MIGUEL ANGEL VARGAS-LAGUNAS, M.D.

NPI 1356551873, individual, North Las Vegas, NV, Internal Medicine

Evidence tier

structure or single-organization volume

Hours beyond a day in 8 months, but with up to 576 patients a month across 5 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
Records needed.
Medicaid dollars per patient on code 90876 ($905 per patient-month) sit in the top 5% of every provider billing that code.

score 55 of 100, rank 7689, $2.0M at stake

Hours billed per day

Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.

month	what was found	hours per day, lower bound	hours per day, at price	hours per day, conservative	per working day	patients	billing organizations	codes	paid
Aug 2023	More hours than a day holds, even counting one unit per claim line	28.0	30.1	20.1	27.0	228	4	90876 99211 99213 99214	$110K
Sep 2023	More hours than a day holds, even counting one unit per claim line	27.7	30.3	20.2	28.9	294	3	90876 96132 96133 96136 96137 96158 99211 99213 99214	$101K
Oct 2023	More hours than a day holds, even counting one unit per claim line	40.2	43.2	28.8	40.6	257	4	90876 99211 99213 99214	$157K
Nov 2023	More hours than a day holds, even counting one unit per claim line	58.6	64.2	42.8	58.4	312	4	90876 99211 99213 99214	$224K
Dec 2023	More hours than a day holds, even counting one unit per claim line	60.9	66.6	44.4	65.6	380	4	90876 96132 96136 99211 99213 99214	$236K
Jan 2024	More hours than a day holds, even counting one unit per claim line	25.7	27.6	18.4	24.8	135	2	90876 99213 99214	$102K
Oct 2024	More hours than a day holds, even counting one unit per claim line	35.8	41.2	27.5	30.0	576	5	90876 97032 99211 99213 99214 G0442 G0444 G0447	$157K
Nov 2024	More hours than a day holds, even counting one unit per claim line	86.3	99.4	66.2	86.1	559	5	90876 97032 99211 99213 99214 G0442 G0444	$362K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	MIGUEL ANGEL VARGAS-LAGUNAS, M.D.
Type	Individual
Status	Active
NPI issued	May 23, 2007, last updated March 22, 2016
Practice location	2465 REYNOLDS AVE STE 101, North Las Vegas, NV 89030-7296, 702-476-9600
Specialties	Internal Medicine (207R00000X, primary, license 12464 NV) Single Specialty (193400000X, license 12464 NV) Clinic/Center, Urgent Care (261QU0200X, license 12464 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

code	what it is	paid	share	per patient-month	typical	rank among providers
90876	Psychophysiological therapy with biofeedback 45 min	$1.7M	60%	$905	$392 (top 5% from $816)	99th percentile
97032	Application of electrical stimulation with therapist present, each 15 minutes	$261K	9%	$510	$27 (top 5% from $109)	99th percentile
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$235K	8%	$67	$44 (top 5% from $110)	79th percentile
Q3014	Telehealth originating site facility fee	$220K	8%	$207	$21 (top 5% from $84)	98th percentile
99211	Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	$187K	7%	$162	$16 (top 5% from $128)	97th percentile
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$110K	4%	$59	$60 (top 5% from $133)	48th percentile
90868	Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management	$71K	3%	$668	$1K (top 5% from $2K)	too few months to rank
96132	Evaluation of neuropsychological test, first hour	$7K	0%	$113	$92 (top 5% from $247)	too few months to rank

Medicare Part B 2024, largest codes

code	what it is	services	beneficiaries	paid	submitted per service	allowed per service	charge to allowed	usual for this code
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	67	$17K	$175	$125	1.4x	2.3x (90th percentile 3.8x)
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$3K	$300	$127	2.4x	2.3x (90th percentile 4.1x)
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	20	15	$1K	$150	$89	1.7x	2.2x (90th percentile 3.8x)
G0444	Annual depression screening, 5 to 15 minutes	20	20	$370	$50	$19	2.7x	2.2x (90th percentile 3.8x)
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	11	11	$271	$50	$25	2.0x	2.2x (90th percentile 3.6x)
81002	Urinalysis, manual test	60	36	$205	$25	$3	7.3x	3.5x (90th percentile 7.6x)
G0442	Annual alcohol misuse screening, 5 to 15 minutes	11	11	$204	$50	$19	2.7x	2.2x (90th percentile 3.8x)
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	20	16	$167	$40	$14	2.9x	4.2x (90th percentile 7.7x)

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 $274.3M 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 151. 17 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	TIMOTHY 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.
1	DEVONTE' 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.
1	MANE 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.
1	JOHN 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.
1	DAVID ADAMS Las Vegas, NV, ranked 345	$3K	Listed on the CA Medicaid exclusion list since October 2, 2018. Medicaid still paid claims in 2 later months, $3,216 in total.
1	VICTOR 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.
1	AMARA 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.
1	RODNESHIA 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.

All 338 in NV

Recent enforcement in NV

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJIndictedSep 24, 2025

Reno Doctor Arrested And Indicted For Health Care Fraud

An OB-GYN allegedly submitted false claims to Medicaid and private health plans for gynecologic tests and surgical procedures that were not medically necessary and falsified patients' medical records.

DOJPleaded guiltyJul 16, 2025

Nevada Nurse Practitioner Pleads Guilty To Fraudulent Medicare Wound Care Billing

A nurse practitioner admitted conspiring to fraudulently bill Medicare approximately $14,333,550 for amniotic wound allografts that were medically unnecessary and were procured through illegal kickbacks and bribes.

DOJChargedJun 30, 2025

U.S. Attorney's Office Participates In Record-Setting National Health Care Fraud Takedown

Two Las Vegas nurses were charged by information with conspiracy to defraud the United States and to pay and receive kickbacks for applying medically unnecessary amniotic wound allografts to Medicare beneficiaries and receiving kickbacks, with wound care companies billing Medicare over $94 million and approximately $14.3 million respectively.

DOJSentencedMay 1, 2024

Las Vegas Woman Sentenced To Prison For $1 Million Medicaid Fraud Scheme

Binford failed to disclose her criminal history to enroll her company Shepherd's Heart Services as a Nevada Medicaid provider and then submitted false bills for counseling services and training not rendered.

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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