Obstetrics & Gynecology · Williamsville, NY
NPI
1245331818
Since 2006
Specialty
Obstetrics & Gynecology
Code 207V00000X
Group practices
1
Medicare group memberships
Hospitals
4
Hospital affiliations
41 Maple Rd
Williamsville, NY, 14221
Phone (716) 631-1045
Groups this clinician bills Medicare through
Medicare paid, 2024
$8,654
213 services
Medicare patients, 2024
94
Average age 58
Drug cost, 2024
$43K
551 prescriptions
Company payments, 2025
$574
From 13 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Theodore G Costich was code G0101 (cervical or vaginal cancer screening; pelvic and clinical breast examination), 62 times for 62 patients. In total Theodore G Costich billed 213 services in 24 codes, and Medicare paid $8,654.
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2009-09-04.
| Code | Setting | Services | Patients | Paid per service | Medicare paid |
|---|
| G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination | Office | 62 | 62 | $36.86 | $2,285 |
| 99212 Office E&M - Established | Office | 35 | 25 | $37.29 | $1,305 |
| 99213 Office E&M - Established | Office | 29 | 23 | $51.15 | $1,483 |
| Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | Office | 23 | 23 | $41.70 | $959 |
| 81003 Clinical Chemistry | Office | 20 | 20 | $2.20 | $44 |
| 76830 Ultrasound - Abdomen and Pelvis | Office | 13 | 13 | $77.43 | $1,007 |
By year: 2022 $14K for 280 services; 2023 $13K for 246 services; 2024 $8,654 for 213 services.
Lab tests billed to Medicare, 2024
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 81003 Clinical Chemistry | 20 | 20 | $2.20 | $44 |
Medicare prescription drug claims, 2024
In 2024, the drug Theodore G Costich prescribed most often to Medicare patients was Valacyclovir (Valacyclovir Hcl), with 53 prescriptions and refills. In total Theodore G Costich wrote 551 Medicare prescriptions that cost $43K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Valacyclovir Valacyclovir Hcl | 53 | 94 | 16 | $2,461 |
| Estradiol Generic | 52 | 111 | 16 | $4,006 |
| Fluconazole Generic | 45 | 46 | 34 | $366 |
| Nystatin Generic | 40 | 40 | 22 | $537 |
| Norethindrone Generic | 32 | 66 | Under 11 | $851 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 20 | 20 | 17 | $171 |
| Metronidazole Generic | 18 | 18 | 16 | $219 |
| Clotrimazole-Betamethasone Clotrimazole/Betamethasone Dip | 18 | 18 | 14 | $518 |
| Medroxyprogesterone Acetate Generic | 17 | 38 | Under 11 | $368 |
| Tolterodine Tartrate Er Tolterodine Tartrate | 17 | 31 | Under 11 | $419 |
| Mupirocin Generic | 15 | 15 | Under 11 | $151 |
| Premarin Estrogens, Conjugated | 12 | 28 | Under 11 | $6,115 |
| Misoprostol Generic | 12 | 12 | 11 | $36.65 |
| Tamsulosin Hcl Generic | 11 | 11 | Under 11 | $174 |
Brand drugs: 50 claims; generic drugs: 501 claims.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Theodore G Costich $574 ($574 in general payments such as food, travel and fees) from 13 companies. The largest payer was Sumitomo Pharma America, Inc. with $90.92.
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.