Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

NIXZALIZ RODRIGUEZ RIVERA M. D.

At A Glance: This Prescriber in 2015

Endocrinology, Diabetes Metabolism

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

10,582Medicare Part D Prescriptions Filled, Including Refills

Rank: 22 out of 58

$1.52M Total Retail Price of All Prescriptions

Rank: 13 out of 58

915 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

0% of this provider’s 648 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

1% of this provider’s 915 patients filled at least one prescription for an antibiotic drug, compared to an average of 4%.

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

56% of this provider’s prescriptions were for brand-name drugs, compared to an average of 40%. This is far more than peers.

Prescription Price

$144 was the average price of a prescription from this provider, compared to $81 among peers.

Prescriptions per Patient

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


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

$223K

2013

$738K

2014

$1.52M

2015

Number of Claims

2012

2,264

2013

5,832

2014

10,582

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
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

1,931

prescriptions, 18% of all prescriptions

1,267

prescriptions.

339

patients, 37% of all patients

1 1
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

633

prescriptions, 6% of all prescriptions

383

prescriptions.

166

patients, 18% of all patients

2 2
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

625

prescriptions, 6% of all prescriptions

426

prescriptions.

170

patients, 19% of all patients

3 11
SIMVASTATIN

Treats high cholesterol and... +

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

476

prescriptions, 4% of all prescriptions

358

prescriptions.

115

patients, 13% of all patients

4 4
METFORMIN HCL ER

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

423

prescriptions, 4% of all prescriptions

289

prescriptions.

118

patients, 13% of all patients

5 14
HUMALOG

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

402

prescriptions, 4% of all prescriptions

245

prescriptions.

104

patients, 11% of all patients

6 15
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

395

prescriptions, 4% of all prescriptions

289

prescriptions.

86

patients, 9% of all patients

7 6
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

333

prescriptions, 3% of all prescriptions

266

prescriptions.

101

patients, 11% of all patients

8 3
KOMBIGLYZE XR 301

prescriptions, 3% of all prescriptions

235

prescriptions.

56

patients, 6% of all patients

10 9 37
JANUMET XR

This combination is used to... +

This combination is used to treat high blood sugar levels caused by type 2 diabetes. Source: National Library of Medicine

260

prescriptions, 2% of all prescriptions

194

prescriptions.

56

patients, 6% of all patients

10 10 49
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

224

prescriptions, 2% of all prescriptions

155

prescriptions.

58

patients, 6% of all patients

11 7
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

209

prescriptions, 2% of all prescriptions

149

prescriptions.

43

patients, 5% of all patients

12 46
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

197

prescriptions, 2% of all prescriptions

146

prescriptions.

36

patients, 4% of all patients

13 24
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

190

prescriptions, 2% of all prescriptions

137

prescriptions.

46

patients, 5% of all patients

14 9
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

186

prescriptions, 2% of all prescriptions

152

prescriptions.

51

patients, 6% of all patients

15 31
ALENDRONATE SODIUM

Alendronate is used to trea... +

Alendronate is used to treat and prevent osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause (''change of life,'' end of menstrual periods) and to treat osteoporosis in men. Source: National Library of Medicine

172

prescriptions, 2% of all prescriptions

141

prescriptions.

41

patients, 4% of all patients

16 16
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

164

prescriptions, 2% of all prescriptions

129

prescriptions.

42

patients, 5% of all patients

17 59
JANUMET

This is a combination drug ... +

This is a combination drug containing metformin and sitagliptin and is used to treat high blood sugar levels caused by type 2 diabetes. Source: National Library of Medicine

150

prescriptions, 1% of all prescriptions

124

prescriptions.

41

patients, 4% of all patients

18 21
ONGLYZA

Used along with diet and ex... +

Used along with diet and exercise to lower blood sugar levels in patients with type 2 diabetes (condition in which blood sugar is too high because the body does not produce or use insulin normally). Source: National Library of Medicine

149

prescriptions, 1% of all prescriptions

125

prescriptions.

