Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

NELSON ALDIVA

HC 5 BOX 25903 BO. PUENTE ZARZA CARR # 2 KM.90 CALLE INTERIOR

Camuy | Puerto Rico | 00627

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At A Glance: This Prescriber in 2016

General Practice

Self-Reported Primary Specialty

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18,252Medicare Part D Prescriptions Filled, Including Refills

Rank: 39 out of 1525 providers in this state and specialty

$515K Total Retail Price of All Prescriptions

Rank: 103 out of 1525 providers in this state and specialty

661 Patients Receiving at Least One Drug in Part D
64% 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

5% of this provider’s 425 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

41% of this provider’s 661 patients filled at least one prescription for an antibiotic drug, compared to an average of 36%.

More resources »

Opioids

23% of this provider’s 661 patients filled at least one prescription for an opioid, compared to an average of 12%.

More resources »

Brand Name Drugs

16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 14%.

Prescription Price

$28 was the average price of a prescription from this provider, compared to $38 among peers.

Prescriptions per Patient

28 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 2014. All years may not be shown if there is insufficient data.

Cost of Claims

$478K

2014

$550K

2015

$515K

2016

Number of Claims

16,383

2014

20,107

2015

18,252

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
GABAPENTIN 942

prescriptions, 5% of all prescriptions

434

prescriptions.

158

patients, 24% of all patients

1 2
RANITIDINE HCL 665

prescriptions, 4% of all prescriptions

351

prescriptions.

103

patients, 16% of all patients

2 4
LEVOTHYROXINE SODIUM 637

prescriptions, 3% of all prescriptions

483

prescriptions.

94

patients, 14% of all patients

3 8
OMEPRAZOLE 530

prescriptions, 3% of all prescriptions

323

prescriptions.

105

patients, 16% of all patients

4 5
SIMVASTATIN 518

prescriptions, 3% of all prescriptions

356

prescriptions.

175

patients, 26% of all patients

5 1
AMLODIPINE BESYLATE 493

prescriptions, 3% of all prescriptions

367

prescriptions.

71

patients, 11% of all patients

6 10
SYNTHROID 396

prescriptions, 2% of all prescriptions

217

prescriptions.

56

patients, 8% of all patients

7 11
METFORMIN HCL 389

prescriptions, 2% of all prescriptions

217

prescriptions.

114

patients, 17% of all patients

8 3
GLIPIZIDE 382

prescriptions, 2% of all prescriptions

245

prescriptions.

106

patients, 16% of all patients

9 15
ENALAPRIL MALEATE 362

prescriptions, 2% of all prescriptions

239

prescriptions.

105

patients, 16% of all patients

10 9
CLONAZEPAM 356

prescriptions, 2% of all prescriptions

219

prescriptions.

74

patients, 11% of all patients

11 16
LOSARTAN POTASSIUM 335

prescriptions, 2% of all prescriptions

225

prescriptions.

94

patients, 14% of all patients

12 7
PANTOPRAZOLE SODIUM 333

prescriptions, 2% of all prescriptions

119

prescriptions.

63

patients, 10% of all patients

13 25
ALPRAZOLAM 312

prescriptions, 2% of all prescriptions

159

prescriptions.

39

patients, 6% of all patients

14 30
TAMSULOSIN HCL 291

prescriptions, 2% of all prescriptions

234

prescriptions.

45

patients, 7% of all patients

15 27
ALENDRONATE SODIUM 288

prescriptions, 2% of all prescriptions

225

prescriptions.

46

patients, 7% of all patients

16 14
BACLOFEN 276

prescriptions, 2% of all prescriptions

80

prescriptions.

94

patients, 14% of all patients

17 50
CLOPIDOGREL 274

prescriptions, 2% of all prescriptions

174

prescriptions.

48

patients, 7% of all patients

18 20
ATORVASTATIN CALCIUM 267

prescriptions, 1% of all prescriptions

165

prescriptions.

91

patients, 14% of all patients

19 6
FAMOTIDINE* 251

prescriptions, 1% of all prescriptions

147

prescriptions.

48

patients, 7% of all patients

20 39
METOPROLOL TARTRATE 242

prescriptions, 1% of all prescriptions

191

prescriptions.

