Physician

Michael Zlupko

According to 2025 Medicare claims, Michael Zlupko (NPI: 1114121647) practices critical care (intensivists) in the Altoona, PA market, with the plurality of this provider's patient population coming from Blair, PA. This provider's primary affiliated billing organization is ALTOONA LUNG SPECIALISTS (NPI: 1457394835; TIN: 251384796) and primary practice location at 16602-4165. Zlupko is affiliated with the AdvantagePoint Health Alliance - Laurel Highlands, LLC (ACO ID: A4657), participating under the MSSP model.

Zlupko's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 522 traditional Medicare patients, billed 3,006 HCPCS/CPT codes, and received $180,610 in Medicare payments. The top billing code was 99233 (Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes). Part D data shows 3,251 prescription claims across 439 beneficiaries totaling $2,064,237 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 630 claims. Open Payments data shows 155 records totaling $116,840. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $101,599 to $180,610. Similarly, Part D prescription costs have risen steadily, from $347,635 to $2,064,237. In contrast, DME billing represents a smaller volume and moved from a lower plateau to a higher plateau, from $15,833 to $37,408.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$90K$181K2015 Medicare payment: $101,599 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $100,605 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $132,446 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $125,070 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $119,173 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $99,425 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $117,809 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $102,137 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $168,129 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $180,610 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152992,167$101,599
20163252,089$100,605
20173923,590$132,446
20183952,836$125,070
20193822,273$119,173
20203612,169$99,425
20213562,940$117,809
20223762,345$102,137
20235173,259$168,129
20245223,006$180,610

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.2M$2.5M2015 Drug cost: $347,635 (USD; Tot_Drug_Cst)2016 Drug cost: $368,005 (USD; Tot_Drug_Cst)2017 Drug cost: $933,539 (USD; Tot_Drug_Cst)2018 Drug cost: $1,076,650 (USD; Tot_Drug_Cst)2019 Drug cost: $1,385,419 (USD; Tot_Drug_Cst)2020 Drug cost: $1,664,664 (USD; Tot_Drug_Cst)2021 Drug cost: $2,202,744 (USD; Tot_Drug_Cst)2022 Drug cost: $2,458,760 (USD; Tot_Drug_Cst)2023 Drug cost: $2,406,925 (USD; Tot_Drug_Cst)2024 Drug cost: $2,064,237 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015146796$347,635
20162081,141$368,005
20172741,891$933,539
20183212,325$1,076,650
20193702,891$1,385,419
20204013,232$1,664,664
20214033,239$2,202,744
20223933,129$2,458,760
20234343,238$2,406,925
20244393,251$2,064,237

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$37K$75K2015 Medicare payment: $29,251 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $26,472 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $20,120 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $40,963 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $60,894 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $74,763 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $52,162 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $44,028 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $59,542 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $32,549 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201512270$29,251
201617299$26,472
201723334$20,120
201877569$40,963
201974725$60,894
202062725$74,763
202171637$52,162
202280762$44,028
202374824$59,542
202457630$32,549

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes160351$89
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more235434$87
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2341,070$59
94729Test to examine how well the lungs exchange gases102146$40
94010Test to measure expiratory airflow and volume167282$19

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Trelegy ElliptaFluticasone/Umeclidin/Vilanter79628,800$593,067
Prolastin CAlpha-1-Proteinase Inhibitor26714$280,893
OfevNintedanib Esylate20600$260,663
NucalaMepolizumab351,204$155,416
Breo ElliptaFluticasone/Vilanterol2239,600$122,006

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateY31217$17,842
J7606Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 microgramsNN/R53$6,778
J7626Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mgNN/R32$1,833
Q0513Pharmacy dispensing fee for inhalation drug(s); per 30 daysN1367$1,700
E1392Portable oxygen concentrator, rentalYN/R52$1,609

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.138$49,920GlaxoSmithKline, LLC.
Research PaymentsReported research-related payment or transfer-of-value amount.17$66,920GlaxoSmithKline, LLC.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Michael Zlupko?

Tedicare shows public-source Medicare data for Michael Zlupko (NPI 1114121647), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Michael Zlupko have ACO affiliation data?

Michael Zlupko is shown with ACO affiliation data for AdvantagePoint Health Alliance - Laurel Highlands, LLC (MSSP, ACO ID A4657).

What billing organization is linked to Michael Zlupko?

Michael Zlupko is linked to ALTOONA LUNG SPECIALISTS (billing NPI 1457394835) in the available physician profile data.

Does Michael Zlupko have Open Payments data?

Michael Zlupko has 155 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.