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Medicare Arizona · CY2024

Who bills the most Sleep study in sleep lab with continuous airway pressure (6 years or older) (95811) to Medicare in Arizona?

Medicare Part B FFS · CY2024 · as published by CMS
24
Billing groups
2,306
Named-group FFS services
$4,038,752
Named-group submitted charges
$1,751
Avg charge / service
$429
Avg allowed / service
62%
Top-5 concentration
0%
Independent share

24 physician groups billed Sleep study in sleep lab with continuous airway pressure (6 years or older) (95811) to Medicare fee-for-service in Arizona in 2024; the top five named groups hold 62% of that volume, and independent (non-hospital-affiliated) groups deliver 0%.

95811 — Sleep study in sleep lab with continuous airway pressure (6 years or older) · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.

Snapshot covers the whole Arizona market — the table below shows the top 100 groups (free tier).

Payer-mix context

Medicare fee-for-service covers 49% of Medicare in Arizona; Medicare Advantage penetration 42% → 51% since 2020.

Market structure — concentration, independent share, and the consolidation trend for this market — is part of the market analytics platform — built, not launched yet. Notify me at launch →
#Physician groupCityStSpecialty Providers 95811 svcs Share*Phone
1 LIVING GEM PROFESSIONAL CORPORATION TUCSONAZSLEEP MEDICINE 3 397 7.7% (520) 849-7222
2 THE INSOMNIA AND SLEEP INSTITUTE OF ARIZONA LLC SCOTTSDALEAZSLEEP MEDICINE 10 393 7.6% (480) 745-3547
3 MAYO CLINIC ARIZONA PHOENIXAZPHYSICIAN ASSISTANT 1635 383 7.4% (800) 603-0558
4 PASEO MEDICAL SPECIALISTS LLC GLENDALEAZCRITICAL CARE (INTENSIVISTS) 3 125 2.4% (602) 978-6100
5 PULMONOLOGY GROUP LLC HENDERSONAZPULMONARY DISEASE 12 121 2.3% (702) 780-0300
6 PHOENIX NEUROLOGY AND SLEEP MEDICINE PLLC GOODYEARAZNEUROLOGY 4 99 1.9% (623) 535-0050
7 ENTICARE PC CHANDLERAZPHYSICIAN ASSISTANT 18 89 1.7% (480) 214-9000
8 TMC MEDICAL NETWORK TUCSONAZNURSE PRACTITIONER 273 83 1.6% (520) 324-4230
9 PHOENIX MEDICAL GROUP PC PEORIAAZPULMONARY DISEASE 4 76 1.5% (623) 815-7800
10 NORTHWEST ALLIED PHYSICIANS LLC TUCSONAZPHYSICIAN ASSISTANT 128 70 1.4% (520) 202-7770
11 BANNER-UNIVERSITY MEDICAL GROUP TUCSONAZINTERNAL MEDICINE 1068 66 1.3% (520) 694-0111
12 EAST VALLEY CENTER FOR PULMONARY AND SLEEP DISORDERS INC MESAAZPULMONARY DISEASE 5 59 1.1% (480) 325-8173
13 KINGMAN HEALTHCARE INC KINGMANAZDIAGNOSTIC RADIOLOGY 178 55 1.1% (928) 263-4722
14 PARAGON PHYSICAL THERAPY AND REHAB LLC BULLHEAD CITYAZORTHOPEDIC SURGERY 82 50 1.0%
15 ARIZONA LUNG SLEEP AND VALLEY FEVER INSTITUTE INC GOODYEARAZPULMONARY DISEASE 4 44 0.9% (623) 243-6538
16 RESPIRATORY, CRITICAL CARE AND SLEEP SPECIALISTS, LLC DES PLAINESAZPULMONARY DISEASE 9 35 0.7% (847) 376-8969
17 CRAIG M RUNDBAKEN DO PLLC SUN CITY WESTAZNURSE PRACTITIONER 10 33 0.6% (623) 975-0500
18 SJHMC PHYSICIAN SERVICES PHOENIXAZNURSE PRACTITIONER 690 28 0.5% (602) 406-6017
19 VALLEY SLEEP PHYSICIANS INC MESAAZNURSE PRACTITIONER 26 22 0.4% (480) 361-0110
20 ARIZONA LUNG AND SLEEP INSTITUTE PLLC MESAAZNURSE PRACTITIONER 3 19 0.4% (480) 325-8173
21 DESERT PULMONARY AND SLEEP CONSULTANTS PLC GILBERTAZPULMONARY DISEASE 5 18 0.3% (480) 962-1650
22 PULMONARY CONSULTANTS P.C. MESAAZINTERNAL MEDICINE 32 15 0.3% 4808357111112
23 GEORGE WANG,MD,LLC MESAAZNEUROLOGY 3 13 0.3% (480) 357-5780
24 DESERT CENTER FOR ALLERGY AND CHEST DISEASES PHOENIXAZPULMONARY DISEASE 8 13 0.3% (602) 788-7211

*Share of Arizona's disclosed Medicare-FFS services for 95811, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing 95811 in Arizona — including groups registered elsewhere ("City" is each group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group.

How to read this. Figures are Medicare fee-for-service only — not all-payer — from the CMS Medicare Physician & Other Practitioners Public Use File (Part B), CY2024 release. CMS suppresses any provider×code row under 11 beneficiaries, so a missing group means "suppressed," never zero. "Charges" are provider-submitted amounts, not payments. Groups are ranked by measured service volume attributed to clinicians in exactly one group — clinicians affiliated with several groups are listed in rosters but never volume-attributed to a single group — a direct read of the public record, not a rating or quality score. Full method: Methods & Sources.

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 →