Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

RAUL MARCO BORRULL M.D.

AVE. LUIS MUNOZ MARIN NO. 50 QUADRANGLE MEDICAL CENTER, SUITE 204

Caguas | Puerto Rico | 00725

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At A Glance: This Prescriber in 2016

Neurology

Self-Reported Primary Specialty

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11,381Medicare Part D Prescriptions Filled, Including Refills

Rank: 9 out of 72 providers in this state and specialty

$1.17M Total Retail Price of All Prescriptions

Rank: 9 out of 72 providers in this state and specialty

568 Patients Receiving at Least One Drug in Part D
70% 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

7% of this provider’s 397 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 9%.

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 »

Opioids

8% of this provider’s 568 patients filled at least one prescription for an opioid, compared to an average of 5%.

More resources »

Brand Name Drugs *

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 17%.

* This is an estimate, see our methodology.

Prescription Price

$103 was the average price of a prescription from this provider, compared to $161 among peers.

Prescriptions per Patient

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


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 2014. All years may not be shown if there is insufficient data.

Cost of Claims

$1.31M

2014

$1.53M

2015

$1.17M

2016

Number of Claims

11,917

2014

12,050

2015

11,381

2016

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.

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
MEMANTINE HCL 1,025

prescriptions, 9% of all prescriptions

894

prescriptions.

198

patients, 35% of all patients

1 3
CLOPIDOGREL 910

prescriptions, 8% of all prescriptions

743

prescriptions.

211

patients, 37% of all patients

2 16
DONEPEZIL HCL 896

prescriptions, 8% of all prescriptions

807

prescriptions.

162

patients, 29% of all patients

3 1
DIVALPROEX SODIUM ER 655

prescriptions, 6% of all prescriptions

483

prescriptions.

138

patients, 24% of all patients

4 33
GABAPENTIN 473

prescriptions, 4% of all prescriptions

288

prescriptions.

105

patients, 18% of all patients

5 2
RANITIDINE HCL 425

prescriptions, 4% of all prescriptions

325

prescriptions.

88

patients, 15% of all patients

6 28
CLONAZEPAM 276

prescriptions, 2% of all prescriptions

193

prescriptions.

65

patients, 11% of all patients

7 6
LAMOTRIGINE 257

prescriptions, 2% of all prescriptions

120

prescriptions.

46

patients, 8% of all patients

8 21
SYNTHROID 216

prescriptions, 2% of all prescriptions

183

prescriptions.

39

patients, 7% of all patients

9 57
SIMVASTATIN 210

prescriptions, 2% of all prescriptions

128

prescriptions.

42

patients, 7% of all patients

10 37
DICLOFENAC POTASSIUM 208

prescriptions, 2% of all prescriptions

104

prescriptions.

53

patients, 9% of all patients

11 14
LOSARTAN POTASSIUM 204

prescriptions, 2% of all prescriptions

159

prescriptions.

48

patients, 8% of all patients

12 72
PRAMIPEXOLE DIHYDROCHLORIDE 173

prescriptions, 2% of all prescriptions

143

prescriptions.

34

patients, 6% of all patients

13 12
OXCARBAZEPINE 172

prescriptions, 2% of all prescriptions

102

prescriptions.

42

patients, 7% of all patients

14 34
LEVETIRACETAM 168

prescriptions, 1% of all prescriptions

67

prescriptions.

29

patients, 5% of all patients

15 7
VIMPAT 167

prescriptions, 1% of all prescriptions

75

prescriptions.

28

patients, 5% of all patients

16 82
PRIMIDONE 158

prescriptions, 1% of all prescriptions

114

prescriptions.

30

patients, 5% of all patients

17 27
TOPIRAMATE 152

prescriptions, 1% of all prescriptions

42

prescriptions.

37

patients, 7% of all patients

18 18
LANSOPRAZOLE 149

prescriptions, 1% of all prescriptions

87

prescriptions.

32

patients, 6% of all patients

19 79
FAMOTIDINE* 148

prescriptions, 1% of all prescriptions

120

prescriptions.

29

patients, 5% of all patients

20 56
TEMAZEPAM 147

prescriptions, 1% of all prescriptions

124

prescriptions.

