Physician

William Grant Applegarth, M.D.

According to 2025 Medicare claims, William Applegarth, M.D. (NPI: 1255359733) practices dermatology in the Michigan City-La Porte, IN market, with the plurality of this provider's patient population coming from La Porte, IN. This provider's primary affiliated billing organization is APPLEGARTH DERMATOLOGY PC (NPI: 1619010626; TIN: 352040056) and primary practice location at 46383-8018.

Applegarth's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,524 traditional Medicare patients, billed 7,411 HCPCS/CPT codes, and received $407,548 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 685 prescription claims across 313 beneficiaries totaling $296,310 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 49 records totaling $713. 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 changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $339,200 and ending at $296,310. 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.

Year	Patients	Clm Lines	Payment
2015	1,879	9,523	$418,958
2016	1,738	9,709	$433,667
2017	1,654	9,011	$373,784
2018	1,612	9,265	$405,325
2019	1,694	9,768	$447,997
2020	1,674	9,239	$409,045
2021	1,605	8,414	$415,984
2022	1,443	7,751	$391,792
2023	1,476	7,690	$384,559
2024	1,524	7,411	$407,548

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	398	1,048	$339,200
2016	404	1,007	$328,692
2017	314	730	$134,104
2018	336	885	$430,131
2019	355	867	$288,617
2020	361	938	$392,432
2021	405	1,004	$331,899
2022	382	918	$515,275
2023	308	683	$456,292
2024	313	685	$296,310

DME Billing Trend

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

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.

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	428	578	$81
17110	Destruction of skin growth, 1-14 growths	335	429	$72
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	854	1,405	$58
88305	Pathology examination of tissue using a microscope, intermediate complexity	706	1,271	$48
17000	Destruction of precancer skin growth, 1 growth	357	436	$37

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Humira(Cf) Pen	Adalimumab	12	336	$80,975
Otezla	Apremilast	12	360	$57,890
Fluorouracil	Fluorouracil	64	1,766	$4,028
Metronidazole	Metronidazole	47	1,772	$2,552
Clobetasol Propionate	Clobetasol Propionate	22	577	$1,643

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	49	$713	E.R. Squibb & Sons, L.L.C.
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 William Grant Applegarth, M.D.?

Tedicare shows public-source Medicare data for William Grant Applegarth, M.D. (NPI 1255359733), 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 William Grant Applegarth, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to William Grant Applegarth, M.D.?

William Grant Applegarth, M.D. is linked to APPLEGARTH DERMATOLOGY PC (billing NPI 1619010626) in the available physician profile data.

Does William Grant Applegarth, M.D. have Open Payments data?

William Grant Applegarth, M.D. has 49 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.