Prescriber Checkup
The Doctors and Drugs in Medicare Part D
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RAMON GARCIA M.D.
4300 AUBURN BLVD SUITE 202
Sacramento | California | 95841
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At A Glance: This Prescriber in 2015
Self-Reported Primary Specialty
Rank: 2 out of 1965
Rank: 3 out of 1965
How Does This Prescriber Compare to Peers?
In the same specialty and state. Caveats »
this specialty
in California lower than average
Antipsychotics
Comparisons are not shown because this provider has fewer than 100 patients who are 65 and older.
68 of this provider’s 82 patients who are 65 and older filled at least one prescription for an antipsychotic drug.
Antibiotics
This provider prescribed antibiotics to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.
Risky Drugs for Seniors
This provider prescribed potentially inappropriate drugs to at least one but fewer than 11 patients who are 65 and older, so Medicare redacted the exact figure. Comparisons are not shown.
Opioids
This provider prescribed opioids to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.
Brand Name Drugs
13% of this provider’s prescriptions were for brand-name drugs, compared to an average of 13%.
Prescription Price
$146 was the average price of a prescription from this provider, compared to $116 among peers.
Prescriptions per Patient
40 is the average number of prescriptions (including refills) per patient, compared to an average of 14.
How This Provider’s Patients Compare
Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all patients.
This Provider's History
A comparison of this provider’s prescribing in Part D since 2012. All years may not be shown if there is insufficient data.
Cost of Claims
$5.35M
2012
$5.27M
2013
$4.82M
2014
$3.61M
2015
Number of Claims
29,122
2012
31,142
2013
28,556
2014
24,724
2015
This Prescriber's Drugs
The table below list this provider’s drugs, the number of prescriptions and how many went to seniors. Drugs are ranked by volume and compared with the rank for all providers in the same specialty and state. The list below includes only those drugs for which this provider wrote 50 or more prescriptions.
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An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.
An antibiotic drug. More » Used to treat bacterial infections but are often prescribed incorrectly to treat viral infections, such as chest colds or the flu.
An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.
A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.
This provider is among the top 10 prescribers of this drug in the country.
This provider’s prescriptions for this drug were for more days than those of peers. More » Because of this, his or her prescription count may be lower.
This provider’s prescriptions for this drug were for fewer days than those of peers. More » Because of this, his or her prescription count may be higher.
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This Drug's Rank
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|---|---|---|---|---|---|---|
| Drug Name | Total Prescriptions Filled with Refills |
Prescriptions to 65+ |
Patients Receiving this Drug | Category | For this Prescriber | For this Prescriber's Peers |
|
CLOZAPINE
Treats schizophrenia. Also ... + Treats schizophrenia. Source: National Library of Medicine |
4,063
prescriptions, 16% of all prescriptions |
338
prescriptions. |
229
patients, 37% of all patients |
P 10 | 1 | 17 |
|
OLANZAPINE
Treats psychotic mental dis... + Treats psychotic mental disorders, such as schizophrenia or bipolar disorder (manic-depressive illness). Source: National Library of Medicine |
1,764
prescriptions, 7% of all prescriptions |
252
prescriptions. |
118
patients, 19% of all patients |
P 10 | 2 | 6 |
|
BENZTROPINE MESYLATE
Treats symptoms of Parkinso... + Treats symptoms of Parkinson's disease or side effects of other drugs. Source: National Library of Medicine |
1,418
prescriptions, 6% of all prescriptions |
56
prescriptions. |
134
patients, 22% of all patients |
R 10 | 3 | 7 |
|
CLONAZEPAM
Treats seizures, panic diso... + Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine |
1,316
prescriptions, 5% of all prescriptions |
61
prescriptions. |
127
patients, 20% of all patients |
4 | 2 | |
|
SERTRALINE HCL
Sertraline is used to treat... + Sertraline is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks), posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine |
1,210
prescriptions, 5% of all prescriptions |
203
prescriptions. |
