Procedure Volume Patient Data Patient Conditions Reviews General Payments Back to Top

Home > NV Providers > Anesthesiologists

Dr. Spencer George Wells, MD

(Dr. Spencer G. Wells, M.D.)

(No ratings)

Specializes in: Anesthesiology and Pain Medicine

University of Louisville School of Medicine (2006)

617 E Riverside Drive Suite 301
Saint George, UT 84790

(435) 216-7000

Dr. Spencer George Wells, MD is an anesthesiologist in Mesquite, NV specializing in anesthesiology and pain medicine. He graduated from University of Louisville School of Medicine in 2006 and has 20 years of experience. Dr. Spencer George Wells, MD is affiliated with DESERT PAIN SPECIALISTS LLC.

Office Locations

340 Falcon Ridge Parkway Suite 603
Mesquite, NV 89027

(702) 346-5037

(702) 346-5036

open_in_new

617 E Riverside Drive Suite 301
Saint George, UT 84790

(435) 216-7000

(435) 216-7001

open_in_new

Noteworthy Medicare Patient Procedures Performed by Dr. Spencer George Wells, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

facet rhizotomy injection

percutaneous lumbar kyphoplasty

percutaneous procedures

rhizotomy

sacroiliac joint injection

selective nerve root block

spinal injection

subarachnoid block with local anesthetic

transforaminal epidural steroid injection

In 2023, Dr. Spencer George Wells, MD performed more facet rhizotomy injection, injections, kyphoplasty (vertebral augmentation), nerve block, pain management, percutaneous lumbar kyphoplasty, percutaneous procedures, rhizotomy (nerve ablation), sacroiliac (SI) joint injection, selective nerve root block (SNRB), spinal injection, subarachnoid block with local anesthetic (numbing medicine), and transforaminal epidural steroid injection procedures for Medicare patients than 95% of providers in related specialties within Nevada.

Top 25%

By Volume:

major joint aspiration

By Affordability:

nerve procedures

percutaneous rhizotomy

sacroiliac joint injection

spinal joint injection

In 2013, among providers in related specialties within Nevada, Dr. Spencer George Wells, MD performed more major joint aspiration procedures for Medicare patients than 75% of them and he also had a list price for nerve procedures, percutaneous rhizotomy, sacroiliac (SI) joint injection, and spinal joint injection that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Spencer George Wells, MD treated as an anesthesiologist in Mesquite, NV during 2013 were pain management, injections, spinal procedures and nerve block.

Volume of procedures performed by Dr. Spencer George Wells, MD for Medicare patients.

aspiration	53
doctor visit	2570
injections	1106
lab tests	52
minimally invasive procedures	62
nerve block	987
nerve procedures	62
pain management	1115
spinal procedures	1030

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer George Wells, MD.

**Gender**
Male	454
Female	641

**Ethnicity**
Non-Hispanic White	1044
Black	0
Hispanic	25
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	492
From 75 to 84	333
85 and over	97
Less than 65	173

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2013

The most common conditions of Medicare patients that Dr. Spencer George Wells, MD treated during 2013 were hypertension, high cholesterol, ischemic heart disease and depression.

Hypertension	59
High Cholesterol	45
Stroke	3
Ischemic Heart Disease	31
Depression	28
Chronic Kidney Disease	19
Asthma	6
Osteoperosis	9
Atrial Fibrilation	7
Heart Failure	14
Chronic Obstructive Pulmonary Disease	12
Diabetes	25
Dementia	8
Cancer	7

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Spencer George Wells, MD treated as an anesthesiologist in Mesquite, NV during 2014 were pain management, injections, spinal procedures and nerve block.

Volume of procedures performed by Dr. Spencer George Wells, MD for Medicare patients.

aspiration	86
doctor visit	3219
injections	1094
lab tests	52
minimally invasive procedures	202
nerve block	914
nerve procedures	176
neurostimulator lead placement	26
pain management	1184
spinal procedures	993

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer George Wells, MD.

