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Gabriel Irvin Westheimer, NP

Nurse Practitioner · Stanford

NPI 1912202946

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Gabriel Irvin Westheimer’s office at (650) 723-4000 to ask if they take your plan before you enroll.

California Medical Board record

Licence A20523 · Deceased

Licence status: Deceased · since 1963 · Kaunas Medical University.

Licensee is deceased.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$6,244

Medicare paid this office $6,244 for 62 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Short return visit (20+ min)34$2,556$61
Return visit (30+ min)21$2,193$100

Who their Medicare patients are

62 Original Medicare patients in 2024. Average age 61 · Under 65 48% · Women 24% · Health risk score 1.65. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 48% · Diabetes 31% · Depression 29% · COPD 23%.

The office billed $46,674, Medicare allowed $8,591 and paid $6,244; for 86 services of 13 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20246286611.65$46,674$6,244
20201617611.42$5,865$447
20143851631.31$17,599$3,292
2013156177661.96$53,226$10,380

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2014: 2 services

Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making11$1,346$122
Emergency department visit with low level of medical decision making18$700$39

2013: 3 services

Original Medicare services billed in 2013
Emergency department visit with low level of medical decision making84$3,474$41
Emergency department visit with moderate level of medical decision making36$2,881$80
Emergency department visit with high level of medical decision making24$2,736$114

Medicaid work

$147,041 in 2024

Medicaid paid $147,041 for 1,471 billed services this clinician did in 2024, up to 160 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Clinic visit/encounter, all-inclusive629$119,145
Short return visit (20+ min)553$14,979
Return visit (30+ min)245$12,303
New patient visit (45+ min)18$442
Short return visit14$173
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])12$0
Medicaid work by year
20241,4716160$147,041
2023461551$36,060
2022433555$12,141
2021312533$4,629
2020143527$606
2019274331$4,471
2018333235$10,551
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP302$31,195
Service95$3,665
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"34$762
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)15$227
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count15$210

2022

Largest Medicaid services in 2022
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP333$9,360
Service63$2,446
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)13$134
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count12$105
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report12$96

2021

Largest Medicaid services in 2021
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP206$2,970
Service38$1,466
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"43$111
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)13$43
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count12$39

2020

Largest Medicaid services in 2020
Service12$518
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)17$46
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count18$42
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP74$0
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"22$0

2019

Largest Medicaid services in 2019
Service118$4,132
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP71$242
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"85$97

2018

Largest Medicaid services in 2018
Service277$10,205
Service56$346

Drugs they prescribed that Part D paid

$10,298

Pharmacies billed $10,298 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

115 generic and 16 brand-name prescriptions · $10,298 in drug cost · 14 antibiotic prescriptions to 12 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Year by year

Part D prescribing by year
202413170None12%$10,298
20236141NoneNone$821
20226844NoneNone$4,450
20215035NoneNone$1,715
20204533NoneNone$514
20198263None15%$1,542
201810878NoneNone$1,182
20171248416% (20)None$1,330
2016766121% (16)None$1,125
2015916929% (26)None$2,239
20141168335% (40)None$1,931
20131339235% (47)None$1,421

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2021: 1 drug

Part D drugs prescribed in 2021
Ibuprofen11$40$4

2020: 1 drug

Part D drugs prescribed in 2020
Ibuprofen11$39$4

2019: 1 drug

Part D drugs prescribed in 2019
Ibuprofen14$68$5

2018: 1 drug

Part D drugs prescribed in 2018
Ibuprofen26$100$4

2017: 1 drug

Part D drugs prescribed in 2017
Ibuprofen18$62$3

2016: 1 drug

Part D drugs prescribed in 2016
Oxycodone-Acetaminophen13$76$6

2015: 2 drugs

Part D drugs prescribed in 2015
Oxycodone-Acetaminophen15$91$6
Ibuprofen12$44$4

2014: 2 drugs

Part D drugs prescribed in 2014
Oxycodone-Acetaminophen26$177$7
Ibuprofen16$72$4

2013: 1 drug

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen35$194$6

Money from drug and device companies

$123 in 2024

A payment is not proof that care is biased.

Payments by company
AbbvieMavyret$123
1 payment
  • Meals for Mavyret · 2024-05-30 · $123
See the published payment
Every published payment
AbbvieMeals · 2024-05-30Mavyret$123

Professional record

NPI
1912202946
Licence
CA 20523California A20523: Deceased
More record details
Sole proprietor
No
Taxonomy
Nurse practitioner (363L00000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2011-01-23
NPI last updated
2024-07-15
NPI record certified
2024-07-15

This is when the NPI record was last certified, not a medical board exam.