSCALOOSA AL $2.84M
ABRIAL ADULT SERVICES, LLC RICHMOND VA $2.67M
BRIAN K. SMITH, D.D.S., M.D., INC. LAKEWOOD OH $1.92M
MOUNT AUBURN PROFESSIONAL SERVICES INC CAMBRIDGE MA $1.73M
ARKLATEX ORAL & MAXILLOFACIAL SURGERY A PARTNERSHIP OF PROFESSIONAL DE SHREVEPORT LA $991K
SOUTHWEST ALLEN COUNTY SCHOOLS FORT WAYNE IN $474K
CURRY COMMUNITY HEALTH GOLD BEACH OR $332K
CITY OF EATON EATON OH $236K
THE SIDELINE PHYSICAL THERAPY MARTIN TN $211K
UMASS MEMORIAL MEDICAL CENTER, INC. WORCESTER MA $202K
GALENA USD499 GALENA KS $169K
MOUNT AUBURN HOSPITAL WATERTOWN MA $144K
SMITH AUDIOLOGY CONSULTING, INC. AKRON OH $87K
SIREN FAMILY EYECARE, LLC SIREN WI $75K
GREYSTONE NEUROLOGY AND PAIN CENTERS, INC BIRMINGHAM AL $75K
VERSAILLES FAMILY MEDICINE, PLLC VERSAILLES KY $45K
SOUTHEAST ARKANSAS PHARMACIES LLC MONTICELLO AR $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,342 $204K
2019 2,542 $264K
2020 3,687 $111K
2021 3,095 $126K
2022 2,984 $284K
2023 2,961 $301K
2024 1,705 $241K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,657 1,965 $712K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 1,502 1,464 $179K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,975 1,934 $178K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,685 3,578 $174K
95811 672 529 $169K
95806 1,423 1,075 $115K
99443 249 249 $3K
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,021 1,010 $0.00
1123F 677 663 $0.00
G8482 Influenza immunization administered or previously received 890 883 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 991 977 $0.00
4040F 1,223 1,208 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,294 1,278 $0.00
1124F 44 44 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 13 13 $0.00