**Gender**
Male	567
Female	745

**Ethnicity**
Non-Hispanic White	1243
Black	0
Hispanic	34
Asian	0
Other	19
Native American	0

**Age**
From 65 to 74	602
From 75 to 84	396
85 and over	111
Less than 65	203

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2014

The most common conditions of Medicare patients that Dr. Spencer George Wells, MD treated during 2014 were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	58
High Cholesterol	40
Stroke	2
Ischemic Heart Disease	29
Depression	25
Chronic Kidney Disease	19
Asthma	6
Osteoperosis	7
Atrial Fibrilation	7
Heart Failure	14
Chronic Obstructive Pulmonary Disease	9
Diabetes	26
Dementia	7
Cancer	7

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Spencer George Wells, MD treated as an anesthesiologist in Mesquite, NV during 2015 were pain management, injections, spinal procedures and nerve block.

Volume of procedures performed by Dr. Spencer George Wells, MD for Medicare patients.

aspiration	112
doctor visit	1707
injections	1328
lab tests	51
minimally invasive procedures	271
nerve block	1111
nerve procedures	271
pain management	1487
spinal procedures	1198

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer George Wells, MD.

**Gender**
Male	1088
Female	1350

**Ethnicity**
Non-Hispanic White	2336
Black	0
Hispanic	48
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	1188
From 75 to 84	756
85 and over	186
Less than 65	308

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2015

The most common conditions of Medicare patients that Dr. Spencer George Wells, MD treated during 2015 were hypertension, high cholesterol, ischemic heart disease and depression.

Hypertension	59
High Cholesterol	44
Stroke	3
Ischemic Heart Disease	31
Depression	28
Chronic Kidney Disease	21
Asthma	7
Osteoperosis	8
Atrial Fibrilation	9
Heart Failure	13
Chronic Obstructive Pulmonary Disease	10
Diabetes	25
Dementia	7
Cancer	9

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Spencer George Wells, MD treated as an anesthesiologist in Mesquite, NV during 2016 were pain management, injections, spinal procedures and nerve block.

Volume of procedures performed by Dr. Spencer George Wells, MD for Medicare patients.

aspiration	122
doctor visit	1092
injections	1565
lab tests	42
minimally invasive procedures	368
nerve block	1364
nerve procedures	320
neurostimulator lead placement	48
pain management	1763
spinal procedures	1445

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer George Wells, MD.

**Gender**
Male	554
Female	730

**Ethnicity**
Non-Hispanic White	1236
Black	0
Hispanic	29
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	658
From 75 to 84	383
85 and over	86
Less than 65	157

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2016

The most common conditions of Medicare patients that Dr. Spencer George Wells, MD treated during 2016 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	60
High Cholesterol	44
Stroke	3
Ischemic Heart Disease	30
Depression	25
Chronic Kidney Disease	25
Asthma	13
Osteoperosis	8
Atrial Fibrilation	8
Heart Failure	14
Chronic Obstructive Pulmonary Disease	12
Diabetes	24
Dementia	7
Cancer	8

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Spencer George Wells, MD treated as an anesthesiologist in Mesquite, NV during 2017 were pain management, injections, spinal procedures and nerve block.

Volume of procedures performed by Dr. Spencer George Wells, MD for Medicare patients.

aspiration	72
doctor visit	922
image guided procedures	35
injections	1086
lab tests	15
minimally invasive procedures	391
nerve block	875
nerve procedures	297
neurostimulator lead placement	59
pain management	1311
spinal procedures	1013

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer George Wells, MD.

**Gender**
Male	563
Female	688

**Ethnicity**
Non-Hispanic White	1187
Black	0
Hispanic	34
Asian	0
Other	13
Native American	0

**Age**
From 65 to 74	619
From 75 to 84	424
85 and over	91
Less than 65	117

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2017

The most common conditions of Medicare patients that Dr. Spencer George Wells, MD treated during 2017 were hypertension, high cholesterol, depression and ischemic heart disease.

