| National Provider Identifier [NPI]: | 1932102746 |
| Last Name Of The Provider | GOTTHELF |
| First Name Of The Provider | GARY |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4511 N DAVIS HWY |
| Street Address 2 Of The Provider | STE C1 |
| City Of The Provider | PENSACOLA |
| Zip Code Of The Provider | 325032720 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 107 |
| Number Of Services | 15773 |
| Number Of Medicare Beneficiaries | 1304 |
| Total Submitted Charge Amount | 1122084.66 |
| Total Medicare Allowed Amount | 740627.76 |
| Total Medicare Payment Amount | 541781.54 |
| Total Medicare Standardized Payment Amount | 551254.28 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 18 |
| Number Of Drug Services | 2131 |
| Number Of Medicare Beneficiaries With Drug Services | 805 |
| Total Drug Submitted ChargeAmount | 112930.66 |
| Total Drug Medicare AllowedAmount | 62134.11 |
| Total Drug Medicare PaymentAmount | 54793.16 |
| Total Drug Medicare Standardized Payment Amount | 54793.16 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 89 |
| Number Of Medical Services | 13642 |
| Number Of Medicare Beneficiaries With Medical Services | 1304 |
| Total Medical Submitted Charge Amount | 1009154 |
| Total Medical Medicare Allowed Amount | 678493.65 |
| Total Medical Medicare Payment Amount | 486988.38 |
| Total Medical Medicare Standardized Payment Amount | 496461.12 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 137 |
| Number Of Beneficiaries Age 65 to 74 | 578 |
| Number Of Beneficiaries Age 75 to 84 | 410 |
| Number Of Beneficiaries Age Greater 84 | 179 |
| Number Of Female Beneficiaries | 762 |
| Number Of Male Beneficiaries | 542 |
| Number Of Non Hispanic White Beneficiaries | 1162 |
| Number Of Black or African American Beneficiaries | 106 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 17 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1199 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 105 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.0758 |