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Market snapshot

95800 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

95800 — Sleep study including heart rate, breathing, and sleep time

Billing groups
535
Named-group FFS services
64,828
FFS of Medicare
49%
Services YoY
+14.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~128,512 services

64,828 observed fee-for-service (50%) · ~63,684 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 95800 (CY2024)

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$26.5M
Named-group allowed amount
$5.9M
Named-group Medicare payments
$4.5M
Avg charge / svc
$409
Avg allowed / svc
$91
Avg payment / svc
$69
Average charge per group
$40 535 groups · avg submitted charge / service $2,500
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Specialty market — Sleep Medicine: 1,095 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Sleep Medicine across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 95800 services, CY2024
#Physician group City St Specialty Providers 95800 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 SD DIAGNOSTICS INC SAN DIEGO CA SLEEP MEDICINE 6 471 $357,960 $760 premium 2.1% (866) 801-9440
2 SIRISH NAKKA MD INC SANTA CRUZ CA SLEEP MEDICINE 5 211 $126,600 $600 premium 0.9% (844) 387-5337
3 LIVING GEM PROFESSIONAL CORPORATION TUCSON AZ SLEEP MEDICINE 3 123 $50,307 $409 premium 2.8% (520) 849-7222
4 THE INSOMNIA AND SLEEP INSTITUTE OF ARIZONA LLC SCOTTSDALE AZ SLEEP MEDICINE 10 99 $55,440 $560 premium 2.3% (480) 745-3547
5 PACIFIC PULMONARY CONSULTANTS LLC LIHUE HI SLEEP MEDICINE 2 76 $33,500 $441 premium 31.5% (808) 245-5383
6 SOUTHERN CALIFORNIA PULMONARY AND SLEEP DISORDERS MEDICAL CENTER INC. THOUSAND OAKS CA SLEEP MEDICINE 2 35 $14,000 $400 premium 0.2% 80555799302
7 SLIIIP MEDICAL GROUP P A BYRON GA SLEEP MEDICINE 11 34 $25,500 $750 premium 0.6% (478) 238-3552
8 BEACON SLEEP SERVICES PLLC MORRISTOWN TN SLEEP MEDICINE 2 28 $4,200 $150 premium 3.4% (423) 616-0501
9 JAMES M ANDRY MD PA SAN ANTONIO TX SLEEP MEDICINE 4 18 $9,000 $500 premium 0.1%

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →