Jose Refugio Rios Jr., PA-S
NPI 1023749959ActiveIndividual· Physician Assistant· San Juan, TX
Physician Assistant (PA-S) with Nuestra Clinica del Valle, Inc., practicing in San Juan, Texas. Their prescriptions cost Medicare Part D more than their services did: $86,790 for 481 claims, against $547.79 paid for services in 2024. Lilly USA, LLC was the largest of 2 companies reporting payments in 2025, $64.46 in all, mostly food and beverage.
Overview
| NPI | 1023749959 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-S |
| Sole proprietor | No |
| NPI issued | Jun 21, 2022 |
| Last updated in NPPES | Feb 29, 2024 |
| Certified by provider | Feb 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA16578 | TX |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 | 11 |
|---|---|
| Services billed | 52 across 11 procedure codes |
| Paid by Medicare | $547.79 |
Part D prescriptions in 2024
| Prescriptions (claims) | 481 · 1,034 30-day fills |
|---|---|
| Patients | 82 |
| Total drug cost | $86,790 |
| Generic share | 72% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Nuestra Clinica del Valle, Inc.Mercedes, TX · 29 clinicians
Industry payments (Open Payments)
- 2025$64.46 · 2 payments from 2 companies
- 2024$15.89 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $34.83 | 1 |
| Glaxosmithkline, LLC. | $29.63 | 1 |
What the 2025 payments were for
- Food and Beverage$64.46 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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