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The Doctors and Drugs in Medicare Part D
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ALFREDO ROMERO M.D.
35 DOCTORS PARK STE B UPPER LEVEL
Cape girardeau | Missouri | 63703
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At A Glance: This Prescriber in 2015
Self-Reported Primary Specialty
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
$674K
2012
$1.1M
2013
$1.66M
2014
$1.25M
2015
Number of Claims
12,041
2012
18,871
2013
22,035
2014
17,579
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. The list below includes only those drugs for which this provider wrote 50 or more prescriptions.
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An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.
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.
An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.
A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.
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.
| Drug Name | Total Prescriptions Filled with Refills |
Prescriptions to 65+ |
Patients Receiving this Drug | Category |
|---|---|---|---|---|
|
HYDROCODONE-ACETAMINOPHEN
Used to relieve moderate to... + Used to relieve moderate to severe pain. Source: National Library of Medicine |
3,766
prescriptions, 21% of all prescriptions |
906
prescriptions. |
518
patients, 58% of all patients |
O |
|
GABAPENTIN
Treats certain types of sei... + Treats certain types of seizures. Source: National Library of Medicine |
2,165
prescriptions, 12% of all prescriptions |
467
prescriptions. |
380
patients, 43% of all patients |
|
|
OXYCODONE-ACETAMINOPHEN
Used to relieve moderate to... + Used to relieve moderate to severe pain. Source: National Library of Medicine |
1,969
prescriptions, 11% of all prescriptions |
381
prescriptions. |
257
patients, 29% of all patients |
O |
|
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 |
1,252
prescriptions, 7% of all prescriptions |
171
prescriptions. |
225
patients, 25% of all patients |
|
|
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 |
800
prescriptions, 5% of all prescriptions |
110
prescriptions. |
154
patients, 17% of all patients |
R 10 |
|
MELOXICAM
Treats symptoms of osteoart... + Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine |
792
prescriptions, 5% of all prescriptions |
136
prescriptions. |
159
patients, 18% of all patients |
|
|
TRAMADOL HCL
Tramadol is used to relieve... + Tramadol is used to relieve moderate to moderately severe pain. Source: National Library of Medicine |
693
prescriptions, 4% of all prescriptions |
182
prescriptions. |
100
patients, 11% of all patients |
O |
|
MORPHINE SULFATE ER
Morphine (extended release)... + Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine |
642
prescriptions, 4% of all prescriptions |
59
prescriptions. |
79
patients, 9% of all patients |
O |
|
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 |
496
prescriptions, 3% of all prescriptions |
137
prescriptions. |
77
patients, 9% of all patients |
|
|
BACLOFEN
Treats muscle spasms caused... + Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine |
488
prescriptions, 3% of all prescriptions |
64
prescriptions. |
86
patients, 10% of all patients |
|
|
VOLTAREN
Treats pain caused by arthr... + Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine |
386
prescriptions, 2% of all prescriptions |
113
prescriptions. |
89
patients, 10% of all patients |
|
| GRALISE |
371
prescriptions, 2% of all prescriptions |
45
prescriptions. |
69
patients, 8% of all patients |
10 |
|
FENTANYL
Treats severe, ongoing pain... + Treats severe, ongoing pain (during and after surgery, cancer pain) that cannot be controlled with other medicines. Source: National Library of Medicine |
258
prescriptions, 1% of all prescriptions |
38
prescriptions. |
32
patients, 4% of all patients |
O |
|
LEVETIRACETAM
Used to help control certai... + Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine |
233
prescriptions, 1% of all prescriptions |
53
prescriptions. |
55
patients, 6% of all patients |
|
|
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 |
226
prescriptions, 1% of all prescriptions |
40
prescriptions. |
45
patients, 5% of all patients |
|
|
LIDOCAINE HCL*
