Medicare Enrolled

Dr. Ricardo Alvarado, MD

Pain Medicine · San Antonio, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
4100 E PIEDRAS DR STE 165, San Antonio, TX 78228
1070550602
In practice since 2007 (18 years)
NPI: 1497935456 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Alvarado from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Alvarado? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Alvarado

Dr. Ricardo Alvarado is a pain medicine in San Antonio, TX, with 18 years in practice. Based on federal Medicare data, Dr. Alvarado performed 6,621 Medicare services across 1,609 unique beneficiaries.

Between the years covered by Open Payments, Dr. Alvarado received a total of $24,595 from 22 pharmaceutical and/or device companies across 440 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Alvarado is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 18 years in practice▲ Top 14% volume in TX$ $24,595 industry payments

Medicare Practice Summary

Medicare Utilization ↗
6,621
Medicare services
Top 14% in TX for pain medicine
1,609
Unique beneficiaries
$43
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~368 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

ProcedureVolumeAvg. paidAvg. submitted
Injection of additional new drug or substance into vein824$12$55
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional694$17$79
Anti-nausea injection (ondansetron/Zofran)632$0$7
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional502$32$139
Evaluation of psychological test, first hour460$87$377
Office visit, established patient (30-39 min)428$94$402
Drug screening test387$61$193
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms385$241$748
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour381$15$70
Dexamethasone injection (steroid)250$0$10
Unclassified drugs222$3$2,210
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less201$33$205
Electrocardiogram (ecg) 1 to 3 leads190$4$26
Infusion, normal saline solution, sterile (500 ml = 1 unit)172$1$11
Office visit, established patient (20-29 min)163$66$285
Injection, ketorolac tromethamine, per 15 mg135$0$9
Insertion of needle into vein (3 years or older)134$13$61
New patient office visit (30-44 min)119$84$354
Injection, methylprednisolone sodium succinate, up to 125 mg85$4$26
Drug injection, under skin or into muscle81$10$51
Office visit, established patient, complex (40-54 min)63$136$560
Ultrasonic guidance for needle placement45$45$188
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level30$102$797
Ultrasound study of arm and leg arteries22$60$262
X-ray of lower and sacral spine, 2-3 views16$8$131
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
11.4% high complexity
31.1% medium
57.5% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$24,595
Total received (2018-2024)
Avg $3,514/year across 7 years
Top 7% in TX for pain medicine
22
Companies
440
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$22,794 (92.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,800 (7.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$4,942
2023
$5,379
2022
$8,049
2021
$765
2020
$259
2019
$3,211
2018
$1,989

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Nevro Corp.
$11,535
Abbott Laboratories
$4,751
MML US, Inc.
$2,326
PAINTEQ LLC
$1,945
Boston Scientific Corporation
$1,278
Spinal Simplicity, LLC
$583
SPR Therapeutics, Inc
$573
Stimwave Technologies Incorporated
$354
PFIZER INC.
$305
Medtronic USA, Inc.
$204
BOSTON SCIENTIFIC CORPORATION
$191
Vertos Medical, Inc.
$131
Vertiflex, Inc.
$120
BIOTRONIK NRO, Inc.
$109
Flowonix Medical Incorporated
$65
SI-BONE, Inc.
$20
SI-BONE, INC.
$20
Takeda Pharmaceuticals U.S.A., Inc.
$20
Teva Pharmaceuticals USA, Inc.
$18
Scilex Pharmaceuticals Inc.
$18
DePuy Synthes Sales Inc.
$17
GRT US Holding, Inc.
$12
Top 3 companies account for 75.7% of total payments
Associated products mentioned in payments ›
AJOVY · AXIUM · Axium INS DRG IPG · EON C · ETERNA · EXCLAIM · GATTEX · GENERAL PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · HA MINUTEMAN G3-R · Hi-Torque Floppy guide wire · INTELLIS · IONICRF · LYRICA · Merlin Connectivity and Remote · Minuteman · Neuromodulation Dspsbls and Accs · OCTRODE · ORTHOVISC · Octrode SCS Leads · Omnia · PAINTEQ · PENTA · PROCLAIM · PRODIGY · Penta SCS Leads · Proclaim Family of SCS IPGs · Proclaim IPG · Prodigy Family of SCS IPGs · Prometra II · Prospera · QUATTRODE · Qutenza · ReActiv8 · SCS IPGs · SCS leads · SPRINT PNS System · Senza · Senza Spinal Cord Stimulation System · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Superion · Superion ISS · Superion Indirect Decompression System · WaveWriter Alpha Prime 16 · Xience Sierra Coronary Stent System · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · iFuse Implant · mild Device Kit
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (93%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 7% for pain medicine in TX.

Equivalent to $371 per 100 Medicare services performed
Looking for a pain medicine in San Antonio?
Compare pain medicines in the San Antonio area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Pain Medicines within 10 mi
10
Per 100K population
0.5
County median income
$70,571
Nearest hospital
UNIVERSITY HEALTH SYSTEM
3.1 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Alvarado is a clinical cardiology specialist, with above-average Medicare volume (top 14% in TX), and high industry engagement (low-engagement, top 7%), with 18 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Alvarado experienced with injection of additional new drug or substance into vein?
Based on Medicare claims data, Dr. Alvarado performed 824 injection of additional new drug or substance into vein services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Alvarado receive payments from pharmaceutical companies?
Yes. Dr. Alvarado received a total of $24,595 from 22 companies across 440 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Alvarado's costs compare to other pain medicines in San Antonio?
Dr. Alvarado's average Medicare payment per service is $43. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Alvarado) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →