Juan Jose Carrales, PA
NPI 1023564531ActiveIndividual· Physician Assistant· Edcouch, TX
Physician Assistant (PA) with Nuestra Clinica del Valle, Inc., practicing in Edcouch, Texas. Their prescriptions cost Medicare Part D more than their services did: $409,243 for 2,447 claims, against $1,795 paid for services in 2024. Dexcom, Inc. was the largest of 4 companies reporting payments in 2025, $198.10 in all, mostly food and beverage.
Overview
| NPI | 1023564531 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Aug 26, 2016 |
| Last updated in NPPES | Feb 16, 2022 |
| Certified by provider | Feb 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA10556 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 14 |
|---|---|
| Services billed | 172 across 22 procedure codes |
| Paid by Medicare | $1,795 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,447 · 5,696 30-day fills |
|---|---|
| Patients | 107 |
| Total drug cost | $409,243 |
| Generic share | 76% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Nuestra Clinica del Valle, Inc.Mercedes, TX · 29 clinicians
Industry payments (Open Payments)
- 2025$198.10 · 4 payments from 4 companies
- 2024$15.90 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Dexcom, Inc. | $115.54 | 1 |
| Lilly USA, LLC | $34.83 | 1 |
| Glaxosmithkline, LLC. | $29.63 | 1 |
| Exact Sciences Corporation | $18.10 | 1 |
What the 2025 payments were for
- Food and Beverage$198.10 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records