Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › Pawtucket › NPI 1245916592
Physician

Lombari, Madison

Lombari, Madison was paid $40K by Medicaid between Nov 2023 and Aug 2024, across 7 billing codes. Its largest line is 87491, Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe — 56% of everything it billed.

33Billing provider infoLOMBARI, MADISON
PAWTUCKET, RI 02860
33aNPI1245916592assigned 06/22/2023
28Total paid$40K
24GClaims413
24DCodes billed7
24AFirst – last monthNov 2023 – Aug 2024
Compared with peers

Next to other Family Medicine Physician providers in Rhode Island

Rank by total paid#103 of 220
Median peer was paid$33K
This provider vs. median1.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2023142$11K
2024incomplete271$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 56% 138 135 $22K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 24% 105 104 $10K
80061 Lipid panel 11% 72 72 $4K
83036 Hemoglobin; glycosylated (A1C) 3.3% 28 28 $1K
86803 3.2% 16 16 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.0% 40 40 $789.16
80053 Comprehensive metabolic panel 1.0% 14 14 $406.09

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.