Vyannhe Vela-Ramirez, P.A.-C
NPI 1477642643ActiveIndividual· Physician Assistant, Medical· McAllen, TX
Physician Assistant, Medical (P.A.-C) with Monzer H Yazji MD and Associates PLLC, practicing in McAllen, Texas. Their prescriptions cost Medicare Part D more than their services did: $1,279,183 for 7,099 claims, against $25,387 paid for services in 2024. Novo Nordisk Inc was the largest of 27 companies reporting payments in 2025, $2,731 in all, mostly food and beverage. Lists Doctors Hosptal at Renaissance and 1 other hospital as hospital affiliations.
Overview
| NPI | 1477642643 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A.-C |
| Sole proprietor | No |
| NPI issued | Oct 12, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA02789 | 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 - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 116 |
|---|---|
| Services billed | 845 across 60 procedure codes |
| Paid by Medicare | $25,387 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,099 · 15,196 30-day fills |
|---|---|
| Patients | 640 |
| Total drug cost | $1,279,183 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Monzer H Yazji MD and Associates PLLCEdinburg, TX · 80 clinicians
Hospital affiliations
- Doctors Hosptal at RenaissanceEdinburg, TX
- Rio Grande Regional HospitalMcAllen, TX
Other facilities
- Buena Suerte Home HealthHome health agency · Pharr, TX
Industry payments (Open Payments)
- 2025$2,731 · 138 payments from 27 companies
- 2024$2,129 · 158 payments from 23 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $447.75 | 27 |
| Abbvie Inc. | $406.56 | 29 |
| Dexcom, Inc. | $235.85 | 6 |
| Amgen Inc. | $233.78 | 20 |
| Lilly USA, LLC | $204.03 | 5 |
What the 2025 payments were for
- Food and Beverage$2,731 · 138 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 39 physician assistants in McAllen · All physician assistants in Texas