Hypertension	60
High Cholesterol	38
Stroke	4
Ischemic Heart Disease	28
Depression	28
Chronic Kidney Disease	26
Asthma	6
Osteoperosis	8
Atrial Fibrilation	9
Heart Failure	13
Chronic Obstructive Pulmonary Disease	11
Diabetes	25
Dementia	7
Cancer	9

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Spencer George Wells, MD treated as an anesthesiologist in Mesquite, NV during 2018 were pain management, injections, spinal procedures and nerve block.

Volume of procedures performed by Dr. Spencer George Wells, MD for Medicare patients.

aspiration	71
doctor visit	960
image guided procedures	53
injections	953
lab tests	14
minimally invasive procedures	443
nerve block	728
nerve procedures	344
neurostimulator lead placement	46
pain management	1226
spinal procedures	865

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer George Wells, MD.

**Gender**
Male	494
Female	671

**Ethnicity**
Non-Hispanic White	1120
Black	0
Hispanic	26
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	532
From 75 to 84	438
85 and over	105
Less than 65	90

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2018

The most common conditions of Medicare patients that Dr. Spencer George Wells, MD treated during 2018 were hypertension, high cholesterol, depression and ischemic heart disease.

Hypertension	62
High Cholesterol	47
Stroke	3
Ischemic Heart Disease	27
Depression	30
Chronic Kidney Disease	26
Asthma	6
Osteoperosis	8
Atrial Fibrilation	8
Heart Failure	13
Chronic Obstructive Pulmonary Disease	13
Diabetes	22
Dementia	7
Cancer	9

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Spencer George Wells, MD treated as an anesthesiologist in Mesquite, NV during 2019 were pain management, injections, spinal procedures and nerve block.

Volume of procedures performed by Dr. Spencer George Wells, MD for Medicare patients.

aspiration	89
doctor visit	1107
image guided procedures	47
injections	995
minimally invasive procedures	393
nerve block	809
nerve procedures	300
neurostimulator lead placement	46
pain management	1206
spinal procedures	822

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer George Wells, MD.

**Gender**
Male	541
Female	708

**Ethnicity**
Non-Hispanic White	1193
Black	0
Hispanic	31
Asian	0
Other	13
Native American	0

**Age**
From 65 to 74	576
From 75 to 84	477
85 and over	108
Less than 65	88

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2019

The most common conditions of Medicare patients that Dr. Spencer George Wells, MD treated during 2019 were hypertension, high cholesterol, depression and ischemic heart disease.

Hypertension	62
High Cholesterol	48
Stroke	3
Ischemic Heart Disease	30
Depression	30
Chronic Kidney Disease	28
Asthma	6
Osteoperosis	9
Atrial Fibrilation	9
Heart Failure	13
Chronic Obstructive Pulmonary Disease	11
Diabetes	25
Dementia	8
Cancer	8

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Spencer George Wells, MD treated as an anesthesiologist in Mesquite, NV during 2020 were pain management, injections, spinal procedures and nerve block.

Volume of procedures performed by Dr. Spencer George Wells, MD for Medicare patients.

aspiration	81
doctor visit	941
image guided procedures	31
injections	814
minimally invasive procedures	370
nerve block	596
nerve procedures	301
neurostimulator lead placement	38
pain management	1034
spinal procedures	771

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer George Wells, MD.

**Gender**
Male	569
Female	759

**Ethnicity**
Non-Hispanic White	1270
Black	0
Hispanic	34
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	612
From 75 to 84	500
85 and over	120
Less than 65	96

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2020

The most common conditions of Medicare patients that Dr. Spencer George Wells, MD treated during 2020 were hypertension, high cholesterol, depression and chronic kidney disease.

