Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

JAIME MARCHENA ARRAUT M.D.

At A Glance: This Prescriber in 2016

Psychiatry

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

13,014Medicare Part D Prescriptions Filled, Including Refills

Rank: 54 out of 201 providers in this state and specialty

$311K Total Retail Price of All Prescriptions

Rank: 48 out of 201 providers in this state and specialty

750 Patients Receiving at Least One Drug in Part D
46% Patients 65 Years and Older

5% 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

46% of this provider’s 342 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 33%.

More resources »

Antibiotics

This provider prescribed antibiotics to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Opioids

This provider prescribed opioids to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Brand Name Drugs *

5% of this provider’s prescriptions were for brand-name drugs, compared to an average of 8%.

* This is an estimate, see our methodology.

Prescription Price

$24 was the average price of a prescription from this provider, compared to $25 among peers.

Prescriptions per Patient

17 is the average number of prescriptions (including refills) per patient, compared to an average of 18.


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

$492K

2014

$465K

2015

$311K

2016

Number of Claims

12,742

2014

13,744

2015

13,014

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
CLONAZEPAM 1,582

prescriptions, 12% of all prescriptions

655

prescriptions.

240

patients, 32% of all patients

1 1
TEMAZEPAM 1,370

prescriptions, 11% of all prescriptions

590

prescriptions.

286

patients, 38% of all patients

2 2
LORAZEPAM 1,047

prescriptions, 8% of all prescriptions

510

prescriptions.

225

patients, 30% of all patients

3 6
CITALOPRAM HBR 755

prescriptions, 6% of all prescriptions

568

prescriptions.

150

patients, 20% of all patients

4 13
RISPERIDONE 605

prescriptions, 5% of all prescriptions

418

prescriptions.

119

patients, 16% of all patients

P 5 9
PAROXETINE HCL 569

prescriptions, 4% of all prescriptions

225

prescriptions.

104

patients, 14% of all patients

6 11
QUETIAPINE FUMARATE 547

prescriptions, 4% of all prescriptions

186

prescriptions.

98

patients, 13% of all patients

P 7 8
SERTRALINE HCL 493

prescriptions, 4% of all prescriptions

272

prescriptions.

102

patients, 14% of all patients

8 5
DIVALPROEX SODIUM 469

prescriptions, 4% of all prescriptions

106

prescriptions.

128

patients, 17% of all patients

9 22
MIRTAZAPINE 468

prescriptions, 4% of all prescriptions

217

prescriptions.

109

patients, 15% of all patients

10 16
BUPROPION HCL SR 437

prescriptions, 3% of all prescriptions

71

prescriptions.

89

patients, 12% of all patients

11 20
ALPRAZOLAM 375

prescriptions, 3% of all prescriptions

170

prescriptions.

46

patients, 6% of all patients

12 4
VENLAFAXINE HCL ER 369

prescriptions, 3% of all prescriptions

193

prescriptions.

71

patients, 9% of all patients

13 15
TRAZODONE HCL 301

prescriptions, 2% of all prescriptions

120

prescriptions.

58

patients, 8% of all patients

14 12
HALOPERIDOL 261

prescriptions, 2% of all prescriptions

117

prescriptions.

71

patients, 9% of all patients

P 15 28
DULOXETINE HCL 231

prescriptions, 2% of all prescriptions

27

prescriptions.

40

patients, 5% of all patients

16 14
BUPROPION XL 208

prescriptions, 2% of all prescriptions

32

prescriptions.

51

patients, 7% of all patients

17 10
FLUOXETINE HCL 189

prescriptions, 1% of all prescriptions

72

prescriptions.

38

patients, 5% of all patients

18 3
OLANZAPINE 168

prescriptions, 1% of all prescriptions

54

prescriptions.

29

patients, 4% of all patients

P 19 23
LAMOTRIGINE 161

prescriptions, 1% of all prescriptions

55

prescriptions.

39

patients, 5% of all patients

20 25
ESTAZOLAM 160

prescriptions, 1% of all prescriptions

72

prescriptions.

34

patients, 5% of all patients

21 17
BENZTROPINE MESYLATE 159

prescriptions, 1% of all prescriptions

27

prescriptions.

33

patients, 4% of all patients

22 29
AMANTADINE 158

prescriptions, 1% of all prescriptions

133

prescriptions.

31

patients, 4% of all patients

23 50
VALPROIC ACID* 142

prescriptions, 1% of all prescriptions

130

prescriptions.

52

patients, 7% of all patients

24 80
DONEPEZIL HCL 137

prescriptions, 1% of all prescriptions

125

prescriptions.

30

patients, 4% of all patients

25 31
CLORAZEPATE DIPOTASSIUM 136

prescriptions, 1% of all prescriptions

54

prescriptions.

20

patients, 3% of all patients

26 26
ZOLPIDEM TARTRATE 122

prescriptions, 1% of all prescriptions

18

prescriptions.

33

patients, 4% of all patients

27 7
NORTRIPTYLINE HCL 110

prescriptions, 1% of all prescriptions

<11 15

patients, 2% of all patients

28 42
ARIPIPRAZOLE 93

prescriptions, 1% of all prescriptions

43

prescriptions.

17

patients, 2% of all patients

P 29 27
OXCARBAZEPINE 91

prescriptions, 1% of all prescriptions

21

prescriptions.

15

patients, 2% of all patients

30 97
VENLAFAXINE HCL 83

prescriptions, 1% of all prescriptions

44

prescriptions.

24

patients, 3% of all patients

31 40
AMITRIPTYLINE HCL 78

prescriptions, 1% of all prescriptions

12

prescriptions.

15

patients, 2% of all patients

32 21
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 Dec. 3, 2008.
  • 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.