Alexandria Polanco, NP-C
NPI 1679044713ActiveIndividual· Nurse Practitioner, Family· San Antonio, TX
Nurse Practitioner, Family (NP-C) with Total MD Physicians Group, PLLC, practicing in San Antonio, Texas. Their prescriptions cost Medicare Part D more than their services did: $38,542 for 154 claims, against $5,512 paid for services in 2024. Lilly USA, LLC was the largest of 5 companies reporting payments in 2025, $471.97 in all, mostly food and beverage.
Overview
| NPI | 1679044713 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP-C |
| Sole proprietor | No |
| NPI issued | Dec 16, 2018 |
| Last updated in NPPES | Jan 16, 2026 |
| Certified by provider | Jan 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP139571 | 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 | 27 |
|---|---|
| Services billed | 1,386 across 20 procedure codes |
| Paid by Medicare | $5,512 |
Part D prescriptions in 2024
| Prescriptions (claims) | 154 · 351 30-day fills |
|---|---|
| Patients | 29 |
| Total drug cost | $38,542 |
| Generic share | 69% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Total MD Physicians Group, PLLCAustin, TX · 129 clinicians
Industry payments (Open Payments)
- 2025$471.97 · 20 payments from 5 companies
- 2024$567.29 · 18 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $174.74 | 5 |
| Astrazeneca Pharmaceuticals LP | $137.27 | 8 |
| Amgen Inc. | $76.99 | 3 |
| Bayer Healthcare Pharmaceuticals Inc. | $58.62 | 3 |
| Novo Nordisk Inc | $24.35 | 1 |
What the 2025 payments were for
- Food and Beverage$471.97 · 20 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 1,441 family nurse practitioners in San Antonio · All family nurse practitioners in Texas