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Prescriber Checkup

CARLOS ACOSTA MD

At A Glance: This Prescriber in 2012

Internal Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

21,901Medicare Part D Prescriptions Filled, Including Refills

Rank: 32 out of 551

$966K Total Retail Price of All Prescriptions

Rank: 19 out of 551

597 Patients Receiving at Least One Drug in Part D
82%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 avg Average for
this specialty
in Puerto Rico
Lower avg

Schedule Two
Controlled Substances

3% of this provider’s 597 patients filled at least one prescription for a schedule two drug, compared to an average of 1%.

Schedule Three
Controlled Substances

N/A

Risky Drugs to Seniors

1% of this provider’s 18,763 prescriptions for patients 65 and older were for "potentially dangerous" drugs, compared to an average of 1%.

Brand Name Drugs

27% of this provider’s prescriptions were for brand-name drugs, compared to an average of 23%.

Prescription Price

$44 was the average price of a prescription from this provider, compared to $35 among peers.

Prescriptions per Patient

37 is the average number of prescriptions (including refills) per patient, compared to an average of 24.


Another View

This chart shows a different comparison of all providers in this specialty based on their mix of drugs and volume. Providers are grouped by similarity; those least like their peers are farthest to the right. Hover over the bars to see names of other prescribers.

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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.

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S2

A schedule two drug. More » Schedule two drugs have a high potential for abuse and severe dependence, according to the Drug Enforcement Administration.

S3

A schedule three drug. More » Schedule three drugs have potential for abuse and dependence, according to the Drug Enforcement Administration.

A

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
Including Refills
Prescriptions
to 65+
Category For this Prescriber For All Prescribers in
This Specialty in Puerto Rico
SIMVASTATIN 1,484 1,245 1 1
AMLODIPINE BESYLATE 943 870 2 4
LEVOTHYROXINE SODIUM 785 689 3 9
OMEPRAZOLE 727 641 4 7
ENALAPRIL MALEATE 703 603 5 5
METFORMIN HCL ER 608 497 6 67
LOSARTAN POTASSIUM 603 515 7 6
AMLODIPINE BESYLATE-BENAZEPRIL 532 468 8 42
GLIMEPIRIDE 517 440 9 16
SYNTHROID 493 448 10 11
METOPROLOL SUCCINATE 453 370 11 23
GABAPENTIN 394 316 12 3
LOSARTAN-HYDROCHLOROTHIAZIDE 387 357 13 10
METFORMIN HCL 364 277 14 2
PRAVASTATIN SODIUM 355 328 15 24
RANITIDINE HCL 340 264 16 8
SERTRALINE HCL 338 318 17 43
HYDROCHLOROTHIAZIDE 312 244 18 15
RAMIPRIL 311 243 19 53
ATORVASTATIN CALCIUM 306 259 20 29
EVISTA 300 264 21 52
LISINOPRIL 293 269 22 14
FENOFIBRATE 283 229 23 34
ALENDRONATE SODIUM 258 238 24 19
ASPIRIN EC 248 232 25 26
FUROSEMIDE 239 186 26 13
TRAMADOL HCL-ACETAMINOPHEN 235 226 27 18
CRESTOR 230 212 28 62
CARVEDILOL 223 198 29 22
ATENOLOL 209 174 30 12
TAMSULOSIN HCL 201 176 31 38
DONEPEZIL HCL 180 179 32 50
JANUMET 176 126 33 109
ISOSORBIDE MONONITRATE ER 162 150 34 21
HUMALOG MIX 75-25 156 118 35 110
CHLORTHALIDONE 147 132 36 165
IRBESARTAN 140 122 37 51
TRAMADOL HCL 137 97 38 32
CLOPIDOGREL 135 104 39 30
WARFARIN SODIUM 134 109 40 46
DICLOFENAC SODIUM 130 96 41 99
PLAVIX 122 103 42 33
ZOLPIDEM TARTRATE 122 114 42 27
LANTUS 120 86 44 28
HYDRALAZINE HCL 113 107 45 114
CLOTRIMAZOLE-BETAMETHASONE 109 95 46 49
PANTOPRAZOLE SODIUM 107 95 47 36
LISINOPRIL-HYDROCHLOROTHIAZIDE 106 75 48 59
DICLOFENAC POTASSIUM 105 82 49 45
GLYBURIDE-METFORMIN HCL 105 95 R 49 48
SINGULAIR 99 83 51 58
ADVAIR DISKUS 98 92 52 97
FAMOTIDINE 94 74 53 31
CILOSTAZOL 87 85 54 64
NAMENDA 85 85 55 94
DOXAZOSIN MESYLATE 84 72 56 25
HUMULIN 70-30 82 72 57 35
OXYCODONE-ACETAMINOPHEN 81 52 S2 58 102
INDAPAMIDE 80 64 59 116
SPIRIVA 79 76 60 133
DIOVAN HCT 78 72 61 71
CYMBALTA 76 50 62 105
NIFEDIPINE ER 74 74 63 75
KOMBIGLYZE XR 72 57 64 231
NABUMETONE 72 38 64 37
MAXIMUM D3 70 59 66 103
INSULIN SYRINGE 69 34 67 41
ZETIA 64 47 68 69
CLONIDINE HCL 62 41 69 60
VITAMIN D3 58 51 70 219
AGGRENOX 58 58 70 204
JANUVIA 56 56 72 87
VITAMIN D 55 54 73 175
TRICOR 54 47 74 126
GLIPIZIDE 52 52 75 20
VERAPAMIL ER 51 51 76 39
About This Data

ProPublica obtained prescribing data from Medicare’s prescription drug benefit, known as Part D, under the Freedom of Information Act. The data for 2012 includes more than 1.2 billion prescriptions written by nearly 1.5 million doctors, nurses and other providers. This database lists about 382,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. Almost three-fourths 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 drugs@propublica.org and we will update your information. If you have other questions about this data, send a note to drugs@propublica.org.

Caveats
  • No comparisons are shown if 10 or fewer prescribers in the state share this specialty.
  • The list of top drugs includes only those for which this provider wrote 50 or more prescriptions, but all prescriptions are counted in the summary totals at the top.
  • The calculation of “Risky Drugs to Seniors” does not include drugs for which a provider wrote 11 or fewer prescriptions because Medicare redacted the information to protect patient privacy.
  • 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. 10, 2011.
  • Comparisons are based on each provider’s current address, not necessarily where he or she worked during the time period covered in this database.