Active NPI 1639613037 Individual Practitioner Male Practitioner

Randy Ramirez , AGACNP-BC

Nurse Practitioner • San Antonio, TX

Professional Overview & Biography Verified Profile Summary

Randy Ramirez, AGACNP-BC is a registered healthcare professional specializing in Nurse Practitioner in San Antonio, TX. Practice services are available at 5414 FREDERICKSBURG RD STE 100A under active NPI credentials.

Frequently performed procedures and clinical services include residence visit for established patient with high level of medical decision making, per day, if using time, at least, residence visit for new patient with high level of medical decision making, per day, if using time, at least, comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5414 Fredericksburg Rd Ste 100a

San Antonio, TX 782293641

Telephone 2104680800

Fax 2107338649

Associated Practice Facility / Clinic

🏢 Vpa Of Texas Pllc Facility NPI 1578175865

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in San Antonio, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 7.9 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

394 Specialists

Practicing in San Antonio, TX (4894 Statewide)

Telehealth Adoption Rate

9.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

43.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	349	101	$265.67	$150.55
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	58	58	$288.98	$164.03
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	38	38	$87.81	$50.70
99496 Transitional care management services for problem of high complexity	14	13	$393.81	$226.47
82962 Blood glucose (sugar) test performed by hand-held instrument	13	12	$10.00	$3.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	163	59	$259.44	$151.84
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	53	53	$306.91	$165.19
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	48	48	$89.07	$50.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	137	108	$195.13	$105.34
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	117	91	$369.05	$146.82
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	52	52	$42.00	$31.63
G0008 Administration of influenza virus vaccine	52	52	$35.00	$28.38
99336 Established patient assisted living visit, typically 40 minutes	51	33	$203.00	$110.83
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	40	26	$65.00	$52.45
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	21	21	$464.75	$180.57
99496 Transitional care management services for problem of high complexity	13	13	$641.43	$233.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$175.00	$108.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	153	94	$402.68	$148.60
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	58	58	$495.98	$183.00
99195 Drawing of blood for a medical problem	23	23	$255.25	$88.76
99496 Transitional care management services for problem of high complexity	19	18	$641.43	$233.61
36415 Insertion of needle into vein for collection of blood sample	11	11	$25.00	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	129	111	$150.00	$62.75
81001 Manual urinalysis test with examination using microscope, automated	116	102	$15.00	$3.15
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	91	91	$25.00	$19.34
51798 Ultrasound measurement of bladder capacity after voiding	61	56	$95.00	$9.81
36415 Insertion of needle into vein for collection of blood sample	34	34	$10.00	$3.00
84153 Psa (prostate specific antigen) measurement, total	24	24	$110.00	$18.39
51702 Simple insertion of temporary bladder tube	14	14	$180.00	$48.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	135	$192.00	$63.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	46	$271.00	$91.54
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$125.00	$42.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	22	$176.00	$56.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	20	$98.00	$31.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	19	$176.00	$59.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	13	$98.00	$32.36

Medical Specialties & State Licenses

CMS Verified: 2022-06-28

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP132718

(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.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License TX AP132718

Definition to come...

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License TX AP132718

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

368977001 (TX)

Commercial Insurance / Payer ID Bcbs

8858MB (TX)

Secondary Practice Locations

7909 Fredericksburg Rd Ste 125

San Antonio, TX 782293448

Phone: 2106144544

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners

Dr. Michael Dorsa , MD

Family Medicine

NPI 1043219827

Doctor of Medicine (M.D.)

Danielle Flores , APRN

Nurse Practitioner - Gerontology

NPI 1043965932

Advanced Practice Registered Nurse

Brenda Harper , APRN

Nurse Practitioner - Adult Health

NPI 1083992044

Advanced Practice Registered Nurse

Dr. Tamara Dominguez , MD

Family Medicine

NPI 1104049592

Doctor of Medicine (M.D.)

Dr. Arlene Olaisen , MD

Internal Medicine

NPI 1134233463

Doctor of Medicine (M.D.)

Casey Divin

Nurse Practitioner - Family

NPI 1154835536

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location June 28, 2022

Registered at 5414 FREDERICKSBURG RD STE 100A, SAN ANTONIO, TX 782293641 (Tel: 2104680800)

📍

Updated Business Mailing Address March 10, 2020

Registered at 7909 FREDERICKSBURG RD STE 110, SAN ANTONIO, TX 782293400 (Tel: 2106144544)

📍

Updated Practice Location March 09, 2020

Registered at 7909 FREDERICKSBURG RD STE 125, SAN ANTONIO, TX 782293448 (Tel: 2106144544)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2020

Nurse Practitioner (License #AP132718 in TX)

📍

Updated Business Mailing Address August 06, 2019

Registered at 8201 EWING HALSELL DR, SAN ANTONIO, TX 782293707 (Tel: 2105754837)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2019

Nurse Practitioner (License #AP132718 in TX)

✅

NPI Profile Active January 02, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 02, 2017

Registered at 8201 EWING HALSELL DR, SAN ANTONIO, TX 782293707 (Tel: 2105754837)

📍

Updated Business Mailing Address January 02, 2017

Registered at 8109 FREDERICKSBURG RD, SAN ANTONIO, TX 782293311 (Tel: 2105754837)

👤

Provider Name / Credentials Updated January 02, 2017

Recorded as RANDY RAMIREZ, AGACNP-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2017

Nurse Practitioner (License #AP132718 in TX)

🟢

Initial NPI Registration & Enumeration December 05, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Randy Ramirez. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1639613037

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 05, 2016

Last Update: June 28, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7909 Fredericksburg Rd Ste 110

San Antonio, TX 782293400

Phone: 2106144544

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.