Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

MARIA WISCOVITCH M.D.

GENERAL VALERO AVENUE HOSP. HIMA-SAN PABLO-FAJARDO, 1ST FLOOR, NEUROLOGIA

Fajardo | Puerto Rico | 00738

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At A Glance: This Prescriber in 2015

Pain Medicine

Self-Reported Primary Specialty

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13,702Medicare Part D Prescriptions Filled, Including Refills
$1.24M Total Retail Price of All Prescriptions
1,267 Patients Receiving at Least One Drug in Part D
72% Patients 65 Years and Older

1% Subsidized Claims for Low-Income 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

$722K

2012

$877K

2013

$1.14M

2014

$1.24M

2015

Number of Claims

9,286

2012

10,945

2013

12,298

2014

13,702

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. 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.

Drug Name Total Prescriptions Filled with Refills Prescriptions
to 65+
Patients Receiving this Drug Category
GABAPENTIN

Treats certain types of sei... +

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

1,880

prescriptions, 14% of all prescriptions

1,196

prescriptions.

412

patients, 33% of all patients

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

1,635

prescriptions, 12% of all prescriptions

1,518

prescriptions.

358

patients, 28% of all patients

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

410

prescriptions, 3% of all prescriptions

397

prescriptions.

91

patients, 7% of all patients

NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine

396

prescriptions, 3% of all prescriptions

391

prescriptions.

129

patients, 10% of all patients

NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

392

prescriptions, 3% of all prescriptions

379

prescriptions.

74

patients, 6% of all patients

BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

371

prescriptions, 3% of all prescriptions

143

prescriptions.

95

patients, 7% of all patients

CARBIDOPA-LEVODOPA

The combination of levodopa... +

The combination of levodopa and carbidopa is used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

353

prescriptions, 3% of all prescriptions

333

prescriptions.

62

patients, 5% of all patients

LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

350

prescriptions, 3% of all prescriptions

148

prescriptions.

82

patients, 6% of all patients

TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

349

prescriptions, 3% of all prescriptions

91

prescriptions.

120

patients, 9% of all patients

PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

322

prescriptions, 2% of all prescriptions

283

prescriptions.

55

patients, 4% of all patients

DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

320

prescriptions, 2% of all prescriptions

189

prescriptions.

64

patients, 5% of all patients

NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

283

prescriptions, 2% of all prescriptions

227

prescriptions.

71

patients, 6% of all patients

CLONAZEPAM

Treats seizures, panic diso... +

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

282

prescriptions, 2% of all prescriptions

246

prescriptions.

78

patients, 6% of all patients

CLOPIDOGREL

Helps prevent stroke, heart... +

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

277

prescriptions, 2% of all prescriptions

246

prescriptions.

64

patients, 5% of all patients

PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

271

prescriptions, 2% of all prescriptions

196

prescriptions.

58

patients, 5% of all patients

MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

242

prescriptions, 2% of all prescriptions

237

prescriptions.

97

patients, 8% of all patients

GALANTAMINE HBR

Galantamine is used to trea... +

Galantamine is used to treat the symptoms of 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

231

prescriptions, 2% of all prescriptions

200

prescriptions.

51

patients, 4% of all patients

TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Source: National Library of Medicine

230

prescriptions, 2% of all prescriptions

82

prescriptions.

55

patients, 4% of all patients

VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

208

prescriptions, 2% of all prescriptions

181

prescriptions.

38

patients, 3% of all patients

LEVETIRACETAM

Used to help control certai... +

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

203

prescriptions, 1% of all prescriptions

97

prescriptions.

40

patients, 3% of all patients

DICLOFENAC POTASSIUM

Diclofenac is a nonsteroida... +

Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild-to-moderate pain, and helps to relieve symptoms of arthritis (eg, osteoarthritis or rheumatoid arthritis), such as inflammation, swelling, stiffness, and joint pain. Source: National Library of Medicine

195

prescriptions, 1% of all prescriptions

97

prescriptions.

62

patients, 5% of all patients

VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine

181

prescriptions, 1% of all prescriptions

122

prescriptions.

