Providers

MORTON I HYSON, MD.

NPI 1710915368, individual, Lv, NV, Psychiatry & Neurology, Neurology

2
Evidence tier
impossible volume with concurrency
  • Billed more hands-on hours than a day holds in 6 months, peaking at 28.8 hours per day across 3 billing organizations.
score 81 of 100, rank 730, $835K at stake

Public list actions

Medicare revocation effective May 12, 2022, barred from re-enrolling until July 29, 2028
424.535(a)(1) noncompliance (not professionally licensed), Practitioner - Neurology, NV
Medicare revocation effective July 29, 2023, barred from re-enrolling until July 28, 2028
424.535(a)(1) noncompliance (not professionally licensed) and 424.535(a)(9) failure to report, Practitioner - Neurology, UT
Medicare revocation effective July 29, 2023, barred from re-enrolling until July 28, 2028
424.535(a)(1) noncompliance (not professionally licensed) and 424.535(a)(9) failure to report, Practitioner - Neurology, AZ
Medicare revocation effective September 21, 2022, barred from re-enrolling until August 12, 2028
424.535(a)(1) noncompliance (not professionally licensed) and 424.535(a)(9) failure to report, Practitioner - Neurology, CO
Medicare revocation effective July 29, 2023, barred from re-enrolling until July 28, 2028
424.535(a)(1) noncompliance (not professionally licensed) and 424.535(a)(9) failure to report, Practitioner - Neurology, CA
Medicare revocation effective October 25, 2024, barred from re-enrolling until June 12, 2030
424.535(a)(1) noncompliance (not professionally licensed) and 424.535(a)(9) failure to report, Practitioner - Neurology, MT
Medicare revocation effective August 10, 2023, barred from re-enrolling until August 9, 2028
424.535(a)(1) noncompliance (not professionally licensed) and 424.535(a)(9) failure to report, Practitioner - Neurology, NM
Medicare revocation effective May 20, 2022, barred from re-enrolling until August 10, 2028
424.535(a)(1) noncompliance (not professionally licensed), Practitioner - Neurology, IL
Medicare revocation effective August 13, 2023, barred from re-enrolling until August 12, 2028
424.535(a)(1) noncompliance (not professionally licensed) and 424.535(a)(9) failure to report, Practitioner - Neurology, ID

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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Nov 2018More hours than a day holds, even counting one unit per claim line26.426.217.523.8320390876 99205 99213 99214$98K
Dec 2018More hours than a day holds, even counting one unit per claim line32.633.422.232.8307390876 99213 99214 H0004$129K
Jan 2019More hours than a day holds, even counting one unit per claim line41.235.023.331.4414290876 99203 99205 99213 99214$128K
Feb 2019More hours than a day holds, even counting one unit per claim line37.438.825.936.2437290876 99205 99213 99214 H0004$131K
Mar 2019More hours than a day holds, even counting one unit per claim line41.843.228.842.5438290876 99205 99213 99214$158K
Apr 2019More hours than a day holds, even counting one unit per claim line31.732.921.929.9472290876 99203 99205 99213 99214 H0004$122K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameMORTON I HYSON, MD.
TypeIndividual, sole proprietor
StatusActive
NPI issuedJune 30, 2006, last updated April 7, 2017
Practice location701 SHADOW LANE #170, Lv, NV 89106-4178, 702-387-1757
Mailing address701 SHADOW LN STE 170, Las Vegas, NV 89106-4178
Specialties
Specialist (174400000X, license 6062 NV)
Psychiatry & Neurology, Neurology (2084N0400X, license 89091 CA)
Psychiatry & Neurology, Neurology (2084N0400X, license DR.0052224 CO)
Psychiatry & Neurology, Neurology (2084N0400X, license M-12191 ID)
Psychiatry & Neurology, Neurology (2084N0400X, primary, license 6062 NV)
Psychiatry & Neurology, Neurology (2084N0400X, license G4477 TX)
Psychiatry & Neurology, Neurology (2084N0400X, license ME110825 FL)
Psychiatry & Neurology, Neurology (2084N0400X, license 49700 AZ)
Psychiatry & Neurology, Neurology (2084N0400X, license 036140093 IL)
Psychiatry & Neurology, Neurology (2084N0400X, license MED-PHYS-LIC-41339 MT)
Psychiatry & Neurology, Neurology (2084N0400X, license TM2016-0132 NM)
Psychiatry & Neurology, Neurology (2084N0400X, license 8581120-1205 UT)
Psychiatry & Neurology, Neurology (2084N0400X, license 9571A WY)

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
90876Psychophysiological therapy with biofeedback 45 min$654K27%$966$392 (top 5% from $816)100th percentile
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$632K26%$76$60 (top 5% from $133)67th percentile
95816Measurement of brain wave activity (eeg), awake and drowsy$387K16%$236$63 (top 5% from $334)85th percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$190K8%$68$44 (top 5% from $110)80th percentile
95941Medicaid service code$138K6%$441$315 (top 5% from $1K)66th percentile
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more$94K4%$161$128 (top 5% from $249)69th percentile
95886Needle measurement of electrical activity in arm or leg muscles, complete study$91K4%$124$81 (top 5% from $202)78th percentile
99245Medicaid service code$69K3%$178$153 (top 5% from $281)67th percentile

In this area

338 providers in Clark County, NV carry an indicator in the public record, with $275.5M 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.

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.
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.
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

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