Physician

Frank T Lombardi, DO

According to 2025 Medicare claims, Frank Lombardi, DO (NPI: 1437255858) practices family practice in the Allentown-Bethlehem-Easton, PA-NJ market, with the plurality of this provider's patient population coming from Warren, NJ. This provider's primary affiliated billing organization is ST. LUKE'S WARREN PHYSICIAN GROUP, PC (NPI: 1841564564; TIN: 22-3837316) and primary practice location at 08865-9488. Lombardi is affiliated with the St. Luke's Medicare ACO (ACO ID: A3560), participating under the MSSP model.

Lombardi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 501 traditional Medicare patients, billed 2,269 HCPCS/CPT codes, and received $162,925 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 9,282 prescription claims across 855 beneficiaries totaling $719,017 in drug costs, led by Januvia (Sitagliptin Phosphate). DME data shows 60 claims. Open Payments data shows 2 records totaling $35. 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 have moved from a lower plateau to a higher plateau, from $334,181 to $719,017. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $11,366 and ending at $8,090.

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$81K$163K2015 Medicare payment: $127,132 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $124,013 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $135,309 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $111,318 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $105,205 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $132,426 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $150,897 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $160,982 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $162,132 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $162,925 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154211,972$127,132
20164191,903$124,013
20175001,919$135,309
20184761,660$111,318
20193931,481$105,205
20203961,675$132,426
20214301,773$150,897
20224262,141$160,982
20234651,833$162,132
20245012,269$162,925

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$374K$748K2015 Drug cost: $334,181 (USD; Tot_Drug_Cst)2016 Drug cost: $328,902 (USD; Tot_Drug_Cst)2017 Drug cost: $347,232 (USD; Tot_Drug_Cst)2018 Drug cost: $376,053 (USD; Tot_Drug_Cst)2019 Drug cost: $420,577 (USD; Tot_Drug_Cst)2020 Drug cost: $572,155 (USD; Tot_Drug_Cst)2021 Drug cost: $604,667 (USD; Tot_Drug_Cst)2022 Drug cost: $665,644 (USD; Tot_Drug_Cst)2023 Drug cost: $748,486 (USD; Tot_Drug_Cst)2024 Drug cost: $719,017 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154044,292$334,181
20164264,278$328,902
20175215,104$347,232
20185625,336$376,053
20195255,496$420,577
20205305,919$572,155
20215706,412$604,667
20226356,917$665,644
20237347,964$748,486
20248559,282$719,017

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$5.9K$12K2015 Medicare payment: $4,115 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $2,805 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $3,068 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $1,372 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $1,258 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $966 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $1,195 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $11,769 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $5,497 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $557 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201515121$4,115
201615118$2,805
201735106$3,068
20181979$1,372
201919110$1,258
20201572$966
20211682$1,195
202213182$11,769
202314115$5,497
2024N/R60$557

* / # = 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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit252252$150
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more315559$95
90662Influenza vaccine split virus, preservative free99102$81
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more185255$63
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's305445$14

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
JanuviaSitagliptin Phosphate1136,167$109,285
JardianceEmpagliflozin1055,010$97,561
EliquisApixaban654,120$78,291
MounjaroTirzepatide20784$28,081
FarxigaDapagliflozin Propanediol321,473$27,206

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 stripsNN/R34$445
K0195Elevating leg rests, pair (for use with capped rental wheelchair base)YN/R12$91
A4259Lancets, per box of 100NN/R14$21

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$35Smith+Nephew, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Frank T. Lombardi, DO?

Tedicare shows public-source Medicare data for Frank T. Lombardi, DO (NPI 1437255858), 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 Frank T. Lombardi, DO have ACO affiliation data?

Frank T. Lombardi, DO is shown with ACO affiliation data for St. Luke's Medicare ACO (MSSP, ACO ID A3560).

What billing organization is linked to Frank T. Lombardi, DO?

Frank T. Lombardi, DO is linked to ST. LUKE'S WARREN PHYSICIAN GROUP, PC (billing NPI 1841564564) in the available physician profile data.

Does Frank T. Lombardi, DO have Open Payments data?

Frank T. Lombardi, DO has 2 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.