Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

SYLVETTE LUGO CINTRON MD

At A Glance: This Prescriber in 2015

General Practice

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

14,347Medicare Part D Prescriptions Filled, Including Refills

Rank: 97 out of 1539

$511K Total Retail Price of All Prescriptions

Rank: 97 out of 1539

494 Patients Receiving at Least One Drug in Part D
75% Patients 65 Years and Older

5% Subsidized Claims for Low-Income Patients

How Does This Prescriber Compare to Peers?

In the same specialty and state. Caveats »

Drugs That Present Special Risks
Costs of Prescribing
higher than average Average for
this specialty
in Puerto Rico
lower than average

Antipsychotics

4% of this provider’s 372 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

58% of this provider’s 494 patients filled at least one prescription for an antibiotic drug, compared to an average of 37%.

More resources »

Risky Drugs for Seniors

10% of this provider’s 372 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

14% of this provider’s 494 patients filled at least one prescription for an opioid, compared to an average of 13%.

More resources »

Brand Name Drugs

15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 15%.

Prescription Price

$36 was the average price of a prescription from this provider, compared to $37 among peers.

Prescriptions per Patient

29 is the average number of prescriptions (including refills) per patient, compared to an average of 19.


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

$263K

2012

$304K

2013

$420K

2014

$511K

2015

Number of Claims

8,534

2012

9,740

2013

12,170

2014

14,347

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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O

An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.

A

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.

P

An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.

R

A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.

10

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.

This Drug's Rank
Drug Name Total Prescriptions Filled with Refills Prescriptions
to 65+
Patients Receiving this Drug Category For this Prescriber For this Prescriber's Peers
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

769

prescriptions, 5% of all prescriptions

603

prescriptions.

126

patients, 26% of all patients

1 1
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

746

prescriptions, 5% of all prescriptions

440

prescriptions.

139

patients, 28% of all patients

2 4
METFORMIN HCL

Metformin is used alone or ... +

Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Source: National Library of Medicine

658

prescriptions, 5% of all prescriptions

487

prescriptions.

93

patients, 19% of all patients

3 2
ENALAPRIL MALEATE

Enalapril is used alone or ... +

Enalapril is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

592

prescriptions, 4% of all prescriptions

427

prescriptions.

82

patients, 17% of all patients

4 6
OMEPRAZOLE

Treats heartburn, stomach u... +

Treats heartburn, stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome, endocrine tumors, and systemic mastocytosis. Source: National Library of Medicine

536

prescriptions, 4% of all prescriptions

336

prescriptions.

97

patients, 20% of all patients

5 5
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

421

prescriptions, 3% of all prescriptions

335

prescriptions.

70

patients, 14% of all patients

6 11
LOSARTAN POTASSIUM

Losartan is used alone or i... +

Losartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

376

prescriptions, 3% of all prescriptions

323

prescriptions.

63

patients, 13% of all patients

7 7
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

363

prescriptions, 3% of all prescriptions

269

prescriptions.

52

patients, 11% of all patients

8 16
GABAPENTIN

Treats certain types of sei... +

Treats certain types of seizures. Source: National Library of Medicine

346

prescriptions, 2% of all prescriptions

196

prescriptions.

66

patients, 13% of all patients

9 3
CLOPIDOGREL

Helps prevent stroke, heart... +

Helps prevent stroke, heart attack, and other heart problems. Source: National Library of Medicine

264

prescriptions, 2% of all prescriptions

237

prescriptions.

36

patients, 7% of all patients

10 21
HYDROCHLOROTHIAZIDE

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). Source: National Library of Medicine

260

prescriptions, 2% of all prescriptions

185

prescriptions.

44

patients, 9% of all patients

11 17
AMLODIPINE BESYLATE

Amlodipine is used alone or... +

Amlodipine is used alone or in combination with other medications to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

256

prescriptions, 2% of all prescriptions

215

prescriptions.

46

patients, 9% of all patients

12 10
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). Source: National Library of Medicine

246

prescriptions, 2% of all prescriptions

185

prescriptions.

52

patients, 11% of all patients

13 19
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

228

prescriptions, 2% of all prescriptions

151

prescriptions.

50

patients, 10% of all patients

14 44
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

213

prescriptions, 1% of all prescriptions

187

prescriptions.

