Physician

Russell Lewis Gombosi, MD

According to 2025 Medicare claims, Russell Gombosi, MD (NPI: 1528078433) practices internal medicine in the Williamsport, PA market, with the plurality of this provider's patient population coming from Lycoming, PA. This provider's primary affiliated billing organization is OPEN ARMS INTERNAL MEDICINE & PEDIATRICS, PC (NPI: 1154834927; TIN: 823121291) and primary practice location at 17701-1032. Gombosi is affiliated with the Keystone ACO (ACO ID: A1552) and PA Clinical Network ACO Inc (ACO ID: A5030), participating under the MSSP model.

Gombosi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 447 traditional Medicare patients, billed 4,487 HCPCS/CPT codes, and received $191,000 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 10,164 prescription claims across 593 beneficiaries totaling $1,267,093 in drug costs, led by Eliquis (Apixaban). DME data shows 2,654 claims. Open Payments data shows 75 records totaling $1,516. 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 risen steadily, from $111,479 to $191,000. Similarly, Part D prescription costs have risen steadily, from $529,746 to $1,267,093. For DME billing, reported payments did not follow a clear longitudinal pattern.

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$122K$244K2015 Medicare payment: $111,479 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $82,071 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $18,992 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $100,844 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $185,391 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $197,483 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $239,292 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $244,088 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $200,953 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $191,000 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154731,775$111,479
20164231,185$82,071
2017141290$18,992
20183511,738$100,844
20194753,655$185,391
20204714,718$197,483
20214845,555$239,292
20225037,304$244,088
20234854,459$200,953
20244474,487$191,000

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$634K$1.3M2015 Drug cost: $529,746 (USD; Tot_Drug_Cst)2016 Drug cost: $452,883 (USD; Tot_Drug_Cst)2017 Drug cost: $83,331 (USD; Tot_Drug_Cst)2018 Drug cost: $214,426 (USD; Tot_Drug_Cst)2019 Drug cost: $722,395 (USD; Tot_Drug_Cst)2020 Drug cost: $947,367 (USD; Tot_Drug_Cst)2021 Drug cost: $1,097,197 (USD; Tot_Drug_Cst)2022 Drug cost: $1,172,205 (USD; Tot_Drug_Cst)2023 Drug cost: $1,211,866 (USD; Tot_Drug_Cst)2024 Drug cost: $1,267,093 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152556,962$529,746
20162485,811$452,883
20171691,008$83,331
20182362,847$214,426
20193938,574$722,395
202043911,023$947,367
202146811,527$1,097,197
202251210,517$1,172,205
202355410,205$1,211,866
202459310,164$1,267,093

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$80K$159K2015 Medicare payment: $159,011 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $120,932 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $70,230 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $84,604 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $119,608 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $128,302 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $125,880 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $113,330 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $150,784 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $147,879 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20159542,458$159,011
20161,0612,754$120,932
20171,0442,359$70,230
20181,1272,422$84,604
20191,2882,915$119,608
20201,3572,885$128,302
20211,2242,589$125,880
20221,0742,242$113,330
20231,1712,778$150,784
20241,0872,654$147,879

* / # = 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 visit201201$133
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more254513$89
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more233356$59
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more89120$40
G0444Annual depression screening, 5 to 15 minutes204204$19

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban30611,128$211,942
TrulicityDulaglutide702,864$93,708
OzempicSemaglutide612,534$80,939
JardianceEmpagliflozin963,982$74,010
EntrestoSacubitril/Valsartan622,804$61,721

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A7030Full face mask used with positive airway pressure device, eachN100224$24,518
A7031Face mask interface, replacement for full face mask, eachN75181$18,116
E0601Continuous positive airway pressure (cpap) deviceY62358$16,760
A4353Intermittent urinary catheter, with insertion suppliesNN/R11$14,716
A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strapN85183$12,600

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.75$1,516AstraZeneca Pharmaceuticals LP
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 Russell Lewis Gombosi, MD?

Tedicare shows public-source Medicare data for Russell Lewis Gombosi, MD (NPI 1528078433), 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 Russell Lewis Gombosi, MD have ACO affiliation data?

Russell Lewis Gombosi, MD is shown with ACO affiliation data for Keystone ACO (MSSP, ACO ID A1552) and PA Clinical Network ACO Inc (MSSP, ACO ID A5030).

What billing organization is linked to Russell Lewis Gombosi, MD?

Russell Lewis Gombosi, MD is linked to OPEN ARMS INTERNAL MEDICINE & PEDIATRICS, PC (billing NPI 1154834927) in the available physician profile data.

Does Russell Lewis Gombosi, MD have Open Payments data?

Russell Lewis Gombosi, MD has 75 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.