Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

JEANNE GUEVARA-MASTRANGELO MD

At A Glance: This Prescriber in 2015

Neurology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

1,645Medicare Part D Prescriptions Filled, Including Refills

Rank: 52 out of 75

$230K Total Retail Price of All Prescriptions

Rank: 50 out of 75

243 Patients Receiving at Least One Drug in Part D
76% 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

14% of this provider’s 184 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 8%.

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

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 *

20% of this provider’s prescriptions were for brand-name drugs, compared to an average of 24%.

* This is an estimate, see our methodology.

Prescription Price

$140 was the average price of a prescription from this provider, compared to $145 among peers.

Prescriptions per Patient

7 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

2012

2013

$71.5K

2014

$230K

2015

Number of Claims

2012

2013

609

2014

1,645

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
GABAPENTIN

Treats certain types of sei... +

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

225

prescriptions, 14% of all prescriptions

170

prescriptions.

72

patients, 30% of all patients

1 2
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

131

prescriptions, 8% of all prescriptions

126

prescriptions.

32

patients, 13% of all patients

2 1
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

98

prescriptions, 6% of all prescriptions

93

prescriptions.

26

patients, 11% of all patients

P 3 12
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

76

prescriptions, 5% of all prescriptions

76

prescriptions.

22

patients, 9% of all patients

4 3
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

73

prescriptions, 4% of all prescriptions

68

prescriptions.

21

patients, 9% of all patients

5 25
MEMANTINE HCL

Treats moderate to severe ... +

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

63

prescriptions, 4% of all prescriptions

63

prescriptions.

23

patients, 9% of all patients

6 9
LEVETIRACETAM

Used to help control certai... +

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

59

prescriptions, 4% of all prescriptions

25

prescriptions.

16

patients, 7% of all patients

7 11
CLONAZEPAM

Treats seizures, panic diso... +

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

50

prescriptions, 3% of all prescriptions

45

prescriptions.

17

patients, 7% of all patients

8 8
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 Feb. 9, 2015.
  • 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.