| National Provider Identifier [NPI]: | 1053323527 |
| Last Name Of The Provider | GABBARD |
| First Name Of The Provider | WESLEY |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 29296 US HWY 19N |
| Street Address 2 Of The Provider | SUITE 4 |
| City Of The Provider | CLEARWATER |
| Zip Code Of The Provider | 33761 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Nephrology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 60 |
| Number Of Services | 42083 |
| Number Of Medicare Beneficiaries | 559 |
| Total Submitted Charge Amount | 7536296.33 |
| Total Medicare Allowed Amount | 1932065.91 |
| Total Medicare Payment Amount | 1506122.4 |
| Total Medicare Standardized Payment Amount | 1562519 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 38582 |
| Number Of Medicare Beneficiaries With Drug Services | 399 |
| Total Drug Submitted ChargeAmount | 71391.15 |
| Total Drug Medicare AllowedAmount | 9246.87 |
| Total Drug Medicare PaymentAmount | 7172.02 |
| Total Drug Medicare Standardized Payment Amount | 7172.02 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 58 |
| Number Of Medical Services | 3501 |
| Number Of Medicare Beneficiaries With Medical Services | 559 |
| Total Medical Submitted Charge Amount | 7464905.18 |
| Total Medical Medicare Allowed Amount | 1922819.04 |
| Total Medical Medicare Payment Amount | 1498950.38 |
| Total Medical Medicare Standardized Payment Amount | 1555346.98 |
| Average Age Of Beneficiaries | 67 |
| Number Of Beneficiaries Age Less65 | 231 |
| Number Of Beneficiaries Age 65 to 74 | 124 |
| Number Of Beneficiaries Age 75 to 84 | 142 |
| Number Of Beneficiaries Age Greater 84 | 62 |
| Number Of Female Beneficiaries | 239 |
| Number Of Male Beneficiaries | 320 |
| Number Of Non Hispanic White Beneficiaries | 403 |
| Number Of Black or African American Beneficiaries | 98 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 36 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 332 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 227 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 65 |
| Percent Of With Chronic Kidney Disease | 75 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 67 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 7.078 |