111
patients, 18% of all patients |
5 | 8 | |
|
QUETIAPINE FUMARATE
Quetiapine is used to treat... + Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine |
1,209
prescriptions, 5% of all prescriptions |
106
prescriptions. |
85
patients, 14% of all patients |
P | 6 | 1 |
|
DULOXETINE HCL
Duloxetine is used to treat... + Duloxetine is used to treat depression and generalized anxiety disorder (GAD; excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine |
1,018
prescriptions, 4% of all prescriptions |
104
prescriptions. |
73
patients, 12% of all patients |
7 | 14 | |
|
RISPERIDONE
Treats schizophrenia and ce... + Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine |
991
prescriptions, 4% of all prescriptions |
168
prescriptions. |
96
patients, 15% of all patients |
P | 8 | 4 |
|
LAMOTRIGINE
Treats certain types of sei... + Treats certain types of seizures and mood disorders. Source: National Library of Medicine |
688
prescriptions, 3% of all prescriptions |
53
prescriptions. |
64
patients, 10% of all patients |
9 | 10 | |
|
ZIPRASIDONE HCL
Used to treat the symptoms ... + Used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine |
652
prescriptions, 3% of all prescriptions |
29
prescriptions. |
53
patients, 9% of all patients |
P 10 | 10 | 33 |
|
PERPHENAZINE
Treats the symptoms of cert... + Treats the symptoms of certain mental disorders. Source: National Library of Medicine |
594
prescriptions, 2% of all prescriptions |
13
prescriptions. |
57
patients, 9% of all patients |
P 10 | 11 | 51 |
|
INVEGA SUSTENNA
Used to treat the symptoms ... + Used to treat the symptoms of schizophrenia. Source: National Library of Medicine |
527
prescriptions, 2% of all prescriptions |
15
prescriptions. |
52
patients, 8% of all patients |
P | 12 | 34 |
|
VENLAFAXINE HCL ER
Venlafaxine is used to trea... + Venlafaxine is used to treat depression. Source: National Library of Medicine |
503
prescriptions, 2% of all prescriptions |
21
prescriptions. |
44
patients, 7% of all patients |
13 | 16 | |
|
DIVALPROEX SODIUM ER
Treats seizures (epilepsy).... + Treats seizures (epilepsy). Source: National Library of Medicine |
469
prescriptions, 2% of all prescriptions |
31
prescriptions. |
44
patients, 7% of all patients |
14 | 19 | |
|
FLUOXETINE HCL
Fluoxetine is used to treat... + Fluoxetine is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Source: National Library of Medicine |
415
prescriptions, 2% of all prescriptions |
30
prescriptions. |
38
patients, 6% of all patients |
15 | 9 | |
|
PAROXETINE HCL
Paroxetine tablets, suspens... + Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine |
397
prescriptions, 2% of all prescriptions |
60
prescriptions. |
37
patients, 6% of all patients |
16 | 25 | |
|
TOPIRAMATE
Helps control and prevent c... + Helps control and prevent certain kinds of seizures. Source: National Library of Medicine |
394
prescriptions, 2% of all prescriptions |
0
prescriptions. |
36
patients, 6% of all patients |
17 | 35 | |
|
LATUDA
Used to treat the symptoms ... + Used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine |
383
prescriptions, 2% of all prescriptions |
49
prescriptions. |
32
patients, 5% of all patients |
P | 18 | 32 |
|
TRAZODONE HCL
Trazodone is used to treat ... + Trazodone is used to treat depression. Source: National Library of Medicine |
380
prescriptions, 2% of all prescriptions |
15
prescriptions. |
45
patients, 7% of all patients |
19 | 3 | |
|
ABILIFY
Treats schizophrenia, bipol... + Treats schizophrenia, bipolar disorder, and depression. Source: National Library of Medicine |
375
prescriptions, 2% of all prescriptions |
33
prescriptions. |
53
patients, 9% of all patients |
P | 20 | 18 |
|
MIRTAZAPINE
Treats depression. + Treats depression. Source: National Library of Medicine |
365
prescriptions, 1% of all prescriptions |
72
prescriptions. |
45
patients, 7% of all patients |
21 | 15 | |
|
LITHIUM CARBONATE
Lithium is used to treat an... + Lithium is used to treat and prevent episodes of mania (frenzied, abnormally excited mood) in people with bipolar disorder (manic-depressive disorder; a disease that causes episodes of depression, episodes of mania, and other abnormal moods). Source: National Library of Medicine |
362
prescriptions, 1% of all prescriptions |
46
prescriptions. |
33
patients, 5% of all patients |
22 | 28 | |
|
HALOPERIDOL*
Treats symptoms of mental a... + Treats symptoms of mental and emotional disorders. Source: National Library of Medicine |
306
prescriptions, 1% of all prescriptions |
21
prescriptions. |
27
