Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

CARLOS PEREZ VIZCARRONDO MD

At A Glance: This Prescriber in 2015

General Practice

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

6,544Medicare Part D Prescriptions Filled, Including Refills

Rank: 467 out of 1539

$174K Total Retail Price of All Prescriptions

Rank: 591 out of 1539

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

0% 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

15% of this provider’s 189 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 205 patients filled at least one prescription for an antibiotic drug, compared to an average of 37%.

More resources »

Risky Drugs for Seniors

13% of this provider’s 189 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

9% of this provider’s 205 patients filled at least one prescription for an opioid, compared to an average of 13%.

More resources »

Brand Name Drugs

14% of this provider’s prescriptions were for brand-name drugs, compared to an average of 15%.

Prescription Price

$27 was the average price of a prescription from this provider, compared to $37 among peers.

Prescriptions per Patient

32 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

$184K

2012

$173K

2013

$189K

2014

$174K

2015

Number of Claims

5,839

2012

6,512

2013

6,483

2014

6,544

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

290

prescriptions, 4% of all prescriptions

290

prescriptions.

44

patients, 21% of all patients

1 1
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

245

prescriptions, 4% of all prescriptions

240

prescriptions.

37

patients, 18% of all patients

2 38
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

237

prescriptions, 4% of all prescriptions

237

prescriptions.

33

patients, 16% of all patients

3 10
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

231

prescriptions, 4% of all prescriptions

226

prescriptions.

40

patients, 20% of all patients

4 9
CLONAZEPAM

Treats seizures, panic diso... +

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

226

prescriptions, 3% of all prescriptions

205

prescriptions.

41

patients, 20% of all patients

5 18
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

218

prescriptions, 3% of all prescriptions

218

prescriptions.

30

patients, 15% of all patients

6 35
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

212

prescriptions, 3% of all prescriptions

200

prescriptions.

28

patients, 14% of all patients

7 6
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

204

prescriptions, 3% of all prescriptions

199

prescriptions.

30

patients, 15% of all patients

8 7
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

172

prescriptions, 3% of all prescriptions

160

prescriptions.

22

patients, 11% of all patients

9 2
CLOPIDOGREL

Helps prevent stroke, heart... +

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

162

prescriptions, 2% of all prescriptions

157

prescriptions.

23

patients, 11% of all patients

10 21
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

146

prescriptions, 2% of all prescriptions

135

prescriptions.

22

patients, 11% of all patients

11 41
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

130

prescriptions, 2% of all prescriptions

125

prescriptions.

34

patients, 17% of all patients

12 23
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

122

prescriptions, 2% of all prescriptions

117

prescriptions.

14

patients, 7% of all patients

13 40
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

113

prescriptions, 2% of all prescriptions

113

prescriptions.

15

patients, 7% of all patients

14 25
GABAPENTIN

Treats certain types of sei... +

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

110

prescriptions, 2% of all prescriptions

105

prescriptions.

24

patients, 12% of all patients

15 3
LORAZEPAM

Treats anxiety, anxiety wit... +

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

108

prescriptions, 2% of all prescriptions

94

prescriptions.

15

patients, 7% of all patients

16 50
RISPERIDONE

Treats schizophrenia and ce... +

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

102

prescriptions, 2% of all prescriptions

97

prescriptions.

14

patients, 7% of all patients

P 17 72
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

102

prescriptions, 2% of all prescriptions

97

prescriptions.

21

patients, 10% of all patients

17 4
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

98

prescriptions, 1% of all prescriptions

80

prescriptions.

21

patients, 10% of all patients

19 5
TRAZODONE HCL

Trazodone is used to treat ... +

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

95

prescriptions, 1% of all prescriptions

90

prescriptions.

23

patients, 11% of all patients

20 74
FUROSEMIDE

Treats fluid retention (ede... +

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

94

prescriptions, 1% of all prescriptions

89

prescriptions.

17

patients, 8% of all patients

21 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

88

prescriptions, 1% of all prescriptions

83

prescriptions.

13

patients, 6% of all patients

22 33
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

88

prescriptions, 1% of all prescriptions

88

prescriptions.

12

patients, 6% of all patients

P 22 58
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

84

prescriptions, 1% of all prescriptions

79

prescriptions.

16

patients, 8% of all patients

24 8
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

78

prescriptions, 1% of all prescriptions

78

prescriptions.

16

patients, 8% of all patients

25 102
ATENOLOL

Treats high blood pressure ... +

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

67

prescriptions, 1% of all prescriptions

67

prescriptions.

<11 26 16
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

66

prescriptions, 1% of all prescriptions

66

prescriptions.

<11 27 119
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

50

patients, 24% of all patients

A 28 45
TEMAZEPAM

Treats insomnia (trouble sl... +

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

62

prescriptions, 1% of all prescriptions

49

prescriptions.

13

patients, 6% of all patients

29 31
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

62

prescriptions.

<11 29 20
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

60

prescriptions, 1% of all prescriptions

60

prescriptions.

<11 31 17
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

59

prescriptions, 1% of all prescriptions

59

prescriptions.

<11 32 15
LISINOPRIL

Treats high blood pressure ... +

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

56

prescriptions, 1% of all prescriptions

56

prescriptions.

13

patients, 6% of all patients

33 14
SILVER SULFADIAZINE

Treats skin infections in p... +

Treats skin infections in patients with severe burns. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

52

prescriptions.

23

patients, 11% of all patients

34 112
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

51

prescriptions, 1% of all prescriptions

46

prescriptions.

28

patients, 14% of all patients

35 39
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

51

prescriptions, 1% of all prescriptions

46

prescriptions.

<11 35 88
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 Sept. 24, 2010.
  • 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.