Prescriber Checkup
The Doctors and Drugs in Medicare Part D
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JOSE R SEPULVEDA LABOY MD
39 CALLE DR PASARELL
Yauco | Puerto Rico | 00698
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At A Glance: This Prescriber in 2015
Self-Reported Primary Specialty
Rank: 247 out of 1539
Rank: 242 out of 1539
How Does This Prescriber Compare to Peers?
In the same specialty and state. Caveats »
this specialty
in Puerto Rico 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.
Antibiotics
38% of this provider’s 258 patients filled at least one prescription for an antibiotic drug, compared to an average of 37%.
Risky Drugs for Seniors
15% of this provider’s 183 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.
Opioids
17% of this provider’s 258 patients filled at least one prescription for an opioid, compared to an average of 13%.
Brand Name Drugs
15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 15%.
Prescription Price
$35 was the average price of a prescription from this provider, compared to $37 among peers.
Prescriptions per Patient
37 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
$210K
2012
$206K
2013
$266K
2014
$336K
2015
Number of Claims
6,339
2012
7,802
2013
8,543
2014
9,476
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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An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.
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.
An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.
A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.
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.
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This Drug's Rank
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|---|---|---|---|---|---|---|
| Drug Name | Total Prescriptions Filled with Refills |
Prescriptions to 65+ |
Patients Receiving this Drug | Category | For this Prescriber | For this Prescriber's Peers |
|
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 |
416
prescriptions, 4% of all prescriptions |
324
prescriptions. |
84
patients, 33% of all patients |
1 | 4 | |
|
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 |
395
prescriptions, 4% of all prescriptions |
302
prescriptions. |
63
patients, 24% of all patients |
2 | 6 | |
|
SIMVASTATIN
Treats high cholesterol and... + Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine |
334
prescriptions, 4% of all prescriptions |
261
prescriptions. |
51
patients, 20% of all patients |
3 | 1 | |
|
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 |
285
prescriptions, 3% of all prescriptions |
217
prescriptions. |
41
patients, 16% of all patients |
4 | 2 | |
|
FUROSEMIDE
Treats fluid retention (ede... + Treats fluid retention (edema) and high blood pressure (hypertension). Source: National Library of Medicine |
281
prescriptions, 3% of all prescriptions |
198
prescriptions. |
55
patients, 21% of all patients |
5 | 19 | |
|
GABAPENTIN
Treats certain types of sei... + Treats certain types of seizures. Source: National Library of Medicine |
267
prescriptions, 3% of all prescriptions |
176
prescriptions. |
46
patients, 18% of all patients |
6 | 3 | |
|
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 |
252
prescriptions, 3% of all prescriptions |
180
prescriptions. |
51
patients, 20% of all patients |
7 | 5 | |
|
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 |
243
prescriptions, 3% of all prescriptions |
194
prescriptions. |
33
patients, 13% of all patients |
8 | 9 | |
|
GLIPIZIDE
Used with diet and exercise... + Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine |
205
prescriptions, 2% of all prescriptions |
168
prescriptions. |
31
patients, 12% of all patients |
9 | 13 | |
|
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 |
205
prescriptions, 2% of all prescriptions |
149
prescriptions. |
35
patients, 14% of all patients |
9 | 15 | |
|
SYNTHROID
Treats hypothyroidism. + Treats hypothyroidism. Source: National Library of Medicine |
189
prescriptions, 2% of all prescriptions |
157
prescriptions. |
32
patients, 12% of all patients |
11 | 11 | |
|
ATORVASTATIN CALCIUM
Treats high cholesterol and... + Treats high cholesterol and triglyceride levels. Source: National Library of Medicine |
181
prescriptions, 2% of all prescriptions |
148
prescriptions. |
38
patients, 15% of all patients |
12 | 8 | |
|
FENOFIBRATE*
