Physician

Joseph Stephen R Lomboy, MD

According to 2025 Medicare claims, Joseph Lomboy, MD (NPI: 1215974100) practices internal medicine in the Warner Robins, GA market, with the plurality of this provider's patient population coming from Houston, GA. This provider's primary affiliated billing organization is SOUTH HOUSTON INTERNAL MEDICINE (NPI: 1619089653; TIN: 20-5390547) and primary practice location at 31069-2947. Lomboy is affiliated with the TC2, LLC (ACO ID: A3365), participating under the MSSP model.

Lomboy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 465 traditional Medicare patients, billed 10,903 HCPCS/CPT codes, and received $401,556 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 4,393 prescription claims across 579 beneficiaries totaling $675,096 in drug costs, led by Ozempic (Semaglutide). DME data shows 348 claims. Open Payments data shows 65 records totaling $1,206. 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 changed little. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $888,454 to $675,096. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $42,270 and ending at $31,767.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	587	9,053	$349,779
2016	588	10,212	$394,561
2017	590	11,630	$423,771
2018	639	11,901	$437,851
2019	641	10,866	$395,075
2020	621	10,019	$378,696
2021	767	11,409	$453,368
2022	576	10,768	$431,655
2023	517	8,266	$353,237
2024	465	10,903	$401,556

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	532	14,715	$888,454
2016	539	9,943	$666,925
2017	571	7,329	$554,258
2018	592	4,626	$340,885
2019	504	2,712	$172,961
2020	459	2,678	$191,210
2021	450	2,641	$206,342
2022	549	3,259	$298,153
2023	535	3,507	$451,234
2024	579	4,393	$675,096

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	300	1,003	$44,145
2016	217	928	$42,875
2017	83	743	$57,362
2018	90	711	$51,267
2019	40	498	$40,614
2020	73	504	$41,789
2021	65	451	$32,793
2022	23	427	$20,482
2023	27	404	$26,189
2024	37	348	$32,065

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	385	1,196	$88
99497	Advance care planning, first 30 minutes	356	358	$76
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	381	1,126	$58
G0444	Annual depression screening, 5 to 15 minutes	342	342	$17
36415	Insertion of needle into vein for collection of blood sample	430	1,241	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	109	4,126	$128,972
Mounjaro	Tirzepatide	74	2,354	$87,628
Jardiance	Empagliflozin	55	4,055	$79,730
Eliquis	Apixaban	51	2,999	$58,736
Farxiga	Dapagliflozin Propanediol	54	2,708	$50,295

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	35	$17,863
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	11	$2,358
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	30	$2,152
A7031	Face mask interface, replacement for full face mask, each	N	N/R	21	$2,067
A7030	Full face mask used with positive airway pressure device, each	N	N/R	20	$1,741

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	65	$1,206	Amgen Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Joseph Stephen R. Lomboy, MD?

Tedicare shows public-source Medicare data for Joseph Stephen R. Lomboy, MD (NPI 1215974100), 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 Joseph Stephen R. Lomboy, MD have ACO affiliation data?

Joseph Stephen R. Lomboy, MD is shown with ACO affiliation data for TC2, LLC (MSSP, ACO ID A3365).

What billing organization is linked to Joseph Stephen R. Lomboy, MD?

Joseph Stephen R. Lomboy, MD is linked to SOUTH HOUSTON INTERNAL MEDICINE (billing NPI 1619089653) in the available physician profile data.

Does Joseph Stephen R. Lomboy, MD have Open Payments data?

Joseph Stephen R. Lomboy, MD has 65 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.