Physician

Garrick A Applebee, M.D.

According to 2025 Medicare claims, Garrick Applebee, M.D. (NPI: 1114934080) practices sleep medicine in the Albany-Schenectady-Troy, NY market, with the plurality of this provider's patient population coming from Albany, NY. This provider's primary affiliated billing organization is ST. PETER'S HOSPITAL OF THE CITY OF ALBANY (NPI: 1518042357; TIN: 141348692) and primary practice location at 12205-5531. Applebee is affiliated with the Trinity Health Integrated Care (ACO ID: A3454), participating under the MSSP model.

Applebee's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 286 traditional Medicare patients, billed 413 HCPCS/CPT codes, and received $28,386 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 187 prescription claims across 27 beneficiaries totaling $5,416 in drug costs, led by Modafinil (Modafinil). DME data shows 3,001 claims. No Open Payments records. 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 risen steadily, from $17,657 to $28,386. In contrast, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $29,127 to $5,416. For DME billing, reported payments moved sharply higher in recent years, from $163,231 to $113,093.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	218	335	$17,657
2016	56	89	$6,601
2017	189	369	$24,019
2018	166	263	$19,700
2019	211	352	$26,038
2020	230	362	$19,143
2021	240	378	$24,677
2022	248	398	$24,163
2023	289	405	$26,301
2024	286	413	$28,386

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	19	108	$29,127
2016	N/R	23	$3,107
2017	N/R	33	$217
2018	N/R	N/R	N/R
2019	N/R	22	$1,157
2020	11	35	$1,598
2021	14	58	$3,530
2022	22	128	$6,689
2023	29	185	$6,216
2024	27	187	$5,416

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	1,159	2,344	$157,628
2016	590	1,339	$51,893
2017	548	1,061	$30,935
2018	456	882	$26,565
2019	586	1,252	$38,604
2020	729	1,622	$51,472
2021	1,010	2,236	$73,024
2022	1,097	2,826	$91,061
2023	1,161	3,012	$105,315
2024	1,191	3,001	$110,782

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$94
95810	Sleep study in sleep lab (6 years or older)	19	19	$79
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	211	$67
G0399	Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	72	73	$62
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	37	38	$52

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Modafinil	Modafinil	31	1,170	$2,025
Armodafinil	Armodafinil	34	1,020	$1,965
Clonazepam	Clonazepam	43	1,530	$252
Zolpidem Tartrate	Zolpidem Tartrate	22	660	$32

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	117	306	$15,396
A7032	Cushion for use on nasal mask interface, replacement only, each	N	57	143	$14,311
A7030	Full face mask used with positive airway pressure device, each	N	65	159	$14,187
A7031	Face mask interface, replacement for full face mask, each	N	63	159	$14,112
E0601	Continuous positive airway pressure (cpap) device	Y	60	342	$11,158

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Garrick A. Applebee, M.D.?

Tedicare shows public-source Medicare data for Garrick A. Applebee, M.D. (NPI 1114934080), 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 Garrick A. Applebee, M.D. have ACO affiliation data?

Garrick A. Applebee, M.D. is shown with ACO affiliation data for Trinity Health Integrated Care (MSSP, ACO ID A3454).

What billing organization is linked to Garrick A. Applebee, M.D.?

Garrick A. Applebee, M.D. is linked to ST. PETER'S HOSPITAL OF THE CITY OF ALBANY (billing NPI 1518042357) in the available physician profile data.

Does Garrick A. Applebee, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.