Lidocaine viscous, a local ... + Lidocaine viscous, a local anesthetic, is used to treat the pain of a sore or irritated mouth and throat often associated with cancer chemotherapy and certain medical procedures. Source: National Library of Medicine |
221
prescriptions, 1% of all prescriptions |
33
prescriptions. |
53
patients, 6% of all patients |
|
| TIAGABINE HCL |
212
prescriptions, 1% of all prescriptions |
37
prescriptions. |
59
patients, 7% of all patients |
10 |
|
OXYCODONE HCL
Oxycodone is used to reliev... + Oxycodone is used to relieve moderate to severe pain. Source: National Library of Medicine |
196
prescriptions, 1% of all prescriptions |
44
prescriptions. |
35
patients, 4% of all patients |
O |
|
CELECOXIB
Treats mild to moderate pai... + Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine |
181
prescriptions, 1% of all prescriptions |
28
prescriptions. |
38
patients, 4% of all patients |
|
|
ENDOCET
Treats moderate to moderate... + Treats moderate to moderately severe pain. Source: National Library of Medicine |
152
prescriptions, 1% of all prescriptions |
5
prescriptions. |
25
patients, 3% of all patients |
O |
|
LIDOCAINE
Causes numbness or loss of ... + Causes numbness or loss of feeling in an area of your body. Source: National Library of Medicine |
142
prescriptions, 1% of all prescriptions |
33
prescriptions. |
54
patients, 6% of all patients |
|
|
DIAZEPAM
Treats anxiety, muscle spas... + Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine |
129
prescriptions, 1% of all prescriptions |
27
prescriptions. |
61
patients, 7% of all patients |
|
|
IBUPROFEN
Treats fever and pain, incl... + Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine |
122
prescriptions, 1% of all prescriptions |
12
prescriptions. |
25
patients, 3% of all patients |
|
|
METHADONE HCL
Methadone is used to reliev... + Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. Source: National Library of Medicine |
114
prescriptions, 1% of all prescriptions |
11
prescriptions. |
<11 | O |
|
METHOCARBAMOL
Treats muscle pain and spas... + Treats muscle pain and spasms. Source: National Library of Medicine |
111
prescriptions, 1% of all prescriptions |
28
prescriptions. |
33
patients, 4% of all patients |
R |
|
AMITRIPTYLINE HCL
Amitriptyline is used to tr... + Amitriptyline is used to treat symptoms of depression. Source: National Library of Medicine |
105
prescriptions, 1% of all prescriptions |
5
prescriptions. |
26
patients, 3% of all patients |
R |
|
HYDROMORPHONE HCL*
Used to relieve moderate to... + Used to relieve moderate to severe pain. Source: National Library of Medicine |
97
prescriptions, 1% of all prescriptions |
27
prescriptions. |
18
patients, 2% of all patients |
O |
|
OPANA ER
Used to relieve moderate to... + Used to relieve moderate to severe pain. Source: National Library of Medicine |
93
prescriptions, 1% of all prescriptions |
5
prescriptions. |
12
patients, 1% of all patients |
O |
| TRAMADOL HCL ER |
79
prescriptions, 0% of all prescriptions |
24
prescriptions. |
16
patients, 2% of all patients |
O |
|
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 |
78
prescriptions, 0% of all prescriptions |
15
prescriptions. |
15
patients, 2% of all patients |
|
|
LIDODERM
Treats nerve pain that is c... + Treats nerve pain that is caused by herpes zoster, or "shingles. Source: National Library of Medicine |
66
prescriptions, 0% of all prescriptions |
14
prescriptions. |
16
patients, 2% of all patients |
|
|
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 |
66
prescriptions, 0% of all prescriptions |
0
prescriptions. |
12
patients, 1% of all patients |
|
|
NORTRIPTYLINE HCL
Nortriptyline is used to tr... + Nortriptyline is used to treat depression. Source: National Library of Medicine |
63
prescriptions, 0% of all prescriptions |
16
prescriptions. |
<11 | |
|
NABUMETONE
Treats pain caused by arthr... + Treats pain caused by arthritis. Source: National Library of Medicine |
61
prescriptions, 0% of all prescriptions |
5
prescriptions. |
<11 | |
|
MORPHINE SULFATE
Morphine is used to relieve... + Morphine is used to relieve moderate to severe pain. Source: National Library of Medicine |
61
prescriptions, 0% of all prescriptions |
16
prescriptions. |
<11 | O |
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 »
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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 March 9, 2017.
- 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.