33

patients, 5% of all patients

21 26
ATENOLOL 237

prescriptions, 1% of all prescriptions

143

prescriptions.

33

patients, 5% of all patients

22 17
TRAMADOL HCL 232

prescriptions, 1% of all prescriptions

129

prescriptions.

77

patients, 12% of all patients

O 23 23
PRAVASTATIN SODIUM 229

prescriptions, 1% of all prescriptions

149

prescriptions.

73

patients, 11% of all patients

24 40
FUROSEMIDE 215

prescriptions, 1% of all prescriptions

144

prescriptions.

46

patients, 7% of all patients

25 21
LISINOPRIL 207

prescriptions, 1% of all prescriptions

137

prescriptions.

59

patients, 9% of all patients

26 13
OXYCODONE-ACETAMINOPHEN 196

prescriptions, 1% of all prescriptions

32

prescriptions.

37

patients, 6% of all patients

O 27 52
TEMAZEPAM 193

prescriptions, 1% of all prescriptions

133

prescriptions.

53

patients, 8% of all patients

28 28
TIZANIDINE HCL 180

prescriptions, 1% of all prescriptions

57

prescriptions.

88

patients, 13% of all patients

29 62
HUMULIN N 172

prescriptions, 1% of all prescriptions

106

prescriptions.

23

patients, 3% of all patients

30 54
ENDOCET 162

prescriptions, 1% of all prescriptions

22

prescriptions.

26

patients, 4% of all patients

O 31 132
HYDROCHLOROTHIAZIDE 159

prescriptions, 1% of all prescriptions

76

prescriptions.

20

patients, 3% of all patients

32 18
IBUPROFEN 154

prescriptions, 1% of all prescriptions

55

prescriptions.

80

patients, 12% of all patients

33 70
FINASTERIDE 149

prescriptions, 1% of all prescriptions

103

prescriptions.

25

patients, 4% of all patients

34 60
CARVEDILOL 147

prescriptions, 1% of all prescriptions

83

prescriptions.

21

patients, 3% of all patients

35 33
HUMULIN 70-30 145

prescriptions, 1% of all prescriptions

58

prescriptions.

21

patients, 3% of all patients

36 45
MONTELUKAST SODIUM 142

prescriptions, 1% of all prescriptions

65

prescriptions.

33

patients, 5% of all patients

37 24
CILOSTAZOL 140

prescriptions, 1% of all prescriptions

129

prescriptions.

23

patients, 3% of all patients

38 55
DICLOFENAC POTASSIUM 139

prescriptions, 1% of all prescriptions

83

prescriptions.

69

patients, 10% of all patients

39 22
LEVOFLOXACIN 137

prescriptions, 1% of all prescriptions

86

prescriptions.

112

patients, 17% of all patients

A 40 63
LORAZEPAM 136

prescriptions, 1% of all prescriptions

69

prescriptions.

20

patients, 3% of all patients

41 51
ISOSORBIDE MONONITRATE ER 128

prescriptions, 1% of all prescriptions

87

prescriptions.

20

patients, 3% of all patients

42 41
GLIMEPIRIDE 124

prescriptions, 1% of all prescriptions

56

prescriptions.

36

patients, 5% of all patients

43 19
METOPROLOL SUCCINATE 124

prescriptions, 1% of all prescriptions

68

prescriptions.

21

patients, 3% of all patients

43 32
QUETIAPINE FUMARATE 117

prescriptions, 1% of all prescriptions

73

prescriptions.

19

patients, 3% of all patients

P 45 57
LOSARTAN-HYDROCHLOROTHIAZIDE 114

prescriptions, 1% of all prescriptions

71

prescriptions.

40

patients, 6% of all patients

46 12
LANTUS 108

prescriptions, 1% of all prescriptions

75

prescriptions.

16

patients, 2% of all patients

47 29
SERTRALINE HCL 101

prescriptions, 1% of all prescriptions

96

prescriptions.

17

patients, 3% of all patients

48 38
AZITHROMYCIN 100

prescriptions, 1% of all prescriptions

56

prescriptions.

83

patients, 13% of all patients

A 49 34
SURE COMFORT* 98

prescriptions, 1% of all prescriptions

54

prescriptions.

