Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

MARCO RODRIGUEZ APONTE MD

At A Glance: This Prescriber in 2015

Psychiatry

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

42,555Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 205

$1.13M Total Retail Price of All Prescriptions

Rank: 3 out of 205

1,725 Patients Receiving at Least One Drug in Part D
39% Patients 65 Years and Older

3% 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

33% of this provider’s 673 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 34%.

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

12% of this provider’s 673 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 19%.

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 10%.

* This is an estimate, see our methodology.

Prescription Price

$26 was the average price of a prescription from this provider, compared to $32 among peers.

Prescriptions per Patient

25 is the average number of prescriptions (including refills) per patient, compared to an average of 18.


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

$1.35M

2012

$1.33M

2013

$1.25M

2014

$1.13M

2015

Number of Claims

24,574

2012

39,037

2013

41,204

2014

42,555

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

4,668

prescriptions, 11% of all prescriptions

1,414

prescriptions.

628

patients, 36% of all patients

1 1
TEMAZEPAM

Treats insomnia (trouble sl... +

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

4,652

prescriptions, 11% of all prescriptions

1,156

prescriptions.

755

patients, 44% of all patients

10 2 2
ALPRAZOLAM

Treats anxiety, panic disor... +

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

3,097

prescriptions, 7% of all prescriptions

1,271

prescriptions.

369

patients, 21% of all patients

3 4
TRAZODONE HCL

Trazodone is used to treat ... +

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

2,825

prescriptions, 7% of all prescriptions

1,220

prescriptions.

477

patients, 28% of all patients

10 4 11
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

2,802

prescriptions, 7% of all prescriptions

670

prescriptions.

335

patients, 19% of all patients

10 5 3
RISPERIDONE

Treats schizophrenia and ce... +

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

2,514

prescriptions, 6% of all prescriptions

667

prescriptions.

364

patients, 21% of all patients

P 10 6 9
LORAZEPAM

Treats anxiety, anxiety wit... +

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

2,092

prescriptions, 5% of all prescriptions

711

prescriptions.

300

patients, 17% of all patients

10 7 7
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

2,019

prescriptions, 5% of all prescriptions

728

prescriptions.

300

patients, 17% of all patients

10 8 10
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

1,970

prescriptions, 5% of all prescriptions

741

prescriptions.

333

patients, 19% of all patients

9 6
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

1,481

prescriptions, 3% of all prescriptions

451

prescriptions.

186

patients, 11% of all patients

P 10 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

1,256

prescriptions, 3% of all prescriptions

88

prescriptions.

320

patients, 19% of all patients

R 11 5
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

935

prescriptions, 2% of all prescriptions

175

prescriptions.

114

patients, 7% of all patients

10 12 15
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

894

prescriptions, 2% of all prescriptions

180

prescriptions.

148

patients, 9% of all patients

10 13 20
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

842

prescriptions, 2% of all prescriptions

366

prescriptions.

151

patients, 9% of all patients

14 21
CITALOPRAM HBR

Citalopram is used to treat... +

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

773

prescriptions, 2% of all prescriptions

385

prescriptions.

122

patients, 7% of all patients

15 13
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

771

prescriptions, 2% of all prescriptions

99

prescriptions.

112

patients, 6% of all patients

16 22
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

685

prescriptions, 2% of all prescriptions

78

prescriptions.

88

patients, 5% of all patients

17 12
DOXEPIN HCL

Doxepin is used to treat de... +

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

603

prescriptions, 1% of all prescriptions

26

prescriptions.

75

patients, 4% of all patients

R 18 23
BUSPIRONE HCL

Buspirone is used to treat ... +

Buspirone is used to treat anxiety disorders or in the short-term treatment of symptoms of anxiety. Source: National Library of Medicine

505

prescriptions, 1% of all prescriptions

194

prescriptions.

103

patients, 6% of all patients

19 17
OLANZAPINE

Treats psychotic mental dis... +

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

494

prescriptions, 1% of all prescriptions

241

prescriptions.

66

patients, 4% of all patients

P 20 24
ESTAZOLAM 485

prescriptions, 1% of all prescriptions

168

prescriptions.

114

patients, 7% of all patients

21 18
HALOPERIDOL*

Treats symptoms of mental a... +

Treats symptoms of mental and emotional disorders. Source: National Library of Medicine

462

prescriptions, 1% of all prescriptions

106

prescriptions.

58

patients, 3% of all patients

P 22 27
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

441

prescriptions, 1% of all prescriptions

106

prescriptions.

73

patients, 4% of all patients

23 14
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

427

prescriptions, 1% of all prescriptions

37

prescriptions.

57

patients, 3% of all patients

24 29
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

Treats symptoms of Parkinson's disease or side effects of other drugs. Source: National Library of Medicine

372

prescriptions, 1% of all prescriptions

60

prescriptions.

