Dr. Astrid L Arce Ramos , MD
General Practice • Utuado, PR
Hc 5 Box 28450
Utuado, PR 006418726
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Astrid Arce Ramos is listed in NPPES under General Practice.
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NPI assigned on May 25, 2007; this date does not establish years in practice.
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Published CMS data list 12 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99283 — Emergency department visit with low level of medical decision making: 12 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 6,640 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Gabapentin — 357 prescription fills, including refills.
- Atorvastatin Calcium — 349 prescription fills, including refills.
- Pantoprazole Sodium — 312 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 118 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 90% of clinicians listed under General Practice in Puerto Rico (2024, 254 clinicians with data). Median for this group: 44. Middle half: 24 to 94.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 4,045 in 2020 to 6,640 in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020–2024.
Practice Location & Contact Primary Location
Hc 5 Box 28450
Utuado, PR 006418726
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
20 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $816 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $650 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
10,089 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$369,029 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $246.58 across 3 records.
By nature of payment
- Food and Beverage: $246.58 across 3 records.
Reporting-company totals
- Olympus Latin America, Inc.: $111.15 across 1 record.
- ABBVIE INC.: $70.45 across 1 record.
- Eli Lilly and Company: $64.98 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Arce Ramos has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Arce Ramos as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Utuado and Puerto Rico
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 90% of clinicians listed under General Practice in Puerto Rico (2024, 254 clinicians with data). Median for this group: 44. Middle half: 24 to 94.
Too few clinicians listed under General Practice in Utuado have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 90% of clinicians listed under General Practice in Puerto Rico (2024, 254 clinicians with data). Median for this group: $3,632. Middle half: $1,847 to $6,989.
Too few clinicians listed under General Practice in Utuado have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 85% of clinicians listed under General Practice in Puerto Rico (2024, 254 clinicians with data). Median for this group: $2,269. Middle half: $1,181 to $4,774.
Too few clinicians listed under General Practice in Utuado have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under General Practice in Utuado, PR (2024, 17 clinicians with data). Median for this group: 2,381. Middle half: 208 to 6,640.
More Part D prescriptions than 80% of clinicians listed under General Practice in Puerto Rico (2024, 2,628 clinicians with data). Median for this group: 1,253. Middle half: 239 to 5,097.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under General Practice in Utuado, PR (2024, 17 clinicians with data). Median for this group: $74,545. Middle half: $1,973 to $369,029.
A higher Part D drug cost than 80% of clinicians listed under General Practice in Puerto Rico (2024, 2,628 clinicians with data). Median for this group: $34,007. Middle half: $2,958 to $213,188.
25 active clinicians are listed under General Practice with a practice address in Utuado, PR (4,196 in Puerto Rico).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Utuado
0% of these 25 clinicians have the CMS telehealth indicator.
20% of these 25 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
CMS data for Medicare Part B services are available for 2024 only.
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Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2024 only.
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Paid by Medicare
CMS data for Medicare payment amount are available for 2024 only.
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 64% from 4,045 in 2020 to 6,640 in 2024.
- 2020: 4,045
- 2021: 4,397
- 2022: 5,217
- 2023: 5,697
- 2024: 6,640
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30-day fills
30-day fills increased 51% from 6,694 in 2020 to 10,089 in 2024.
- 2020: 6,694
- 2021: 7,166
- 2022: 7,885
- 2023: 9,030
- 2024: 10,089
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Part D drug cost
Part D drug cost increased 111% from $175,163 in 2020 to $369,029 in 2024.
- 2020: $175,163
- 2021: $232,583
- 2022: $250,333
- 2023: $286,421
- 2024: $369,029
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $68.94 in 2021 to $246.58 in 2025.
- 2021: $68.94
- 2022: $273.56
- 2023: $174.57
- 2024: $284.19
- 2025: $246.58
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $246.58.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Olympus Latin America, Inc. |
Food and Beverage
In-kind items and services
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TECOFLEX | General | $111.15 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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— | General | $70.45 |
| Eli Lilly and Company |
Food and Beverage
Cash or cash equivalent
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MOUNJARO | General | $64.98 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99283
Emergency department visit with low level of medical decision making
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12 | 11 | $69.07 | $67.96 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Gabapentin | Gabapentin | 357 | 14,235 | $3,654.41 | 62 |
| Atorvastatin Calcium | Atorvastatin Calcium | 349 | 21,570 | $3,641.19 | 89 |
| Pantoprazole Sodium | Pantoprazole Sodium | 312 | 12,388 | $2,476.74 | 71 |
| Synthroid | Levothyroxine Sodium | 268 | 13,096 | $20,318.80 | 48 |
| Losartan Potassium | Losartan Potassium | 222 | 12,954 | $2,179.65 | 52 |
| Metformin Hcl | Metformin Hcl | 214 | 12,195 | $1,276.58 | 52 |
| Famotidine | Famotidine | 211 | 7,279 | $1,401.75 | 48 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 209 | 12,252 | $2,513.28 | 51 |
| Simvastatin | Simvastatin | 161 | 9,030 | $1,036.71 | 41 |
| Lisinopril | Lisinopril | 157 | 8,895 | $652.56 | 31 |
| Alendronate Sodium | Alendronate Sodium | 152 | 5,780 | $958.20 | 28 |
| Metoprolol Succinate | Metoprolol Succinate | 152 | 6,615 | $1,726.21 | 29 |
| Amlodipine Besylate | Amlodipine Besylate | 149 | 8,490 | $1,025.26 | 39 |
| Clonazepam | Clonazepam | 147 | 4,355 | $1,126.78 | 34 |
| Omeprazole | Omeprazole | 145 | 4,888 | $977.62 | 32 |
| Tamsulosin Hcl | Tamsulosin Hcl | 143 | 6,786 | $1,342.51 | 32 |
| Hydrochlorothiazide | Hydrochlorothiazide | 117 | 5,370 | $569.50 | 25 |
| Carvedilol | Carvedilol | 109 | 5,910 | $934.14 | 24 |
| Glipizide | Glipizide | 105 | 5,910 | $1,796.36 | 22 |
| Levothyroxine Sodium | Levothyroxine Sodium | 92 | 4,020 | $837.49 | 21 |
| Montelukast Sodium | Montelukast Sodium | 87 | 3,450 | $881.85 | 29 |
| Sertraline Hcl | Sertraline Hcl | 85 | 3,630 | $660.97 | 21 |
| Glimepiride | Glimepiride | 81 | 3,750 | $833.73 | 18 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 80 | 5,100 | $1,466.18 | 18 |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 78 | 2,609 | $8,033.91 | 15 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL PRACTICE
I20101019000362
PR
5294928644
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History
NPI enumerated May 25, 2007.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other General Practices in Utuado
- Dr. Rafael Delvalle Torres, MD
- Dr. Jose Cortes Santiago, MD
- Dr. Mario Torres, MD
- Dr. Juan Figueroa Torres, MD
- Marcos Moran Velez
- Dr. Carlos Benitez Rios, MD
Mailing Address
Hc 5 Box 28450
Utuado, PR 006418726
Phone: 7876158365