Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

NICOLAS PEREZ MALDONADO M.D.

At A Glance: This Prescriber in 2015

Neurology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

5,742Medicare Part D Prescriptions Filled, Including Refills

Rank: 22 out of 75

$2.05M Total Retail Price of All Prescriptions

Rank: 5 out of 75

384 Patients Receiving at Least One Drug in Part D
71% Patients 65 Years and Older

2% 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

This provider prescribed antipsychotics to at least one but fewer than 11 patients who are 65 and older, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Antibiotics

4% of this provider’s 384 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

4% of this provider’s 274 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 6%.

More resources »

Opioids

10% of this provider’s 384 patients filled at least one prescription for an opioid, compared to an average of 5%.

More resources »

Brand Name Drugs

46% of this provider’s prescriptions were for brand-name drugs, compared to an average of 24%. This is far more than peers.

Prescription Price

$358 was the average price of a prescription from this provider, compared to $145 among peers.

Prescriptions per Patient

15 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$1.24M

2012

$1.8M

2013

$1.79M

2014

$2.05M

2015

Number of Claims

5,119

2012

5,487

2013

5,619

2014

5,742

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
PLAVIX 533

prescriptions, 9% of all prescriptions

480

prescriptions.

122

patients, 32% of all patients

10 1 72
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

423

prescriptions, 7% of all prescriptions

393

prescriptions.

84

patients, 22% of all patients

2 13
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

361

prescriptions, 6% of all prescriptions

256

prescriptions.

86

patients, 22% of all patients

3 56
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

345

prescriptions, 6% of all prescriptions

314

prescriptions.

61

patients, 16% of all patients

4 4
NAMENDA XR

Used to treat the symptoms ... +

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

286

prescriptions, 5% of all prescriptions

281

prescriptions.

48

patients, 13% of all patients

5 6
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

248

prescriptions, 4% of all prescriptions

160

prescriptions.

65

patients, 17% of all patients

6 7
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

213

prescriptions, 4% of all prescriptions

208

prescriptions.

60

patients, 16% of all patients

7 3
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

194

prescriptions, 3% of all prescriptions

173

prescriptions.

44

patients, 11% of all patients

8 30
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

148

prescriptions, 3% of all prescriptions

148

prescriptions.

28

patients, 7% of all patients

9 10
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

133

prescriptions, 2% of all prescriptions

96

prescriptions.

32

patients, 8% of all patients

10 20
CLOPIDOGREL

Helps prevent stroke, heart... +

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

133

prescriptions, 2% of all prescriptions

119

prescriptions.

39

patients, 10% of all patients

10 16
GABAPENTIN

Treats certain types of sei... +

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

126

prescriptions, 2% of all prescriptions

79

prescriptions.

28

patients, 7% of all patients

12 2
MEMANTINE HCL

Treats moderate to severe ... +

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

122

prescriptions, 2% of all prescriptions

117

prescriptions.

45

patients, 12% of all patients

13 9
KEPPRA 117

prescriptions, 2% of all prescriptions

34

prescriptions.

11

patients, 3% of all patients

14 94
CLONAZEPAM

Treats seizures, panic diso... +

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

103

prescriptions, 2% of all prescriptions

44

prescriptions.

28

patients, 7% of all patients

15 8
TECFIDERA 98

prescriptions, 2% of all prescriptions

14

prescriptions.

11

patients, 3% of all patients

16 64
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

97

prescriptions, 2% of all prescriptions

40

prescriptions.

21

patients, 5% of all patients

17 18
LAMICTAL 89

prescriptions, 2% of all prescriptions

13

prescriptions.

<11 18 96
AMPYRA 79

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 19 59
AZILECT

Used alone or together with... +

Used alone or together with levodopa for the treatment of Parkinson's disease. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

77

prescriptions.

15

patients, 4% of all patients

20 41
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

71

prescriptions, 1% of all prescriptions

41

prescriptions.

28

patients, 7% of all patients

21 62
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

70

prescriptions, 1% of all prescriptions

34

prescriptions.

16

patients, 4% of all patients

22 53
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

70

prescriptions, 1% of all prescriptions

70

prescriptions.

11

patients, 3% of all patients

22 103
RAMIPRIL

Treats high blood pressure ... +

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

60

prescriptions, 1% of all prescriptions

55

prescriptions.

12

patients, 3% of all patients

24 138
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

59

prescriptions, 1% of all prescriptions

35

prescriptions.

18

patients, 5% of all patients

25 24
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

51

prescriptions, 1% of all prescriptions

39

prescriptions.

12

patients, 3% of all patients

26 34
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. 18, 2013.
  • 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.