Anissa Juarez Ramirez, P.A.
NPI 1003116740ActiveIndividual· Physician Assistant· San Antonio, TX
Physician Assistant (P.A.) with Gmg Health Systems Associates PA, practicing in San Antonio, Texas. Their prescriptions cost Medicare Part D more than their services did: $1,159,607 for 7,034 claims, against $15,584 paid for services in 2024. Novo Nordisk Inc was the largest of 14 companies reporting payments in 2025, $896.51 in all, mostly food and beverage.
Overview
| NPI | 1003116740 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Oct 28, 2010 |
| Last updated in NPPES | Jan 12, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA05537 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 64 |
|---|---|
| Services billed | 339 across 36 procedure codes |
| Paid by Medicare | $15,584 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,034 · 17,174 30-day fills |
|---|---|
| Patients | 753 |
| Total drug cost | $1,159,607 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Gmg Health Systems Associates PASan Antonio, TX · 117 clinicians
Industry payments (Open Payments)
- 2025$896.51 · 45 payments from 14 companies
- 2024$1,067 · 51 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $240.74 | 11 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $106.93 | 5 |
| Bayer Healthcare Pharmaceuticals Inc. | $89.86 | 4 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $80.43 | 3 |
| Lilly USA, LLC | $76.71 | 4 |
What the 2025 payments were for
- Food and Beverage$880.24 · 44 payments
- Education$16.27 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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