Providers
All 338 in NV
MARTIN FAKIEL, M.D.
NPI 1972787000, individual, Las Vegas, NV, Psychiatry & Neurology, Psychiatry
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 53 months, but with up to 1990 patients a month across 17 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 ($875 per patient-month) sit in the top 5% of every provider billing that code.
score 56 of 100, rank 7344, $26.5M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 45.5 | 45.6 | 30.4 | 43.5 | 288 | 1 | 90792 90833 90876 99214 | $165K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 59.1 | 59.7 | 39.8 | 53.7 | 264 | 1 | 90833 90876 99214 | $224K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 62.0 | 62.6 | 41.8 | 59.7 | 322 | 1 | 90792 90833 90876 99214 | $227K |
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 71.8 | 73.3 | 48.8 | 68.8 | 340 | 1 | 90792 90833 90876 99214 | $274K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 76.8 | 78.8 | 52.6 | 70.8 | 376 | 1 | 90792 90833 90876 99214 | $295K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 61.4 | 63.5 | 42.3 | 63.5 | 333 | 1 | 90833 90876 99214 | $230K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 65.0 | 66.1 | 44.1 | 59.4 | 385 | 1 | 90792 90833 90876 99214 | $247K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 64.5 | 66.2 | 44.1 | 60.2 | 328 | 1 | 90792 90833 90876 99214 | $240K |
| Dec 2018 | More hours than a day holds, even counting one unit per claim line | 60.6 | 62.7 | 41.8 | 61.8 | 319 | 1 | 90833 90876 99214 | $235K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 62.9 | 63.4 | 42.3 | 57.0 | 323 | 1 | 90833 90876 99214 | $227K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 64.1 | 65.8 | 43.9 | 61.4 | 330 | 1 | 90792 90833 90876 99214 | $212K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 59.7 | 60.5 | 40.3 | 59.6 | 333 | 1 | 90833 90876 99214 | $216K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 50.5 | 50.5 | 33.6 | 45.9 | 271 | 2 | 90792 90833 90876 99214 | $174K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 43.8 | 43.6 | 29.1 | 39.2 | 279 | 3 | 90792 90833 90876 99214 | $156K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 42.0 | 41.0 | 27.3 | 41.0 | 260 | 3 | 90792 90833 90876 99214 | $141K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 33.5 | 26.5 | 17.7 | 23.8 | 175 | 2 | 90792 90876 99214 | $95K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 46.5 | 48.1 | 32.1 | 45.2 | 269 | 3 | 90876 99214 | $173K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 103.8 | 106.0 | 70.7 | 101.0 | 547 | 5 | 90876 99214 | $368K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 147.5 | 139.3 | 92.9 | 125.2 | 697 | 5 | 90792 90876 99214 | $500K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 159.5 | 144.1 | 96.0 | 137.2 | 734 | 5 | 90876 99214 | $500K |
| Dec 2019 | More hours than a day holds, even counting one unit per claim line | 173.5 | 148.6 | 99.1 | 139.6 | 748 | 5 | 90833 90876 99214 | $533K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 171.7 | 184.6 | 123.0 | 165.8 | 907 | 5 | 90833 90876 96132 99204 99214 | $648K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 184.6 | 195.2 | 130.1 | 188.7 | 1004 | 6 | 90876 96132 99214 | $647K |
| Mar 2020 | More hours than a day holds, even counting one unit per claim line | 189.5 | 199.5 | 133.0 | 187.4 | 858 | 6 | 90833 90876 99214 | $713K |
| Apr 2020 | More hours than a day holds, even counting one unit per claim line | 155.9 | 167.4 | 111.6 | 152.2 | 730 | 6 | 90833 90876 99214 | $578K |
| May 2020 | More hours than a day holds, even counting one unit per claim line | 124.0 | 132.8 | 88.6 | 130.7 | 684 | 4 | 90833 90876 99213 99214 | $474K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 129.2 | 138.5 | 92.3 | 125.9 | 657 | 4 | 90833 90876 99213 99214 | $479K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 143.7 | 155.5 | 103.7 | 139.7 | 736 | 4 | 90833 90876 99213 99214 | $555K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 181.2 | 195.4 | 130.2 | 192.3 | 721 | 4 | 90833 90876 99213 99214 | $697K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 190.6 | 202.8 | 135.2 | 184.4 | 721 | 4 | 90833 90876 99213 99214 | $701K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 194.4 | 204.6 | 136.4 | 192.2 | 784 | 5 | 90833 90876 99213 99214 | $731K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 301.4 | 222.0 | 148.0 | 211.4 | 809 | 4 | 90833 90876 99213 99214 | $767K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 209.9 | 216.6 | 144.4 | 194.6 | 863 | 4 | 90833 90876 99213 99214 | $773K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 132.0 | 138.3 | 92.2 | 136.1 | 569 | 3 | 90833 90876 99213 | $489K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 161.6 | 173.1 | 115.4 | 161.5 | 884 | 5 | 90833 90876 99211 99213 99214 | $553K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 199.2 | 213.5 | 142.3 | 191.8 | 1002 | 6 | 90833 90876 99211 99214 99215 | $755K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 201.0 | 218.6 | 145.7 | 198.7 | 1076 | 5 | 90876 96132 96136 99211 | $738K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 219.6 | 235.0 | 156.6 | 231.2 | 1149 | 7 | 90833 90876 99211 99214 | $832K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 242.9 | 256.6 | 171.1 | 233.3 | 1101 | 7 | 90876 99211 | $880K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 59.0 | 70.5 | 47.0 | 50.8 | 887 | 6 | 90791 90876 96132 96136 96137 96158 97032 99211 99213 | $230K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 121.2 | 126.6 | 84.4 | 120.5 | 902 | 7 | 90876 96132 96133 96136 96137 96158 99211 99213 | $429K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 135.5 | 135.7 | 90.5 | 127.5 | 1022 | 8 | 90876 96132 96133 96136 96137 96158 99211 99213 | $488K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 174.6 | 175.0 | 116.7 | 159.1 | 1326 | 8 | 90876 96132 96133 96136 96137 96158 99211 | $593K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 141.2 | 141.2 | 94.1 | 139.0 | 1053 | 10 | 90876 96132 96136 96137 99211 | $517K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 118.4 | 120.8 | 80.5 | 108.6 | 907 | 8 | 90876 96132 96136 96137 99211 | $437K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 205.3 | 207.6 | 138.4 | 188.8 | 1661 | 11 | 90837 90876 96132 96133 96136 96137 96158 99211 99213 | $720K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 196.8 | 202.7 | 135.2 | 198.9 | 1564 | 13 | 90837 90876 96132 96133 96136 96137 96158 99211 H2011 | $739K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 245.4 | 243.5 | 162.3 | 220.7 | 1668 | 16 | 90837 90876 96132 96136 96137 96158 99211 H2011 | $870K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 248.9 | 249.0 | 166.0 | 233.9 | 1699 | 15 | 90837 90876 96132 96136 96137 96158 99211 | $907K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 228.6 | 250.8 | 167.2 | 235.6 | 1990 | 16 | 90876 96132 96133 96136 96137 96158 99211 | $848K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 240.4 | 258.3 | 172.2 | 241.0 | 1508 | 17 | 90876 96132 96133 96136 96137 96158 99211 | $826K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 243.8 | 267.4 | 178.3 | 240.3 | 1808 | 16 | 90876 96132 96133 96136 96137 96158 99211 | $931K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 118.3 | 129.0 | 86.0 | 129.0 | 845 | 11 | 90876 96132 96136 96137 96158 99211 | $446K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARTIN FAKIEL, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | December 26, 2007, last updated August 26, 2019 |
| Practice location | 410 S RAMPART BLVD, SUITE 390, Las Vegas, NV 89145-5726, 702-326-1116 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 8062 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 | $25.4M | 86% | $875 | $392 (top 5% from $816) | 98th percentile | |
| Q3014 | Telehealth originating site facility fee | $1.3M | 4% | $115 | $21 (top 5% from $84) | 97th percentile | |
| 90868 | Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management | $1.1M | 4% | $2K | $1K (top 5% from $2K) | 63rd percentile | |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $637K | 2% | $111 | $16 (top 5% from $128) | 93rd percentile | |
| 95816 | Measurement of brain wave activity (eeg), awake and drowsy | $365K | 1% | $305 | $63 (top 5% from $334) | 93rd percentile | |
| 97032 | Application of electrical stimulation with therapist present, each 15 minutes | $288K | 1% | $550 | $27 (top 5% from $109) | too few months to rank | |
| 96132 | Evaluation of neuropsychological test, first hour | $142K | 0% | $106 | $92 (top 5% from $247) | 62nd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $122K | 0% | $59 | $60 (top 5% from $133) | 49th percentile |
In this area
338 providers in Clark County, NV carry an indicator in the public record, with $249.8M 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 |
|
| 1 | DEVONTE' CHRISTOPHER North Las Vegas, NV, ranked 175 | $59K |
|
| 1 | MANE SHAH Las Vegas, NV, ranked 205 | $40K |
|
| 1 | JOHN MARIUS TOLENTINO Las Vegas, NV, ranked 254 | $16K |
|
| 1 | DAVID ADAMS Las Vegas, NV, ranked 345 | $3K |
|
| 1 | VICTOR BRUCE Las Vegas, NV, ranked 361 | $2K |
|
| 1 | AMARA MEDICAL CENTER LLC Las Vegas, NV, ranked 457 | $9 |
|
| 1 | RODNESHIA CARTER North Las Vegas, NV, ranked 479 | $0 |
|
Recent enforcement in NV
All releasesDepartment 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.