Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

MARIA TIRADO OTERO MD

At A Glance: This Prescriber in 2015

General Practice

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

13,516Medicare Part D Prescriptions Filled, Including Refills

Rank: 113 out of 1539

$464K Total Retail Price of All Prescriptions

Rank: 124 out of 1539

413 Patients Receiving at Least One Drug in Part D
85% 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 than average Average for
this specialty
in Puerto Rico
lower than average

Antipsychotics

9% of this provider’s 351 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

45% of this provider’s 413 patients filled at least one prescription for an antibiotic drug, compared to an average of 37%.

More resources »

Risky Drugs for Seniors

15% of this provider’s 351 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

18% of this provider’s 413 patients filled at least one prescription for an opioid, compared to an average of 13%.

More resources »

Brand Name Drugs

15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 15%.

Prescription Price

$34 was the average price of a prescription from this provider, compared to $37 among peers.

Prescriptions per Patient

33 is the average number of prescriptions (including refills) per patient, compared to an average of 19.


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

$319K

2012

$300K

2013

$378K

2014

$464K

2015

Number of Claims

10,066

2012

10,212

2013

12,233

2014

13,516

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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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.

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 with Refills Prescriptions
to 65+
Patients Receiving this Drug Category For this Prescriber For this Prescriber's Peers
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

626

prescriptions, 5% of all prescriptions

516

prescriptions.

112

patients, 27% of all patients

1 1
GABAPENTIN

Treats certain types of sei... +

Treats certain types of seizures. Source: National Library of Medicine

579

prescriptions, 4% of all prescriptions

479

prescriptions.

116

patients, 28% of all patients

2 3
METFORMIN HCL

Metformin is used alone or ... +

Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Source: National Library of Medicine

579

prescriptions, 4% of all prescriptions

493

prescriptions.

89

patients, 22% of all patients

2 2
LOSARTAN POTASSIUM

Losartan is used alone or i... +

Losartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

518

prescriptions, 4% of all prescriptions

441

prescriptions.

84

patients, 20% of all patients

4 7
LEVOTHYROXINE SODIUM

Levothyroxine, a thyroid ho... +

Levothyroxine, a thyroid hormone, is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. Source: National Library of Medicine

449

prescriptions, 3% of all prescriptions

414

prescriptions.

75

patients, 18% of all patients

5 9
AMLODIPINE BESYLATE

Amlodipine is used alone or... +

Amlodipine is used alone or in combination with other medications to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

448

prescriptions, 3% of all prescriptions

405

prescriptions.

77

patients, 19% of all patients

6 10
OMEPRAZOLE

Treats heartburn, stomach u... +

Treats heartburn, stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome, endocrine tumors, and systemic mastocytosis. Source: National Library of Medicine

340

prescriptions, 3% of all prescriptions

313

prescriptions.

65

patients, 16% of all patients

7 5
ENALAPRIL MALEATE

Enalapril is used alone or ... +

Enalapril is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

336

prescriptions, 2% of all prescriptions

256

prescriptions.

55

patients, 13% of all patients

8 6
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

316

prescriptions, 2% of all prescriptions

271

prescriptions.

70

patients, 17% of all patients

9 4
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels. Source: National Library of Medicine

304

prescriptions, 2% of all prescriptions

268

prescriptions.

69

patients, 17% of all patients

10 8
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

297

prescriptions, 2% of all prescriptions

258

prescriptions.

42

patients, 10% of all patients

11 20
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

287

prescriptions, 2% of all prescriptions

221

prescriptions.

95

patients, 23% of all patients

12 23
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

This drug is used to treat high blood pressure. Source: National Library of Medicine

261

prescriptions, 2% of all prescriptions

222

prescriptions.

37

patients, 9% of all patients

13 12
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

235

prescriptions, 2% of all prescriptions

212

prescriptions.

44

patients, 11% of all patients

14 11
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). Source: National Library of Medicine

228

prescriptions, 2% of all prescriptions

200

prescriptions.

50

patients, 12% of all patients

15 19
METOPROLOL SUCCINATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

227

prescriptions, 2% of all prescriptions

200

prescriptions.

41

patients, 10% of all patients

16 33
CLOPIDOGREL

Helps prevent stroke, heart... +

Helps prevent stroke, heart attack, and other heart problems. Source: National Library of Medicine

226

prescriptions, 2% of all prescriptions

215

prescriptions.

44

patients, 11% of all patients

17 21
ALENDRONATE SODIUM

Alendronate is used to trea... +

Alendronate is used to treat and prevent osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause (''change of life,'' end of menstrual periods) and to treat osteoporosis in men. Source: National Library of Medicine

222

prescriptions, 2% of all prescriptions

186

prescriptions.

52

patients, 13% of all patients

18 15
CILOSTAZOL

Treats a circulation proble... +

Treats a circulation problem in which too little blood flows into your leg muscles (intermittent claudication). Source: National Library of Medicine

197

prescriptions, 1% of all prescriptions

168

prescriptions.

37

patients, 9% of all patients

19 54
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

191

prescriptions, 1% of all prescriptions

191

prescriptions.

31

patients, 8% of all patients

20 35
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

191

prescriptions, 1% of all prescriptions

186

prescriptions.

43

patients, 10% of all patients

20 38
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

190

prescriptions, 1% of all prescriptions

165

prescriptions.

