Providers
All 338 in NV
ARION MARSH SHEPHERD, APRN
NPI 1982159638, individual, Las Vegas, NV, Nurse Practitioner, Family
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 3 months, but with up to 517 patients a month across 3 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 99214 ($300 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7778, $1.3M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 25.8 | 24.1 | 16.1 | 21.7 | 285 | 2 | 96136 97032 99202 99204 99212 99213 | $72K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 31.9 | 22.5 | 15.0 | 17.9 | 517 | 2 | 90876 96136 97032 97110 97112 97535 99212 99214 | $70K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 29.7 | 28.9 | 19.3 | 23.7 | 433 | 3 | 90876 96136 97032 97110 97112 97535 99214 99409 | $66K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ARION MARSH SHEPHERD, APRN |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | August 23, 2016, last updated September 20, 2022 |
| Practice location | 5419 W TROPICANA AVE, Las Vegas, NV 89103-5060, 702-910-3269 |
| Mailing address | 5419 W TROPICANA, Las Vegas, NV 89103 |
| Specialties | Nurse Practitioner, Family (363LF0000X, primary, license APRN 2208 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 | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $539K | 17% | $300 | $60 (top 5% from $133) | 100th percentile | |
| 95812 | Measurement of brain wave activity (eeg), 41-60 minutes | $312K | 10% | $226 | $69 (top 5% from $513) | 76th percentile | |
| 95983 | Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional | $294K | 9% | $208 | too few months to rank | ||
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $293K | 9% | $106 | $44 (top 5% from $110) | 95th percentile | |
| 90876 | Psychophysiological therapy with biofeedback 45 min | $254K | 8% | $347 | $392 (top 5% from $816) | 41st percentile | |
| 99409 | Alcohol/substance screening and brief intervention more than 30 min | $194K | 6% | $249 | $30 (top 5% from $156) | 98th percentile | |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | $174K | 5% | $183 | $36 (top 5% from $90) | 99th percentile | |
| 97032 | Application of electrical stimulation with therapist present, each 15 minutes | $131K | 4% | $74 | $27 (top 5% from $109) | 87th percentile |
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 |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 2,517 | 59 | $152K | $90 | $76 | 1.2x | 2.2x (90th percentile 3.8x) |
| 95816 | Measurement of brain wave activity (eeg), awake and drowsy | 1,630 | 50 | $60K | $56 | $46 | 1.2x | 3.0x (90th percentile 8.4x) |
| 99497 | Advance care planning, first 30 minutes | 915 | 50 | $49K | $80 | $67 | 1.2x | 2.3x (90th percentile 4.9x) |
| 97129 | Therapy procedure for a range of mental processes, initial 15 minutes | 1,493 | 53 | $22K | $22 | $19 | 1.2x | 2.1x (90th percentile 4.7x) |
| 95954 | Measurement of brain wave activity (eeg) with drug or activity stimulation | 254 | 44 | $18K | $108 | $91 | 1.2x | |
| 95812 | Measurement of brain wave activity (eeg), 41-60 minutes | 319 | 42 | $12K | $56 | $46 | 1.2x | 3.3x (90th percentile 10.9x) |
| 95957 | Measurement of brain wave activity (eeg), digital analysis | 173 | 39 | $11K | $99 | $83 | 1.2x | 2.0x (90th percentile 3.7x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 76 | 34 | $5K | $130 | $93 | 1.4x | 2.3x (90th percentile 3.8x) |
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 $275.0M 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.