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Sergio Alvarez, MD

Emergency Medicine · Mountain View

NPI 1013379031

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
2
2 carriers
Office
1

Offices

1 location · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Plans that list them

2 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Alvarez’s office at (650) 691-6174 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

2 of 2 plans

Plans whose provider directory lists this clinician
Alignment Health Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A154322 · Current

Licensed to practise in California · since 2018 · expires 2027-05-31 · David Geffen School of Medicine at UCLA.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$139,491

Medicare paid this office $139,491 for 540 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
New patient visit (45+ min)269$38,960$145
Return visit (30+ min)224$35,802$117
Aspiration and/or injection of fluid from large joint196$20,988$65
Short return visit (20+ min)109$9,963$80
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose23$8,793None
See all 11 services
Every Original Medicare service billed
New patient visit (45+ min)269$38,960$145
Return visit (30+ min)224$35,802$117
Aspiration and/or injection of fluid from large joint196$20,988$65
Short return visit (20+ min)109$9,963$80
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose23$8,793None
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg19$7,634None
New patient visit (30+ min)56$5,280$94
Aspiration and/or injection of fluid large joint using ultrasound guidance24$2,328$93
Injection, triamcinolone acetonide, not otherwise specified, 10 mg152$643None
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's37$549$14
Injection, ketorolac tromethamine, per 15 mg12$12None

Who their Medicare patients are

540 Original Medicare patients in 2024. Average age 76 · Under 65 2% · 85 and older 17% · Women 60% · Also on Medicaid 10% · Health risk score 0.94. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 62% · Coronary heart disease 24% · Diabetes 21% · Cancer 18% · Chronic kidney disease 17% · Atrial fibrillation 16% · Depression 16% · Heart failure 11% · COPD 8% · Stroke 7% · Dementia 5%.

The office billed $565,930, Medicare allowed $186,679 and paid $139,491; for 4,903 services of 43 kinds; $20,343 of it was for drugs given in the office and $119,148 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20245404,903760.94$565,930$139,491
2023166843750.94$147,256$37,629

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 8 services

Original Medicare services billed in 2023
New patient visit (45+ min)62$9,523$154
Return visit (30+ min)46$5,749$120
Aspiration and/or injection of fluid from large joint51$4,973$68
New patient visit (30+ min)42$4,492$107
Short return visit (20+ min)36$3,739$87
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose11$3,558None
Aspiration and/or injection of fluid large joint using ultrasound guidance18$1,967$98
Injection, triamcinolone acetonide, not otherwise specified, 10 mg51$194None

Drugs they prescribed that Part D paid

$2,875

Pharmacies billed $2,875 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 11% of their Part D prescriptions (20 of 185) in 2024. At or below the middle of the specialty; the typical emergency medicine clinician is at 12%.

182 generic and fewer than 11 brand-name prescriptions · $2,875 in drug cost · 25 antibiotic prescriptions to 21 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Celecoxib12$465$22
Diclofenac15$397$19
Meloxicam35$135$3

Year by year

Part D prescribing by year
202418511811% (20)None$2,875
20231301059% (11)None$1,830
202214911011% (17)None$3,216
20218859NoneNone$3,208
20192017NoneNone$1,068

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 2 drugs

Part D drugs prescribed in 2023
Diclofenac15$350$23
Meloxicam22$110$5

2022: 2 drugs

Part D drugs prescribed in 2022
Oxycodone15$88$6
Ondansetron Odt12$77$6

Money from drug and device companies

$30 in 2025

Industry payments by year
202522None$30
202411None$34

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
BioventusDurolane$17
1 payment
  • Meals for Durolane · 2025-03-12 · $17
Trice MedicalNone$13
1 payment
  • Meals · 2025-05-02 · $13
See all 2 published payments
Every published payment
Trice MedicalMeals · 2025-05-02None$13
BioventusMeals · 2025-03-12Durolane$17
See earlier years (2024)

2024: $34

Payments by company in 2024
DjoProcare$34
1 payment
  • Meals for Procare · 2024-02-22 · $34

Professional record

NPI
1013379031
Licence
CA A154322California A154322: Current · expires 2027-05-31
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207PS0010X (207PS0010X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2016-03-29
NPI last updated
2023-08-22
NPI record certified
2023-08-22

This is when the NPI record was last certified, not a medical board exam.

This office lists an electronic records connection.