Helen Lanier Ramirez
Physician Assistant โข Prince George, VA
2035 Waterside Rd Ste 105
Prince George, VA 238751265
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 17, 2018; this date does not establish years in practice.
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Published CMS data list 273 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- 99214 โ Established patient outpatient office visit: 70 service units.
- 36415 โ Insertion of needle into vein for collection of blood sample: 52 service units.
- 80053 โ Blood test, comprehensive group of blood chemicals: 41 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See all 8 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 399 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Atorvastatin Calcium โ 58 prescription fills, including refills.
- Losartan Potassium โ 34 prescription fills, including refills.
- Amlodipine Besylate โ 32 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 20 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 689 in 2022 to 273 in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022โ2023.
Practice Location & Contact Primary Location
2035 Waterside Rd Ste 105
Prince George, VA 238751265
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Chesterfield, VA; Henrico, VA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Vitalcare Family Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
2019
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
91 people with Original Medicare in 2023
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2023.
Medicare-allowed amount
About $11,145 in 2023
The total amount Medicare approved for these services in 2023. 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, 2023.
Paid by Medicare
About $6,858 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, 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, 2023.
30-day fills
1,024 standardized 30-day fills in 2023
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
$17,713 in 2023
The total cost of these prescriptions in 2023, 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, 2023.
Open Payments general payments, program year 2025
All general payments: $65.54 across 3 records.
By nature of payment
- Food and Beverage: $65.54 across 3 records.
Reporting-company totals
- Inspire Medical Systems, Inc.: $65.54 across 3 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
7 years (graduated 2019)
CMS Doctors and Clinicians data list 2019 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, CMS release of October 2, 2026.
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.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
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, CMS release of October 2, 2026; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Helen 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 Helen 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 Prince George and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Helen Ramirez are from 2023.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Helen Ramirez are from 2023.
6 active clinicians are listed under Physician Assistant with a practice address in Prince George, VA (4,489 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
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 decreased 60% from 689 in 2022 to 273 in 2023.
- 2022: 689
- 2023: 273
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Medicare-allowed amount
Medicare-allowed amount decreased 57% from $25,878 in 2022 to $11,145 in 2023.
- 2022: $25,878
- 2023: $11,145
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Paid by Medicare
Paid by Medicare decreased 68% from $21,103 in 2022 to $6,858 in 2023.
- 2022: $21,103
- 2023: $6,858
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 12 in 2020 to 399 in 2023.
- 2020: 12
- 2021: 37
- 2022: 180
- 2023: 399
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30-day fills
30-day fills went from 13 in 2020 to 1,024 in 2023.
- 2020: 13
- 2021: 62
- 2022: 410
- 2023: 1,024
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Part D drug cost
Part D drug cost went from $108 in 2020 to $17,713 in 2023.
- 2020: $108
- 2021: $658
- 2022: $2,250
- 2023: $17,713
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $42.95 in 2024 to $65.54 in 2025.
- 2024: $42.95
- 2025: $65.54
Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, 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 $65.54.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
|
INSPIRE | General | $27.07 |
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
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INSPIRE | General | $23.15 |
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
|
INSPIRE | General | $15.32 |
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 2021โ2022 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, 2022โ2023; 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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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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70 | 60 | $160.00 | $107.03 |
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36415
Insertion of needle into vein for collection of blood sample
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52 | 47 | $10.00 | $8.24 |
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80053
Blood test, comprehensive group of blood chemicals
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41 | 40 | $30.00 | $10.35 |
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80061
Blood test, lipids (cholesterol and triglycerides)
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31 | 31 | $40.00 | $13.12 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
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27 | 27 | $24.00 | $7.61 |
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83036
Hemoglobin a1c level
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23 | 23 | $28.00 | $9.52 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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18 | 18 | $158.00 | $107.30 |
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81002
Urinalysis, manual test
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11 | 11 | $8.00 | $3.41 |
Source: CMS Part B by Provider and Service, 2023; 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 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 58 | 5,070 | $876.79 | 31 |
| Losartan Potassium | Losartan Potassium | 34 | 2,760 | $297.53 | 20 |
| Amlodipine Besylate | Amlodipine Besylate | 32 | 2,820 | $251.37 | 17 |
| Lisinopril | Lisinopril | 24 | 1,710 | $172.26 | 11 |
| Levothyroxine Sodium | Levothyroxine Sodium | 24 | 2,085 | $351.38 | 12 |
| Duloxetine Hcl | Duloxetine Hcl | 24 | 1,170 | $1,427.53 | โ |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 20 | 1,800 | $406.60 | โ |
| Sertraline Hcl | Sertraline Hcl | 17 | 1,530 | $157.89 | โ |
| Hydrochlorothiazide | Hydrochlorothiazide | 17 | 1,470 | $90.56 | 11 |
| Pravastatin Sodium | Pravastatin Sodium | 17 | 1,410 | $193.52 | โ |
| Furosemide | Furosemide | 15 | 918 | $104.87 | โ |
| Gabapentin | Gabapentin | 14 | 840 | $229.50 | โ |
| Potassium Chloride | Potassium Chloride | 14 | 1,088 | $303.11 | โ |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 14 | 335 | $423.12 | โ |
| Simvastatin | Simvastatin | 13 | 1,162 | $55.32 | โ |
| Tramadol Hcl | Tramadol Hcl | 13 | 340 | $36.81 | โ |
| Metformin Hcl | Metformin Hcl | 13 | 1,170 | $101.17 | โ |
| Metoprolol Succinate | Metoprolol Succinate | 13 | 1,170 | $251.66 | โ |
| Pantoprazole Sodium | Pantoprazole Sodium | 12 | 997 | $165.51 | โ |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 11 | 510 | $11,816.14 | โ |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-08-22NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20200313002153
VA
1658709282
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, CMS release of October 2, 2026
Vitalcare Family Llc
7300 Ashlake Pkwy, Chesterfield, VA 238322827
Phone: 8042568282
Vitalcare Family Llc
8006 Discovery Dr, Henrico, VA 232298600
Phone: 8042568282
Secondary Practice Locations
7300 Ashlake Pkwy Ste 200
Chesterfield, VA 238322827
Phone: 8042568282
8006 Discovery Dr Ste 400
Henrico, VA 232298600
Phone: 8042568282
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Physician Assistant
MSBSPAC
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Nurse Practitioner - Acute Care
Nurse Practitioner - Family
Family Nurse Practitioner (Board Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2035 WATERSIDE RD STE 105, PRINCE GEORGE, VA 238751265 (Tel: 8042568282)
Registered at 7300 ASHLAKE PKWY STE 200, CHESTERFIELD, VA 238322827 (Tel: 8042568282)
Additional practice office at 8006 Discovery Dr Ste 400, Henrico, VA 232298600
Additional practice office at 7300 Ashlake Pkwy Ste 200, Chesterfield, VA 238322827
Registered at 14415 JUSTICE RD, MIDLOTHIAN, VA 231136908 (Tel: 8045940125)
Registered at 14415 JUSTICE RD, MIDLOTHIAN, VA 231136908 (Tel: 8045940125)
Recorded as HELEN RAMIREZ
Registered at 1250 E MARSHALL ST, RICHMOND, VA 23298 (Tel: 8048288786)
Registered at PO BOX 91734, RICHMOND, VA 232911734 (Tel: 8043586100)
Physician Assistant (license number reported to NPPES: VA 0110006794)
NPI status registered as active in NPPES database
Registered at 2314 MONUMENT AVE, RICHMOND, VA 232202604 (Tel: 8043709926)
Registered at 2314 MONUMENT AVE, RICHMOND, VA 232202604 (Tel: 8043709926)
Recorded as HELEN REVELEY
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Prince George
Mailing Address
7300 Ashlake Pkwy Ste 200
Chesterfield, VA 238322827
Phone: 8042568282