Physician

Abner Jose Gabaldon

According to 2025 Medicare claims, Abner Gabaldon (NPI: 1497940043) practices general practice in the Orlando-Kissimmee-Sanford, FL market, with the plurality of this provider's patient population coming from Osceola, FL. This provider's primary affiliated billing organization is QUALITY LIFE HEALTH CENTER INC. (NPI: 1497014617; TIN: 275138909) and primary practice location at 34741-2326.

Gabaldon's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 20 traditional Medicare patients, billed 58 HCPCS/CPT codes, and received $3,656 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 4,673 prescription claims across 231 beneficiaries totaling $260,493 in drug costs, led by Janumet (Sitagliptin Phos/Metformin Hcl). 2019 DME data shows 54 claims. Open Payments data shows 9 records totaling $210. 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 started with an early spike, then settled into a lower baseline, moving from $42,178 to $3,656. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $224,913 and ending at $260,493. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $11,704 to $314.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	132	630	$42,178
2016	191	919	$64,339
2017	90	422	$31,377
2018	67	281	$14,725
2019	54	200	$10,883
2020	53	204	$11,107
2021	35	137	$9,325
2022	32	135	$8,184
2023	30	82	$5,383
2024	20	58	$3,656

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	209	3,848	$224,913
2016	259	6,423	$404,255
2017	228	3,627	$215,294
2018	159	3,201	$161,645
2019	167	3,168	$148,307
2020	224	4,228	$214,294
2021	210	4,065	$265,835
2022	218	4,446	$314,141
2023	222	4,204	$339,110
2024	231	4,673	$260,493

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	11	$480
2016	69	488	$33,406
2017	45	304	$12,266
2018	22	103	$2,720
2019	N/R	54	$763
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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	12	18	$72
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	15	39	$58

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Janumet	Sitagliptin Phos/Metformin Hcl	32	1,860	$32,277
Januvia	Sitagliptin Phosphate	24	1,750	$32,000
Eliquis	Apixaban	52	1,725	$30,621
Jardiance	Empagliflozin	19	1,120	$20,994
Farxiga	Dapagliflozin Propanediol	26	980	$17,981

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.	9	$210	Amgen 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 Abner Jose Gabaldon?

Tedicare shows public-source Medicare data for Abner Jose Gabaldon (NPI 1497940043), 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 Abner Jose Gabaldon have ACO affiliation data?

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

What billing organization is linked to Abner Jose Gabaldon?

Abner Jose Gabaldon is linked to QUALITY LIFE HEALTH CENTER INC. (billing NPI 1497014617) in the available physician profile data.

Does Abner Jose Gabaldon have Open Payments data?

Abner Jose Gabaldon has 9 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.