Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

HIRAM CARDONA-MARTINEZ M.D.

At A Glance: This Prescriber in 2015

Specialist

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

9,146Medicare Part D Prescriptions Filled, Including Refills

Rank: 73 out of 314

$227K Total Retail Price of All Prescriptions

Rank: 136 out of 314

520 Patients Receiving at Least One Drug in Part D
90% 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

0% of this provider’s 467 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

3% of this provider’s 520 patients filled at least one prescription for an antibiotic drug, compared to an average of 24%.

More resources »

Risky Drugs for Seniors

6% of this provider’s 467 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

3% of this provider’s 520 patients filled at least one prescription for an opioid, compared to an average of 11%.

More resources »

Brand Name Drugs *

13% 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

$25 was the average price of a prescription from this provider, compared to $74 among peers.

Prescriptions per Patient

18 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

$253K

2012

$248K

2013

$252K

2014

$227K

2015

Number of Claims

7,561

2012

8,310

2013

8,736

2014

9,146

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
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

615

prescriptions, 7% of all prescriptions

564

prescriptions.

107

patients, 21% of all patients

1 3
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

579

prescriptions, 6% of all prescriptions

523

prescriptions.

118

patients, 23% of all patients

2 5
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

483

prescriptions, 5% of all prescriptions

427

prescriptions.

95

patients, 18% of all patients

3 6
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

379

prescriptions, 4% of all prescriptions

355

prescriptions.

65

patients, 13% of all patients

4 33
SIMVASTATIN

Treats high cholesterol and... +

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

336

prescriptions, 4% of all prescriptions

304

prescriptions.

74

patients, 14% of all patients

5 1
ATENOLOL

Treats high blood pressure ... +

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

328

prescriptions, 4% of all prescriptions

312

prescriptions.

67

patients, 13% of all patients

6 15
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

313

prescriptions, 3% of all prescriptions

296

prescriptions.

59

patients, 11% of all patients

7 13
CARVEDILOL

Treats high blood pressure ... +

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

273

prescriptions, 3% of all prescriptions

233

prescriptions.

48

patients, 9% of all patients

8 29
RAMIPRIL

Treats high blood pressure ... +

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

263

prescriptions, 3% of all prescriptions

263

prescriptions.

37

patients, 7% of all patients

9 57
METOPROLOL SUCCINATE

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

255

prescriptions, 3% of all prescriptions

226

prescriptions.

45

patients, 9% of all patients

10 16
CLOPIDOGREL

Helps prevent stroke, heart... +

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

240

prescriptions, 3% of all prescriptions

227

prescriptions.

54

patients, 10% of all patients

11 14
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

233

prescriptions, 3% of all prescriptions

206

prescriptions.

41

patients, 8% of all patients

12 4
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

226

prescriptions, 2% of all prescriptions

210

prescriptions.

46

patients, 9% of all patients

13 11
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

215

prescriptions, 2% of all prescriptions

201

prescriptions.

53

patients, 10% of all patients

14 34
INDAPAMIDE

Treats high blood pressure ... +

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

202

prescriptions, 2% of all prescriptions

176

prescriptions.

39

patients, 8% of all patients

15 140
LISINOPRIL

Treats high blood pressure ... +

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

190

prescriptions, 2% of all prescriptions

172

prescriptions.

30

patients, 6% of all patients

16 19
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

185

prescriptions, 2% of all prescriptions

138

prescriptions.

37

patients, 7% of all patients

17 12
BISOPROLOL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

182

prescriptions, 2% of all prescriptions

177

prescriptions.

27

patients, 5% of all patients

18 126
IRBESARTAN

Used alone or in combinatio... +

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

177

prescriptions, 2% of all prescriptions

141

prescriptions.

22

patients, 4% of all patients

19 31
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

171

prescriptions, 2% of all prescriptions

166

prescriptions.

28

patients, 5% of all patients

20 17
AMIODARONE HCL

Amiodarone is used to treat... +

Amiodarone is used to treat and prevent certain types of serious, life-threatening ventricular arrhythmias (a certain type of abnormal heart rhythm when other medications did not help or could not be tolerated. Source: National Library of Medicine

164

prescriptions, 2% of all prescriptions

159

prescriptions.

37

patients, 7% of all patients

21 219
FLECAINIDE ACETATE

Flecainide is used to preve... +

Flecainide is used to prevent certain types of life-threatening irregular heartbeats. Source: National Library of Medicine

151

prescriptions, 2% of all prescriptions

151

prescriptions.

21

patients, 4% of all patients

22 242
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

123

prescriptions, 1% of all prescriptions

123

prescriptions.

24

patients, 5% of all patients

23 7
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

121

prescriptions, 1% of all prescriptions

106

prescriptions.

17

patients, 3% of all patients

24 26
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

107

prescriptions, 1% of all prescriptions

102

prescriptions.

24

patients, 5% of all patients

25 39
WARFARIN SODIUM

Warfarin is used to prevent... +

Warfarin is used to prevent blood clots from forming or growing larger in your blood and blood vessels. Source: National Library of Medicine

105

prescriptions, 1% of all prescriptions

86

prescriptions.

18

patients, 3% of all patients

26 71
AMLODIPINE BESYLATE-BENAZEPRIL

The combination of amlodipi... +

The combination of amlodipine and benazepril is used to treat high blood pressure. Source: National Library of Medicine

100

prescriptions, 1% of all prescriptions

95

prescriptions.

17

patients, 3% of all patients

27 55
FUROSEMIDE

Treats fluid retention (ede... +

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

95

prescriptions, 1% of all prescriptions

90

prescriptions.

21

patients, 4% of all patients

28 27
FENOFIBRATE*

Treats high cholesterol and... +

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

92

prescriptions, 1% of all prescriptions

87

prescriptions.

20

patients, 4% of all patients

29 47
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

86

prescriptions, 1% of all prescriptions

51

prescriptions.

<11 30 99
GABAPENTIN

Treats certain types of sei... +

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

78

prescriptions, 1% of all prescriptions

73

prescriptions.

19

patients, 4% of all patients

31 2
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

76

prescriptions, 1% of all prescriptions

71

prescriptions.

15

patients, 3% of all patients

32 9
TERAZOSIN HCL

Terazosin is used in men to... +

Terazosin 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

75

prescriptions, 1% of all prescriptions

70

prescriptions.

11

patients, 2% of all patients

33 208
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

74

prescriptions, 1% of all prescriptions

69

prescriptions.

17

patients, 3% of all patients

34 89
ALPRAZOLAM

Treats anxiety, panic disor... +

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

68

prescriptions, 1% of all prescriptions

56

prescriptions.

11

patients, 2% of all patients

35 18
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

67

prescriptions, 1% of all prescriptions

62

prescriptions.

23

patients, 4% of all patients

36 10
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

62

prescriptions, 1% of all prescriptions

57

prescriptions.

13

patients, 3% of all patients

37 22
CITALOPRAM HBR

Citalopram is used to treat... +

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

61

prescriptions, 1% of all prescriptions

56

prescriptions.

13

patients, 3% of all patients

38 53
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

58

prescriptions, 1% of all prescriptions

46

prescriptions.

12

patients, 2% of all patients

39 101
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

56

prescriptions, 1% of all prescriptions

51

prescriptions.

<11 40 28
DIGOX

Digox (digoxin) is used to ... +

Digox (digoxin) is used to treat heart failure and abnormal heart rhythms (arrhythmias). Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

49

prescriptions.

11

patients, 2% of all patients

R 41 136
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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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 March 30, 2012.
  • 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.