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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 →

Alfredo RomeroM.D.

Pain Management · San Antonio, TX 78258

NPI: 1003914953

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12

🟢 Low

Risk Flags

95th percentile opioid prescribing

Risk indicators are statistical patterns, not allegations. Learn more

24,139

Total Claims

$1.0M

Drug Cost

2,051

Beneficiaries

$508

Cost/Patient

Risk Score Breakdown 12/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+10

Score components are additive. Read full methodology

Peer Comparison vs. 2,621 Pain Management providers

+30%

Opioid rate vs peers

53.5% vs 41.3% avg

+27%

Cost per patient vs peers

$508 vs $399 avg

+9%

Brand preference vs peers

4.1% vs 3.8% avg

Opioid Prescribing

53.5%

Opioid Rate

12,903

Opioid Claims

$628K

Opioid Cost

13.2%

Long-Acting Rate

This provider's opioid prescribing rate of 53.5% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

96% generic

Brand: 991 claims · $500K

Generic: 23,148 claims · $541K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Oxycodone Myristate439$214K
Hydrocodone/Acetaminophen5,588$137K
Oxycodone Hcl/Acetaminophen4,076$137K
Naloxegol Oxalate134$57K
Buprenorphine Hcl70$51K
Gabapentin3,080$44K
Buprenorphine Hcl/Naloxone Hcl44$34K
Pregabalin1,582$32K
Buprenorphine Hcl/Naloxone Hcl132$30K
Methylnaltrexone Bromide11$28K
Oxycodone Hcl49$21K
Diclofenac Sodium358$19K
Buprenorphine Hcl/Naloxone Hcl25$16K
Tizanidine Hcl1,781$15K
Morphine Sulfate863$14K

Prescribing Profile

44

Unique Drugs

12.0

Anomaly Score

Patient Profile

67

Avg Age

62%

Female

2.17

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