⚠️

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 →

Roberto AlvarezM.D.

Rheumatology · Aibonito, PR 00705

NPI: 1225071467

Share:

9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

33,602

Total Claims

$9.0M

Drug Cost

2,164

Beneficiaries

$4,149

Cost/Patient

Risk Score Breakdown 9/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 5,101 Rheumatology providers

-70%

Opioid rate vs peers

1.2% vs 4.1% avg

-31%

Cost per patient vs peers

$4,149 vs $6,039 avg

+10%

Brand preference vs peers

8.4% vs 7.6% 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.

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

Opioid Prescribing

1.2%

Opioid Rate

411

Opioid Claims

$4,162

Opioid Cost

3.2%

Long-Acting Rate

Brand vs Generic

92% generic

Brand: 2,815 claims · $8.6M

Generic: 30,770 claims · $407K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Adalimumab288$2.0M
Adalimumab267$2.0M
Upadacitinib164$1.0M
Etanercept124$886K
Etanercept103$723K
Tofacitinib Citrate56$315K
Abatacept54$294K
Secukinumab28$199K
Secukinumab27$190K
Etanercept26$182K
Abatacept23$125K
Golimumab12$74K
Sarilumab15$65K
Gabapentin5,263$51K
Adalimumab-Bwwd41$44K

Prescribing Profile

151

Unique Drugs

$1.8M

IRA Negotiated Drugs

9.0

Anomaly Score

Patient Profile

65

Avg Age

76%

Female

1.67

Avg Risk Score

Explore More

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