33

patients, 4% of all patients

19 38
TRADJENTA

Used with proper diet and e... +

Used with proper diet and exercise to treat high blood sugar levels caused by type 2 diabetes. Source: National Library of Medicine

143

prescriptions, 1% of all prescriptions

120

prescriptions.

29

patients, 3% of all patients

20 42
HUMALOG KWIKPEN U-100

Treats diabetes mellitus. +

Treats diabetes mellitus. Source: National Library of Medicine

135

prescriptions, 1% of all prescriptions

99

prescriptions.

25

patients, 3% of all patients

21 63
FENOFIBRATE*

Treats high cholesterol and... +

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

116

prescriptions, 1% of all prescriptions

56

prescriptions.

31

patients, 3% of all patients

22 48
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

115

prescriptions, 1% of all prescriptions

67

prescriptions.

28

patients, 3% of all patients

23 5
GLUCOPHAGE XR 105

prescriptions, 1% of all prescriptions

85

prescriptions.

22

patients, 2% of all patients

10 24 124
INSULIN SYRINGE*

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

70

prescriptions.

34

patients, 4% of all patients

25 54
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

87

prescriptions, 1% of all prescriptions

65

prescriptions.

24

patients, 3% of all patients

26 10
HUMALOG MIX 50-50 87

prescriptions, 1% of all prescriptions

49

prescriptions.

19

patients, 2% of all patients

26 56
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

61

prescriptions.

24

patients, 3% of all patients

26 28
JENTADUETO 79

prescriptions, 1% of all prescriptions

62

prescriptions.

22

patients, 2% of all patients

29 60
INSULIN SYRINGE*

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

61

prescriptions.

20

patients, 2% of all patients

30 47
FORTEO 76

prescriptions, 1% of all prescriptions

71

prescriptions.

<11 30 130
OMEGA-3 ACID ETHYL ESTERS

Omega-3 fatty acids are use... +

Omega-3 fatty acids are used together with lifestyle changes (diet, weight-loss, exercise) to reduce the amount of triglycerides (a fat-like substance) in the blood in people with very high triglycerides. Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

49

prescriptions.

15

patients, 2% of all patients

30 71
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

45

prescriptions.

13

patients, 1% of all patients

33 44
HUMALOG MIX 75-25 73

prescriptions, 1% of all prescriptions

68

prescriptions.

16

patients, 2% of all patients

33 25
LEVEMIR

Helps control blood sugar l... +

Helps control blood sugar levels. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

42

prescriptions.

21

patients, 2% of all patients

35 62
SURE COMFORT* 66

prescriptions, 1% of all prescriptions

61

prescriptions.

19

patients, 2% of all patients

36 65
ZETIA

Lowers cholesterol in your ... +

Lowers cholesterol in your blood. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

44

prescriptions.

13

patients, 1% of all patients

37 41
LEVOXYL 65

prescriptions, 1% of all prescriptions

18

prescriptions.

15

patients, 2% of all patients

37 13
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

62

prescriptions, 1% of all prescriptions

57

prescriptions.

15

patients, 2% of all patients

39 12
GLIPIZIDE XL

Glipizide is used along wit... +

Glipizide is used along with diet and exercise, and sometimes with other medications, 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

59

prescriptions, 1% of all prescriptions

38

prescriptions.

12

patients, 1% of all patients

40 33
IRBESARTAN

Used alone or in combinatio... +

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

59

prescriptions, 1% of all prescriptions

59

prescriptions.

<11 40 22
GABAPENTIN

Treats certain types of sei... +

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

58

prescriptions, 1% of all prescriptions

39

prescriptions.

18

patients, 2% of all patients

42 8
INSULIN SYRINGE*

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

29

prescriptions.

25

patients, 3% of all patients

43 92
FENOFIBRATE*

Treats high cholesterol and... +

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

50

prescriptions, 0% of all prescriptions

25

prescriptions.

16

patients, 2% of all patients

44 23
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 Oct. 9, 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.