Sleep Medicine Services of Western Massachusetts LLC
Sleep Medicine Services of Western Massachusetts LLC was paid $1.53M 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 — 47% of everything it billed.
SPRINGFIELD, MA 01107
Next to other Neurology Physician providers in Massachusetts
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 1,705 | $241K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 47% | 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 | 12% | 1,502 | 1,464 | $179K |
| 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% | 1,975 | 1,934 | $178K |
| 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 | 11% | 3,685 | 3,578 | $174K |
| 95811 | 11% | 672 | 529 | $169K | |
| 95806 | 7.5% | 1,423 | 1,075 | $115K | |
| 99443 | <1% | 249 | 249 | $3K | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,021 | 1,010 | $0.00 |
| 1123F | 0% | 677 | 663 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 890 | 883 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 991 | 977 | $0.00 |
| 4040F | 0% | 1,223 | 1,208 | $0.00 |
3 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,294 | $0.00 |
| 1124F | 0% | 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) | 0% | 13 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.