James Ryan Molato Villaruel
NPI 1245921683ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Shenandoah, TX
Nurse Practitioner, Psych/Mental Health with Psychiatry of Texas PLLC and 1 other group, practicing in Shenandoah, Texas. Their prescriptions cost Medicare Part D more than their services did: $276,587 for 1,312 claims, against $5,765 paid for services in 2024. Janssen Pharmaceuticals, Inc was the largest of 3 companies reporting payments in 2025, $455.48 in all, mostly food and beverage.
Overview
| NPI | 1245921683 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 17, 2023 |
| Last updated in NPPES | Nov 25, 2025 |
| Certified by provider | Nov 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 1181303 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OK); Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 38 |
|---|---|
| Services billed | 113 across 5 procedure codes |
| Paid by Medicare | $5,765 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,312 · 1,930 30-day fills |
|---|---|
| Patients | 69 |
| Total drug cost | $276,587 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Psychiatry of Texas PLLCHouston, TX · 447 clinicians
- State of OklahomaNorman, OK · 97 clinicians
Industry payments (Open Payments)
- 2025$455.48 · 6 payments from 3 companies
- 2024$272.48 · 5 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Pharmaceuticals, Inc | $291.84 | 3 |
| Otsuka America Pharmaceutical, Inc. | $122.19 | 1 |
| Abbvie Inc. | $41.45 | 2 |
What the 2025 payments were for
- Food and Beverage$455.48 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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