patients, 4% of all patients |
P | 23 | 26 |
| DESMOPRESSIN ACETATE |
282
prescriptions, 1% of all prescriptions |
13
prescriptions. |
28
patients, 5% of all patients |
10 | 24 | 103 |
|
BUSPIRONE HCL
Buspirone is used to treat ... + Buspirone is used to treat anxiety disorders or in the short-term treatment of symptoms of anxiety. Source: National Library of Medicine |
269
prescriptions, 1% of all prescriptions |
21
prescriptions. |
25
patients, 4% of all patients |
25 | 23 | |
|
FLUPHENAZINE HCL
Fluphenazine is an antipsyc... + Fluphenazine is an antipsychotic medication used to treat schizophrenia and psychotic symptoms such as hallucinations, delusions, and hostility. Source: National Library of Medicine |
235
prescriptions, 1% of all prescriptions |
5
prescriptions. |
21
patients, 3% of all patients |
P | 26 | 46 |
|
ZOLPIDEM TARTRATE
Zolpidem is used to treat i... + Zolpidem is used to treat insomnia (difficulty falling asleep or staying asleep). Source: National Library of Medicine |
232
prescriptions, 1% of all prescriptions |
12
prescriptions. |
24
patients, 4% of all patients |
R | 27 | 20 |
|
DIVALPROEX SODIUM
Treats seizures (epilepsy).... + Treats seizures (epilepsy). Source: National Library of Medicine |
220
prescriptions, 1% of all prescriptions |
38
prescriptions. |
18
patients, 3% of all patients |
28 | 21 | |
|
INVEGA
Treats schizophrenia (a men... + Treats schizophrenia (a mental disorder). Source: National Library of Medicine |
200
prescriptions, 1% of all prescriptions |
5
prescriptions. |
20
patients, 3% of all patients |
P | 29 | 53 |
|
BUPROPION HCL SR
Bupropion (Aplenzin, Wellbu... + Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine |
174
prescriptions, 1% of all prescriptions |
11
prescriptions. |
22
patients, 4% of all patients |
30 | 27 | |
|
OXCARBAZEPINE
Used alone or together with... + Used alone or together with other medicines to treat seizures caused by epilepsy in adults and children 2 years of age and older. Source: National Library of Medicine |
166
prescriptions, 1% of all prescriptions |
0
prescriptions. |
13
patients, 2% of all patients |
31 | 40 | |
|
FLUVOXAMINE MALEATE
Fluvoxamine is used to trea... + Fluvoxamine is used to treat obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over) and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine |
160
prescriptions, 1% of all prescriptions |
36
prescriptions. |
15
patients, 2% of all patients |
32 | 61 | |
|
LORAZEPAM
Treats anxiety, anxiety wit... + Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine |
150
prescriptions, 1% of all prescriptions |
29
prescriptions. |
21
patients, 3% of all patients |
33 | 5 | |
|
FAMOTIDINE*
Treats ulcers, gastroesopha... + Treats ulcers, gastroesophageal reflux disease (GERD), and conditions that cause the stomach to produce too much stomach acid. Source: National Library of Medicine |
135
prescriptions, 1% of all prescriptions |
0
prescriptions. |
13
patients, 2% of all patients |
34 | 136 | |
|
OXYBUTYNIN CHLORIDE
Oxybutynin is used to contr... + Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine |
135
prescriptions, 1% of all prescriptions |
0
prescriptions. |
14
patients, 2% of all patients |
34 | 120 | |
| OLANZAPINE ODT |
125
prescriptions, 1% of all prescriptions |
11
prescriptions. |
<11 | P | 36 | 43 |
|
PROPRANOLOL HCL
Propranolol is used to trea... + Propranolol is used to treat high blood pressure, abnormal heart rhythms, heart disease, pheochromocytoma (tumor on a small gland near the kidneys), and certain types of tremor. Source: National Library of Medicine |
106
prescriptions, 0% of all prescriptions |
12
prescriptions. |
12
patients, 2% of all patients |
37 | 39 | |
|
VENLAFAXINE HCL
Venlafaxine is used to trea... + Venlafaxine is used to treat depression. Source: National Library of Medicine |
104
prescriptions, 0% of all prescriptions |
0
prescriptions. |
<11 | 38 | 78 | |
|
LITHIUM CARBONATE ER
Lithium is used to treat th... + Lithium is used to treat the manic episodes of bipolar disorder. Source: National Library of Medicine |
103
prescriptions, 0% of all prescriptions |
13
prescriptions. |
<11 | 39 | 62 | |
|
ARIPIPRAZOLE
Treats schizophrenia, bipol... + Treats schizophrenia, bipolar disorder, and depression. Source: National Library of Medicine |
101
prescriptions, 0% of all prescriptions |
5
prescriptions. |
19
patients, 3% of all patients |
P | 40 | 29 |
| FANAPT |
93
prescriptions, 0% of all prescriptions |
16
prescriptions. |
<11 | P | 41 | 69 |
|
LACTULOSE
Treats constipation. Also t... + Treats constipation. Source: National Library of Medicine |
