Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Glassinger
    Ask Trek AI about this page

    Michael Glassinger — Billing Profile & Reimbursement Data

    NPI 1023113792 · Mandeville, LA · Emergency Medicine Physician

    Customize your policy alerts

    Sign up for Michael Glassinger — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Michael Glassinger is a emergency medicine physician provider located in Mandeville, Louisiana. This profile covers 5 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Glassinger
    Address639 Lotus Dr N
    CityMandeville
    StateLA
    ZIP70471
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedSeptember 14, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is concentrated and sizable: Total Medicare revenue is $1.5M while Total Medicaid revenue is none, so the practice is effectively single‑payer (Medicare) based on the available billing on file. Precomputed figures show the top 3 Medicare codes account for 99.5% of this provider’s total Medicare revenue, indicating extreme revenue concentration within a very small set of services.

    K1034 dominates the billing mix both in volume and dollars (124.9K claims, $12 avg paid/claim, $1.5M revenue; 96.8% of this provider's total Medicare revenue). The provider ranks #154 of 30143 nationally for K1034 (99th percentile; notably above typical national volume for this code), which marks them as a major national distributor/biller for this specific COVID‑19 test provision code rather than for typical emergency encounter revenue.

    Emergency department evaluation-and-management codes appear only as a minor revenue stream relative to K1034: 99285 (185 claims, $138 avg paid/claim, $25.5K revenue; 1.6% of total Medicare revenue) and 99284 (184 claims, $94 avg paid/claim, $17.3K revenue; 1.1% of total Medicare revenue). 99284 ranks #3275 of 64306 (95th percentile; notably above typical national volume), indicating above‑average billing for that ED level, while 99285 ranks #16628 of 61347 (73th percentile; typical, unremarkable volume), showing more modest activity at the highest ED acuity level.

    Other acute care/critical codes (99291: 36 claims, $170 avg paid/claim, $6.1K revenue; 0.4% of total) and 99283 (23 claims, $56 avg paid/claim, $1.3K revenue; 0.1% of total) are present but small and rank in middling percentiles (#41261 of 71290, 41th percentile for 99291; #13933 of 31069, 53th percentile for 99283), signaling that apart from the high-volume testing code and an elevated 99284 presence, the provider’s ED clinical billing footprint is limited.

    From a service-line perspective, the mix (overwhelming K1034 plus small numbers of ED E/M and critical care codes) suggests the provider’s Medicare revenue model is driven by large‑scale provision or distribution of nonprescription self‑administered COVID‑19 tests, with traditional Emergency Medicine encounters contributing only marginally to revenue. That pattern is atypical for an Emergency Medicine Physician taxonomy, which usually shows a higher share of E/M and critical care payments relative to supply/distribution codes.

    The extreme revenue concentration creates operational and reimbursement exposure: with K1034 generating 96.8% of Medicare dollars and the top three codes together accounting for 99.5% of Medicare revenue, any change in Medicare policy, reimbursement, or demand for that test would disproportionately affect this provider’s Medicare receipts. This is a material concentration risk for payers and partners evaluating continuity of services or negotiating agreements tied to this taxpayer/NPI.

    Competitive standing is mixed by code: nationally the provider is a clear leader for K1034 (99th percentile, #154 of 30143), competitively strong for 99284 (95th percentile, #3275 of 64306), but only a modest participant for other ED codes (e.g., 99285 at the 73th percentile, #16628 of 61347; 99291 at the 41th percentile, #41261 of 71290). For payer/provider analysts, this signals a specialized national role in K1034 provision alongside a limited local/regional profile for conventional emergency care.

    The provider has an established NPI tenure (enumerated 2006-09-14, ~20 years ago), indicating long‑standing enrollment in Medicare. That longevity combined with the unusual code mix suggests the current billing profile is not simply a transient startup pattern and may represent a sustained operational focus that payers should review when assessing network value or utilization patterns.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count124,890$10$1.5M
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.190$140$25.5K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.180$90$17.3K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…40$170$6.1K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.20$60$1.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K10344410250$10$57.8K
    992852611,09090$140$17.3K
    992915681,03040$160$10.7K
    99284391,15050$90$5.8K
    9928310729020$50$1.3K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Michael Glassinger, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Travis County Emergency Physicians PATXEmergency Medicine Physician$0$47.3M
    Emergency Medicine Services Of Tx, PLLCTXEmergency Medicine Physician$0$15M
    Katan PatelTXEmergency Medicine Physician$1.3M$0
    Mustafa HindiILEmergency Medicine Physician$107.8K$744.8K
    Kolawole OdulajaTXInternal Medicine Physician$429.1K$164.7K
    Christopher DurhamTXVascular Surgery Physician$495.7K$0
    Yun Chau LeeMNEmergency Medicine Physician$112.5K$316.1K
    Edward LucasFLEmergency Medicine Physician$165K$257.3K
    Jody GerardCTFamily Medicine Physician$378.2K$0
    Shoaib AhmadOKPulmonary Disease Physician$276.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Michael Glassinger, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rapid Urgent Care, Inc.LAUrgent Care Clinic/Center$0$17.3M
    Trinity Counseling CenterLACommunity/Behavioral Health Agency$0$6.3M
    Dream Team Of La, Inc.LAHome Health Agency$0$5.8M
    Afnb Home Care LLCLAIn Home Supportive Care Agency$0$5.2M
    Leblanc Pediatrics LLCLAPediatrics Physician$0$4.8M
    Marilu O'byrneLAOphthalmology Physician$215.2K$24.6K
    Jason GuillotLAOtolaryngology/Facial Plastic Surgery Physician$199.9K$0
    Benchmark Laboratories Of La, LLCLAClinical Medical Laboratory$43.9K$155.9K
    C.j. PolletLAOptometrist$8.9K$153.5K
    Jonathan SorrelLAOtolaryngology Physician$139.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Louisiana Distribution
    Michael Glassinger — 2 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana