Randie Joseph Macuto Arenas, PMHNP
NPI 1427440551ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Palestine, TX
Nurse Practitioner, Psych/Mental Health (PMHNP) in Palestine, Texas, licensed in TX, with an NPI issued in February 2015. Their prescriptions cost Medicare Part D more than their services did: $592,483 for 4,871 claims, against $185,736 paid for services in 2024. Otsuka America Pharmaceutical, Inc. was the largest of 3 companies reporting payments in 2025, $591.11 in all, mostly food and beverage.
Overview
| NPI | 1427440551 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP |
| Sole proprietor | Yes |
| NPI issued | Feb 26, 2015 |
| Last updated in NPPES | Feb 26, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | AP127010 | 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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 286 |
|---|---|
| Services billed | 3,241 across 5 procedure codes |
| Paid by Medicare | $185,736 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,871 · 4,871 30-day fills |
|---|---|
| Patients | 374 |
| Total drug cost | $592,483 |
| Generic share | 95% of claims |
Industry payments (Open Payments)
- 2025$591.11 · 29 payments from 3 companies
- 2024$118.35 · 4 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $367.12 | 22 |
| Teva Pharmaceuticals USA, Inc. | $204.30 | 6 |
| Acadia Pharmaceuticals Inc | $19.69 | 1 |
What the 2025 payments were for
- Food and Beverage$489.62 · 28 payments
- Education$101.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Psych/Mental Health providers in Palestine
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