43

patients, 8% of all patients

21 23
CARBIDOPA-LEVODOPA-ENTACAPONE 146

prescriptions, 1% of all prescriptions

125

prescriptions.

26

patients, 5% of all patients

22 36
ENALAPRIL MALEATE 141

prescriptions, 1% of all prescriptions

99

prescriptions.

30

patients, 5% of all patients

23 86
RIVASTIGMINE* 140

prescriptions, 1% of all prescriptions

107

prescriptions.

33

patients, 6% of all patients

24 13
ZETIA 131

prescriptions, 1% of all prescriptions

89

prescriptions.

31

patients, 5% of all patients

25 119
ATORVASTATIN CALCIUM 128

prescriptions, 1% of all prescriptions

111

prescriptions.

34

patients, 6% of all patients

26 38
EXELON 122

prescriptions, 1% of all prescriptions

117

prescriptions.

31

patients, 5% of all patients

27 22
CITALOPRAM HBR 121

prescriptions, 1% of all prescriptions

101

prescriptions.

25

patients, 4% of all patients

28 15
NAMENDA XR 114

prescriptions, 1% of all prescriptions

114

prescriptions.

21

patients, 4% of all patients

29 11
AZILECT 105

prescriptions, 1% of all prescriptions

100

prescriptions.

22

patients, 4% of all patients

30 42
LEVOTHYROXINE SODIUM 98

prescriptions, 1% of all prescriptions

93

prescriptions.

22

patients, 4% of all patients

31 50
TAMSULOSIN HCL 98

prescriptions, 1% of all prescriptions

79

prescriptions.

28

patients, 5% of all patients

31 124
QUININE SULFATE 95

prescriptions, 1% of all prescriptions

90

prescriptions.

19

patients, 3% of all patients

10 33 126
CARVEDILOL 94

prescriptions, 1% of all prescriptions

63

prescriptions.

19

patients, 3% of all patients

34 128
ARIPIPRAZOLE 84

prescriptions, 1% of all prescriptions

58

prescriptions.

20

patients, 4% of all patients

P 35 90
OMEPRAZOLE 72

prescriptions, 1% of all prescriptions

47

prescriptions.

16

patients, 3% of all patients

36 48
RISPERIDONE 72

prescriptions, 1% of all prescriptions

67

prescriptions.

14

patients, 2% of all patients

P 36 26
MIDODRINE HCL 71

prescriptions, 1% of all prescriptions

52

prescriptions.

23

patients, 4% of all patients

38 135
ACETAZOLAMIDE 67

prescriptions, 1% of all prescriptions

49

prescriptions.

38

patients, 7% of all patients

39 139
DULOXETINE HCL 66

prescriptions, 1% of all prescriptions

37

prescriptions.

15

patients, 3% of all patients

40 20
NEUPRO 65

prescriptions, 1% of all prescriptions

65

prescriptions.

11

patients, 2% of all patients

41 71
DIVALPROEX SODIUM 61

prescriptions, 1% of all prescriptions

56

prescriptions.

17

patients, 3% of all patients

42 29
PRAVASTATIN SODIUM 61

prescriptions, 1% of all prescriptions

43

prescriptions.

12

patients, 2% of all patients

42 146
RALOXIFENE HCL 59

prescriptions, 1% of all prescriptions

27

prescriptions.

12

patients, 2% of all patients

44 147
RIVASTIGMINE* 58

prescriptions, 1% of all prescriptions

53

prescriptions.

<11 45 35
LYRICA 55

prescriptions, 0% of all prescriptions

41

prescriptions.

15

patients, 3% of all patients

46 19
AMLODIPINE BESYLATE 53

prescriptions, 0% of all prescriptions

48

prescriptions.

13

patients, 2% of all patients

47 105
TRAMADOL HCL 52

prescriptions, 0% of all prescriptions

27

prescriptions.

33

patients, 6% of all patients

O 48 53
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 2016 includes more than 1.5 billion prescriptions written by 1.1 million doctors, nurses and other providers. This database lists over 460,000 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 ch[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 Aug. 26, 2009.
  • 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.