Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

HECTOR CASES MAYORAL MD

At A Glance: This Prescriber in 2015

Neurology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

13,490Medicare Part D Prescriptions Filled, Including Refills

Rank: 6 out of 75

$632K Total Retail Price of All Prescriptions

Rank: 27 out of 75

1,396 Patients Receiving at Least One Drug in Part D
26% 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

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

1% of this provider’s 1,396 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

10% of this provider’s 368 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 6%.

More resources »

Opioids

29% of this provider’s 1,396 patients filled at least one prescription for an opioid, compared to an average of 5%.

More resources »

Brand Name Drugs

8% of this provider’s prescriptions were for brand-name drugs, compared to an average of 24%.

Prescription Price

$47 was the average price of a prescription from this provider, compared to $145 among peers.

Prescriptions per Patient

10 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

$364K

2012

$478K

2013

$585K

2014

$632K

2015

Number of Claims

9,442

2012

9,737

2013

12,951

2014

13,490

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

3,348

prescriptions, 25% of all prescriptions

513

prescriptions.

607

patients, 43% of all patients

10 1 2
DICLOFENAC POTASSIUM

Diclofenac is a nonsteroida... +

Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild-to-moderate pain, and helps to relieve symptoms of arthritis (eg, osteoarthritis or rheumatoid arthritis), such as inflammation, swelling, stiffness, and joint pain. Source: National Library of Medicine

1,750

prescriptions, 13% of all prescriptions

222

prescriptions.

531

patients, 38% of all patients

10 2 15
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

1,501

prescriptions, 11% of all prescriptions

166

prescriptions.

397

patients, 28% of all patients

3 7
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

829

prescriptions, 6% of all prescriptions

98

prescriptions.

271

patients, 19% of all patients

4 22
ETODOLAC

Treats pain caused by arthr... +

Treats pain caused by arthritis and other medical problems. Source: National Library of Medicine

333

prescriptions, 2% of all prescriptions

46

prescriptions.

109

patients, 8% of all patients

5 38
TRAMADOL HCL

Tramadol is used to relieve... +

Tramadol is used to relieve moderate to moderately severe pain. Source: National Library of Medicine

317

prescriptions, 2% of all prescriptions

58

prescriptions.

193

patients, 14% of all patients

O 6 50
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

315

prescriptions, 2% of all prescriptions

250

prescriptions.

69

patients, 5% of all patients

7 1
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

255

prescriptions, 2% of all prescriptions

85

prescriptions.

63

patients, 5% of all patients

8 18
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

224

prescriptions, 2% of all prescriptions

53

prescriptions.

37

patients, 3% of all patients

R 9 29
CHLORZOXAZONE 205

prescriptions, 2% of all prescriptions

13

prescriptions.

86

patients, 6% of all patients

R 10 10 99
BUTALBITAL-ACETAMINOPHEN-CAFFE

This combination of drugs i... +

This combination of drugs is used to relieve tension headaches. Source: National Library of Medicine

199

prescriptions, 1% of all prescriptions

22

prescriptions.

63

patients, 5% of all patients

R 11 40
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine

194

prescriptions, 1% of all prescriptions

14

prescriptions.

57

patients, 4% of all patients

12 48
TRAMADOL HCL-ACETAMINOPHEN

Treats short-term, medium t... +

Treats short-term, medium to medium-severe pain. Source: National Library of Medicine

152

prescriptions, 1% of all prescriptions

45

prescriptions.

111

patients, 8% of all patients

O 13 67
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. Source: National Library of Medicine

146

prescriptions, 1% of all prescriptions

24

prescriptions.

40

patients, 3% of all patients

14 79
NABUMETONE

Treats pain caused by arthr... +

Treats pain caused by arthritis. Source: National Library of Medicine

138

prescriptions, 1% of all prescriptions

15

prescriptions.

54

patients, 4% of all patients

15 31
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

109

prescriptions, 1% of all prescriptions

32

prescriptions.

29

patients, 2% of all patients

16 24
TEMAZEPAM

Treats insomnia (trouble sl... +

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

104

prescriptions, 1% of all prescriptions

19

prescriptions.