Hypertension	61
High Cholesterol	50
Stroke	3
Ischemic Heart Disease	31
Depression	32
Chronic Kidney Disease	31
Asthma	6
Osteoperosis	9
Atrial Fibrilation	8
Heart Failure	13
Chronic Obstructive Pulmonary Disease	12
Diabetes	25
Dementia	6
Cancer	10

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Spencer George Wells, MD treated as an anesthesiologist in Mesquite, NV during 2021 were pain management, injections, spinal procedures and nerve block.

Volume of procedures performed by Dr. Spencer George Wells, MD for Medicare patients.

aspiration	139
doctor visit	2557
image guided procedures	32
injections	879
lab tests	11
minimally invasive procedures	305
nerve block	517
nerve procedures	229
neurostimulator lead placement	28
pain management	953
spinal procedures	677

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer George Wells, MD.

**Gender**
Male	706
Female	902

**Ethnicity**
Non-Hispanic White	1517
Black	0
Hispanic	41
Asian	0
Other	29
Native American	0

**Age**
From 65 to 74	720
From 75 to 84	628
85 and over	138
Less than 65	122

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2021

The most common conditions of Medicare patients that Dr. Spencer George Wells, MD treated during 2021 were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	64
High Cholesterol	51
Stroke	3
Ischemic Heart Disease	30
Depression	29
Chronic Kidney Disease	33
Asthma	8
Osteoperosis	10
Atrial Fibrilation	8
Heart Failure	14
Chronic Obstructive Pulmonary Disease	11
Diabetes	25
Dementia	8
Cancer	10

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Spencer George Wells, MD treated as an anesthesiologist in Mesquite, NV during 2022 were pain management, injections, spinal procedures and nerve block.

Volume of procedures performed by Dr. Spencer George Wells, MD for Medicare patients.

aspiration	101
doctor visit	512
image guided procedures	12
injections	676
minimally invasive procedures	252
nerve block	457
nerve procedures	215
neurostimulator lead placement	25
pain management	790
spinal procedures	600

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer George Wells, MD.

**Gender**
Male	556
Female	699

**Ethnicity**
Non-Hispanic White	1203
Black	0
Hispanic	27
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	551
From 75 to 84	526
85 and over	111
Less than 65	67

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2022

The most common conditions of Medicare patients that Dr. Spencer George Wells, MD treated during 2022 were hypertension, high cholesterol, depression and ischemic heart disease.

Hypertension	75
High Cholesterol	69
Stroke	6
Ischemic Heart Disease	26
Depression	31
Chronic Kidney Disease	24
Asthma	11
Osteoperosis	16
Atrial Fibrilation	18
Heart Failure	14
Chronic Obstructive Pulmonary Disease	16
Diabetes	25
Dementia	5
Cancer	13

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Spencer George Wells, MD treated as an anesthesiologist in Mesquite, NV during 2023 were pain management, injections, spinal procedures and nerve block.

Volume of procedures performed by Dr. Spencer George Wells, MD for Medicare patients.

aspiration	94
doctor visit	511
image guided procedures	14
injections	524
minimally invasive procedures	212
nerve block	313
nerve procedures	178
neurostimulator lead placement	20
pain management	608
spinal procedures	450

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer George Wells, MD.

**Gender**
Male	401
Female	566

**Ethnicity**
Non-Hispanic White	911
Black	0
Hispanic	23
Asian	0
Other	20
Native American	0

**Age**
From 65 to 74	396
From 75 to 84	431
85 and over	81
Less than 65	59

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2023

The most common conditions of Medicare patients that Dr. Spencer George Wells, MD treated during 2023 were hypertension, high cholesterol, depression and diabetes.

Hypertension	75
High Cholesterol	71
Stroke	5
Ischemic Heart Disease	26
Depression	30
Chronic Kidney Disease	22
Asthma	11
Osteoperosis	19
Atrial Fibrilation	18
Heart Failure	16
Chronic Obstructive Pulmonary Disease	17
Diabetes	26
Dementia	5
Cancer	13

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2013 - 2023

Volume of procedures performed by Dr. Spencer George Wells, MD for Medicare patients.

