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NPI 1588850150 · Madison, WI · Sleep Disorder Diagnostic Clinic/Center
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Wisconsin Sleep, Inc is a sleep disorder diagnostic clinic/center provider located in Madison, Wisconsin. This profile covers 4 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Wisconsin Sleep, Inc |
| Address | 6001 Research Park Blvd |
| City | Madison |
| State | WI |
| ZIP | 53719 |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| NPI Enumerated | September 18, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $507.4K |
| Medicare | $146.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 200 | $370 | $72.9K |
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 130 | $350 | $44.8K |
| 95800 | A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping. | 200 | $80 | $15K |
| 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 | 470 | $30 | $14.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 1,230 | $350 | $432.3K |
| 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 | 1,540 | $30 | $49.3K |
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 70 | $320 | $21.6K |
| 95800 | A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping. | 40 | $90 | $3.5K |
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 5 | 40 | 120 | $220 | $87.5K |
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 9 | 20 | 50 | $140 | $32.6K |
| 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 | 2 | 30 | 70 | $30 | $11.5K |
| 95800 | A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping. | 6 | 10 | 40 | $40 | $1.6K |
Other providers in the same ZIP code as Wisconsin Sleep, Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Avenues To Community Inc | WI | Case Manager/Care Coordinator | $0 | $11.4M |
| Tiffany Palmbach | WI | Marriage & Family Therapist | $0 | $5.3M |
| Catholic Charities Inc Diocese Of Madison | WI | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $3M |
| Familia Dental Madison West LLC | WI | Dental Clinic/Center | $0 | $1.8M |
| Harry Sharata | WI | Specialist | $569K | $0 |
| Brandon Metcalf | WI | Ophthalmology Physician | $356K | $0 |
| Eric Phillippi | WI | Family Medicine Physician | $271.5K | $0 |
| Hy-vee Inc | WI | Community/Retail Pharmacy | $233.1K | $2.6K |
| Sobia Kirmani Moe | WI | Psychiatry Physician | $158K | $58.7K |
| Wisconsin Cvs Pharmacy LLC | WI | Pharmacy | $119.5K | $1.9K |
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