Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

LEONEL GUERRERO M.D.

TORRE SAN PABLO DEL ESTE, SUITE 401 AVE. GENERAL VALERO # 410

Fajardo | Puerto Rico | 00738

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At A Glance: This Prescriber in 2016

Urology

Self-Reported Primary Specialty

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4,574Medicare Part D Prescriptions Filled, Including Refills

Rank: 9 out of 79 providers in this state and specialty

$166K Total Retail Price of All Prescriptions

Rank: 17 out of 79 providers in this state and specialty

1,154 Patients Receiving at Least One Drug in Part D
85% 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 977 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

63% of this provider’s 1,154 patients filled at least one prescription for an antibiotic drug, compared to an average of 46%.

More resources »

Opioids

2% of this provider’s 1,154 patients filled at least one prescription for an opioid, compared to an average of 7%.

More resources »

Brand Name Drugs *

5% of this provider’s prescriptions were for brand-name drugs, compared to an average of 9%.

* This is an estimate, see our methodology.

Prescription Price

$36 was the average price of a prescription from this provider, compared to $47 among peers.

Prescriptions per Patient

4 is the average number of prescriptions (including refills) per patient, compared to an average of 4.


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 2014. All years may not be shown if there is insufficient data.

Cost of Claims

$169K

2014

$169K

2015

$166K

2016

Number of Claims

4,852

2014

4,980

2015

4,574

2016

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.

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
LEVOFLOXACIN 876

prescriptions, 19% of all prescriptions

743

prescriptions.

640

patients, 55% of all patients

A 10 1 7
TAMSULOSIN HCL 865

prescriptions, 19% of all prescriptions

722

prescriptions.

356

patients, 31% of all patients

2 1
FINASTERIDE 740

prescriptions, 16% of all prescriptions

694

prescriptions.

314

patients, 27% of all patients

3 2
LIDOCAINE HCL* 551

prescriptions, 12% of all prescriptions

466

prescriptions.

492

patients, 43% of all patients

10 4 9
OXYBUTYNIN CHLORIDE ER 300

prescriptions, 7% of all prescriptions

268

prescriptions.

110

patients, 10% of all patients

5 4
MELOXICAM 222

prescriptions, 5% of all prescriptions

169

prescriptions.

187

patients, 16% of all patients

6 26
CEFUROXIME 213

prescriptions, 5% of all prescriptions

178

prescriptions.

179

patients, 16% of all patients

A 7 31
BICALUTAMIDE 104

prescriptions, 2% of all prescriptions

104

prescriptions.

29

patients, 3% of all patients

8 5
TOVIAZ 79

prescriptions, 2% of all prescriptions

60

prescriptions.

21

patients, 2% of all patients

9 39
POTASSIUM CITRATE ER 65

prescriptions, 1% of all prescriptions

30

prescriptions.

13

patients, 1% of all patients

10 15
CIPROFLOXACIN HCL 60

prescriptions, 1% of all prescriptions

55

prescriptions.

53

patients, 5% of all patients

A 11 3
TERAZOSIN HCL 51

prescriptions, 1% of all prescriptions

46

prescriptions.

17

patients, 1% of all patients

12 16
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 2016 includes more than 1.5 billion prescriptions written by 1.1 million doctors, nurses and other providers. This database lists over 460,000 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 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.