Treats high cholesterol and... + Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine |
179
prescriptions, 2% of all prescriptions |
130
prescriptions. |
34
patients, 13% of all patients |
13 | 44 | |
|
CLOPIDOGREL
Helps prevent stroke, heart... + Helps prevent stroke, heart attack, and other heart problems. Source: National Library of Medicine |
161
prescriptions, 2% of all prescriptions |
135
prescriptions. |
32
patients, 12% of all patients |
14 | 21 | |
|
GLIMEPIRIDE
Treats type 2 diabetes. Use... + Treats type 2 diabetes. Source: National Library of Medicine |
159
prescriptions, 2% of all prescriptions |
131
prescriptions. |
25
patients, 10% of all patients |
15 | 20 | |
|
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 |
156
prescriptions, 2% of all prescriptions |
95
prescriptions. |
29
patients, 11% of all patients |
16 | 7 | |
|
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 |
150
prescriptions, 2% of all prescriptions |
115
prescriptions. |
28
patients, 11% of all patients |
17 | 17 | |
|
TAMSULOSIN HCL
Tamsulosin is used in men t... + Tamsulosin is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH) which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Source: National Library of Medicine |
147
prescriptions, 2% of all prescriptions |
121
prescriptions. |
28
patients, 11% of all patients |
18 | 29 | |
|
SULINDAC
Treats pain caused by arthr... + Treats pain caused by arthritis, gout, or sore tendons. Source: National Library of Medicine |
145
prescriptions, 2% of all prescriptions |
94
prescriptions. |
49
patients, 19% of all patients |
19 | 61 | |
|
LOSARTAN-HYDROCHLOROTHIAZIDE
This drug is used to treat ... + This drug is used to treat high blood pressure. Source: National Library of Medicine |
134
prescriptions, 1% of all prescriptions |
129
prescriptions. |
21
patients, 8% of all patients |
20 | 12 | |
|
ATENOLOL
Treats high blood pressure ... + Treats high blood pressure and angina (chest pain). Source: National Library of Medicine |
131
prescriptions, 1% of all prescriptions |
102
prescriptions. |
22
patients, 9% of all patients |
21 | 16 | |
|
CARVEDILOL
Treats high blood pressure ... + Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine |
124
prescriptions, 1% of all prescriptions |
84
prescriptions. |
27
patients, 10% of all patients |
22 | 32 | |
|
NABUMETONE
Treats pain caused by arthr... + Treats pain caused by arthritis. Source: National Library of Medicine |
119
prescriptions, 1% of all prescriptions |
79
prescriptions. |
36
patients, 14% of all patients |
23 | 27 | |
|
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 |
118
prescriptions, 1% of all prescriptions |
104
prescriptions. |
20
patients, 8% of all patients |
24 | 10 | |
|
LANTUS
Treats diabetes mellitus. I... + Treats diabetes mellitus. Source: National Library of Medicine |
108
prescriptions, 1% of all prescriptions |
89
prescriptions. |
17
patients, 7% of all patients |
25 | 30 | |
|
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 |
106
prescriptions, 1% of all prescriptions |
64
prescriptions. |
41
patients, 16% of all patients |
26 | 39 | |
|
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 |
99
prescriptions, 1% of all prescriptions |
94
prescriptions. |
17
patients, 7% of all patients |
27 | 40 | |
|
INSULIN SYRINGE*
Needle/syringe + Needle/syringe. Source: National Library of Medicine |
94
prescriptions, 1% of all prescriptions |
62
prescriptions. |
19
patients, 7% of all patients |
28 | 89 | |
|
OXYCODONE-ACETAMINOPHEN
Used to relieve moderate to... + Used to relieve moderate to severe pain. Source: National Library of Medicine |
90
prescriptions, 1% of all prescriptions |
36
prescriptions. |
15
patients, 6% of all patients |
O | 29 | 56 |
|
CILOSTAZOL
Treats a circulation proble... + Treats a circulation problem in which too little blood flows into your leg muscles (intermittent claudication). Source: National Library of Medicine |
90
prescriptions, 1% of all prescriptions |
61
prescriptions. |
19
patients, 7% of all patients |
29 | 54 | |
|
TEMAZEPAM
Treats insomnia (trouble sl... + Treats insomnia (trouble sleeping). Source: National Library of Medicine |
83
prescriptions, 1% of all prescriptions |
45
prescriptions. |
21
patients, 8% of all patients |
31 | 31 | |
|
LISINOPRIL-HYDROCHLOROTHIAZIDE
Treats high blood pressure.... + Treats high blood pressure. Source: National Library of Medicine |
82
prescriptions, 1% of all prescriptions |
30
prescriptions. |
<11 | 32 | 79 | |