19

patients, 3% of all patients

50 100
DONEPEZIL HCL 96

prescriptions, 1% of all prescriptions

91

prescriptions.

19

patients, 3% of all patients

51 35
BETAMETHASONE VALERATE 93

prescriptions, 1% of all prescriptions

38

prescriptions.

64

patients, 10% of all patients

52 138
FLUTICASONE PROPIONATE 88

prescriptions, 0% of all prescriptions

43

prescriptions.

47

patients, 7% of all patients

53 47
BISOPROLOL-HYDROCHLOROTHIAZIDE 88

prescriptions, 0% of all prescriptions

65

prescriptions.

13

patients, 2% of all patients

53 141
IRBESARTAN 86

prescriptions, 0% of all prescriptions

54

prescriptions.

27

patients, 4% of all patients

55 36
SULINDAC 80

prescriptions, 0% of all prescriptions

56

prescriptions.

38

patients, 6% of all patients

56 59
NAPROXEN 80

prescriptions, 0% of all prescriptions

33

prescriptions.

36

patients, 5% of all patients

56 48
LEVETIRACETAM 79

prescriptions, 0% of all prescriptions

53

prescriptions.

11

patients, 2% of all patients

58 121
TRAZODONE HCL 77

prescriptions, 0% of all prescriptions

14

prescriptions.

15

patients, 2% of all patients

59 75
GEMFIBROZIL 75

prescriptions, 0% of all prescriptions

17

prescriptions.

16

patients, 2% of all patients

60 61
IBANDRONATE SODIUM 75

prescriptions, 0% of all prescriptions

48

prescriptions.

15

patients, 2% of all patients

60 85
PREDNISONE 75

prescriptions, 0% of all prescriptions

39

prescriptions.

31

patients, 5% of all patients

60 53
ETODOLAC 69

prescriptions, 0% of all prescriptions

28

prescriptions.

22

patients, 3% of all patients

63 111
CLONIDINE HCL 66

prescriptions, 0% of all prescriptions

61

prescriptions.

<11 64 87
VENLAFAXINE HCL ER 64

prescriptions, 0% of all prescriptions

22

prescriptions.

<11 65 201
NABUMETONE 63

prescriptions, 0% of all prescriptions

26

prescriptions.

34

patients, 5% of all patients

66 31
VERAPAMIL ER 60

prescriptions, 0% of all prescriptions

40

prescriptions.

<11 67 57
DICYCLOMINE HCL 59

prescriptions, 0% of all prescriptions

25

prescriptions.

39

patients, 6% of all patients

68 78
SPIRONOLACTONE 58

prescriptions, 0% of all prescriptions

36

prescriptions.

11

patients, 2% of all patients

69 99
FLUOXETINE HCL 58

prescriptions, 0% of all prescriptions

25

prescriptions.

<11 69 69
HUMALOG 56

prescriptions, 0% of all prescriptions

28

prescriptions.

12

patients, 2% of all patients

71 88
AMITRIPTYLINE HCL 56

prescriptions, 0% of all prescriptions

<11 <11 71 145
VENTOLIN HFA 55

prescriptions, 0% of all prescriptions

20

prescriptions.

24

patients, 4% of all patients

73 108
LYRICA 54

prescriptions, 0% of all prescriptions

27

prescriptions.

<11 74 119
CIPROFLOXACIN HCL 53

prescriptions, 0% of all prescriptions

33

prescriptions.

50

patients, 8% of all patients

A 75 46
BUTALBITAL-ACETAMINOPHEN-CAFFE 52

prescriptions, 0% of all prescriptions

16

prescriptions.

15

patients, 2% of all patients

76 92
CLOTRIMAZOLE-BETAMETHASONE 52

prescriptions, 0% of all prescriptions

22

prescriptions.

22

patients, 3% of all patients

76 37
SUCRALFATE 51

prescriptions, 0% of all prescriptions

39

prescriptions.

13

patients, 2% of all patients

78 137
FLURBIPROFEN 51

prescriptions, 0% of all prescriptions

28

prescriptions.

34

patients, 5% of all patients

78 211
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 »

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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 9, 2008.
  • 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.