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    OpenPayerNPI Medicare & MedicaidGeorge Zlupko
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    George Zlupko — Billing Profile & Reimbursement Data

    NPI 1902867716 · Altoona, PA · Pulmonary Disease Physician

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    George Zlupko is a pulmonary disease physician provider located in Altoona, Pennsylvania. This profile covers 17 Medicare and 7 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)

    FieldValue
    Entity TypeIndividual
    OrganizationGeorge Zlupko
    Address800 Chestnut Ave
    CityAltoona
    StatePA
    ZIP16601
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedMarch 31, 2006

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

    Payer SourceTotal Paid
    Medicare$47.9K
    Medicaid$8.8K

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…280$90$25.4K
    94010The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…220$20$3.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…40$110$3.9K
    99458The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…70$30$2.1K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.50$40$1.9K
    94681In this procedure, the provider collects the patient’s expelled air and measures the rate of oxygen uptake and the rate of carbon dioxide production during rest and exercise.50$30$1.7K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…30$50$1.6K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…20$70$1.5K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…40$40$1.3K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.60$20$1.3K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,57723,230100$80$14.5K
    994584170100$30$13.2K
    99457125150100$40$10K
    992153,7227,17040$120$8.6K
    99454114150100$40$8.5K
    9921316,01022,37070$60$7.7K
    906942,0142,40070$80$7.5K
    G00085,0806,67050$30$2.4K
    9472923245060$20$1.7K
    710461,1811,70070$10$1.6K

    Showing 1–10 of 17

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…150$30$3.7K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…420$10$3.3K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.150$10$1K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…60$10$500
    94727The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the…20$10$210
    94200The provider measures the largest volume of air that a patient can voluntarily breathe while the patient breathes as deeply and quickly as possible for a specified period of time. This test helps…40$1$150
    94010The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…30$1$60

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Pennsylvania median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…4,6118,160210$60$68.4K
    94010The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…8011090$40$27.8K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.65160100$20$6.2K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…7313080$20$5.8K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…3216090$20$5.3K
    94200The provider measures the largest volume of air that a patient can voluntarily breathe while the patient breathes as deeply and quickly as possible for a specified period of time. This test helps…41050$10$3.9K
    94727The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the…294040$20$3.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Upmc AltoonaPAGeneral Acute Care Hospital$0$19.7M
    George JabbourPACardiovascular Disease Physician$882.6K$732.1K
    Ziad KhouryPACardiovascular Disease Physician$1.1M$151.8K
    Hany ShanoudyPACardiovascular Disease Physician$571.3K$108.8K
    Michael LarkinPACardiovascular Disease Physician$414.1K$192.2K
    Mehrdad GhaffariPASleep Medicine (Family Medicine) Physician$172.6K$219.9K
    Stacy EmilePAFamily Medicine Physician$324.7K$0
    Arthur DemarsicoNJVascular Surgery Physician$310.2K$0
    Nicholas MaddenPASurgery Physician$156K$134K
    Alan KanouffPAPulmonary Disease Physician$212.7K$49.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Primary Health NetworkPAFederally Qualified Health Center (FQHC)$0$19.7M
    Pyramid Healthcare Inc.PAMethadone Clinic$125.2K$13.3M
    Upmc Home Healthcare Of Central PennsylvaniaPAHome Health Agency$0$7.1M
    David RosePADiagnostic Radiology Physician$137.1K$209.6K
    Angel RaposasPANephrology Physician$218.7K$21.1K
    Michael ZlupkoPAPulmonary Disease Physician$158.9K$37.5K
    Robert CaugheyPAOtolaryngology Physician$49.6K$126.8K
    Jeffrey FarrellPAVascular & Interventional Radiology Physician$71.5K$86.5K
    Gorgi KozeskiPAClinical Cardiac Electrophysiology Physician$143.9K$11.4K
    Thompson Enterprises, Inc.PACommunity/Retail Pharmacy$147.7K$780

    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. Pennsylvania Distribution
    George Zlupko — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    George Zlupko — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania