JEFFREY L GLASS, MD
NPI 1023120136, individual, Lufkin, TX, Pediatrics
- Hours beyond a day in 1 month, but with up to 1964 patients a month across 7 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 87426 ($51 per patient-month) sit in the top 5% of every provider billing that code.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 27.4 | 31.4 | 20.9 | 30.9 | 1964 | 7 | 92507 99212 99213 99214 99238 | $106K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JEFFREY L GLASS, MD |
| Type | Individual |
| Status | Active |
| NPI issued | August 31, 2006, last updated July 8, 2007 |
| Practice location | 205 GENE SAMFORD DR, Lufkin, TX 75904, 936-634-2214 |
| Specialties | Pediatrics (208000000X, primary, license K7289 TX) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1.8M | 23% | $42 | $44 (top 5% from $110) | 47th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $789K | 10% | $58 | $60 (top 5% from $133) | 47th percentile | |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | $722K | 9% | $51 | $32 (top 5% from $49) | 97th percentile | |
| 99392 | Medicaid service code | $694K | 9% | $87 | $78 (top 5% from $124) | 64th percentile | |
| 99391 | Medicaid service code | $586K | 7% | $88 | $76 (top 5% from $126) | 67th percentile | |
| 90460 | Administration of first vaccine or toxoid component with counseling (18 years or younger) | $539K | 7% | $29 | $26 (top 5% from $54) | 55th percentile | |
| 99393 | Medicaid service code | $538K | 7% | $92 | $78 (top 5% from $121) | 72nd percentile | |
| 99394 | Medicaid service code | $371K | 5% | $97 | $83 (top 5% from $128) | 71st percentile |
In this area
4 providers in Angelina County, TX carry an indicator in the public record, with $1.9M at stake between them. The most common is part of a provider network, on 2 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PREFERRED HOME HEALTH, LP Lufkin, TX, ranked 2243 | $0 |
|
| 3 | AGAPE HOME CARE SERVICES LLC Lufkin, TX, ranked 4793 | $0 |
|
| 4 | GEORGE FIDONE Lufkin, TX, ranked 7703 | $1.9M |
|
| 5 | HANNAH MOORE Lufkin, TX, ranked 11795 | $40K |
Recent enforcement in TX
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.