Lafitte Jermaine Holmes Sr., CLINICAL NURSE SPEC
NPI 1013217876ActiveIndividual· Clinical Nurse Specialist, Adult Health· San Antonio, TX
Clinical Nurse Specialist, Adult Health (CLINICAL NURSE SPEC) with San Antonio Premier Internal Medicine, PLLC, practicing in San Antonio, Texas. Their prescriptions cost Medicare Part D more than their services did: $922,084 for 6,924 claims, against $19,943 paid for services in 2024. Novo Nordisk Inc was the largest of 18 companies reporting payments in 2025, $2,735 in all, mostly food and beverage.
Overview
| NPI | 1013217876 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CLINICAL NURSE SPEC |
| Sole proprietor | No |
| NPI issued | Oct 27, 2010 |
| Last updated in NPPES | Oct 28, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Nurse Specialist, Adult Health Primary | 364SA2200X | 667360 | 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 - Certified Clinical Nurse Specialist (Cns) (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 131 |
|---|---|
| Services billed | 804 across 32 procedure codes |
| Paid by Medicare | $19,943 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,924 · 16,074 30-day fills |
|---|---|
| Patients | 1,149 |
| Total drug cost | $922,084 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Certified Clinical Nurse Specialist (Cns) |
Medical group
- San Antonio Premier Internal Medicine, PLLCSan Antonio, TX · 12 clinicians
Industry payments (Open Payments)
- 2025$2,735 · 90 payments from 18 companies
- 2024$2,726 · 102 payments from 20 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $615.34 | 23 |
| Astrazeneca Pharmaceuticals LP | $311.70 | 19 |
| Lilly USA, LLC | $276.11 | 3 |
| Bayer Healthcare Pharmaceuticals Inc. | $244.74 | 2 |
| Phathom Pharmaceuticals, Inc. | $234.47 | 3 |
What the 2025 payments were for
- Food and Beverage$2,735 · 90 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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