Horacio N. Alvarez Ramirez, MD
NPI 1093155517ActiveIndividual· Family Medicine· Lincoln, NE
Family Medicine (MD) in Lincoln, Nebraska, trained at University of Nebraska College of Medicine (class of 2013). Their prescriptions cost Medicare Part D more than their services did: $473,593 for 3,992 claims, against $800.99 paid for services in 2024. Novo Nordisk Inc was the largest of 8 companies reporting payments in 2025, $316.40 in all, mostly food and beverage.
Overview
| NPI | 1093155517 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 28, 2013 |
| Last updated in NPPES | Jan 16, 2025 |
| Certified by provider | Jan 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 28861 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 62 across 10 procedure codes |
| Paid by Medicare | $800.99 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,992 · 6,965 30-day fills |
|---|---|
| Patients | 214 |
| Total drug cost | $473,593 |
| Generic share | 82% of claims |
Education and affiliations
| Medical school | University of Nebraska College of Medicine |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Family Practice |
| Secondary specialties | Obstetrics/Gynecology |
Medical group
- Bluestem HealthLincoln, NE · 26 clinicians
Hospital affiliations
- Bryan Medical CenterLincoln, NE
- Chi Health St. ElizabethLincoln, NE
Industry payments (Open Payments)
- 2025$316.40 · 16 payments from 8 companies
- 2024$133.01 · 8 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $94.86 | 5 |
| Otsuka America Pharmaceutical, Inc. | $56.97 | 2 |
| Abbvie Inc. | $52.63 | 3 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $37.75 | 2 |
| Alkermes, Inc. | $29.47 | 1 |
What the 2025 payments were for
- Food and Beverage$316.40 · 16 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine providers in Lincoln
- 1841005055
- 1295599876
- 1184406811
- 1659186864
- 1699013284
- 1679528798
- 1275876468
- 1518517390
- 1801367909
- 1023823150
- 1699392019
- 1053427401