Physician

Richard Patrick Konstance, M.D.

According to 2025 Medicare claims, Richard Konstance, M.D. (NPI: 1407893639) practices cardiology in the Roanoke, VA market, with the plurality of this provider's patient population coming from Roanoke City, VA. This provider's primary affiliated billing organization is LEWIS GALE PHYSICIANS LLC (NPI: 1902977705; TIN: 061755234) and primary practice location at 24018-3582.

Konstance's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 3,363 traditional Medicare patients, billed 8,304 HCPCS/CPT codes, and received $571,144 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 9,858 prescription claims across 1,517 beneficiaries totaling $1,964,958 in drug costs, led by Eliquis (Apixaban). 2023 DME data shows 24 claims. Open Payments data shows 80 records totaling $1,624. 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 declined steadily, from $669,000 to $571,144. In contrast, Part D prescription costs have moved sharply higher in recent years, from $308,824 to $1,964,958. For DME billing, this smaller-volume category moved sharply higher in recent years, from $13,725 to $17,708.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	2,294	7,508	$669,000
2016	2,280	8,333	$676,181
2017	2,989	8,496	$580,557
2018	3,541	9,975	$625,935
2019	3,373	9,112	$539,897
2020	2,537	5,736	$352,550
2021	2,359	5,886	$375,607
2022	2,286	6,381	$382,717
2023	2,567	6,716	$434,955
2024	3,363	8,304	$571,144

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	816	4,670	$308,824
2016	942	6,514	$417,811
2017	970	6,851	$512,296
2018	1,035	7,369	$705,605
2019	1,121	7,500	$951,950
2020	1,115	7,730	$1,002,969
2021	1,139	8,039	$1,180,270
2022	1,114	7,492	$1,351,017
2023	1,150	7,049	$1,464,348
2024	1,517	9,858	$1,964,958

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	63	$3,421
2017	N/R	83	$3,577
2018	N/R	72	$31,166
2019	N/R	71	$57,171
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	11	$25,436
2023	N/R	24	$1,298
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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,305	2,037	$96
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	886	903	$88
93880	Ultrasound of both sides of head and neck blood flow	435	444	$28
93971	Ultrasound study of one arm or leg veins with compression and maneuvers	574	638	$16
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	269	372	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	935	56,926	$1,092,092
Entresto	Sacubitril/Valsartan	197	11,556	$254,603
Jardiance	Empagliflozin	126	8,596	$159,902
Xarelto	Rivaroxaban	117	7,290	$131,069
Multaq	Dronedarone Hcl	22	1,680	$38,369

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.	80	$1,624	Novartis Pharmaceuticals Corporation
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 Patrick Konstance, M.D.?

Tedicare shows public-source Medicare data for Richard Patrick Konstance, M.D. (NPI 1407893639), 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 Patrick Konstance, M.D. 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 Patrick Konstance, M.D.?

Richard Patrick Konstance, M.D. is linked to LEWIS GALE PHYSICIANS LLC (billing NPI 1902977705) in the available physician profile data.

Does Richard Patrick Konstance, M.D. have Open Payments data?

Richard Patrick Konstance, M.D. has 80 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.