Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

ORLANDO ALFONSO M.D.

2233 W DIVISION ST SAINTS MARY AND ELIZABETH MEDICAL CENTER

Chicago | Illinois | 60622

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At A Glance: This Prescriber in 2015

Family Medicine

Self-Reported Primary Specialty

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7,437Medicare Part D Prescriptions Filled, Including Refills

Rank: 579 out of 2673

$50.3K Total Retail Price of All Prescriptions

Rank: 2408 out of 2673

3,107 Patients Receiving at Least One Drug in Part D
95% Patients 65 Years and Older

62% 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 Illinois
lower than average

Antipsychotics

This provider prescribed antipsychotics to at least one but fewer than 11 patients who are 65 and older, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Antibiotics

48% of this provider’s 3,107 patients filled at least one prescription for an antibiotic drug, compared to an average of 28%.

More resources »

Risky Drugs for Seniors

1% of this provider’s 2,941 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

31% of this provider’s 3,107 patients filled at least one prescription for an opioid, compared to an average of 18%.

More resources »

Brand Name Drugs

4% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%. This is far fewer than peers.

Prescription Price

$7 was the average price of a prescription from this provider, compared to $59 among peers.

Prescriptions per Patient

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


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

$138K

2012

$117K

2013

$83K

2014

$50.3K

2015

Number of Claims

13,856

2012

12,541

2013

10,545

2014

7,437

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
TRAMADOL HCL-ACETAMINOPHEN

Treats short-term, medium t... +

Treats short-term, medium to medium-severe pain. Source: National Library of Medicine

1,015

prescriptions, 14% of all prescriptions

971

prescriptions.

880

patients, 28% of all patients

O 10 1 192
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

859

prescriptions, 12% of all prescriptions

810

prescriptions.

765

patients, 25% of all patients

10 2 79
AZITHROMYCIN

Treats infections caused by... +

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

743

prescriptions, 10% of all prescriptions

692

prescriptions.

674

patients, 22% of all patients

A 3 49
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

306

prescriptions, 4% of all prescriptions

292

prescriptions.

288

patients, 9% of all patients

A 4 90
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

275

prescriptions, 4% of all prescriptions

254

prescriptions.

257

patients, 8% of all patients

5 97
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Source: National Library of Medicine

229

prescriptions, 3% of all prescriptions

216

prescriptions.

215

patients, 7% of all patients

6 39
NYSTATIN

Treats fungus infections in... +

Treats fungus infections in the mouth, throat, and intestines. Source: National Library of Medicine

227

prescriptions, 3% of all prescriptions

206

prescriptions.

209

patients, 7% of all patients

7 132
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

225

prescriptions, 3% of all prescriptions

211

prescriptions.

164

patients, 5% of all patients

8 33
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine

223

prescriptions, 3% of all prescriptions

218

prescriptions.

207

patients, 7% of all patients

9 34
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

206

prescriptions, 3% of all prescriptions

201

prescriptions.

190

patients, 6% of all patients

A 10 108
AMOXICILLIN

Treats infections. Also use... +

Treats infections. Source: National Library of Medicine

185

prescriptions, 2% of all prescriptions

170

prescriptions.

176

patients, 6% of all patients

A 11 124
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

166

prescriptions, 2% of all prescriptions

161

prescriptions.

148

patients, 5% of all patients

12 29
ONDANSETRON HCL*

Ondansetron is used to prev... +

Ondansetron is used to prevent nausea and vomiting caused by cancer chemotherapy, radiation therapy, and surgery. Source: National Library of Medicine

160

prescriptions, 2% of all prescriptions

155

prescriptions.

149

patients, 5% of all patients

13 181
LEVOFLOXACIN

Levofloxacin is used to tre... +

Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine

159

prescriptions, 2% of all prescriptions

154

prescriptions.

149

patients, 5% of all patients

A 14 75
BENZONATATE 155

prescriptions, 2% of all prescriptions

142

prescriptions.

148

patients, 5% of all patients

15 365
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

131

prescriptions, 2% of all prescriptions

126

prescriptions.

77

patients, 2% of all patients

16 8
LOPERAMIDE

Treats diarrhea and decreas... +

Treats diarrhea and decreases the amount of drainage in patients who have ostomies. Source: National Library of Medicine

104

prescriptions, 1% of all prescriptions

99

prescriptions.

97

patients, 3% of all patients

17 267
FUROSEMIDE

Treats fluid retention (ede... +

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

101

prescriptions, 1% of all prescriptions

96

prescriptions.

78

patients, 3% of all patients

18 6
MOMETASONE FUROATE

Mometasone is used to relie... +

Mometasone is used to relieve the itching and inflammation of numerous skin conditions. Source: National Library of Medicine

98

prescriptions, 1% of all prescriptions

93

prescriptions.

93

patients, 3% of all patients

19 261
NEOMYCIN-POLYMYXIN-DEXAMETH

Dexamethasone reduces the i... +

Dexamethasone reduces the irritation, redness, burning, and swelling of eye caused by chemicals, heat, radiation, infection, allergy, or foreign bodies in the eye. Source: National Library of Medicine

96

prescriptions, 1% of all prescriptions

91

prescriptions.

92

patients, 3% of all patients

20 437
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

80

prescriptions, 1% of all prescriptions

75

prescriptions.

34

patients, 1% of all patients

21 47
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

72

prescriptions.

68

patients, 2% of all patients

O 22 9
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

75

prescriptions, 1% of all prescriptions

70

prescriptions.

50

patients, 2% of all patients

23 36
DILTIAZEM 24HR CD

Diltiazem is used to treat ... +

Diltiazem is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

65

prescriptions.

36

patients, 1% of all patients

24 112
METRONIDAZOLE*

Used to treat serious bacte... +

Used to treat serious bacterial infections in different areas of the body. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

63

prescriptions.

64

patients, 2% of all patients

A 25 269
GABAPENTIN

Treats certain types of sei... +

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

68

prescriptions, 1% of all prescriptions

68

prescriptions.

47

patients, 2% of all patients

25 16
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

60

prescriptions.

60

patients, 2% of all patients

27 139
ACYCLOVIR

Treats herpes labialis (col... +

Treats herpes labialis (cold sores). Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

51

prescriptions.

53

patients, 2% of all patients

28 352
MUPIROCIN*

Treats skin infections and ... +

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

53

prescriptions, 1% of all prescriptions

48

prescriptions.

52

patients, 2% of all patients

29 241
AMOXICILLIN-CLAVULANATE POTASS

Treats infections. +

Treats infections. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

45

prescriptions.

49

patients, 2% of all patients

A 30 117
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.