Physician

Paul J Kostuchenko, MD

According to 2025 Medicare claims, Paul Kostuchenko, MD (NPI: 1972591055) practices dermatology in the Winston-Salem, NC market, with the plurality of this provider's patient population coming from Forsyth, NC. This provider's primary affiliated billing organization is WESTGATE DERMATOLOGY AND LASER CENTER, P.A. (NPI: 1821240995; TIN: 263467563) and primary practice location at 27106-4851.

Kostuchenko's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,489 traditional Medicare patients, billed 7,932 HCPCS/CPT codes, and received $284,084 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 1,139 prescription claims across 433 beneficiaries totaling $573,920 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 102 records totaling $2,135. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $130,848 to $573,920. 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$217K$433K2015 Medicare payment: $433,475 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $421,050 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $292,025 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $278,428 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $328,405 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $328,903 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $360,299 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $336,326 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $287,671 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $284,084 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152,4579,375$433,475
20162,4979,121$421,050
20172,1776,362$292,025
20182,3606,173$278,428
20192,7297,236$328,405
20202,5667,486$328,903
20212,88110,221$360,299
20222,9719,186$336,326
20232,5009,372$287,671
20242,4897,932$284,084

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$305K$610K2015 Drug cost: $130,848 (USD; Tot_Drug_Cst)2016 Drug cost: $106,546 (USD; Tot_Drug_Cst)2017 Drug cost: $257,538 (USD; Tot_Drug_Cst)2018 Drug cost: $175,104 (USD; Tot_Drug_Cst)2019 Drug cost: $198,982 (USD; Tot_Drug_Cst)2020 Drug cost: $305,518 (USD; Tot_Drug_Cst)2021 Drug cost: $609,923 (USD; Tot_Drug_Cst)2022 Drug cost: $606,794 (USD; Tot_Drug_Cst)2023 Drug cost: $585,858 (USD; Tot_Drug_Cst)2024 Drug cost: $573,920 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154881,150$130,848
20164881,109$106,546
20175021,125$257,538
20184671,067$175,104
20194381,024$198,982
2020386943$305,518
20214011,050$609,923
2022417956$606,794
20234101,042$585,858
20244331,139$573,920

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more262360$59
88305Pathology examination of tissue using a microscope, intermediate complexity2,1733,979$46
17000Destruction of precancer skin growth, 1 growth162226$35
88304Pathology examination of tissue using a microscope, moderately low complexity121141$29
88342Special stained specimen slides to examine tissue, initial procedure249300$28

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab14394$99,201
Cosentyx Sensoready (2 Pens)Secukinumab12336$90,631
RinvoqUpadacitinib12360$89,547
Dupixent SyringeDupilumab11308$40,999
Clobetasol PropionateClobetasol Propionate762,150$3,726

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.102$2,135ABBVIE INC.
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 Paul J. Kostuchenko, MD?

Tedicare shows public-source Medicare data for Paul J. Kostuchenko, MD (NPI 1972591055), 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 Paul J. Kostuchenko, 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 Paul J. Kostuchenko, MD?

Paul J. Kostuchenko, MD is linked to WESTGATE DERMATOLOGY AND LASER CENTER, P.A. (billing NPI 1821240995) in the available physician profile data.

Does Paul J. Kostuchenko, MD have Open Payments data?

Paul J. Kostuchenko, MD has 102 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.