Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

RICARDO SANCHEZ M.D.

HOSPITAL C. COLL Y TOSTE AVE.SAN LUIS, CARR 129 KM .9 SUIT #116

Arecibo | Puerto Rico | 00612

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At A Glance: This Prescriber in 2015

Psychiatry

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

23,549Medicare Part D Prescriptions Filled, Including Refills

Rank: 18 out of 205

$732K Total Retail Price of All Prescriptions

Rank: 11 out of 205

1,139 Patients Receiving at Least One Drug in Part D
27% Patients 65 Years and Older

2% 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

32% of this provider’s 307 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 34%.

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

28% of this provider’s 307 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 19%.

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 *

8% of this provider’s prescriptions were for brand-name drugs, compared to an average of 10%.

* This is an estimate, see our methodology.

Prescription Price

$31 was the average price of a prescription from this provider, compared to $32 among peers.

Prescriptions per Patient

21 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 2012. All years may not be shown if there is insufficient data.

Cost of Claims

$756K

2012

$848K

2013

$871K

2014

$732K

2015

Number of Claims

11,949

2012

20,008

2013

22,301

2014

23,549

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
CLONAZEPAM

Treats seizures, panic diso... +

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

4,312

prescriptions, 18% of all prescriptions

1,126

prescriptions.

558

patients, 49% of all patients

1 1
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

2,776

prescriptions, 12% of all prescriptions

519

prescriptions.

366

patients, 32% of all patients

10 2 3
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

1,227

prescriptions, 5% of all prescriptions

352

prescriptions.

177

patients, 16% of all patients

3 6
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

1,151

prescriptions, 5% of all prescriptions

281

prescriptions.

154

patients, 14% of all patients

P 4 8
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

987

prescriptions, 4% of all prescriptions

81

prescriptions.

218

patients, 19% of all patients

R 5 5
TEMAZEPAM

Treats insomnia (trouble sl... +

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

958

prescriptions, 4% of all prescriptions

184

prescriptions.

161

patients, 14% of all patients

6 2
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

758

prescriptions, 3% of all prescriptions

274

prescriptions.

111

patients, 10% of all patients

7 10
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

726

prescriptions, 3% of all prescriptions

158

prescriptions.

119

patients, 10% of all patients

8 17
ALPRAZOLAM

Treats anxiety, panic disor... +

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

723

prescriptions, 3% of all prescriptions

256

prescriptions.

83

patients, 7% of all patients

9 4
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

Amitriptyline is used to treat symptoms of depression. Source: National Library of Medicine

719

prescriptions, 3% of all prescriptions

127

prescriptions.

103

patients, 9% of all patients

R 10 10 19
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

699

prescriptions, 3% of all prescriptions

87

prescriptions.

95

patients, 8% of all patients

11 14
LORAZEPAM

Treats anxiety, anxiety wit... +

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

625

prescriptions, 3% of all prescriptions

156

prescriptions.

91

patients, 8% of all patients

12 7
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

609

prescriptions, 3% of all prescriptions

144

prescriptions.

93

patients, 8% of all patients

P 13 9
CITALOPRAM HBR

Citalopram is used to treat... +

Citalopram is used to treat depression. Source: National Library of Medicine

575

prescriptions, 2% of all prescriptions

213

prescriptions.

84

patients, 7% of all patients

14 13
TRAZODONE HCL

Trazodone is used to treat ... +

Trazodone is used to treat depression. Source: National Library of Medicine

533

prescriptions, 2% of all prescriptions

72

prescriptions.

81

patients, 7% of all patients

15 11
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

Venlafaxine is used to treat depression. Source: National Library of Medicine

500

prescriptions, 2% of all prescriptions

40

prescriptions.

60

patients, 5% of all patients

16 15
DOXEPIN HCL

Doxepin is used to treat de... +

Doxepin is used to treat depression and anxiety. Source: National Library of Medicine

404

prescriptions, 2% of all prescriptions

149

prescriptions.

