Randy Ramirez , AGACNP-BC
Nurse Practitioner โข San Antonio, TX
5414 Fredericksburg Rd Ste 100a
San Antonio, TX 782293641
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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NPI assigned on December 5, 2016; this date does not establish years in practice.
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Published CMS data list 472 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:
- 99350 โ Residence visit for established patient with high level of medical decision making, per day: 349 service units.
- 99345 โ Residence visit for new patient with high level of medical decision making, per day: 58 service units.
- G0506 โ Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service): 38 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 5 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,491 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 82 prescription fills, including refills.
- Trazodone Hcl โ 76 prescription fills, including refills.
- Lisinopril โ 70 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 58 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 154 clinicians with data). Median for this group: 207. Middle half: 78 to 518.
More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.
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 469 in 2020 to 472 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
5414 Fredericksburg Rd Ste 100a
San Antonio, TX 782293641
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in San Antonio, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
139 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 $67,195 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 $49,954 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
2,259 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
$114,801 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.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $99.02 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
NPI first issued
2016
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, 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)
Randy Ramirez 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 Randy Ramirez 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 70% of clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 154 clinicians with data). Median for this group: 207. Middle half: 78 to 518.
More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.
Medicare-allowed amount
A higher Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 154 clinicians with data). Median for this group: $15,355. Middle half: $6,719 to $37,633.
A higher Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $17,068. Middle half: $6,758 to $39,305.
Paid by Medicare
A higher Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 154 clinicians with data). Median for this group: $11,029. Middle half: $4,930 to $28,284.
A higher Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $12,638. Middle half: $4,849 to $28,908.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 181 clinicians with data). Median for this group: 269. Middle half: 54 to 1,018.
More Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: 274. Middle half: 77 to 1,097.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 181 clinicians with data). Median for this group: $19,802. Middle half: $760 to $136,336.
A higher Part D drug cost than 70% of clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: $12,936. Middle half: $998 to $118,416.
393 active clinicians are listed under Nurse Practitioner with a practice address in San Antonio, TX (4,835 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in San Antonio
9.9% of these 393 clinicians have the CMS telehealth indicator.
51.7% of these 393 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 varied from year to year: 469 in 2020 and 472 in 2024.
- 2020: 469
- 2021: 264
- 2022: 494
- 2023: 264
- 2024: 472
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Medicare-allowed amount
Medicare-allowed amount increased 458% from $12,038 in 2020 to $67,195 in 2024.
- 2020: $12,038
- 2021: $39,863
- 2022: $50,506
- 2023: $35,914
- 2024: $67,195
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Paid by Medicare
Paid by Medicare increased 426% from $9,502 in 2020 to $49,954 in 2024.
- 2020: $9,502
- 2021: $31,469
- 2022: $38,183
- 2023: $28,534
- 2024: $49,954
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 433% from 280 in 2020 to 1,491 in 2024.
- 2020: 280
- 2021: 193
- 2022: 785
- 2023: 527
- 2024: 1,491
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30-day fills
30-day fills increased 338% from 516 in 2020 to 2,259 in 2024.
- 2020: 516
- 2021: 381
- 2022: 1,599
- 2023: 1,018
- 2024: 2,259
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Part D drug cost
Part D drug cost decreased 33% from $170,200 in 2020 to $114,801 in 2024.
- 2020: $170,200
- 2021: $3,010
- 2022: $49,879
- 2023: $37,851
- 2024: $114,801
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $67.18 in 2021 to $99.02 in 2025.
