Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

JUAN BUITRAGO M.D.

At A Glance: This Prescriber in 2015

Pulmonary Disease

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

5,803Medicare Part D Prescriptions Filled, Including Refills

Rank: 11 out of 80

$540K Total Retail Price of All Prescriptions

Rank: 22 out of 80

617 Patients Receiving at Least One Drug in Part D
71% 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 439 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

24% of this provider’s 617 patients filled at least one prescription for an antibiotic drug, compared to an average of 28%.

More resources »

Risky Drugs for Seniors

This provider prescribed potentially inappropriate drugs 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 »

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 *

50% of this provider’s prescriptions were for brand-name drugs, compared to an average of 44%.

* This is an estimate, see our methodology.

Prescription Price

$93 was the average price of a prescription from this provider, compared to $175 among peers.

Prescriptions per Patient

9 is the average number of prescriptions (including refills) per patient, compared to an average of 7.


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

$394K

2012

$399K

2013

$496K

2014

$540K

2015

Number of Claims

4,765

2012

4,515

2013

5,071

2014

5,803

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
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

1,081

prescriptions, 19% of all prescriptions

664

prescriptions.

356

patients, 58% of all patients

1 2
PROAIR HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

906

prescriptions, 16% of all prescriptions

659

prescriptions.

260

patients, 42% of all patients

2 5
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

428

prescriptions, 7% of all prescriptions

318

prescriptions.

99

patients, 16% of all patients

3 3
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). Source: National Library of Medicine

316

prescriptions, 5% of all prescriptions

260

prescriptions.

79

patients, 13% of all patients

4 4
AZELASTINE HCL

Used to treat hay fever and... +

Used to treat hay fever and allergy symptoms including runny nose, sneezing, and itchy nose. Source: National Library of Medicine

269

prescriptions, 5% of all prescriptions

141

prescriptions.

114

patients, 18% of all patients

5 18
QVAR

Prevents asthma attacks. +

Prevents asthma attacks. Source: National Library of Medicine

196

prescriptions, 3% of all prescriptions

129

prescriptions.

55

patients, 9% of all patients

6 6
VENTOLIN HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

181

prescriptions, 3% of all prescriptions

108

prescriptions.

56

patients, 9% of all patients

7 14
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

172

prescriptions, 3% of all prescriptions

130

prescriptions.

60

patients, 10% of all patients

8 12
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

139

prescriptions, 2% of all prescriptions

106

prescriptions.

45

patients, 7% of all patients

9 34
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

133

prescriptions, 2% of all prescriptions

88

prescriptions.

50

patients, 8% of all patients

10 16
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

109

prescriptions, 2% of all prescriptions

76

prescriptions.

35

patients, 6% of all patients

11 38
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

93

prescriptions, 2% of all prescriptions

72

prescriptions.

23

patients, 4% of all patients

12 45
METHYLPREDNISOLONE

Treats asthma, allergic rea... +

Treats asthma, allergic reactions, inflammation, flare-ups of ongoing illnesses, and many other medical problems. Source: National Library of Medicine

80

prescriptions, 1% of all prescriptions

64

prescriptions.

72

patients, 12% of all patients

13 15
PROVENTIL HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

70

prescriptions.

22

patients, 4% of all patients

14 10
THEOPHYLLINE ANHYDROUS

Theophylline is used to pre... +

Theophylline is used to prevent and treat wheezing, shortness of breath, and chest tightness caused by asthma, chronic bronchitis, emphysema, and other lung diseases. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

51

prescriptions.

12

patients, 2% of all patients

15 17
ADVAIR HFA

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

52

prescriptions.

16

patients, 3% of all patients

16 11
SYMBICORT

This is a combination of bu... +

This is a combination of budesonide and formoterol used to help control the symptoms of asthma and improve lung function. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

52

prescriptions.

27

patients, 4% of all patients

17 9
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

66

prescriptions, 1% of all prescriptions

29

prescriptions.

20

patients, 3% of all patients

18 50
FORADIL 63

prescriptions, 1% of all prescriptions

50

prescriptions.

19

patients, 3% of all patients

19 27
ACETAZOLAMIDE

Treats glaucoma, certain ty... +

Treats glaucoma, certain types of epilepsy, mountain sickness, and other conditions. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

38

prescriptions.

15

patients, 2% of all patients

20 76
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

58

prescriptions, 1% of all prescriptions

44

prescriptions.

16

patients, 3% of all patients

21 1
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 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.