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The Doctors and Drugs in Medicare Part D
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VICOTR MARIANO MERCEDES M.D.
CALLE JOSE JULIAN ACOSTA #48
Vega baja | Puerto Rico | 00963
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At A Glance: This Prescriber in 2015
Self-Reported Primary Specialty
Rank: 3 out of 314
Rank: 43 out of 314
How Does This Prescriber Compare to Peers?
In the same specialty and state. Caveats »
this specialty
in Puerto Rico lower than average
Antipsychotics
19% of this provider’s 356 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.
Antibiotics
This provider prescribed antibiotics to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.
Risky Drugs for Seniors
24% of this provider’s 356 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.
Opioids
This provider prescribed opioids to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.
Brand Name Drugs
16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.
Prescription Price
$17 was the average price of a prescription from this provider, compared to $74 among peers.
Prescriptions per Patient
22 is the average number of prescriptions (including refills) per patient, compared to an average of 14.
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
$706K
2012
$892K
2013
$864K
2014
$677K
2015
Number of Claims
17,284
2012
34,237
2013
37,178
2014
39,335
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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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.
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This Drug's Rank
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|---|---|---|---|---|---|---|
| Drug Name | Total Prescriptions Filled with Refills |
Prescriptions to 65+ |
Patients Receiving this Drug | Category | For this Prescriber | For this Prescriber's Peers |
|
CLONAZEPAM
Treats seizures, panic diso... + Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine |
7,318
prescriptions, 19% of all prescriptions |
875
prescriptions. |
844
patients, 47% of all patients |
10 | 1 | 8 |
|
ALPRAZOLAM
Treats anxiety, panic disor... + Treats anxiety, panic disorder, insomnia (trouble sleeping), and anxiety caused by depression. Source: National Library of Medicine |
6,383
prescriptions, 16% of all prescriptions |
1,479
prescriptions. |
666
patients, 37% of all patients |
10 | 2 | 18 |
|
FLUOXETINE HCL
Fluoxetine is used to treat... + Fluoxetine is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Source: National Library of Medicine |
3,053
prescriptions, 8% of all prescriptions |
326
prescriptions. |
390
patients, 22% of all patients |
10 | 3 | 38 |
|
SERTRALINE HCL
Sertraline is used to treat... + Sertraline is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks), posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine |
2,570
prescriptions, 7% of all prescriptions |
384
prescriptions. |
357
patients, 20% of all patients |
10 | 4 | 24 |
|
RISPERIDONE
Treats schizophrenia and ce... + Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine |
2,201
prescriptions, 6% of all prescriptions |
236
prescriptions. |
317
patients, 17% of all patients |
P 10 | 5 | 49 |
|
LORAZEPAM
Treats anxiety, anxiety wit... + Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine |
1,554
prescriptions, 4% of all prescriptions |
278
prescriptions. |
200
patients, 11% of all patients |
6 | 45 | |
|
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 |
1,542
prescriptions, 4% of all prescriptions |
66
prescriptions. |
470
patients, 26% of all patients |
R | 7 | 37 |
|
TEMAZEPAM
Treats insomnia (trouble sl... + Treats insomnia (trouble sleeping). Source: National Library of Medicine |
1,538
prescriptions, 4% of all prescriptions |
386
prescriptions. |
297
patients, 16% of all patients |
8 | 23 | |
|
PAROXETINE HCL
Paroxetine tablets, suspens... + Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine |
