University Medical Center of Southern Nevada review: Medical billing fraud, including upcoding and charges for services not rendered

On or about November 19, 2026, I received medical treatment at your facility. Folling the surgical procedure I was billed amounts that appear to be significantly inflated and inconsistent with both standard billing practices and the correct procedural coding. Specifically, the total amount billed to my insurance prior to any negotiated rate was $81,247.75. However, based on the correct billing code located on your website for the procedure performed (CPT 19325 – breast augmentation with implant), the appropriate pre-negotiated amount should have been $37,358 I was also charged for items that would have been included in 19325, such as the implant devices themselves and 100 minutes of anesthesia, even though the surgical notes said a total of 58 minutes.

* Charges for services that were either not performed or not authorized
* Upcoding of procedures to higher-cost billing codes than warranted
* Inflated charges inconsistent with the level of care provided
* Failure to provide accurate and transparent billing documentation upon request

These practices may constitute violations of Nevada law, including but not limited to:

* **NRS 598.0915** – Deceptive trade practices, including knowingly making false representations in a transaction
* **NRS 41.600** – Liability for deceptive trade practices and recovery of damages, including attorney’s fees and costs
* **NRS 205.380** – Obtaining money or property by false pretenses (fraud)
* **NRS 422.540–422.570** – Fraud and abuse in healthcare billing, including presenting false or fraudulent claims

Such conduct may also implicate federal laws, including the False Claims Act (31 U.S.C. §§ 3729–3733), where applicable.

Despite attempts to resolve this matter directly with your billing department, the issue remains unresolved.