Physician

Richard Prokopchak, MD

According to 2025 Medicare claims, Richard Prokopchak, MD (NPI: 1083685911) practices cardiology in the Roanoke, VA market, with the plurality of this provider's patient population coming from Salem City, VA. This provider's primary affiliated billing organization is SOUTHWEST VIRGINIA CARDIOLOGY PC (NPI: 1447564422; TIN: 272998592) and primary practice location at 24153-7458.

Prokopchak's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,806 traditional Medicare patients, billed 8,282 HCPCS/CPT codes, and received $691,549 in Medicare payments. The top billing code was 93880 (Ultrasound of both sides of head and neck blood flow). Part D data shows 4,263 prescription claims across 718 beneficiaries totaling $819,085 in drug costs, led by Eliquis (Apixaban). 2023 DME data shows 19 claims. Open Payments data shows 23 records totaling $637. 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 changed little. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $297,146 to $819,085. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $27,949 and ending at $5,389.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	1,990	9,167	$637,609
2016	1,940	9,243	$672,699
2017	1,936	8,976	$666,921
2018	1,905	9,149	$641,090
2019	1,901	9,091	$663,950
2020	1,853	8,478	$615,268
2021	1,890	8,785	$722,778
2022	1,843	8,435	$667,280
2023	1,793	8,515	$716,357
2024	1,806	8,282	$691,549

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	663	4,815	$297,146
2016	619	4,276	$293,795
2017	642	4,584	$354,140
2018	646	5,031	$430,935
2019	686	5,016	$544,587
2020	660	5,132	$677,115
2021	642	4,519	$703,573
2022	653	4,357	$788,119
2023	672	3,918	$803,694
2024	718	4,263	$819,085

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	96	$8,967
2016	N/R	106	$4,672
2017	N/R	32	$868
2018	N/R	14	$27,776
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	19	$2,000
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
93880	Ultrasound of both sides of head and neck blood flow	318	320	$142
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	170	197	$140
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	941	966	$121
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,404	3,123	$94
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	494	620	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	435	27,683	$530,128
Xarelto	Rivaroxaban	99	6,195	$112,248
Entresto	Sacubitril/Valsartan	66	3,565	$79,036
Repatha Sureclick	Evolocumab	20	784	$15,444
Nebivolol Hcl	Nebivolol Hcl	67	5,490	$5,391

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	23	$637	iRhythm Technologies, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Richard Prokopchak, MD?

Tedicare shows public-source Medicare data for Richard Prokopchak, MD (NPI 1083685911), 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 Richard Prokopchak, 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 Richard Prokopchak, MD?

Richard Prokopchak, MD is linked to SOUTHWEST VIRGINIA CARDIOLOGY PC (billing NPI 1447564422) in the available physician profile data.

Does Richard Prokopchak, MD have Open Payments data?

Richard Prokopchak, MD has 23 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.