The highest averages for the top procedures that Dr. Spencer George Wells, MD treated as an anesthesiologist in Mesquite, NV were pain management, injections, spinal procedures and nerve block.

aspiration	92
doctor visit	1463
image guided procedures	32
injections	1001
lab tests	33
minimally invasive procedures	297
nerve block	788
nerve procedures	244
neurostimulator lead placement	37
pain management	1152
spinal procedures	896

Average Medicare Patient Data From 2013 - 2023

Information about Medicare patients treated by Dr. Spencer George Wells, MD.

**Gender**
Female	769
Male	590

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	1296
Hispanic	32
Native American / Alaskan Native	0
Other	8

**Age**
85 and over	112
75 to 84	481
Less than 65	134
65 to 74	631

Average of Total of Conditions of Medicare patients treated by Dr. Spencer George Wells, MD From 2013 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Spencer George Wells, MD treated were hypertension, high cholesterol, ischemic heart disease and depression.

Hypertension	63
High Cholesterol	49
Stroke	3
Ischemic Heart Disease	29
Depression	28
Chronic Kidney Disease	24
Asthma	7
Osteoporosis	10
Heart Failure	13
Chronic Obstructive Pulmonary Disease	12
Diabetes	24
Atrial Fibrillation	9
Cancer	9
Dementia	6

Education & Training

Dr. Spencer George Wells, MD graduated from University of Louisville School of Medicine in 2006. He has a state license in Nevada.

Medical School: University of Louisville School of Medicine (2006)

Licensed In: Nevada

Affiliations & Hospitals

Dr. Spencer George Wells, MD is associated with these hospitals and organizations:

DESERT PAIN SPECIALISTS LLC

Ratings & Reviews

Dr. Spencer George Wells, MD does not have any reviews yet, be the first to leave a review of Dr. Spencer George Wells, MD here: Leave a Review

(No ratings)

Leave a Review

General Payments

These charts describe general payments received by Dr. Spencer George Wells, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Boston Scientific Corporation	$3,311 GENERAL - PAIN MANAGEMENT $1,038	GENERAL PAIN MANAGEMENT $792	PAIN MANAGEMENT $676	SPECTRA WAVEWRITER $129	WaveWriter Alpha Prime 16 $109	Other $567
Abbott Laboratories	$1,226 Octrode SCS Leads $970	SCS leads $246	SCS IPGs $11
Nevro Corp.	$694 Senza $316	Omnia $254	Senza Spinal Cord Stimulation System $124
St. Jude Medical, Inc.	$618 Neuro-Chronic Pain $382	S-Series $133	Prodigy and Prodigy MRI $102
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$153 Relistor $85	RELISTOR ORAL $68
Other	$2,310 BOTOX $239	Spinal Cord Neurostimulation - Neuro $141	Nalu Neurostimulation System $123	Intracept $111	XTAMPZA $109	Other $1,587

**Types of Payments**
Food and Beverage	$8,272
Education	$40

Biography

Dr. Spencer Wells specializes in anesthesiology and pain medicine. He is a graduate of the University of Louisville School of Medicine.

Select Year:

Dr. Spencer George Wells, MD

Office Locations

Noteworthy Medicare Patient Procedures Performed by Dr. Spencer George Wells, MD in 2023

By Volume:

By Volume:

By Affordability:

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

2021 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2021

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

2022 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2022

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

2023 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Spencer George Wells, MD in 2023

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2013 - 2023

Average Medicare Patient Data From 2013 - 2023

Average of Total of Conditions of Medicare patients treated by Dr. Spencer George Wells, MD From 2013 - 2023

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

Anesthesiologists in Nearby Locations

Other Providers in Mesquite, NV