Nurse Practitioner · Fresno, CA
NPI
1235116138
Since 2005
Specialty
Nurse Practitioner
Code 363L00000X
Group practices
1
Medicare group memberships
Hospitals
0
Hospital affiliations
568 E Herndon Ave Ste 201
Fresno, CA, 93720
Phone (559) 228-6600
Groups this clinician bills Medicare through
Medicare paid, 2024
$40K
202 services
Medicare patients, 2024
125
Average age 63
Drug cost, 2024
$128K
609 prescriptions
Company payments, 2025
$2,732
From 19 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Adela Y Ayala was code 90961 (esrd related services (not dialysis)), 122 times for 88 patients. In total Adela Y Ayala billed 202 services in 4 codes, and Medicare paid $40K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2022-04-11.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 90961 ESRD Related Services (not dialysis) | Office | 122 | 88 | $195.72 | $24K |
| 90960 ESRD Related Services (not dialysis) | Office | 52 | 47 | $239.41 | $12K |
| 90962 ESRD Related Services (not dialysis) | Office | 27 | 24 | $128.16 | $3,460 |
By year: 2022 $34K for 170 services; 2023 $47K for 243 services; 2024 $40K for 202 services.
Medicare prescription drug claims, 2024
In 2024, the drug Adela Y Ayala prescribed most often to Medicare patients was Prosol (Parenteral Amino Acid 20% No.1), with 377 prescriptions and refills. In total Adela Y Ayala wrote 609 Medicare prescriptions that cost $128K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Prosol Parenteral Amino Acid 20% No.1 | 377 | 377 | 16 | $57K |
| Sevelamer Carbonate Generic | 85 | 116 | 24 | $9,544 |
| Calcium Acetate Generic | 27 | 36 | Under 11 | $1,669 |
| Midodrine Hcl Generic | 18 | 23 | Under 11 | $2,546 |
| Velphoro Sucroferric Oxyhydroxide | 14 | 18 | Under 11 | $41K |
| Veltassa Patiromer Calcium Sorbitex | 13 | 13 | Under 11 | $13K |
Brand drugs: 420 claims; generic drugs: - claims.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Adela Y Ayala $2,732 ($2,732 in general payments such as food, travel and fees) from 19 companies. The largest payer was Ardelyx, Inc. with $370.
| Company | Payments | Amount |
|---|---|---|
| Ardelyx, Inc. ARDX | 3 | $370 |
| Alnylam Pharmaceuticals Inc. ALNY | 2 | $283 |
| Abbvie Inc. ABBV | 2 | $250 |
| Madrigal Pharmaceuticals MDGL | 1 | $147 |
| Fresenius USA Marketing, Inc. | 2 | $144 |
| Biosense Webster, Inc. JNJ | 1 | $141 |
| Eisai Inc. 4523.T | 1 | $125 |
| Corcept Therapeutics CORT | 1 | $125 |
| Kowa Pharmaceuticals America, Inc. | 1 | $125 |
| Argenx US, Inc. ARGX | 1 | $125 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.