66

patients, 5% of all patients

RIVASTIGMINE*

Used to treat mild to moder... +

Used to treat mild to moderate dementia (memory loss and mental changes) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine

162

prescriptions, 1% of all prescriptions

140

prescriptions.

28

patients, 2% of all patients

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

161

prescriptions, 1% of all prescriptions

86

prescriptions.

41

patients, 3% of all patients

TEMAZEPAM

Treats insomnia (trouble sl... +

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

155

prescriptions, 1% of all prescriptions

135

prescriptions.

33

patients, 3% of all patients

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

141

prescriptions, 1% of all prescriptions

136

prescriptions.

29

patients, 2% of all patients

BUTALBITAL-ACETAMINOPHEN-CAFFE

This combination of drugs i... +

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

138

prescriptions, 1% of all prescriptions

48

prescriptions.

41

patients, 3% of all patients

R
CARBIDOPA-LEVODOPA-ENTACAPONE 120

prescriptions, 1% of all prescriptions

120

prescriptions.

20

patients, 2% of all patients

RISPERIDONE

Treats schizophrenia and ce... +

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

115

prescriptions, 1% of all prescriptions

115

prescriptions.

31

patients, 2% of all patients

P
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

108

prescriptions, 1% of all prescriptions

85

prescriptions.

36

patients, 3% of all patients

TRAMADOL HCL

Tramadol is used to relieve... +

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

92

prescriptions, 1% of all prescriptions

38

prescriptions.

48

patients, 4% of all patients

O
LORAZEPAM

Treats anxiety, anxiety wit... +

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

88

prescriptions, 1% of all prescriptions

76

prescriptions.

12

patients, 1% of all patients

CITALOPRAM HBR

Citalopram is used to treat... +

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

86

prescriptions, 1% of all prescriptions

81

prescriptions.

34

patients, 3% of all patients

LIDOCAINE

Causes numbness or loss of ... +

Causes numbness or loss of feeling in an area of your body. Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

41

prescriptions.

25

patients, 2% of all patients

TRAMADOL HCL-ACETAMINOPHEN

Treats short-term, medium t... +

Treats short-term, medium to medium-severe pain. Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

56

prescriptions.

59

patients, 5% of all patients

O
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

79

prescriptions, 1% of all prescriptions

74

prescriptions.

20

patients, 2% of all patients

P
AMANTADINE

Treats or prevents the flu ... +

Treats or prevents the flu (influenza type A). Source: National Library of Medicine

68

prescriptions, 0% of all prescriptions

63

prescriptions.

18

patients, 1% of all patients

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

66

prescriptions, 0% of all prescriptions

18

prescriptions.

13

patients, 1% of all patients

AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

66

prescriptions, 0% of all prescriptions

42

prescriptions.

14

patients, 1% of all patients

R
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

66

prescriptions, 0% of all prescriptions

28

prescriptions.

24

patients, 2% of all patients

GLYCOPYRROLATE 65

prescriptions, 0% of all prescriptions

65

prescriptions.

20

patients, 2% of all patients

DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

65

prescriptions, 0% of all prescriptions

52

prescriptions.

14

patients, 1% of all patients

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

63

prescriptions, 0% of all prescriptions

58

prescriptions.

<11 R
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

63

prescriptions, 0% of all prescriptions

36

prescriptions.

28

patients, 2% of all patients

CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

31

prescriptions.

21

patients, 2% of all patients

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

60

prescriptions, 0% of all prescriptions

38

prescriptions.

13

patients, 1% of all patients

R
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

17

prescriptions.

22

patients, 2% of all patients

O
LEVETIRACETAM ER 57

prescriptions, 0% of all prescriptions

16

prescriptions.

14

patients, 1% of all patients

ROPINIROLE HCL

Ropinirole is used alone or... +

Ropinirole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

47

prescriptions.

<11
CARBAMAZEPINE ER

Treats certain types of se... +

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

52

prescriptions, 0% of all prescriptions

21

prescriptions.

<11
RIVASTIGMINE* 52

prescriptions, 0% of all prescriptions

52

prescriptions.

24

patients, 2% of all patients

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?

If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org.

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 July 8, 2007.
  • 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.