| National Provider Identifier [NPI]: | 1225076219 |
| Last Name Of The Provider | BASS |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 11367 CEDAR LOG CT |
| Street Address 2 Of The Provider | |
| City Of The Provider | LAS VEGAS |
| Zip Code Of The Provider | 891351501 |
| State Code Of The Provider | NV |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 173 |
| Number Of Services | 8804 |
| Number Of Medicare Beneficiaries | 5563 |
| Total Submitted Charge Amount | 772692 |
| Total Medicare Allowed Amount | 260361.52 |
| Total Medicare Payment Amount | 198827.34 |
| Total Medicare Standardized Payment Amount | 197139.28 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 173 |
| Number Of Medical Services | 8804 |
| Number Of Medicare Beneficiaries With Medical Services | 5563 |
| Total Medical Submitted Charge Amount | 772692 |
| Total Medical Medicare Allowed Amount | 260361.52 |
| Total Medical Medicare Payment Amount | 198827.34 |
| Total Medical Medicare Standardized Payment Amount | 197139.28 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 981 |
| Number Of Beneficiaries Age 65 to 74 | 1694 |
| Number Of Beneficiaries Age 75 to 84 | 1665 |
| Number Of Beneficiaries Age Greater 84 | 1223 |
| Number Of Female Beneficiaries | 3308 |
| Number Of Male Beneficiaries | 2255 |
| Number Of Non Hispanic White Beneficiaries | 4642 |
| Number Of Black or African American Beneficiaries | 340 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 480 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 50 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3789 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1774 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7222 |