57

patients, 5% of all patients

R 17 23
OLANZAPINE

Treats psychotic mental dis... +

Treats psychotic mental disorders, such as schizophrenia or bipolar disorder (manic-depressive illness). Source: National Library of Medicine

335

prescriptions, 1% of all prescriptions

32

prescriptions.

49

patients, 4% of all patients

P 18 24
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

333

prescriptions, 1% of all prescriptions

39

prescriptions.

57

patients, 5% of all patients

19 22
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine

324

prescriptions, 1% of all prescriptions

71

prescriptions.

47

patients, 4% of all patients

20 12
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

313

prescriptions, 1% of all prescriptions

52

prescriptions.

42

patients, 4% of all patients

21 25
ESTAZOLAM 299

prescriptions, 1% of all prescriptions

70

prescriptions.

57

patients, 5% of all patients

22 18
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine

277

prescriptions, 1% of all prescriptions

50

prescriptions.

37

patients, 3% of all patients

23 20
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

259

prescriptions, 1% of all prescriptions

128

prescriptions.

37

patients, 3% of all patients

24 21
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

Treats symptoms of Parkinson's disease or side effects of other drugs. Source: National Library of Medicine

190

prescriptions, 1% of all prescriptions

45

prescriptions.

34

patients, 3% of all patients

R 25 28
HALOPERIDOL*

Treats symptoms of mental a... +

Treats symptoms of mental and emotional disorders. Source: National Library of Medicine

186

prescriptions, 1% of all prescriptions

66

prescriptions.

24

patients, 2% of all patients

P 26 27
TRIFLUOPERAZINE HCL 179

prescriptions, 1% of all prescriptions

100

prescriptions.

21

patients, 2% of all patients

P 27 39
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

158

prescriptions, 1% of all prescriptions

21

prescriptions.

23

patients, 2% of all patients

P 28 34
LAMOTRIGINE

Treats certain types of sei... +

Treats certain types of seizures and mood disorders. Source: National Library of Medicine

143

prescriptions, 1% of all prescriptions

5

prescriptions.

28

patients, 2% of all patients

29 26
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

138

prescriptions, 1% of all prescriptions

32

prescriptions.

31

patients, 3% of all patients

30 16
ABILIFY

Treats schizophrenia, bipol... +

Treats schizophrenia, bipolar disorder, and depression. Source: National Library of Medicine

132

prescriptions, 1% of all prescriptions

20

prescriptions.

30

patients, 3% of all patients

P 31 31
THIOTHIXENE 125

prescriptions, 1% of all prescriptions

21

prescriptions.

20

patients, 2% of all patients

P 32 51
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

114

prescriptions, 0% of all prescriptions

25

prescriptions.

19

patients, 2% of all patients

33 29
FLURAZEPAM HCL 101

prescriptions, 0% of all prescriptions

12

prescriptions.

15

patients, 1% of all patients

34 32
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

Treats schizophrenia, bipolar disorder, and depression. Source: National Library of Medicine

95

prescriptions, 0% of all prescriptions

12

prescriptions.

25

patients, 2% of all patients

P 35 35
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

80

prescriptions, 0% of all prescriptions

5

prescriptions.

15

patients, 1% of all patients

36 33
ROPINIROLE HCL

Ropinirole is used alone or... +

Ropinirole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

70

prescriptions, 0% of all prescriptions

11

prescriptions.

11

patients, 1% of all patients

37 91
FLUPHENAZINE HCL

Fluphenazine is an antipsyc... +

Fluphenazine is an antipsychotic medication used to treat schizophrenia and psychotic symptoms such as hallucinations, delusions, and hostility. Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

13

prescriptions.

<11 P 38 50
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

56

prescriptions, 0% of all prescriptions

56

prescriptions.

12

patients, 1% of all patients

39 30
PERPHENAZINE

Treats the symptoms of cert... +

Treats the symptoms of certain mental disorders. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

12

prescriptions.

<11 P 40 45
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 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.