1,357
prescriptions, 3% of all prescriptions |
199
prescriptions. |
190
patients, 10% of all patients |
9 | 35 | |
|
TRAZODONE HCL
Trazodone is used to treat ... + Trazodone is used to treat depression. Source: National Library of Medicine |
1,185
prescriptions, 3% of all prescriptions |
176
prescriptions. |
173
patients, 10% of all patients |
10 | 50 | |
|
CLORAZEPATE DIPOTASSIUM
Treats anxiety, trouble sle... + Treats anxiety, trouble sleeping, symptoms of alcohol withdrawal, and certain types of epilepsy (seizures). Source: National Library of Medicine |
1,155
prescriptions, 3% of all prescriptions |
146
prescriptions. |
174
patients, 10% of all patients |
10 | 11 | 98 |
|
BUSPIRONE HCL
Buspirone is used to treat ... + Buspirone is used to treat anxiety disorders or in the short-term treatment of symptoms of anxiety. Source: National Library of Medicine |
988
prescriptions, 3% of all prescriptions |
190
prescriptions. |
169
patients, 9% of all patients |
12 | 77 | |
|
MIRTAZAPINE
Treats depression. + Treats depression. Source: National Library of Medicine |
967
prescriptions, 2% of all prescriptions |
142
prescriptions. |
175
patients, 10% of all patients |
13 | 67 | |
|
BUPROPION HCL SR
Bupropion (Aplenzin, Wellbu... + Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine |
873
prescriptions, 2% of all prescriptions |
89
prescriptions. |
115
patients, 6% of all patients |
14 | 94 | |
|
QUETIAPINE FUMARATE
Quetiapine is used to treat... + Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine |
818
prescriptions, 2% of all prescriptions |
95
prescriptions. |
89
patients, 5% of all patients |
P | 15 | 43 |
|
AMITRIPTYLINE HCL
Amitriptyline is used to tr... + Amitriptyline is used to treat symptoms of depression. Source: National Library of Medicine |
781
prescriptions, 2% of all prescriptions |
105
prescriptions. |
108
patients, 6% of all patients |
R 10 | 16 | 86 |
|
CITALOPRAM HBR
Citalopram is used to treat... + Citalopram is used to treat depression. Source: National Library of Medicine |
735
prescriptions, 2% of all prescriptions |
89
prescriptions. |
99
patients, 5% of all patients |
17 | 53 | |
|
DOXEPIN HCL
Doxepin is used to treat de... + Doxepin is used to treat depression and anxiety. Source: National Library of Medicine |
650
prescriptions, 2% of all prescriptions |
169
prescriptions. |
85
patients, 5% of all patients |
R | 18 | 92 |
|
DIVALPROEX SODIUM
Treats seizures (epilepsy).... + Treats seizures (epilepsy). Source: National Library of Medicine |
479
prescriptions, 1% of all prescriptions |
33
prescriptions. |
77
patients, 4% of all patients |
19 | 134 | |
|
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 |
315
prescriptions, 1% of all prescriptions |
48
prescriptions. |
44
patients, 2% of all patients |
20 | 59 | |
|
DIAZEPAM
Treats anxiety, muscle spas... + Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine |
276
prescriptions, 1% of all prescriptions |
77
prescriptions. |
49
patients, 3% of all patients |
21 | 182 | |
|
CHLORPROMAZINE HCL
Chlorpromazine is used to t... + Chlorpromazine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions) and other psychotic disorders (conditions that cause difficulty telling the difference between things or ideas that are real and things or ideas that are not real) and to treat the symptoms of mania (frenzied, abnormally excited mood) in people who have bipolar disorder (manic depressive disorder; a condition that causes episodes of mania, episodes of depression, and other abnormal moods). Source: National Library of Medicine |
241
prescriptions, 1% of all prescriptions |
39
prescriptions. |
56
patients, 3% of all patients |
P | 22 | 211 |
|
VENLAFAXINE HCL ER
Venlafaxine is used to trea... + Venlafaxine is used to treat depression. Source: National Library of Medicine |
221
prescriptions, 1% of all prescriptions |
15
prescriptions. |
26
patients, 1% of all patients |
23 | 63 | |
|
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 |
