Providers

MANE SHAH, MD

NPI 1477714574, individual, Las Vegas, NV, Internal Medicine

1
Evidence tier
documented action, then payment
  • Listed on the Medicare revocation list since August 16, 2018.
  • Medicaid still paid claims in 15 later months, $40,126 in total.
score 95 of 100, rank 205, $40K at stake

Public list actions

Medicare revocation effective August 16, 2018, barred from re-enrolling until August 17, 2028
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Internal Medicine, NV

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
Medicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedAug 16, 2018Aug 17, 202815Aug 2020Dec 2021$40K$29K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameMANE SHAH, MD
TypeIndividual
StatusActive
NPI issuedJune 20, 2008, last updated April 20, 2015
Practice location2901 N TENAYA WAY, SUITE 200, Las Vegas, NV 89128-1420, 702-852-2000
Specialties
Internal Medicine (207R00000X, primary, license 12786 NV)
Hospitalist (208M00000X, license 12786 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$51K74%$108$60 (top 5% from $133)89th percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$11K15%$62$44 (top 5% from $110)74th percentile
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more$6K9%$150$95 (top 5% from $171)too few months to rank
94010Test to measure expiratory airflow and volume$1K2%$31$19 (top 5% from $54)too few months to rank
81002Urinalysis, manual test$460%$1.75$2.15 (top 5% from $4.65)too few months to rank

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.
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.
1DAVID 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.
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.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.