Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

VIVIAN PASTRANA M.D.

MENNONITE HOSPITAL INC.(CIMA) SARGENTO GERARDO SANTIAGO STREET, INTERIOR 14

Aibonito | Puerto Rico | 00705

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At A Glance: This Prescriber in 2015

Specialist

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

18,218Medicare Part D Prescriptions Filled, Including Refills

Rank: 20 out of 314

$467K Total Retail Price of All Prescriptions

Rank: 72 out of 314

756 Patients Receiving at Least One Drug in Part D
31% Patients 65 Years and Older

1% 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

29% of this provider’s 237 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

This provider prescribed antibiotics to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Risky Drugs for Seniors

27% of this provider’s 237 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

This provider prescribed opioids to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Brand Name Drugs *

10% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

* This is an estimate, see our methodology.

Prescription Price

$26 was the average price of a prescription from this provider, compared to $74 among peers.

Prescriptions per Patient

24 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

$523K

2012

$627K

2013

$485K

2014

$467K

2015

Number of Claims

10,150

2012

18,718

2013

18,454

2014

18,218

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
CLONAZEPAM

Treats seizures, panic diso... +

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

3,413

prescriptions, 19% of all prescriptions

774

prescriptions.

408

patients, 54% of all patients

1 8
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

1,491

prescriptions, 8% of all prescriptions

117

prescriptions.

242

patients, 32% of all patients

R 2 37
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

1,187

prescriptions, 7% of all prescriptions

285

prescriptions.

150

patients, 20% of all patients

3 38
TEMAZEPAM

Treats insomnia (trouble sl... +

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

1,187

prescriptions, 7% of all prescriptions

462

prescriptions.

199

patients, 26% of all patients

3 23
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

1,047

prescriptions, 6% of all prescriptions

349

prescriptions.

146

patients, 19% of all patients

5 24
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

974

prescriptions, 5% of all prescriptions

294

prescriptions.

111

patients, 15% of all patients

P 6 43
LORAZEPAM

Treats anxiety, anxiety wit... +

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

872

prescriptions, 5% of all prescriptions

300

prescriptions.

110

patients, 15% of all patients

7 45
CITALOPRAM HBR

Citalopram is used to treat... +

Citalopram is used to treat depression. Source: National Library of Medicine

796

prescriptions, 4% of all prescriptions

276

prescriptions.

114

patients, 15% of all patients

8 53
ALPRAZOLAM

Treats anxiety, panic disor... +

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

776

prescriptions, 4% of all prescriptions

301

prescriptions.

90

patients, 12% of all patients

9 18
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

731

prescriptions, 4% of all prescriptions

223

prescriptions.

97

patients, 13% of all patients

10 35
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

695

prescriptions, 4% of all prescriptions

142

prescriptions.

94

patients, 12% of all patients

P 11 49
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine

643

prescriptions, 4% of all prescriptions

82

prescriptions.

85

patients, 11% of all patients

12 64
DOXEPIN HCL

Doxepin is used to treat de... +

Doxepin is used to treat depression and anxiety. Source: National Library of Medicine

500

prescriptions, 3% of all prescriptions

100

prescriptions.

56

patients, 7% of all patients

R 13 92
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

Venlafaxine is used to treat depression. Source: National Library of Medicine

332

prescriptions, 2% of all prescriptions

67

prescriptions.

45

patients, 6% of all patients

14 63
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

291

prescriptions, 2% of all prescriptions

13

prescriptions.

40

patients, 5% of all patients

15 59
ESCITALOPRAM OXALATE

Escitalopram is used to tre... +

Escitalopram is used to treat depression and generalized anxiety disorder (excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

281

prescriptions, 2% of all prescriptions

71

prescriptions.

43

patients, 6% of all patients

16 124
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

218

prescriptions, 1% of all prescriptions

149

prescriptions.

28

patients, 4% of all patients

17 36
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

213

prescriptions, 1% of all prescriptions

20

prescriptions.

26

patients, 3% of all patients

18 134
TRAZODONE HCL

Trazodone is used to treat ... +

Trazodone is used to treat depression. Source: National Library of Medicine

183

prescriptions, 1% of all prescriptions

29

prescriptions.

27

patients, 4% of all patients

19 50
ESTAZOLAM 179

prescriptions, 1% of all prescriptions

62

prescriptions.

34

patients, 4% of all patients

20 110
LAMOTRIGINE

Treats certain types of sei... +

Treats certain types of seizures and mood disorders. Source: National Library of Medicine

142

prescriptions, 1% of all prescriptions

12

prescriptions.

21

patients, 3% of all patients

21 117
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

Amitriptyline is used to treat symptoms of depression. Source: National Library of Medicine

125

prescriptions, 1% of all prescriptions

25

prescriptions.

18

patients, 2% of all patients

R 22 86
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

125

prescriptions, 1% of all prescriptions

0

prescriptions.

16

patients, 2% of all patients

22 151
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

122

prescriptions, 1% of all prescriptions

38

prescriptions.

18

patients, 2% of all patients

24 67
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine

116

prescriptions, 1% of all prescriptions

5

prescriptions.

20

patients, 3% of all patients

25 94
ZALEPLON 114

prescriptions, 1% of all prescriptions

5

prescriptions.

19

patients, 3% of all patients

R 26 276
ROZEREM 111

prescriptions, 1% of all prescriptions

66

prescriptions.

27

patients, 4% of all patients

27 351
OLANZAPINE

Treats psychotic mental dis... +

Treats psychotic mental disorders, such as schizophrenia or bipolar disorder (manic-depressive illness). Source: National Library of Medicine

110

prescriptions, 1% of all prescriptions

73

prescriptions.

16

patients, 2% of all patients

P 28 111
ABILIFY

Treats schizophrenia, bipol... +

Treats schizophrenia, bipolar disorder, and depression. Source: National Library of Medicine

98

prescriptions, 1% of all prescriptions

29

prescriptions.

15

patients, 2% of all patients

P 29 164
PRISTIQ ER

Used to treat depression. D... +

Used to treat depression. Source: National Library of Medicine

97

prescriptions, 1% of all prescriptions

19

prescriptions.

17

patients, 2% of all patients

30 249
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

81

prescriptions, 0% of all prescriptions

5

prescriptions.

11

patients, 1% of all patients

31 10
TRIAZOLAM 78

prescriptions, 0% of all prescriptions

14

prescriptions.

15

patients, 2% of all patients

32 375
CLORAZEPATE DIPOTASSIUM

Treats anxiety, trouble sle... +

Treats anxiety, trouble sleeping, symptoms of alcohol withdrawal, and certain types of epilepsy (seizures). Source: National Library of Medicine

74

prescriptions, 0% of all prescriptions

34

prescriptions.

12

patients, 2% of all patients

33 98
ZOLPIDEM TARTRATE ER

Used to treat insomnia (tro... +

Used to treat insomnia (trouble sleeping). Source: National Library of Medicine

72

prescriptions, 0% of all prescriptions

5

prescriptions.

12

patients, 2% of all patients

R 34 322
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

Treats schizophrenia, bipolar disorder, and depression. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

12

prescriptions.

12

patients, 2% of all patients

P 35 195
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 Jan. 13, 2010.
  • 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.