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    OpenPayerNPI Medicare & MedicaidJoseph Lombardo
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    Joseph Lombardo — Billing Profile & Reimbursement Data

    NPI 1346222015 · Saint Charles, MO · Anatomic Pathology & Clinical Pathology Physician

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    Joseph Lombardo is a anatomic pathology & clinical pathology physician provider located in Saint Charles, Missouri. This profile covers 15 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJoseph Lombardo
    Address300 1st Capitol Dr
    CitySaint Charles
    StateMO
    ZIP63301
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedNovember 17, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$57.9K
    Medicaid$22.3K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1,150$30$31.1K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…110$60$6.7K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…230$20$4.7K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method20$140$2.9K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…90$30$2.8K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…100$30$2.6K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.40$50$2.1K
    88333Pathology consultation during surgery provides necessary and precise information pertaining to diagnosis and prognosis that aids a surgeon in deciding whether to proceed further during surgery.…30$50$1.5K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…40$20$880
    88172The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate immediately after aspiration to determine whether a sample satisfactory for diagnosis…20$30$650

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830558290540$30$30.7K
    88341109210230$30$10.6K
    G0416265020$170$8.7K
    88342125230110$40$7.1K
    8830784200100$60$6.8K
    88112578060$30$3.3K
    88173469040$50$3.3K
    841654450110$10$3K
    883603411050$30$2.5K
    88172204030$30$1.2K

    Showing 1–10 of 15

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…290$40$12.3K
    87040The lab analyst performs a bacterial culture on blood, and isolates and presumptively identifies any bacteria that grow on selected aerobic media. This code also includes work for anaerobic culture,…620$10$4.3K
    87086Culture, bacterial; quantitative, colony count, urine.680$1$2.1K
    87486The lab analyst performs a test for Chlamydia pneumoniae using amplified nucleic acid probe technique. Chlamydia pneumoniae also known as TWAR, Taiwan Acute Respiratory agent, commonly causes mild…100$10$690
    87581The lab analyst performs a test for Mycoplasma pneumonia, a bacteria, using amplified nucleic acid probe technique.100$10$680
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…100$10$680
    87631The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…100$10$590
    87186The lab analyst performs the technical steps to evaluate a culture isolate’s susceptibility, or sensitivity, to multiple antimicrobial agents, commonly called antibiotics, by observing growth of the…290$1$570
    87205The analyst performs a technical lab test for bacteria, fungi, or cell types using Gram or Giemsa stain on a primary source with interpretation.320$1$320
    87070The lab analyst performs the technical lab steps to culture a specimen from any source except urine, blood, or stool. This service involves aerobic culture, which refers to the presence of oxygen.…190$1$190

    Showing 1–10 of 15

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Missouri median

    15 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…113080$120$440.4K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…5880450$30$79.5K
    87486The lab analyst performs a test for Chlamydia pneumoniae using amplified nucleic acid probe technique. Chlamydia pneumoniae also known as TWAR, Taiwan Acute Respiratory agent, commonly causes mild…1020110$30$78.3K
    87631The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…184090$240$76.1K
    87581The lab analyst performs a test for Mycoplasma pneumonia, a bacteria, using amplified nucleic acid probe technique.1020100$30$74.6K
    87081The lab analyst cultures a patient specimen on a test medium designed to grow only a specific pathogenic organism.6990240$60$65.9K
    87086Culture, bacterial; quantitative, colony count, urine.3290290$30$58.3K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.7580170$50$48.7K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.7280160$50$46.3K
    87070The lab analyst performs the technical lab steps to culture a specimen from any source except urine, blood, or stool. This service involves aerobic culture, which refers to the presence of oxygen.…3780170$50$37.1K

    Showing 1–10 of 15

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Joseph Lombardo, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sharda SinghMOAnatomic Pathology & Clinical Pathology Physician$67.9K$0
    Elizabeth MckinleyMOAnatomic Pathology & Clinical Pathology Physician$56.8K$0
    Evelyn BanksMOAnatomic Pathology & Clinical Pathology Physician$44.4K$0
    Daniel MillerMOAnatomic Pathology Physician$14.3K$1.2K

    Nearby Providers

    Other providers in the same ZIP code as Joseph Lombardo, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emmaus Homes Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$164.1M
    Emmaus Homes Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$21.9M
    Ssm Health Care St. LouisMOGeneral Acute Care Hospital$0$12.4M
    Best Strategies Healthcare LLCMOHome Health Agency$0$7.1M
    Emmaus Homes Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$6.8M
    Awesome Angels LLCMOIn Home Supportive Care Agency$0$4.7M
    Aiding In Home,llcMOHome Health Agency$0$3.9M
    Bradley Selected Healthcare LLCMOIn Home Supportive Care Agency$0$3.5M
    Awesome Care LLCMOIn Home Supportive Care Agency$0$3.5M
    City Of St CharlesMOLand Ambulance$319.7K$1.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Missouri Distribution
    Joseph Lombardo — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Joseph Lombardo — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri