Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

DANIEL GUERRA MD

1901 SOUTH CEDAR ST SUITE 301 CARDIAC STUDY CENTER, INC., P.S.

Tacoma | Washington | 98405

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At A Glance: This Prescriber in 2015

Cardiovascular Disease

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

6,255Medicare Part D Prescriptions Filled, Including Refills

Rank: 14 out of 260

$389K Total Retail Price of All Prescriptions

Rank: 24 out of 260

652 Patients Receiving at Least One Drug in Part D
92% Patients 65 Years and Older

17% 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 Washington
lower than average

Antipsychotics

0% of this provider’s 600 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

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 »

Risky Drugs for Seniors

3% of this provider’s 600 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 6%.

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 *

23% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

* This is an estimate, see our methodology.

Prescription Price

$62 was the average price of a prescription from this provider, compared to $62 among peers.

Prescriptions per Patient

10 is the average number of prescriptions (including refills) per patient, compared to an average of 8.


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

$280K

2012

$314K

2013

$362K

2014

$389K

2015

Number of Claims

4,972

2012

6,231

2013

6,228

2014

6,255

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
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

767

prescriptions, 12% of all prescriptions

686

prescriptions.

179

patients, 27% of all patients

1 1
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

619

prescriptions, 10% of all prescriptions

575

prescriptions.

142

patients, 22% of all patients

2 2
CARVEDILOL

Treats high blood pressure ... +

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

336

prescriptions, 5% of all prescriptions

305

prescriptions.

87

patients, 13% of all patients

3 4
LISINOPRIL

Treats high blood pressure ... +

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

334

prescriptions, 5% of all prescriptions

298

prescriptions.

84

patients, 13% of all patients

4 3
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

297

prescriptions, 5% of all prescriptions

286

prescriptions.

70

patients, 11% of all patients

5 12
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

289

prescriptions, 5% of all prescriptions

284

prescriptions.

70

patients, 11% of all patients

6 7
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

273

prescriptions, 4% of all prescriptions

246

prescriptions.

71

patients, 11% of all patients

7 6
FUROSEMIDE

Treats fluid retention (ede... +

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

272

prescriptions, 4% of all prescriptions

256

prescriptions.

73

patients, 11% of all patients

8 5
XARELTO

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung). Source: National Library of Medicine

236

prescriptions, 4% of all prescriptions

220

prescriptions.

40

patients, 6% of all patients

9 15
CLOPIDOGREL

Helps prevent stroke, heart... +

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

223

prescriptions, 4% of all prescriptions

207

prescriptions.

52

patients, 8% of all patients

10 9
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

205

prescriptions, 3% of all prescriptions

186

prescriptions.

54

patients, 8% of all patients

11 8
SIMVASTATIN

Treats high cholesterol and... +

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

151

prescriptions, 2% of all prescriptions

146

prescriptions.

34

patients, 5% of all patients

12 11
NITROSTAT

Treats or prevents angina (... +

Treats or prevents angina (chest pain). Source: National Library of Medicine

134

prescriptions, 2% of all prescriptions

129

prescriptions.

83

patients, 13% of all patients

13 21
POTASSIUM CHLORIDE

Potassium is needed to main... +

Potassium is needed to maintain good health. Source: National Library of Medicine

124

prescriptions, 2% of all prescriptions

124

prescriptions.

32

patients, 5% of all patients

14 13
WARFARIN SODIUM

Warfarin is used to prevent... +

Warfarin is used to prevent blood clots from forming or growing larger in your blood and blood vessels. Source: National Library of Medicine

114

prescriptions, 2% of all prescriptions

114

prescriptions.

36

patients, 6% of all patients

15 10
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

114

prescriptions, 2% of all prescriptions

109

prescriptions.

26

patients, 4% of all patients

15 16
ELIQUIS

Used to help prevent stroke... +

Used to help prevent strokes or blood clots in people who have atrial fibrillation (a condition in which the heart beats irregularly, increasing the chance of clots forming in the body and possibly causing strokes) that is not caused by heart valve disease. Source: National Library of Medicine

93

prescriptions, 1% of all prescriptions

93

prescriptions.

14

patients, 2% of all patients

17 20
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

79

prescriptions, 1% of all prescriptions

74

prescriptions.

21

patients, 3% of all patients

18 40
DILTIAZEM ER

Diltiazem is used to treat ... +

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

69

prescriptions, 1% of all prescriptions

64

prescriptions.

16

patients, 2% of all patients

19 60
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

68

prescriptions, 1% of all prescriptions

68

prescriptions.

14

patients, 2% of all patients

20 38
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

62

prescriptions.

18

patients, 3% of all patients

21 14
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

67

prescriptions, 1% of all prescriptions

67

prescriptions.

20

patients, 3% of all patients

21 18
PRAVASTATIN SODIUM

Pravastatin is used with di... +

Pravastatin is used with diet, weight-loss, and exercise to reduce the risk of heart attack and stroke and to decrease the chance that heart surgery will be needed in people who have heart disease or who are at risk of developing heart disease. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

62

prescriptions.

19

patients, 3% of all patients

21 17
PRADAXA

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung) in patients who have been treated with an injectable anticoagulant (''blood thinner''). Source: National Library of Medicine

66

prescriptions, 1% of all prescriptions

66

prescriptions.

12

patients, 2% of all patients

24 24
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 Nov. 10, 2014.
  • 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.