I am a long-term CPAP user (30+ years) who recently sought a replacement machine through Medicare. I have serious concerns about the care I received from Dr. Rami Arfoosh and the subsequent referral process. Medicare requires documentation of ongoing medical necessity for CPAP replacement after five years, which often includes a new sleep study. However, the process with Dr. Arfoosh felt unnecessarily burdensome and disrespectful: Two scheduled appointments were canceled by the office with only minutes' notice. During my visit, communication was difficult due to a significant language barrier. When I politely raised this issue as it affected my ability to understand instructions and ask questions, Dr. Arfoosh responded by accusing me of racism. This was unprofessional and inappropriate. The office appeared primarily focused on generating billable services rather than addressing my needs efficiently as a long-established patient. After the required sleep study, I was referred to AdaptHealth for the new CPAP machine. AdaptHealth staff repeatedly requested personal and financial information, claiming it was mandatory under Medicare rules. When I initiated a three-way call with Medicare to verify, the AdaptHealth representative immediately admitted that the information was not required. This raised serious concerns about their practices and whether they were attempting to collect unnecessary data. As a Medicare beneficiary who has relied on CPAP therapy for decades, I expected competent, respectful, and transparent care. Instead, I experienced repeated scheduling failures, poor communication, defensive behavior, and what appeared to be coercive information-gathering by the DME supplier. read more

If I could give zero stars I would. It took ONE FULL MONTH to get my CPAP supplies. And the complete lack of response from Iris (the CPAP Clinic rep) was reprehensible and inexcusable. I ordered standard CPAP supplies from the CPAP Clinic on 8/21/2023. A full week later (8/28) Iris responded to my email to ask a question, which I answered promptly. radio silence for nearly two weeks, when I finally again emailed (9/10) and asked for an update on my order. I received NO response from Iris. I left her a voicemail that Tuesday (9/12) and received NO response. I tried to reach Iris twice again the next day (9/13) and kept getting her voicemail. Finally I just told the front desk it had been since 8/21 since I ordered these supplies and I was getting no response from Iris. They went and found her, she came to the phone. She told me the items I ordered "had been on back order". And should be arriving "tomorrow" so they would ship out then. That means they would be shipping out on Thursday 9/14. I live exactly 1.7 miles from their office. Even with the slowest shipping option available via FedEx, it would still reach me on Monday at the latest. Well, today was Monday 9/18. No package. I emailed this morning thru the portal and asked what the tracking number was. Low and behold, this afternoon, suddenly in the portal, all of my items are suddenly posted as "ordered" and "received" on 9/7(!!). Late this afternoon, I got an auto-email from Fedex that the supplies have finally been shipped and I'll receive Thursday (9/21). So that means this CPAP supply order took EXACTLY ONE MONTH to receive from when I ordered it. All without any proper communication from the CPAP clinic to tell me the items were on back order, or giving me a status update when it was taking so long, or giving me options to choose another type of mask that was not back ordered, etc. It isn't like I was ordering jellybeans. This is medical equipment that keeps me breathing when I sleep. When you order it, you *NEED* it. It is not a "want" - it is a medical necessity. But Iris and the CPAP Clinic clearly could not have cared less. Needless to say, I have already found a different DME provider for my next CPAP supply order. read more

I came here as I had not seen a sleep doc for CPAP since Dec 2006. What prompted me is that they said I could have a cpap machine calibrated on Thursdays with apt free, for patients. I did go to one appt. Doc put me on a very detailed schedule, where I have to measure every minute of sleep and go to bed and rise at an exact time and subtract from the nightly sleep any nap. Maybe I needed that, but my life doesn't fit into such a straightjacket. I called to make appointment for CPAP calibration as promised they do, but the gal had no interest in making an appointment for that. The front office staff often doesn't answer phones and calls go to recorders. I spoke to a nice women before the first appointment. After that is was someone with much less interpersonal skills. I called and cancelled my upcoming appointment with the second gal mentioned above. Then, as so often happens, I start getting reminders for an appointment that was cancelled many days ago. Gosh I HATE THAT!!! I call immediately, but as often the case, only the recorder on. I left a message I cancelled already, and cancel me again please, now and forever! read more

I have been seeing Dr. Nathanson for about 16 years. He is excellent. I never have trouble getting information I need. He often volunteers additional information. I can get all of my supplies for my Cpap machine in the office and I can order them ahead of my regular appointment and just pick them up at the same appointment. I had a problem with my insurance and bill one time, and someone sat with me and looked at my account and got it all figured out. Dr Nathanson Is also an Internist and Critical Care Specialist. read more

Dr. Avery Nathanson is my Pulmonologist. I had not been to see him for 3 years. I had a bad case of bronchitis and pneumonia and following up with him wAs great. He really takes care of his patients. read more

This medical firm is symptomatic of everything that is wrong with the American healthcare industry. Currently riding the wave of the healthcare industry pushing the notion of apnea as a major sleep disorder to sell overpriced breathing machines, it does an appalling job providing service. Its robocall appointment reminder system is non-existent. Time with personnel ranges from 5-7 minutes. Don't expect to see a doctor. Waiting times range from thirty to fifty minutes. All for $50 each time you visit. $50 for 50 minutes waiting and 5 minutes with a medical assistant. You do the math. Please do yourself a favor and go somewhere else. read more

Went to get a new cpap machine. Dr Pollack did my original sleep study several years ago and the machine has worn out. Nothing has changed - I just need a new machine. But no. They insisted I spend $1800 on a new sleep study (my insurance has a huge deductible so I'd pay out of pocket). They almost wouldn't let me leave until I schedule that sleep study. I finally left anyway - without a new cpap machine or a prescription so I could buy one elsewhere. This place is a money trap preying on insurance companies and weak consumers. read more