Physician

Kostandinos Tsoulfas, MD

According to 2025 Medicare claims, Kostandinos Tsoulfas, MD (NPI: 1013088277) practices pain management in the Kenosha, WI market, with the plurality of this provider's patient population coming from Kenosha, WI. This provider's primary affiliated billing organization is PAIN PHYSICIANS OF WISCONSIN, SC (NPI: 1679119689; TIN: 320614555) and primary practice location at 53142-7530.

Tsoulfas' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 220 traditional Medicare patients, billed 1,510 HCPCS/CPT codes, and received $78,400 in Medicare payments. The top billing code was 27096 (Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance). Part D data shows 114 prescription claims across 83 beneficiaries totaling $736 in drug costs, led by Cefadroxil (Cefadroxil). DME data shows 21 claims. Open Payments data shows 12 records totaling $204. 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 fallen sharply in recent years, from $102,629 to $78,400. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $14,650 to $736. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

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$55K$110K2015 Medicare payment: $102,629 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $108,006 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $109,788 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $103,395 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $101,546 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $32,755 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $85,404 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $58,279 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $42,790 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $78,400 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153421,679$102,629
20163961,322$108,006
20173441,453$109,788
20183291,338$103,395
20193381,332$101,546
2020152453$32,755
2021187935$85,404
2022157628$58,279
2023114445$42,790
20242201,510$78,400

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$9.4K$19K2015 Drug cost: $14,650 (USD; Tot_Drug_Cst)2016 Drug cost: $18,724 (USD; Tot_Drug_Cst)2017 Drug cost: $8,947 (USD; Tot_Drug_Cst)2018 Drug cost: $4,637 (USD; Tot_Drug_Cst)2019 Drug cost: $1,530 (USD; Tot_Drug_Cst)2020 Drug cost: $476 (USD; Tot_Drug_Cst)2021 Drug cost: $500 (USD; Tot_Drug_Cst)2022 Drug cost: $481 (USD; Tot_Drug_Cst)2023 Drug cost: $494 (USD; Tot_Drug_Cst)2024 Drug cost: $736 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201591209$14,650
201684190$18,724
201770121$8,947
201859120$4,637
20195889$1,530
20202429$476
20214767$500
20224360$481
20235267$494
202483114$736

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$6.9K$14K2024 Medicare payment: $13,844 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
20242121$13,844

* / # = 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
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance3962$77
62323Injection of substance into lower spine canal using imaging guidance4652$72
98980Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month102375$38
98981Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, each additional 20 minutes per calendar month90481$30
98975Set-up and patient education for remote monitoring of therapy4141$15

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
CefadroxilCefadroxil81483$487
Clindamycin HclClindamycin Hcl1494$105
MethylprednisoloneMethylprednisolone1484$89

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
L0651Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelfN2121$13,844

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.12$204Nevro Corp.
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 Kostandinos Tsoulfas, MD?

Tedicare shows public-source Medicare data for Kostandinos Tsoulfas, MD (NPI 1013088277), 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 Kostandinos Tsoulfas, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Kostandinos Tsoulfas, MD?

Kostandinos Tsoulfas, MD is linked to PAIN PHYSICIANS OF WISCONSIN, SC (billing NPI 1679119689) in the available physician profile data.

Does Kostandinos Tsoulfas, MD have Open Payments data?

Kostandinos Tsoulfas, MD has 12 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.