Ruby Ann Lopez
Nurse Practitioner - Family โข San Antonio, TX
16620 N Us Highway 281 Ste 300
San Antonio, TX 782322679
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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Ruby Lopez is listed in NPPES under Nurse Practitioner - Family.
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NPI assigned on June 21, 2018; this date does not establish years in practice.
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Published CMS data list 3,042 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99309 โ Subsequent nursing facility care with moderate level of medical decision making, per day: 2,481 service units.
- 99310 โ Subsequent nursing facility care with high level of medical decision making, per day: 288 service units.
- 99349 โ Residence visit for established patient with moderate level of medical decision making, per day: 139 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 2,461 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium โ 165 prescription fills, including refills.
- Furosemide โ 149 prescription fills, including refills.
- Levothyroxine Sodium โ 133 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 72 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner - Family in San Antonio, TX (2024, 514 clinicians with data). Median for this group: 217. Middle half: 87 to 546.
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner - Family in Texas (2024, 7,721 clinicians with data). Median for this group: 242. Middle half: 85 to 705.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,786 in 2020 to 3,042 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
16620 N Us Highway 281 Ste 300
San Antonio, TX 782322679
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Inpatient Progressive Health Of America, Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2018
What Public CMS Data Show
Nurse Practitioner - Family: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
309 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 โ by Provider, 2024.
Medicare-allowed amount
About $278,525 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 โ by Provider and Service, 2024.
Paid by Medicare
About $214,004 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 โ by Provider and Service, 2024.
30-day fills
2,484 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
$156,478 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 โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $613.65 across 8 records.
By nature of payment
- Food and Beverage: $613.65 across 8 records.
Reporting-company totals (3 largest of 5)
- Otsuka America Pharmaceutical, Inc.: $177.02 across 3 records.
- Boston Scientific Corporation: $141.57 across 1 record.
- ABIOMED: $137.16 across 2 records.
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).
Years since graduation
8 years (graduated 2018)
CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2018
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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)
Ruby Lopez 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 Ruby Lopez 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 San Antonio and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner - Family in San Antonio, TX (2024, 514 clinicians with data). Median for this group: 217. Middle half: 87 to 546.
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner - Family in Texas (2024, 7,721 clinicians with data). Median for this group: 242. Middle half: 85 to 705.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner - Family in San Antonio, TX (2024, 514 clinicians with data). Median for this group: $16,829. Middle half: $6,919 to $34,667.
A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner - Family in Texas (2024, 7,721 clinicians with data). Median for this group: $16,783. Middle half: $6,172 to $40,988.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner - Family in San Antonio, TX (2024, 514 clinicians with data). Median for this group: $11,820. Middle half: $4,619 to $27,050.
A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner - Family in Texas (2024, 7,721 clinicians with data). Median for this group: $12,120. Middle half: $4,466 to $30,432.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner - Family in San Antonio, TX (2024, 605 clinicians with data). Median for this group: 325. Middle half: 82 to 1,089.
More Part D prescriptions than 85% of clinicians listed under Nurse Practitioner - Family in Texas (2024, 9,969 clinicians with data). Median for this group: 357. Middle half: 83 to 1,366.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Nurse Practitioner - Family in San Antonio, TX (2024, 605 clinicians with data). Median for this group: $19,809. Middle half: $1,407 to $134,060.
A higher Part D drug cost than 75% of clinicians listed under Nurse Practitioner - Family in Texas (2024, 9,969 clinicians with data). Median for this group: $15,967. Middle half: $1,074 to $125,277.
1,363 active clinicians are listed under Nurse Practitioner - Family with a practice address in San Antonio, TX (21,278 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in San Antonio
11.2% of these 1,363 clinicians have the CMS telehealth indicator.
47.1% of these 1,363 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
Medicare Part B services increased 70% from 1,786 in 2020 to 3,042 in 2024.
- 2020: 1,786
- 2021: 3,111
- 2022: 2,977
- 2023: 3,096
- 2024: 3,042
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Medicare-allowed amount
Medicare-allowed amount increased 87% from $149,328 in 2020 to $278,525 in 2024.
- 2020: $149,328
- 2021: $244,183
- 2022: $226,355
- 2023: $276,360
- 2024: $278,525
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Paid by Medicare
Paid by Medicare increased 80% from $118,639 in 2020 to $214,004 in 2024.
- 2020: $118,639
- 2021: $190,062
- 2022: $172,893
- 2023: $213,010
- 2024: $214,004
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 413% from 480 in 2020 to 2,461 in 2024.
- 2020: 480
- 2021: 802
- 2022: 2,327
- 2023: 2,527
- 2024: 2,461
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30-day fills
30-day fills increased 406% from 491 in 2020 to 2,484 in 2024.
- 2020: 491
- 2021: 802
- 2022: 2,339
- 2023: 2,559
- 2024: 2,484
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Part D drug cost
Part D drug cost increased 276% from $41,623 in 2020 to $156,478 in 2024.
- 2020: $41,623
- 2021: $57,566
- 2022: $267,145
- 2023: $175,180
- 2024: $156,478
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $168.22 in 2021 to $613.65 in 2025.
