| National Provider Identifier [NPI]: | 1538127568 |
| Last Name Of The Provider | GABAEFF |
| First Name Of The Provider | DINA |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2020 PALOMINO LANE |
| Street Address 2 Of The Provider | #100 |
| City Of The Provider | LAS VEGAS |
| Zip Code Of The Provider | 891064894 |
| 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 | 193 |
| Number Of Services | 10961 |
| Number Of Medicare Beneficiaries | 3301 |
| Total Submitted Charge Amount | 959053.71 |
| Total Medicare Allowed Amount | 211311.42 |
| Total Medicare Payment Amount | 159534.73 |
| Total Medicare Standardized Payment Amount | 157249.27 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 6639 |
| Number Of Medicare Beneficiaries With Drug Services | 79 |
| Total Drug Submitted ChargeAmount | 17308.02 |
| Total Drug Medicare AllowedAmount | 1827.82 |
| Total Drug Medicare PaymentAmount | 1432.92 |
| Total Drug Medicare Standardized Payment Amount | 1432.92 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 189 |
| Number Of Medical Services | 4322 |
| Number Of Medicare Beneficiaries With Medical Services | 3301 |
| Total Medical Submitted Charge Amount | 941745.69 |
| Total Medical Medicare Allowed Amount | 209483.6 |
| Total Medical Medicare Payment Amount | 158101.81 |
| Total Medical Medicare Standardized Payment Amount | 155816.35 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 725 |
| Number Of Beneficiaries Age 65 to 74 | 1278 |
| Number Of Beneficiaries Age 75 to 84 | 926 |
| Number Of Beneficiaries Age Greater 84 | 372 |
| Number Of Female Beneficiaries | 1857 |
| Number Of Male Beneficiaries | 1444 |
| Number Of Non Hispanic White Beneficiaries | 2334 |
| Number Of Black or African American Beneficiaries | 426 |
| Number Of AsianPacific Islander Beneficiaries | 139 |
| Number Of Hispanic Beneficiaries | 325 |
| Number Of American Indian Alaska Native Beneficiaries | 13 |
| Number Of Beneficiaries With Race Not Else where Classified | 64 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2357 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 944 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 1.9776 |