25

patients, 2% of all patients

17 26
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

96

prescriptions, 1% of all prescriptions

5

prescriptions.

55

patients, 4% of all patients

O 18 121
ENDOCET

Treats moderate to moderate... +

Treats moderate to moderately severe pain. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

14

prescriptions.

26

patients, 2% of all patients

O 19 123
TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

0

prescriptions.

18

patients, 1% of all patients

19 19
CARBAMAZEPINE ER

Treats certain types of se... +

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

92

prescriptions, 1% of all prescriptions

23

prescriptions.

16

patients, 1% of all patients

21 84
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

91

prescriptions, 1% of all prescriptions

17

prescriptions.

20

patients, 1% of all patients

22 45
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

26

prescriptions.

34

patients, 2% of all patients

O 22 108
CLOPIDOGREL

Helps prevent stroke, heart... +

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

89

prescriptions, 1% of all prescriptions

40

prescriptions.

21

patients, 2% of all patients

24 16
ORPHENADRINE CITRATE 89

prescriptions, 1% of all prescriptions

5

prescriptions.

49

patients, 4% of all patients

R 24 108
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

88

prescriptions, 1% of all prescriptions

62

prescriptions.

25

patients, 2% of all patients

26 5
PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole 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

87

prescriptions, 1% of all prescriptions

35

prescriptions.

21

patients, 2% of all patients

27 14
LAMOTRIGINE

Treats certain types of sei... +

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

86

prescriptions, 1% of all prescriptions

13

prescriptions.

13

patients, 1% of all patients

28 21
ALPRAZOLAM

Treats anxiety, panic disor... +

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

83

prescriptions, 1% of all prescriptions

35

prescriptions.

19

patients, 1% of all patients

29 44
DILANTIN*

Treats seizures. This medic... +

Treats seizures. Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

18

prescriptions.

<11 30 68
CARBIDOPA-LEVODOPA ER

Used to treat the symptoms ... +

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

77

prescriptions, 1% of all prescriptions

37

prescriptions.

20

patients, 1% of all patients

31 27
NAMENDA XR

Used to treat the symptoms ... +

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

72

prescriptions, 1% of all prescriptions

67

prescriptions.

18

patients, 1% of all patients

32 6
ETODOLAC ER 72

prescriptions, 1% of all prescriptions

5

prescriptions.

24

patients, 2% of all patients

32 69
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

67

prescriptions, 0% of all prescriptions

5

prescriptions.

22

patients, 2% of all patients

R 34 103
PHENOBARBITAL

Used to control seizures. P... +

Used to control seizures. Source: National Library of Medicine

67

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 R 34 62
RIZATRIPTAN

Rizatriptan is used to trea... +

Rizatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes are accompanied by nausea and sensitivity to sound and light). Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

0

prescriptions.

22

patients, 2% of all patients

36 73
OXCARBAZEPINE

Used alone or together with... +

Used alone or together with other medicines to treat seizures caused by epilepsy in adults and children 2 years of age and older. Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

5

prescriptions.

11

patients, 1% of all patients

37 36
SUMATRIPTAN SUCCINATE

Sumatriptan is used to trea... +

Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light). Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

5

prescriptions.

22

patients, 2% of all patients

38 60
CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

5

prescriptions.

13

patients, 1% of all patients

39 101
CARBAMAZEPINE

Treats different types of s... +

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

59

prescriptions, 0% of all prescriptions

25

prescriptions.

18

patients, 1% of all patients

39 65
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

5

prescriptions.

25

patients, 2% of all patients

R 41 74
CLONAZEPAM

Treats seizures, panic diso... +

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

58

prescriptions, 0% of all prescriptions

30

prescriptions.

17

patients, 1% of all patients

41 8
KETOROLAC TROMETHAMINE

Ketorolac is used to reliev... +

Ketorolac is used to relieve moderately severe pain, usually after surgery. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

5

prescriptions.

35

patients, 3% of all patients

R 43 148
MECLIZINE HCL

Meclizine is used to preven... +

Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

13

prescriptions.

28

patients, 2% of all patients

44 75
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

51

prescriptions, 0% of all prescriptions

5

prescriptions.

16

patients, 1% of all patients

45 20
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 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.