- 2021: $67.18
- 2022: $48.30
- 2023: $55.71
- 2024: $771.35
- 2025: $99.02
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 $99.02.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| UCB, Inc. |
Food and Beverage
In-kind items and services
|
Rystiggo | General | $99.02 |
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 2016โ2023 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, 2017โ2024; 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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99350
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
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349 | 101 | $265.67 | $150.55 |
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99345
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes
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58 | 58 | $288.98 | $164.03 |
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G0506
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)
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38 | 38 | $87.81 | $50.70 |
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99496
Transitional care management services for problem of high complexity
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14 | 13 | $393.81 | $226.48 |
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82962
Blood glucose (sugar) test performed by hand-held instrument
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13 | 12 | $10.00 | $3.21 |
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 | 82 | 4,320 | $766.28 | 27 |
| Trazodone Hcl | Trazodone Hcl | 76 | 2,910 | $572.44 | 20 |
| Lisinopril | Lisinopril | 70 | 3,277 | $501.49 | 20 |
| Furosemide | Furosemide | 57 | 2,790 | $263.59 | 22 |
| Metoprolol Succinate | Metoprolol Succinate | 57 | 2,827 | $631.73 | 16 |
| Metformin Hcl | Metformin Hcl | 49 | 2,130 | $314.35 | 13 |
| Gabapentin | Gabapentin | 47 | 2,490 | $909.15 | 14 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 46 | 1,551 | $1,622.81 | 19 |
| Potassium Chloride | Potassium Chloride | 43 | 1,981 | $618.92 | 11 |
| Sertraline Hcl | Sertraline Hcl | 39 | 1,650 | $297.45 | โ |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 38 | 1,740 | $351.82 | 11 |
| Levothyroxine Sodium | Levothyroxine Sodium | 37 | 2,070 | $377.85 | 12 |
| Risperidone | Risperidone | 35 | 1,110 | $340.67 | โ |
| Buspirone Hcl | Buspirone Hcl | 31 | 1,350 | $731.99 | 12 |
| Olanzapine | Olanzapine | 29 | 990 | $929.02 | โ |
| Omeprazole | Omeprazole | 26 | 1,200 | $251.20 | โ |
| Amlodipine Besylate | Amlodipine Besylate | 25 | 2,040 | $124.97 | 11 |
| Escitalopram Oxalate | Escitalopram Oxalate | 25 | 1,290 | $330.67 | โ |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 24 | 786 | $1,327.56 | โ |
| Mirtazapine | Mirtazapine | 24 | 1,200 | $402.03 | โ |
| Eliquis | Apixaban | 24 | 1,200 | $22,659.07 | โ |
| Donepezil Hcl | Donepezil Hcl | 23 | 1,050 | $120.30 | โ |
| Pantoprazole Sodium | Pantoprazole Sodium | 23 | 1,050 | $262.94 | โ |
| Mupirocin | Mupirocin | 23 | 660 | $222.68 | 17 |
| Alprazolam | Alprazolam | 22 | 660 | $138.34 | 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
Self-certified to NPPES: 2022-06-28NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LA2100X
NUCC Taxonomy Code: 363LG0600X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20170324000157
TX
3678858164
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
7909 Fredericksburg Rd Ste 125
San Antonio, TX 782293448
Phone: 2106144544
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Gerontology
Advanced Practice Registered Nurse
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner - Adult Health
NURSEPRACTITIONER
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Nurse Practitioner - Family
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 5414 FREDERICKSBURG RD STE 100A, SAN ANTONIO, TX 782293641 (Tel: 2104680800)
Registered at 7909 FREDERICKSBURG RD STE 110, SAN ANTONIO, TX 782293400 (Tel: 2106144544)
Registered at 7909 FREDERICKSBURG RD STE 125, SAN ANTONIO, TX 782293448 (Tel: 2106144544)
Nurse Practitioner (license number reported to NPPES: TX AP132718)
Registered at 8201 EWING HALSELL DR, SAN ANTONIO, TX 782293707 (Tel: 2105754837)
Nurse Practitioner (license number reported to NPPES: TX AP132718)
NPI status registered as active in NPPES database
Registered at 8201 EWING HALSELL DR, SAN ANTONIO, TX 782293707 (Tel: 2105754837)
Registered at 8109 FREDERICKSBURG RD, SAN ANTONIO, TX 782293311 (Tel: 2105754837)
Recorded as RANDY RAMIREZ, AGACNP-BC
Nurse Practitioner (license number reported to NPPES: TX AP132718)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in San Antonio
- Maria Younessian, BSN, RN, FNP
- Amanda Rodriguez, FNP-C
- Martha Valdez
- Leslie Dehart, NP
- Stephanie Munoz, MSN, APRN, FNP-C
- Tanpraserth Vatanadilok, NP
Mailing Address
7909 Fredericksburg Rd Ste 110
San Antonio, TX 782293400
Phone: 2106144544