|
CIPROFLOXACIN HCL
Ciprofloxacin is used to tr... + Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine |
82
prescriptions, 1% of all prescriptions |
57
prescriptions. |
53
patients, 21% of all patients |
A | 32 | 45 |
|
ALPRAZOLAM
Treats anxiety, panic disor... + Treats anxiety, panic disorder, insomnia (trouble sleeping), and anxiety caused by depression. Source: National Library of Medicine |
81
prescriptions, 1% of all prescriptions |
33
prescriptions. |
14
patients, 5% of all patients |
34 | 28 | |
|
TRAMADOL HCL
Tramadol is used to relieve... + Tramadol is used to relieve moderate to moderately severe pain. Source: National Library of Medicine |
81
prescriptions, 1% of all prescriptions |
29
prescriptions. |
25
patients, 10% of all patients |
O | 34 | 24 |
|
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 |
77
prescriptions, 1% of all prescriptions |
34
prescriptions. |
17
patients, 7% of all patients |
36 | 25 | |
|
BACLOFEN
Treats muscle spasms caused... + Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine |
75
prescriptions, 1% of all prescriptions |
53
prescriptions. |
27
patients, 10% of all patients |
37 | 52 | |
|
DOXAZOSIN MESYLATE
Doxazosin (Cardura, Cardura... + Doxazosin (Cardura, Cardura XL) is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH), which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Source: National Library of Medicine |
73
prescriptions, 1% of all prescriptions |
73
prescriptions. |
12
patients, 5% of all patients |
38 | 42 | |
|
CLONAZEPAM
Treats seizures, panic diso... + Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine |
69
prescriptions, 1% of all prescriptions |
26
prescriptions. |
16
patients, 6% of all patients |
39 | 18 | |
|
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 |
68
prescriptions, 1% of all prescriptions |
63
prescriptions. |
11
patients, 4% of all patients |
40 | 22 | |
|
LORAZEPAM
Treats anxiety, anxiety wit... + Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine |
67
prescriptions, 1% of all prescriptions |
42
prescriptions. |
16
patients, 6% of all patients |
41 | 50 | |
|
HUMULIN 70-30
Insulin injection is used t... + Insulin injection is used to control blood sugar in people who have type 1 diabetes (condition in which the body does not make insulin and therefore cannot control the amount of sugar in the blood) or in people who have type 2 diabetes (condition in which the blood sugar is too high because the body does not produce or use insulin normally) that cannot be controlled with oral medications alone. Source: National Library of Medicine |
66
prescriptions, 1% of all prescriptions |
51
prescriptions. |
14
patients, 5% of all patients |
42 | 47 | |
|
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 |
64
prescriptions, 1% of all prescriptions |
45
prescriptions. |
26
patients, 10% of all patients |
43 | 46 | |
|
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 |
61
prescriptions, 1% of all prescriptions |
36
prescriptions. |
13
patients, 5% of all patients |
44 | 26 | |
|
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 |
59
prescriptions, 1% of all prescriptions |
54
prescriptions. |
15
patients, 6% of all patients |
45 | 35 | |
|
LISINOPRIL
Treats high blood pressure ... + Treats high blood pressure and heart failure. Source: National Library of Medicine |
55
prescriptions, 1% of all prescriptions |
55
prescriptions. |
<11 | 46 | 14 | |
|
ALLOPURINOL
Treats gout and some kinds ... + Treats gout and some kinds of kidney stones. Source: National Library of Medicine |
53
prescriptions, 1% of all prescriptions |
36
prescriptions. |
<11 | 47 | 78 | |
|
MECLIZINE HCL
Meclizine is used to preven... + Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Source: National Library of Medicine |
51
prescriptions, 1% of all prescriptions |
37
prescriptions. |
18
patients, 7% of all patients |
48 | 48 | |
|
ALBUTEROL SULFATE
Albuterol is used to preven... + Albuterol is used to prevent and treat wheezing, shortness of breath, coughing, and chest tightness caused by lung diseases such as asthma and chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways). Source: National Library of Medicine |
51
prescriptions, 1% of all prescriptions |
46
prescriptions. |
29
patients, 11% of all patients |
48 | 118 | |
| CIMETIDINE |
51
prescriptions, 1% of all prescriptions |
32
prescriptions. |
<11 | 48 | 237 | |
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.