⚠️

Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.

Read our methodology →

Agustin Cornejo EsquerraM.D.

Plastic and Reconstructive Surgery · San Antonio, TX 78215

NPI: 1003094681

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8

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

84

Total Claims

$1,088

Drug Cost

31

Beneficiaries

$35

Cost/Patient

Risk Score Breakdown 8/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 2,293 Plastic and Reconstructive Surgery providers

+20%

Opioid rate vs peers

31.0% vs 25.8% avg

-66%

Cost per patient vs peers

$35 vs $102 avg

⚠️ Opioid + Benzodiazepine Co-Prescriber

This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.

🔎 Data Overview

⚠️

This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.

🔍

Prescribes only 4 unique drugs with a 31.0% opioid rate. Very low drug diversity combined with high opioid prescribing is a classic statistical marker of potential pill mill operations. However, some legitimate practices (e.g., addiction treatment with buprenorphine) can show similar patterns.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

31.0%

Opioid Rate

26

Opioid Claims

$693

Opioid Cost

Long-Acting Rate

This provider's opioid prescribing rate of 31.0% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 77 claims · $636

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Hydrocodone/Acetaminophen17$217
Cefadroxil16$98
Promethazine Hcl14$88
Temazepam11$88

Prescribing Profile

4

Unique Drugs

8.0

Anomaly Score

Patient Profile

58

Avg Age

Female

1.56

Avg Risk Score

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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About