29

patients, 6% of all patients

15 13
AZITHROMYCIN

Treats infections caused by... +

Treats infections caused by certain bacteria. Source: National Library of Medicine

197

prescriptions, 1% of all prescriptions

127

prescriptions.

145

patients, 29% of all patients

A 16 37
LEVOTHYROXINE SODIUM

Levothyroxine, a thyroid ho... +

Levothyroxine, a thyroid hormone, is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. Source: National Library of Medicine

176

prescriptions, 1% of all prescriptions

149

prescriptions.

35

patients, 7% of all patients

17 9
NABUMETONE

Treats pain caused by arthr... +

Treats pain caused by arthritis. Source: National Library of Medicine

170

prescriptions, 1% of all prescriptions

100

prescriptions.

48

patients, 10% of all patients

18 27
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

166

prescriptions, 1% of all prescriptions

83

prescriptions.

37

patients, 7% of all patients

19 26
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

164

prescriptions, 1% of all prescriptions

119

prescriptions.

126

patients, 26% of all patients

A 20 45
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

162

prescriptions, 1% of all prescriptions

123

prescriptions.

23

patients, 5% of all patients

21 40
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine

160

prescriptions, 1% of all prescriptions

96

prescriptions.

26

patients, 5% of all patients

22 32
METOPROLOL TARTRATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

156

prescriptions, 1% of all prescriptions

115

prescriptions.

30

patients, 6% of all patients

23 22
ALPRAZOLAM

Treats anxiety, panic disor... +

Treats anxiety, panic disorder, insomnia (trouble sleeping), and anxiety caused by depression. Source: National Library of Medicine

154

prescriptions, 1% of all prescriptions

130

prescriptions.

31

patients, 6% of all patients

24 28
CLOTRIMAZOLE-BETAMETHASONE

This combination medication... +

This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch. Source: National Library of Medicine

151

prescriptions, 1% of all prescriptions

65

prescriptions.

57

patients, 12% of all patients

25 39
TRAMADOL HCL

Tramadol is used to relieve... +

Tramadol is used to relieve moderate to moderately severe pain. Source: National Library of Medicine

147

prescriptions, 1% of all prescriptions

83

prescriptions.

51

patients, 10% of all patients

O 26 24
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels. Source: National Library of Medicine

146

prescriptions, 1% of all prescriptions

112

prescriptions.

34

patients, 7% of all patients

27 8
DONEPEZIL HCL

Donepezil is used to treat ... +

Donepezil is used to treat dementia (a brain disorder that affects the ability to remember, think clearly, communicate, and perform daily activities and may cause changes in mood and personality) associated with Alzheimer's disease (AD; a brain disease that slowly destroys the memory and the ability to think, learn, communicate and handle daily activities). Source: National Library of Medicine

129

prescriptions, 1% of all prescriptions

129

prescriptions.

17

patients, 3% of all patients

28 35
HUMULIN 70-30

Insulin injection is used t... +

Insulin injection is used to control blood sugar in people who have type 1 diabetes (condition in which the body does not make insulin and therefore cannot control the amount of sugar in the blood) or in people who have type 2 diabetes (condition in which the blood sugar is too high because the body does not produce or use insulin normally) that cannot be controlled with oral medications alone. Source: National Library of Medicine

129

prescriptions, 1% of all prescriptions

87

prescriptions.

19

patients, 4% of all patients

28 47
PANTOPRAZOLE SODIUM

Pantoprazole is used to tre... +

Pantoprazole is used to treat gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the esophagus (the tube between the throat and stomach). Source: National Library of Medicine

120

prescriptions, 1% of all prescriptions

73

prescriptions.

30

patients, 6% of all patients

30 25
LISINOPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure. Source: National Library of Medicine

115

prescriptions, 1% of all prescriptions

71

prescriptions.

19

patients, 4% of all patients

31 14
CLONAZEPAM

Treats seizures, panic diso... +

Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine

115

prescriptions, 1% of all prescriptions

66

prescriptions.

26

patients, 5% of all patients

31 18
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

74

prescriptions.

22

patients, 4% of all patients

33 30
DOXAZOSIN MESYLATE

Doxazosin (Cardura, Cardura... +

Doxazosin (Cardura, Cardura XL) is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH), which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

75

prescriptions.

