CLIFFORD LOMBOY, MD
Gastroenterology Physician · LANCASTER, PA
Individual Active NPI 1457449043
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 402 | 2,542 | $457,888 | $120,687 | $95,669 |
| 2023 | 534 | 3,714 | $599,253 | $167,205 | $132,471 |
| 2022 | 568 | 4,252 | $625,015 | $194,957 | $154,070 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 102 | $115 | $93 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 89 | $86 | $59 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 76 | $235 | $194 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 36 | $121 | $81 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 36 | $104 | $77 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 33 | $92 | $68 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 32 | $124 | $98 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 29 | $172 | $172 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 25 | $47 | $36 |
| 43450 | Dilation of esophagus | 23 | $37 | $29 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 19 | $105 | $74 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 14 | $172 | $172 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD046774L | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.