Providers

DAVID JEFFREY ADAMS, DO

NPI 1124002803, individual, Las Vegas, NV, Anesthesiology

1
Evidence tier
documented action, then payment
  • Listed on the CA Medicaid exclusion list since October 2, 2018.
  • Medicaid still paid claims in 2 later months, $3,216 in total.
score 94 of 100, rank 345, $3K at stake

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
CA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedOct 2, 2018still open2Jun 2019Mar 2021$3K$1K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameDAVID JEFFREY ADAMS, DO
TypeIndividual
StatusActive
NPI issuedDecember 6, 2005, last updated March 13, 2025
Practice location7250 PEAK DR STE 100, Las Vegas, NV 89128-9028, 702-386-4700
Mailing address3157 N RAINBOW BLVD # 518, Las Vegas, NV 89108-4578
Specialties
Family Medicine (207Q00000X, license 1074 NV)
Anesthesiology (207L00000X, primary, license 1074 NV)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
00790Anesthesia for other procedure on upper abdomen$3K61%$216$126 (top 5% from $430)too few months to rank
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope$1K30%$112$68 (top 5% from $161)too few months to rank
36620Insertion of artery tube for blood sampling or infusion through skin$4099%$34$27 (top 5% from $52)too few months to rank
99140Medicaid service code$00%$0.00$0.77 (top 5% from $79)too few months to rank
Medicare Part B 2024, largest codes
codewhat it isservicesbeneficiariespaidsubmitted per serviceallowed per servicecharge to allowedusual for this code
00630Anesthesia for other procedure on lower spine3835$8K$1K$2565.3x9.2x (90th percentile 20.1x)
01992Anesthesia for nerve block and injection procedure, prone position1818$2K$789$1415.6x9.8x (90th percentile 36.5x)
00140Anesthesia for other procedure on eye1714$2K$859$1595.4x8.1x (90th percentile 17.3x)
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance1312$1K$738$1325.6x11.3x (90th percentile 29.9x)

A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.

In this area

338 providers in Clark County, NV carry an indicator in the public record, with $276.3M at stake between them. The most common is part of a provider network, on 167 of them, followed by more hours than a day holds on 152. 16 are tier 1: documented action, then payment.

tierproviderat stakewhy
1TIMOTHY WILSON
Las Vegas, NV, ranked 113
$192K
  • Listed on the Medicare revocation list since January 26, 2023.
  • Medicaid still paid claims in 21 later months, $191,872 in total.
1DEVONTE' CHRISTOPHER
North Las Vegas, NV, ranked 175
$59K
  • Listed on the AZ Medicaid exclusion list since September 1, 2024.
  • Medicaid still paid claims in 1 later month, $59,101 in total.
1MANE SHAH
Las Vegas, NV, ranked 205
$40K
  • Listed on the Medicare revocation list since August 16, 2018.
  • Medicaid still paid claims in 15 later months, $40,126 in total.
1JOHN MARIUS TOLENTINO
Las Vegas, NV, ranked 254
$16K
  • Listed on the CA Medicaid exclusion list since December 2, 2022.
  • Medicaid still paid claims in 5 later months, $16,415 in total.
1VICTOR BRUCE
Las Vegas, NV, ranked 361
$2K
  • Listed on the OIG exclusion list and the NY Medicaid exclusion list and the SAM.gov exclusion list (OPM) since December 20, 2015.
  • Medicaid still paid claims in 2 later months, $2,266 in total.
1AMARA MEDICAL CENTER LLC
Las Vegas, NV, ranked 457
$9
  • Listed on the Medicare revocation list since June 20, 2024.
  • Medicaid still paid claims in 2 later months, $9 in total.
1RODNESHIA CARTER
North Las Vegas, NV, ranked 479
$0
  • Adjudicated (sentenced) per a state attorney general release dated December 9, 2024.
  • No Medicaid payments in the last 12 observed months.
1REMEDY WELLNESS AND RESOURCE CENTER
Las Vegas, NV, ranked 483
$0
  • Adjudicated (sentenced) per a state attorney general release dated May 7, 2024.
  • No Medicaid payments in the last 12 observed months.
All 338 in NV

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

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