14

patients, 3% of all patients

33 42
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

This drug is used to treat high blood pressure. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

54

prescriptions.

19

patients, 4% of all patients

35 12
KETOCONAZOLE

Treats fungal infections in... +

Treats fungal infections in the skin, throat, urinary tract, and lungs. Source: National Library of Medicine

80

prescriptions, 1% of all prescriptions

47

prescriptions.

38

patients, 8% of all patients

36 95
AMOXICILLIN-CLAVULANATE POTASS

Treats infections. +

Treats infections. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

56

prescriptions.

65

patients, 13% of all patients

A 37 87
ALENDRONATE SODIUM

Alendronate is used to trea... +

Alendronate is used to treat and prevent osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause (''change of life,'' end of menstrual periods) and to treat osteoporosis in men. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

72

prescriptions.

20

patients, 4% of all patients

38 15
RAMIPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure after a heart attack. Source: National Library of Medicine

70

prescriptions, 0% of all prescriptions

70

prescriptions.

11

patients, 2% of all patients

39 65
DICYCLOMINE HCL

Dicyclomine is used to trea... +

Dicyclomine is used to treat the symptoms of irritable bowel syndrome. Source: National Library of Medicine

69

prescriptions, 0% of all prescriptions

38

prescriptions.

24

patients, 5% of all patients

40 92
INSULIN SYRINGE*

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

67

prescriptions, 0% of all prescriptions

45

prescriptions.

16

patients, 3% of all patients

41 73
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

66

prescriptions, 0% of all prescriptions

48

prescriptions.

14

patients, 3% of all patients

42 31
INSULIN SYRINGE*

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

46

prescriptions.

23

patients, 5% of all patients

43 89
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

Treats stuffy nose caused by hay fever and other allergies. Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

54

prescriptions.

21

patients, 4% of all patients

43 49
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

64

prescriptions, 0% of all prescriptions

59

prescriptions.

13

patients, 3% of all patients

45 20
CILOSTAZOL

Treats a circulation proble... +

Treats a circulation problem in which too little blood flows into your leg muscles (intermittent claudication). Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

57

prescriptions.

14

patients, 3% of all patients

46 54
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

57

prescriptions.

14

patients, 3% of all patients

46 117
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

40

prescriptions.

22

patients, 4% of all patients

48 135
CAPTOPRIL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

41

prescriptions.

<11 48 69
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

22

prescriptions.

20

patients, 4% of all patients

50 46
PRAVASTATIN SODIUM

Pravastatin is used with di... +

Pravastatin is used with diet, weight-loss, and exercise to reduce the risk of heart attack and stroke and to decrease the chance that heart surgery will be needed in people who have heart disease or who are at risk of developing heart disease. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

44

prescriptions.

11

patients, 2% of all patients

51 34
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

51

prescriptions.

<11 52 79
PERMETHRIN

Treats head lice and scabies. +

Treats head lice and scabies. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

50

prescriptions.

29

patients, 6% of all patients

53 189
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

55

prescriptions, 0% of all prescriptions

44

prescriptions.

<11 53 41
TAMSULOSIN HCL

Tamsulosin is used in men t... +

Tamsulosin is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH) which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

50

prescriptions.

12

patients, 2% of all patients

53 29
CLOBETASOL PROPIONATE

Treats psoriasis, skin irri... +

Treats psoriasis, skin irritation, allergic reactions, and other types of skin problems. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

19

prescriptions.

17

patients, 3% of all patients

56 185
BUTALBITAL-ACETAMINOPHEN-CAFFE

This combination of drugs i... +

This combination of drugs is used to relieve tension headaches. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

5

prescriptions.

11

patients, 2% of all patients

R 56 101
LORAZEPAM

Treats anxiety, anxiety wit... +

Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

25

prescriptions.

12

patients, 2% of all patients

56 50
INDAPAMIDE

Treats high blood pressure ... +

Treats high blood pressure and fluid retention (edema). Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

40

prescriptions.

<11 59 154
MECLIZINE HCL

Meclizine is used to preven... +

Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

46

prescriptions.

22

patients, 4% of all patients

59 48
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 61 127
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

38

prescriptions.

<11 61 98
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 Dec. 19, 2016.
  • 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.