JOHN MARIUS AGRAVIO TOLENTINO, APRN, FNP-C

NPI 1851990840, individual, Las Vegas, NV, Nurse Practitioner, Family

Evidence tier

documented action, then payment

Listed on the CA Medicaid exclusion list since December 2, 2022.
Medicaid still paid claims in 5 later months, $16,415 in total.

score 94 of 100, rank 254, $16K 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.

list	identity check	action date	window closed	months paid after	first	last	paid after	12 months before
CA Medicaid exclusion list ca medi-cal suspended & ineligible provider list (july 2026)	Exact NPI, name verified	Dec 2, 2022	still open	5	Mar 2024	Jul 2024	$16K	$0

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	JOHN MARIUS AGRAVIO TOLENTINO, APRN, FNP-C
Type	Individual, sole proprietor
Status	Active
NPI issued	October 21, 2020, last updated February 13, 2024
Practice location	3557 WINTER WREN ST, Las Vegas, NV 89122-3539, 702-445-4092
Mailing address	5510 S FORT APACHE RD STE 13, Las Vegas, NV 89148-7700
Specialties	Nurse Practitioner, Family (363LF0000X, primary, license 835286 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
99348	Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	$10K	59%	$53	$17 (top 5% from $105)	too few months to rank
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$7K	41%	$102	$60 (top 5% from $133)	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.

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	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.
1	REMEDY 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

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

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