Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › New Lenox › NPI 1346224797
Physician

Pombar, Xavier

Pombar, Xavier was paid $324K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 40% of everything it billed.

33Billing provider infoPOMBAR, XAVIER
NEW LENOX, IL 60451
33aNPI1346224797assigned 11/30/2005
28Total paid$324K
24GClaims5,815
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#111 of 911
Median peer was paid$41K
This provider vs. median8.0×

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$10K$20K2018201920202021202220232024
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
2018601$39K
2019564$33K
20201,175$65K
2021604$22K
2022493$25K
20231,145$62K
2024incomplete1,233$78K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 40% 2,509 2,211 $130K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 25% 1,101 989 $82K
76818 9.9% 631 447 $32K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 8.8% 513 467 $28K
76820 4.7% 232 152 $15K
0502F 4.2% 267 179 $14K
76819 Fetal biophysical profile; without non-stress testing 3.1% 286 134 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1.9% 84 63 $6K
76801 <1% 75 73 $3K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 65 42 $2K
59025 Fetal non-stress test <1% 40 25 $410.66
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12 12 $354.00

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.