Christy Costanza, NP
Psychiatric/Mental Health · Gallatin, TNNPI 1649382797
Payments from drug & device makers
Across 101 payments — averaging $22.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vanda Pharmaceuticals Inc.$539
- Neurocrine Biosciences, Inc.$343
- Otsuka America Pharmaceutical, Inc.$322
- Alkermes, Inc.$264
- Axsome Therapeutics, Inc.$185
- AbbVie$135
- plus $469 from 8 others
What the payments were for
- Food & beverage$2,249100%
- Education$90%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Vanda Pharmaceuticals Inc. | 17 | $539 |
| Neurocrine Biosciences, Inc. | 14 | $343 |
| Otsuka America Pharmaceutical, Inc. | 17 | $322 |
| Alkermes, Inc. | 13 | $264 |
| Axsome Therapeutics, Inc. | 8 | $185 |
| AbbVie | 6 | $135 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 6 | $131 |
| Johnson & Johnson | 6 | $90 |
| Biogen | 4 | $89 |
| E.r. Squibb & Sons, L.L.C. | 2 | $43 |
| Noven Therapeutics, LLC | 2 | $37 |
| Indivior Inc. | 3 | $35 |
| Lundbeck LLC | 2 | $31 |
| Teva Pharmaceuticals USA, Inc. | 1 | $14 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Fanapt$125
How this compares
$2,258 in reported general payments places this provider in the 75th percentile of 1,167 psychiatric/mental health providers in Tennessee.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Invega TrinzaPaliperidone Palmitate | 25 | $205,418 |
| AristadaAripiprazole Lauroxil | 50 | $121,463 |
| IngrezzaValbenazine Tosylate | 13 | $104,241 |
| Invega SustennaPaliperidone Palmitate | 30 | $82,644 |
| Abilify AsimtufiiAripiprazole | 13 | $71,337 |
| RexultiBrexpiprazole | 22 | $32,208 |
| LybalviOlanzapine/Samidorphan Malate | 12 | $20,117 |
| Lurasidone Hcl | 55 | $17,209 |
| TrintellixVortioxetine Hydrobromide | 29 | $15,733 |
| Effexor XrVenlafaxine Hcl | 12 | $15,244 |
| AuvelityDextromethorphan Hbr/Bupropion | 12 | $13,381 |
| Aripiprazole | 72 | $5,322 |
| Clozapine | 24 | $4,362 |
| Olanzapine | 128 | $3,205 |
| Divalproex Sodium ErDivalproex Sodium | 43 | $3,161 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Johnson & JohnsonInvega Trinza, Invega Sustenna | $90 | $288,06255 claims |
| Alkermes, Inc.Aristada, Lybalvi | $264 | $141,58062 claims |
| Neurocrine Biosciences, Inc.Ingrezza | $343 | $104,24113 claims |
| Otsuka America Pharmaceutical, Inc.Abilify Asimtufii, Rexulti | $322 | $103,54635 claims |
| Axsome Therapeutics, Inc.Auvelity | $185 | $13,38112 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 75th percentile of 1,167 psychiatric/mental health providers in Tennessee.
Other psychiatric/mental health in Gallatin
- Laura MelaroBolivar$682K
- Fay BembryJohnson City$449K
- Kristian DambrinoNashville$449K
- Mary AllenMemphis$422K
- Lauren HansenNashville$263K
- Joshua ThompsonChattanooga$262K
- Kristal HurstBlaine$260K
- Kaitlynn EarlsGreeneville$228K
- Tory WoodardCookeville$191K
- Sarah VogelfangerMemphis$94K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.