Providers
BRUCE DAVID GLASSMAN, M.D.
NPI 1730151119, individual, Alexandria, VA, Dermatology
5
Evidence tier
informational
score 31 of 100, rank 10797, $2.2M at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BRUCE DAVID GLASSMAN, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | February 1, 2006, last updated March 14, 2011 |
| Practice location | 4660 KENMORE AVE, SUITE 500, Alexandria, VA 22304-1313, 703-370-0073 |
| Specialties | Dermatology (207N00000X, primary, license 0101051255 VA) |
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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $1.5M | 29% | $90 | $60 (top 5% from $133) | 79th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $856K | 17% | $60 | $44 (top 5% from $110) | 71st percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $690K | 14% | $116 | $95 (top 5% from $171) | 69th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $592K | 12% | $78 | $67 (top 5% from $121) | 66th percentile | |
| 17110 | Destruction of skin growth, 1-14 growths | $424K | 8% | $92 | $70 (top 5% from $141) | 73rd percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $269K | 5% | $34 | $28 (top 5% from $147) | 62nd percentile | |
| 96920 | Treatment of inflammatory skin disease using laser, less than 250.0 sq cm | $260K | 5% | $472 | $342 (top 5% from $795) | 69th percentile | |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | $220K | 4% | $56 | $45 (top 5% from $138) | 69th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 1,588 | 1,151 | $111K | $318 | $103 | 3.1x | 2.2x (90th percentile 3.8x) |
| 17110 | Destruction of skin growth, 1-14 growths | 641 | 553 | $56K | $420 | $124 | 3.4x | 2.3x (90th percentile 4.1x) |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,140 | 764 | $49K | $245 | $57 | 4.3x | 3.0x (90th percentile 5.4x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 394 | 310 | $39K | $446 | $144 | 3.1x | 2.3x (90th percentile 3.8x) |
| 11604 | Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm | 137 | 115 | $34K | $1K | $321 | 3.5x | 3.1x (90th percentile 7.0x) |
| 11102 | Biopsy of related skin growth, first growth | 429 | 355 | $31K | $380 | $97 | 3.9x | 2.7x (90th percentile 5.1x) |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 166 | 138 | $30K | $1K | $231 | 4.8x | 2.5x (90th percentile 4.8x) |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 184 | 184 | $15K | $393 | $125 | 3.1x | 2.4x (90th percentile 3.9x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
2 providers in Alexandria city County, VA carry an indicator in the public record, with $205K at stake between them. The most common is named in an enforcement record, on 1 of them, followed by more hours than a day holds on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | 1ST ADULT N PEDIATRIC HEALTHCARE SERVICES INC Alexandria, VA, ranked 573 | $0 |
|
| 5 | FANTA CONDE Alexandria, VA, ranked 10636 | $205K |
|
Recent enforcement in VA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJChargedJun 23, 2026
U.S. Attorney’s Office announces charges against three defendants in the Eastern District of Virginia as part of national health care fraud takedown
Three defendants were charged with fraudulently billing Medicaid for mental health services that were not provided and with submitting false claims to Medicare through a straw-owned durable medical equipment company.
DOJSentencedJun 5, 2026
Medicaid service providers sentenced for false statements resulting in overbilling
Wright and Winfield instructed CCR employees to falsely claim in progress notes that children received therapeutic day treatment services from 2:00pm to 7:00pm, including providing prefilled progress note templates, resulting in overbilling to Medicaid.
DOJCivil settlementApr 27, 2026
Tri-Area Community Health Agrees to Pay $513,000 to Resolve Medicare Billing Allegations
Tri-Area Community Health billed Medicare for Annual Wellness Visits provided by pharmacists without appropriate physician supervision that were billed under the names of physicians not involved with the visits.
DOJSentencedMar 17, 2026
Six Sentenced in Healthcare Fraud Conspiracy that Stole $10 Million from Medicaid Over Six-Year Period
Six defendants conspired to submit false claims to Virginia Medicaid on behalf of 1st Adult N Pediatric Healthcare Services for nursing and personal care services that were not provided, including falsifying records and paying parents or guardians of patients for blank, signed nursing notes.
DOJIndictedMar 11, 2026
Victim Advisory- Divine Youth Case Updates
Divine Youth Counseling submitted more than $11 million in fraudulent Medicaid claims for Crisis Stabilization and Mobile Crisis services by falsely claiming two mental health professionals provided Team Treatment services and paid more than $470,000 in kickbacks in the form of hotel rooms for Medicaid recipients.
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.