Physician

Alicia A Gappa, NP

According to 2025 Medicare claims, Alicia Gappa, NP (NPI: 1174924948) practices nurse practitioner in the Muskegon-Norton Shores, MI market, with the plurality of this provider's patient population coming from Muskegon, MI. This provider's primary affiliated billing organization is MERCY PHYSICIAN NETWORK (NPI: 1023056744; TIN: 383589210) and primary practice location at 49441-4576. Gappa is affiliated with the Trinity Health Integrated Care (ACO ID: A3454), participating under the MSSP model.

Gappa's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 132 traditional Medicare patients, billed 412 HCPCS/CPT codes, and received $12,980 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 5,138 prescription claims across 709 beneficiaries totaling $440,242 in drug costs, led by Eliquis (Apixaban). DME data shows 13 claims. Open Payments data shows 8 records totaling $178. 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 moved up and down with repeated peaks and valleys, starting at $11,760 and ending at $12,980. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $90,188 to $440,242. For DME billing, reported payments moved from a lower plateau to a higher plateau, from $1,423 to $7,612.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	200	328	$11,760
2016	192	336	$12,776
2017	207	393	$12,998
2018	191	353	$13,459
2019	165	297	$10,867
2020	129	190	$8,809
2021	174	322	$18,441
2022	134	250	$12,322
2023	127	237	$10,944
2024	132	412	$12,980

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	279	1,224	$90,188
2016	265	2,087	$123,905
2017	288	2,337	$122,114
2018	280	1,960	$132,964
2019	275	1,952	$141,507
2020	436	2,308	$194,819
2021	728	3,876	$337,274
2022	581	3,853	$346,392
2023	624	4,257	$385,546
2024	709	5,138	$440,242

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	N/R	N/R
2017	N/R	35	$1,714
2018	N/R	57	$1,651
2019	N/R	N/R	N/R
2020	N/R	12	$187
2021	N/R	16	$2,857
2022	N/R	44	$6,145
2023	N/R	32	$4,230
2024	N/R	13	$4,718

* / # = 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	75	119	$52
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	71	95	$37
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	94	149	$10

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	75	3,487	$64,361
Mounjaro	Tirzepatide	33	1,468	$51,166
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	49	1,770	$36,545
Ozempic	Semaglutide	25	1,225	$31,932
Jardiance	Empagliflozin	25	1,590	$28,085

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	13	$4,718

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	8	$178	Novo Nordisk Inc
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 Alicia A. Gappa, NP?

Tedicare shows public-source Medicare data for Alicia A. Gappa, NP (NPI 1174924948), 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 Alicia A. Gappa, NP have ACO affiliation data?

Alicia A. Gappa, NP is shown with ACO affiliation data for Trinity Health Integrated Care (MSSP, ACO ID A3454).

What billing organization is linked to Alicia A. Gappa, NP?

Alicia A. Gappa, NP is linked to MERCY PHYSICIAN NETWORK (billing NPI 1023056744) in the available physician profile data.

Does Alicia A. Gappa, NP have Open Payments data?

Alicia A. Gappa, NP has 8 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.