88
prescriptions, 0% of all prescriptions |
0
prescriptions. |
15
patients, 2% of all patients |
42 | 104 | |
|
CLONIDINE HCL
Clonidine is used alone or ... + Clonidine is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine |
88
prescriptions, 0% of all prescriptions |
0
prescriptions. |
11
patients, 2% of all patients |
42 | 70 | |
|
EXELON
Rivastigmine is used to tre... + Rivastigmine is used to treat mild to moderate dementia (memory loss) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine |
82
prescriptions, 0% of all prescriptions |
44
prescriptions. |
<11 | 44 | 66 | |
|
TRIHEXYPHENIDYL HCL
Trihexyphenidyl is used to ... + Trihexyphenidyl is used to treat the symptoms of Parkinson's disease and tremors caused by other medical problems or drugs. Source: National Library of Medicine |
80
prescriptions, 0% of all prescriptions |
14
prescriptions. |
<11 | R | 45 | 42 |
|
AMANTADINE
Treats or prevents the flu ... + Treats or prevents the flu (influenza type A). Source: National Library of Medicine |
78
prescriptions, 0% of all prescriptions |
24
prescriptions. |
<11 | 46 | 93 | |
|
BUPROPION XL
Bupropion (Aplenzin, Wellbu... + Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine |
69
prescriptions, 0% of all prescriptions |
5
prescriptions. |
<11 | 47 | 13 | |
| NALTREXONE HCL |
66
prescriptions, 0% of all prescriptions |
0
prescriptions. |
<11 | 48 | 88 | |
|
HYDROXYZINE PAMOATE
Treats anxiety, tension, ne... + Treats anxiety, tension, nervousness, nausea, vomiting, allergies, skin rash, hives, and itching. Source: National Library of Medicine |
63
prescriptions, 0% of all prescriptions |
12
prescriptions. |
13
patients, 2% of all patients |
R | 49 | 48 |
|
GABAPENTIN
Treats certain types of sei... + Treats certain types of seizures. Source: National Library of Medicine |
58
prescriptions, 0% of all prescriptions |
15
prescriptions. |
<11 | 50 | 24 | |
|
SEROQUEL XR
Treats schizophrenia and sy... + Treats schizophrenia and symptoms of bipolar disorder (manic-depressive illness). Source: National Library of Medicine |
58
prescriptions, 0% of all prescriptions |
0
prescriptions. |
<11 | P | 50 | 31 |
|
CITALOPRAM HBR
Citalopram is used to treat... + Citalopram is used to treat depression. Source: National Library of Medicine |
57
prescriptions, 0% of all prescriptions |
14
prescriptions. |
<11 | 52 | 22 | |
|
LEVETIRACETAM
Used to help control certai... + Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine |
54
prescriptions, 0% of all prescriptions |
14
prescriptions. |
<11 | 53 | 94 | |
|
POLYETHYLENE GLYCOL 3350
Treats occasional constipat... + Treats occasional constipation. Source: National Library of Medicine |
53
prescriptions, 0% of all prescriptions |
19
prescriptions. |
<11 | 54 | 122 | |
|
HYDROXYZINE HCL
Hydroxyzine is used to reli... + Hydroxyzine is used to relieve the itching caused by allergies and to control the nausea and vomiting caused by various conditions, including motion sickness. Source: National Library of Medicine |
50
prescriptions, 0% of all prescriptions |
0
prescriptions. |
<11 | R | 55 | 67 |
About This Data
Prescribing data from Medicare’s prescription drug benefit, known as Part D, was compiled and released by the Centers for Medicare and Medicaid Services, the federal agency that oversees the program. The data for 2015 includes more than 1.4 billion prescriptions written by nearly 1.4 million doctors, nurses and other providers. This database lists about 447,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. More than three-fourths of these prescriptions went to patients 65 and older; the rest were for disabled patients. Methodology »
Incorrect Info?
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Caveats
- No comparisons are shown if there are fewer than 20 prescribers in the state share this specialty.
- Comparisons do not take into account the medical conditions of patients. Medications for certain conditions do not have generic alternatives, so patients would receive more expensive brand name drugs.
- This provider's address and specialty information was last updated on June 17, 2008.
- Comparisons are based on each provider’s current address, not necessarily where he or she worked during the time period covered in this database.
- In rare circumstances, providers' prescription tallies may be inflated. Sometimes providers are credited with prescriptions written by colleagues (this happens in long-term care facilities) or are victims of fraud involving theft of their provider number.