Prescriber Checkup
The Doctors and Drugs in Medicare Part D
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DUARTE MACHADO M.D.
At A Glance: This Prescriber in 2015
Rank: 13 out of 114
Rank: 24 out of 114
How Does This Prescriber Compare to Peers?
In the same specialty and state. Caveats »
this specialty
in Connecticut 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
This provider prescribed antibiotics to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.
Risky Drugs for Seniors
This provider prescribed potentially inappropriate drugs to at least one but fewer than 11 patients who are 65 and older, so Medicare redacted the exact figure. Comparisons are not shown.
Opioids
3% of this provider’s 329 patients filled at least one prescription for an opioid, compared to an average of 5%.
Brand Name Drugs *
21% 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
$275 was the average price of a prescription from this provider, compared to $360 among peers.
Prescriptions per Patient
11 is the average number of prescriptions (including refills) per patient, compared to an average of 9.
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
$133K
2012
$315K
2013
$416K
2014
$978K
2015
Number of Claims
909
2012
1,542
2013
2,315
2014
3,559
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 |
|
CARBIDOPA-LEVODOPA
The combination of levodopa... + The combination of levodopa and carbidopa is used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine |
751
prescriptions, 21% of all prescriptions |
670
prescriptions. |
150
patients, 46% of all patients |
1 | 2 | |
|
CLONAZEPAM
Treats seizures, panic diso... + Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine |
192
prescriptions, 5% of all prescriptions |
111
prescriptions. |
43
patients, 13% of all patients |
2 | 7 | |
|
GABAPENTIN
Treats certain types of sei... + Treats certain types of seizures. Source: National Library of Medicine |
188
prescriptions, 5% of all prescriptions |
92
prescriptions. |
42
patients, 13% of all patients |
3 | 1 | |
|
CARBIDOPA-LEVODOPA ER
Used to treat the symptoms ... + Used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine |
169
prescriptions, 5% of all prescriptions |
146
prescriptions. |
40
patients, 12% of all patients |
4 | 24 | |
|
PRIMIDONE
Treats seizure disorders. B... + Treats seizure disorders. Source: National Library of Medicine |
162
prescriptions, 5% of all prescriptions |
109
prescriptions. |
26
patients, 8% of all patients |
5 | 11 | |
|
AZILECT
Used alone or together with... + Used alone or together with levodopa for the treatment of Parkinson's disease. Source: National Library of Medicine |
157
prescriptions, 4% of all prescriptions |
125
prescriptions. |
38
patients, 12% of all patients |
6 | 12 | |
|
PRAMIPEXOLE DIHYDROCHLORIDE
Pramipexole is used alone o... + Pramipexole 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 |
148
prescriptions, 4% of all prescriptions |
135
prescriptions. |
24
patients, 7% of all patients |
7 | 22 | |
| RYTARY |
144
prescriptions, 4% of all prescriptions |
92
prescriptions. |
24
patients, 7% of all patients |
8 | 92 | |
|
AMANTADINE
Treats or prevents the flu ... + Treats or prevents the flu (influenza type A). Source: National Library of Medicine |
131
prescriptions, 4% of all prescriptions |
81
prescriptions. |
26
patients, 8% of all patients |
9 | 34 | |
|
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 |
123
prescriptions, 3% of all prescriptions |
86
prescriptions. |
23
patients, 7% of all patients |
10 | 35 | |
| CARBIDOPA-LEVODOPA-ENTACAPONE |
111
prescriptions, 3% of all prescriptions |
85
prescriptions. |
17
patients, 5% of all patients |
11 | 43 | |
| ROPINIROLE ER |
86
prescriptions, 2% of all prescriptions |
73
prescriptions. |
13
patients, 4% of all patients |
12 | 59 | |
| NEUPRO |
70
prescriptions, 2% of all prescriptions |
38
prescriptions. |
13
patients, 4% of all patients |
13 | 68 | |
|
TOPIRAMATE
Helps control and prevent c... + Helps control and prevent certain kinds of seizures. Source: National Library of Medicine |
56
prescriptions, 2% of all prescriptions |
27
prescriptions. |
13
patients, 4% of all patients |
14 | 5 | |
| ENTACAPONE |
53
prescriptions, 1% of all prescriptions |
48
prescriptions. |
<11 | 15 | 80 | |
|
LEVETIRACETAM
Used to help control certai... + Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine |
53
prescriptions, 1% of all prescriptions |
16
prescriptions. |
<11 | 15 | 3 | |
|
RIVASTIGMINE*
Used to treat mild to moder... + Used to treat mild to moderate dementia (memory loss and mental changes) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine |
51
prescriptions, 1% of all prescriptions |
51
prescriptions. |
<11 | 17 | 74 | |
|
PROPRANOLOL HCL
Propranolol is used to trea... + Propranolol is used to treat high blood pressure, abnormal heart rhythms, heart disease, pheochromocytoma (tumor on a small gland near the kidneys), and certain types of tremor. Source: National Library of Medicine |
51
prescriptions, 1% of all prescriptions |
36
prescriptions. |
<11 | 17 | 79 | |
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 Jan. 20, 2012.
- 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.