63

patients, 4% of all patients

R 25 28
AMANTADINE

Treats or prevents the flu ... +

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

337

prescriptions, 1% of all prescriptions

117

prescriptions.

67

patients, 4% of all patients

26 54
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

289

prescriptions, 1% of all prescriptions

87

prescriptions.

48

patients, 3% of all patients

27 78
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

260

prescriptions, 1% of all prescriptions

136

prescriptions.

46

patients, 3% of all patients

28 16
ZIPRASIDONE HCL

Used to treat the symptoms ... +

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

227

prescriptions, 1% of all prescriptions

14

prescriptions.

35

patients, 2% of all patients

P 29 41
ABILIFY

Treats schizophrenia, bipol... +

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

179

prescriptions, 0% of all prescriptions

25

prescriptions.

36

patients, 2% of all patients

P 30 31
CHLORPROMAZINE HCL

Chlorpromazine is used to t... +

Chlorpromazine 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) and other psychotic disorders (conditions that cause difficulty telling the difference between things or ideas that are real and things or ideas that are not real) and to treat the symptoms of mania (frenzied, abnormally excited mood) in people who have bipolar disorder (manic depressive disorder; a condition that causes episodes of mania, episodes of depression, and other abnormal moods). Source: National Library of Medicine

168

prescriptions, 0% of all prescriptions

26

prescriptions.

17

patients, 1% of all patients

P 31 34
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

165

prescriptions, 0% of all prescriptions

5

prescriptions.

23

patients, 1% of all patients

R 32 19
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

162

prescriptions, 0% of all prescriptions

117

prescriptions.

31

patients, 2% of all patients

33 30
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

162

prescriptions, 0% of all prescriptions

16

prescriptions.

32

patients, 2% of all patients

33 37
PERPHENAZINE

Treats the symptoms of cert... +

Treats the symptoms of certain mental disorders. Source: National Library of Medicine

160

prescriptions, 0% of all prescriptions

29

prescriptions.

23

patients, 1% of all patients

P 35 45
FLURAZEPAM HCL 160

prescriptions, 0% of all prescriptions

42

prescriptions.

37

patients, 2% of all patients

35 32
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

133

prescriptions, 0% of all prescriptions

66

prescriptions.

19

patients, 1% of all patients

37 25
HALOPERIDOL DECANOATE 128

prescriptions, 0% of all prescriptions

48

prescriptions.

17

patients, 1% of all patients

P 38 62
LAMOTRIGINE

Treats certain types of sei... +

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

121

prescriptions, 0% of all prescriptions

18

prescriptions.

19

patients, 1% of all patients

39 26
GABAPENTIN

Treats certain types of sei... +

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

117

prescriptions, 0% of all prescriptions

5

prescriptions.

25

patients, 1% of all patients

40 36
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

113

prescriptions, 0% of all prescriptions

5

prescriptions.

31

patients, 2% of all patients

P 41 35
FLUPHENAZINE HCL

Fluphenazine is an antipsyc... +

Fluphenazine is an antipsychotic medication used to treat schizophrenia and psychotic symptoms such as hallucinations, delusions, and hostility. Source: National Library of Medicine

107

prescriptions, 0% of all prescriptions

5

prescriptions.

13

patients, 1% of all patients

P 42 50
LATUDA

Used to treat the symptoms ... +

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

105

prescriptions, 0% of all prescriptions

0

prescriptions.

17

patients, 1% of all patients

P 43 59
ROZEREM 96

prescriptions, 0% of all prescriptions

44

prescriptions.

29

patients, 2% of all patients

44 49
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

92

prescriptions, 0% of all prescriptions

62

prescriptions.

<11 45 43
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

79

prescriptions, 0% of all prescriptions

38

prescriptions.

14

patients, 1% of all patients

46 38
ZALEPLON 72

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 R 47 42
FLUPHENAZINE DECANOATE 70

prescriptions, 0% of all prescriptions

13

prescriptions.

16

patients, 1% of all patients

P 48 91
TRIFLUOPERAZINE HCL 68

prescriptions, 0% of all prescriptions

23

prescriptions.

<11 P 49 39
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

68

prescriptions, 0% of all prescriptions

23

prescriptions.

14

patients, 1% of all patients

49 33
SEROQUEL XR

Treats schizophrenia and sy... +

Treats schizophrenia and symptoms of bipolar disorder (manic-depressive illness). Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

5

prescriptions.

13

patients, 1% of all patients

P 51 46
THIOTHIXENE 62

prescriptions, 0% of all prescriptions

34

prescriptions.

<11 P 52 51
SAPHRIS 50

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 P 53 115
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 Nov. 19, 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.