On July 1, 2025, the Centers for Medicare & Medicaid Services (CMS) released the 2023 Quality Payment Program (QPP) Experience Report. This document provides data specific to sleep medicine providers as it relates to Merit-based Incentive Payment System (MIPS) measures. Per the 2023 QPP experience report, 541,421 clinicians received a MIPS payment adjustment. This is down 13% from 2022.
2023 Final Scores by Participation Option. Participation option refers to the level at which data is collected and submitted to MIPS.*
Participation Option | Mean Final Score | Median Final Score |
---|---|---|
Individual (45,044 MIPS eligible clinicians) |
56.16 | 75.00 |
Group (375,400 MIPS eligible clinicians) |
82.87 | 82.91 |
Subgroup (101 MIPS eligible clinicians) |
89.98 | 93.62 |
Virtual Group (300 MIPS eligible clinicians) |
74.88 | 75.00 |
APM Entity (120,576 MIPS eligible clinicians) |
94.24 | 94.31 |
*75 points are required to meet the performance threshold and is the minimum final score needed to avoid a negative payment adjustment.
2023 Final Scores by Participation Option – Sleep Medicine Providers Only.
Participation Option | Mean Final Score | Median Final Score |
---|---|---|
Individual | 47.65 | 64.84 |
Group | 81.23 | 81.31 |
Subgroup | N/A | N/A |
Virtual Group | N/A | N/A |
APM Entity | 94.76 | 95.31 |
Of the 541,421 clinicians who received a MIPS payment adjustment, 415 were sleep medicine providers. 84.3% (350) of the sleep medicine providers received a positive payment adjustment.
MIPS Payment Adjustment Range – Sleep Medicine Providers Only.
Payment Adjustment Range | 2023 |
---|---|
Positive Only (75.01-100 points) | 350 |
Neutral (75 points) | 13 |
Negative (18.76-74.99 points) | 36 |
Max Negative (0-18.75 points) | 16 |
The graph below shows the top 10 measures contributing to sleep medicine providers quality performance along with the two AASM MIPS measures (277 & 279). The number shown indicates the frequency by which each specific measure was submitted for the MIPS quality final score.


Links to additional resources from CMS are provided below:
Questions regarding AASM MIPS measures should be directed to our registry team at registry@aasm.org.