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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 →

Sergio AlvaradoM.D.

Interventional Pain Management · San Antonio, TX 78251

NPI: 1255309084

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21

🟡 Moderate

Risk Flags

95th percentile opioid prescribingOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

12,137

Total Claims

$1.5M

Drug Cost

722

Beneficiaries

$2,059

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 1,498 Interventional Pain Management providers

+28%

Opioid rate vs peers

58.6% vs 45.9% avg

+326%

Cost per patient vs peers

$2,059 vs $483 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

58.6%

Opioid Rate

7,112

Opioid Claims

$461K

Opioid Cost

14.6%

Long-Acting Rate

This provider's opioid prescribing rate of 58.6% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 11,329 claims · $730K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Diclofenac Sodium584$297K
Diclofenac Sodium55$289K
Hydrocodone/Acetaminophen3,805$169K
Methylnaltrexone Bromide33$81K
Naloxegol Oxalate169$70K
Oxycodone Hcl78$67K
Lidocaine346$40K
Lidocaine72$38K
Rimegepant Sulfate12$25K
Tapentadol Hcl15$24K
Fentanyl198$24K
Morphine Sulfate504$23K
Butalbit/Acetamin/Caff/Codeine13$22K
Naloxone Hcl232$20K
Oxycodone Hcl594$19K

Prescribing Profile

58

Unique Drugs

21.0

Anomaly Score

Patient Profile

67

Avg Age

67%

Female

1.94

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