| National Provider Identifier [NPI]: | 1982655809 |
| Last Name Of The Provider | BATISTE |
| First Name Of The Provider | STAN |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2555 MONTESSOURI ST |
| Street Address 2 Of The Provider | SUITE C |
| City Of The Provider | LAS VEGAS |
| Zip Code Of The Provider | 891173057 |
| 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 | 240 |
| Number Of Services | 5111 |
| Number Of Medicare Beneficiaries | 2104 |
| Total Submitted Charge Amount | 1576646 |
| Total Medicare Allowed Amount | 151502.6 |
| Total Medicare Payment Amount | 118331.76 |
| Total Medicare Standardized Payment Amount | 119299.18 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1771 |
| Number Of Medicare Beneficiaries With Drug Services | 16 |
| Total Drug Submitted ChargeAmount | 2024 |
| Total Drug Medicare AllowedAmount | 377.22 |
| Total Drug Medicare PaymentAmount | 277.39 |
| Total Drug Medicare Standardized Payment Amount | 277.39 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 237 |
| Number Of Medical Services | 3340 |
| Number Of Medicare Beneficiaries With Medical Services | 2104 |
| Total Medical Submitted Charge Amount | 1574622 |
| Total Medical Medicare Allowed Amount | 151125.38 |
| Total Medical Medicare Payment Amount | 118054.37 |
| Total Medical Medicare Standardized Payment Amount | 119021.79 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 451 |
| Number Of Beneficiaries Age 65 to 74 | 685 |
| Number Of Beneficiaries Age 75 to 84 | 571 |
| Number Of Beneficiaries Age Greater 84 | 397 |
| Number Of Female Beneficiaries | 1142 |
| Number Of Male Beneficiaries | 962 |
| Number Of Non Hispanic White Beneficiaries | 1264 |
| Number Of Black or African American Beneficiaries | 265 |
| Number Of AsianPacific Islander Beneficiaries | 279 |
| Number Of Hispanic Beneficiaries | 236 |
| Number Of American Indian Alaska Native Beneficiaries | 11 |
| Number Of Beneficiaries With Race Not Else where Classified | 49 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1103 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1001 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 49 |
| Percent Of With Chronic Kidney Disease | 51 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 2.2191 |