173
prescriptions, 0% of all prescriptions |
54
prescriptions. |
28
patients, 2% of all patients |
24 | 36 | |
| TRIFLUOPERAZINE HCL |
162
prescriptions, 0% of all prescriptions |
38
prescriptions. |
22
patients, 1% of all patients |
P | 25 | 252 |
|
GALANTAMINE HBR
Galantamine is used to trea... + Galantamine is used to treat the symptoms of 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 |
161
prescriptions, 0% of all prescriptions |
17
prescriptions. |
24
patients, 1% of all patients |
26 | 184 | |
|
NAMENDA
Treats dementia (memory los... + Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine |
145
prescriptions, 0% of all prescriptions |
56
prescriptions. |
31
patients, 2% of all patients |
27 | 107 | |
|
BUPROPION XL
Bupropion (Aplenzin, Wellbu... + Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine |
127
prescriptions, 0% of all prescriptions |
5
prescriptions. |
20
patients, 1% of all patients |
28 | 64 | |
| ESTAZOLAM |
103
prescriptions, 0% of all prescriptions |
5
prescriptions. |
22
patients, 1% of all patients |
29 | 110 | |
|
ESCITALOPRAM OXALATE
Escitalopram is used to tre... + Escitalopram is used to treat depression and generalized anxiety disorder (excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine |
88
prescriptions, 0% of all prescriptions |
11
prescriptions. |
11
patients, 1% of all patients |
30 | 124 | |
|
OLANZAPINE
Treats psychotic mental dis... + Treats psychotic mental disorders, such as schizophrenia or bipolar disorder (manic-depressive illness). Source: National Library of Medicine |
87
prescriptions, 0% of all prescriptions |
0
prescriptions. |
<11 | P | 31 | 111 |
|
NORTRIPTYLINE HCL
Nortriptyline is used to tr... + Nortriptyline is used to treat depression. Source: National Library of Medicine |
86
prescriptions, 0% of all prescriptions |
44
prescriptions. |
<11 | 32 | 229 | |
|
MEMANTINE HCL
Treats moderate to severe ... + Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine |
85
prescriptions, 0% of all prescriptions |
39
prescriptions. |
25
patients, 1% of all patients |
33 | 193 | |
|
LITHIUM CARBONATE
Lithium is used to treat an... + Lithium is used to treat and prevent episodes of mania (frenzied, abnormally excited mood) in people with bipolar disorder (manic-depressive disorder; a disease that causes episodes of depression, episodes of mania, and other abnormal moods). Source: National Library of Medicine |
81
prescriptions, 0% of all prescriptions |
0
prescriptions. |
11
patients, 1% of all patients |
34 | 151 | |
|
HALOPERIDOL*
Treats symptoms of mental a... + Treats symptoms of mental and emotional disorders. Source: National Library of Medicine |
77
prescriptions, 0% of all prescriptions |
24
prescriptions. |
<11 | P | 35 | 191 |
|
DIVALPROEX SODIUM ER
Treats seizures (epilepsy).... + Treats seizures (epilepsy). Source: National Library of Medicine |
75
prescriptions, 0% of all prescriptions |
5
prescriptions. |
25
patients, 1% of all patients |
36 | 141 | |
| ZALEPLON |
74
prescriptions, 0% of all prescriptions |
0
prescriptions. |
17
patients, 1% of all patients |
R | 37 | 276 |
|
ABILIFY
Treats schizophrenia, bipol... + Treats schizophrenia, bipolar disorder, and depression. Source: National Library of Medicine |
66
prescriptions, 0% of all prescriptions |
14
prescriptions. |
13
patients, 1% of all patients |
P | 38 | 164 |
|
LAMOTRIGINE
Treats certain types of sei... + Treats certain types of seizures and mood disorders. Source: National Library of Medicine |
53
prescriptions, 0% of all prescriptions |
0
prescriptions. |
<11 | 39 | 117 | |
|
BENZTROPINE MESYLATE
Treats symptoms of Parkinso... + Treats symptoms of Parkinson's disease or side effects of other drugs. Source: National Library of Medicine |
50
prescriptions, 0% of all prescriptions |
5
prescriptions. |
<11 | R | 40 | 201 |
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 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.