- 2021: $168.22
- 2022: $115.43
- 2023: $161.34
- 2024: $401.71
- 2025: $613.65
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 ยท 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 โ December 31, 2025): fewer than 11 records totaling $613.65.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
WATCHMAN FLX | General | $141.57 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
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REXULTI | General | $124.98 |
| Teva Pharmaceuticals USA, Inc. |
Food and Beverage
In-kind items and services
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AUSTEDO XR | General | $120.56 |
| ABIOMED |
Food and Beverage
In-kind items and services
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โ | General | $118.67 |
| Alpha Cognition USA, Inc. |
Food and Beverage
Cash or cash equivalent
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Zunveyl | General | $37.34 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
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REXULTI | General | $32.91 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
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REXULTI | General | $19.13 |
| ABIOMED |
Food and Beverage
In-kind items and services
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โ | General | $18.49 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ2023 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 โ by Provider and Service data, 2018โ2024; 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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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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2,481 | 239 | $130.00 | $87.16 |
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99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
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288 | 204 | $190.00 | $124.20 |
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99349
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
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139 | 24 | $275.00 | $103.41 |
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99316
Nursing facility discharge management, more than 30 minutes
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54 | 51 | $150.00 | $106.07 |
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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45 | 26 | $150.00 | $94.94 |
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99497
Advance care planning, first 30 minutes
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35 | 33 | $130.00 | $61.08 |
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 |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 165 | 4,877 | $2,287.67 | 33 |
| Furosemide | Furosemide | 149 | 3,709 | $1,151.29 | 29 |
| Levothyroxine Sodium | Levothyroxine Sodium | 133 | 3,440 | $1,583.39 | 22 |
| Eliquis | Apixaban | 131 | 1,944 | $41,131.58 | 18 |
| Gabapentin | Gabapentin | 111 | 3,184 | $2,022.87 | 20 |
| Potassium Chloride | Potassium Chloride | 92 | 2,554 | $3,294.26 | 18 |
| Mirtazapine | Mirtazapine | 74 | 2,289 | $3,226.69 | 14 |
| Fluticasone Propionate | Fluticasone Propionate | 73 | 2,412 | $1,315.11 | 21 |
| Metformin Hcl | Metformin Hcl | 71 | 2,100 | $775.36 | 18 |
| Gemtesa | Vibegron | 57 | 798 | $13,883.42 | โ |
| Famotidine | Famotidine | 56 | 1,622 | $812.11 | โ |
| Pantoprazole Sodium | Pantoprazole Sodium | 54 | 1,779 | $1,729.06 | 12 |
| Latanoprost | Latanoprost | 51 | 1,235 | $796.71 | 11 |
| Sertraline Hcl | Sertraline Hcl | 50 | 1,396 | $616.29 | 15 |
| Duloxetine Hcl | Duloxetine Hcl | 44 | 1,272 | $5,281.82 | โ |
| Metoprolol Tartrate | Metoprolol Tartrate | 42 | 1,239 | $433.71 | 13 |
| Trazodone Hcl | Trazodone Hcl | 40 | 1,129 | $502.70 | โ |
| Montelukast Sodium | Montelukast Sodium | 39 | 1,145 | $707.67 | โ |
| Losartan Potassium | Losartan Potassium | 38 | 1,124 | $431.44 | โ |
| Levetiracetam | Levetiracetam | 38 | 1,038 | $1,500.09 | โ |
| Clopidogrel | Clopidogrel Bisulfate | 37 | 1,110 | $445.37 | โ |
| Donepezil Hcl | Donepezil Hcl | 37 | 1,110 | $440.66 | โ |
| Nifedipine Er | Nifedipine | 33 | 961 | $543.86 | โ |
| Hydralazine Hcl | Hydralazine Hcl | 32 | 872 | $832.90 | โ |
| Xarelto | Rivaroxaban | 31 | 434 | $8,790.10 | โ |
(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: 363LF0000X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20181114000524
TX
1850645623
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Inpatient Progressive Health Of America, Pllc
16620 N Us Hwy 281, San Antonio, TX 782322679
Inpatient Progressive Health Of America, Pllc
16620 San Pedro Ave, San Antonio, TX 782322679
Phone: 2108714701
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Hospitalist
Doctor of Medicine (M.D.)
Internal Medicine - Geriatric Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
MSNAPRNAGACNPBC
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
APRNTXRN
Clinical Nurse Specialist - Acute Care
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 16620 N US HIGHWAY 281 STE 300, SAN ANTONIO, TX 782322679 (Tel: 2103091405)
NPI status registered as active in NPPES database
Registered at 7330 SAN PEDRO AVE, SAN ANTONIO, TX 782166235 (Tel: 2103252354)
Registered at 3500 S PRESA ST, SAN ANTONIO, TX 782104828 (Tel: 2103252354)
Recorded as RUBY LOPEZ
Nurse Practitioner (license number reported to NPPES: TX AP137806)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioner - Family Specialists in San Antonio
- Natalie Acevedo, NP
- Anu Skaria
- Bindu Sam, FNP-C
- Kristine Jeter, NURSE PRACTITIONER
- Mihaela Smith
- Elizabeth Jaramillo, APRN, FNP-C
Mailing Address
3500 S Presa St
San Antonio, TX 782104828
Phone: 2103252354