60

patients, 15% of all patients

22 26
CLONAZEPAM

Treats seizures, panic diso... +

Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine

190

prescriptions, 1% of all prescriptions

161

prescriptions.

41

patients, 10% of all patients

22 18
PANTOPRAZOLE SODIUM

Pantoprazole is used to tre... +

Pantoprazole is used to treat gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the esophagus (the tube between the throat and stomach). Source: National Library of Medicine

173

prescriptions, 1% of all prescriptions

143

prescriptions.

46

patients, 11% of all patients

24 25
TRAMADOL HCL

Tramadol is used to relieve... +

Tramadol is used to relieve moderate to moderately severe pain. Source: National Library of Medicine

164

prescriptions, 1% of all prescriptions

112

prescriptions.

64

patients, 15% of all patients

O 25 24
LORAZEPAM

Treats anxiety, anxiety wit... +

Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine

147

prescriptions, 1% of all prescriptions

127

prescriptions.

25

patients, 6% of all patients

26 50
FAMOTIDINE*

Treats ulcers, gastroesopha... +

Treats ulcers, gastroesophageal reflux disease (GERD), and conditions that cause the stomach to produce too much stomach acid. Source: National Library of Medicine

140

prescriptions, 1% of all prescriptions

125

prescriptions.

36

patients, 9% of all patients

27 41
METOPROLOL TARTRATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

140

prescriptions, 1% of all prescriptions

135

prescriptions.

32

patients, 8% of all patients

27 22
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

122

prescriptions, 1% of all prescriptions

117

prescriptions.

27

patients, 7% of all patients

29 31
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

115

prescriptions, 1% of all prescriptions

71

prescriptions.

16

patients, 4% of all patients

30 16
MECLIZINE HCL

Meclizine is used to preven... +

Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Source: National Library of Medicine

109

prescriptions, 1% of all prescriptions

104

prescriptions.

31

patients, 8% of all patients

31 48
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

108

prescriptions, 1% of all prescriptions

89

prescriptions.

26

patients, 6% of all patients

32 30
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

102

prescriptions, 1% of all prescriptions

97

prescriptions.

25

patients, 6% of all patients

33 70
CLOTRIMAZOLE-BETAMETHASONE

This combination medication... +

This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch. Source: National Library of Medicine

98

prescriptions, 1% of all prescriptions

85

prescriptions.

42

patients, 10% of all patients

34 39
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

97

prescriptions, 1% of all prescriptions

97

prescriptions.

17

patients, 4% of all patients

P 35 58
NABUMETONE

Treats pain caused by arthr... +

Treats pain caused by arthritis. Source: National Library of Medicine

96

prescriptions, 1% of all prescriptions

83

prescriptions.

29

patients, 7% of all patients

36 27
IRBESARTAN

Used alone or in combinatio... +

Used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

90

prescriptions.

14

patients, 3% of all patients

37 36
DOXAZOSIN MESYLATE

Doxazosin (Cardura, Cardura... +

Doxazosin (Cardura, Cardura XL) is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH), which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

79

prescriptions.

17

patients, 4% of all patients

38 42
LISINOPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

90

prescriptions.

17

patients, 4% of all patients

39 14
AZITHROMYCIN

Treats infections caused by... +

Treats infections caused by certain bacteria. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

77

prescriptions.

73

patients, 18% of all patients

A 40 37
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

84

prescriptions.

15

patients, 4% of all patients

40 32
RAMIPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure after a heart attack. Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

82

prescriptions.

11

patients, 3% of all patients

42 65
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

71

prescriptions.

61

patients, 15% of all patients

A 43 45
ALPRAZOLAM

Treats anxiety, panic disor... +

Treats anxiety, panic disorder, insomnia (trouble sleeping), and anxiety caused by depression. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

70

prescriptions.

18

patients, 4% of all patients

44 28
TAMSULOSIN HCL

Tamsulosin is used in men t... +

Tamsulosin is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH) which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

69

prescriptions.

18

patients, 4% of all patients

45 29
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

67

prescriptions, 0% of all prescriptions

67

prescriptions.

14

patients, 3% of all patients

46 102
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

64

prescriptions, 0% of all prescriptions

59

prescriptions.

14

patients, 3% of all patients

47 13
MUPIROCIN*

Treats skin infections and ... +

Treats skin infections and bacterial infections in your nose. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

48

prescriptions.

31

patients, 8% of all patients

48 149
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

59

prescriptions.

13

patients, 3% of all patients

48 40
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

Treats stuffy nose caused by hay fever and other allergies. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

42

prescriptions.

36

patients, 9% of all patients

50 49
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 51 127
PENTOXIFYLLINE

Treats problems from poor b... +

Treats problems from poor blood circulation by improving the flow of blood through blood vessels. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

55

prescriptions.

<11 51 43
HYDROCHLOROTHIAZIDE

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

50

prescriptions.

12

patients, 3% of all patients

51 17
AMLODIPINE BESYLATE-BENAZEPRIL

The combination of amlodipi... +

The combination of amlodipine and benazepril is used to treat high blood pressure. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

49

prescriptions.

<11 54 63
MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

52

prescriptions.

17

patients, 4% of all patients

55 153
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?

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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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 19, 2012.
  • 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.