Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

MICHAEL BABILONIA ROMAN M.D.

AVE. LOS CORAZONES, EDIFICIO MEDICO PROFESIONAL #1065 SUITE 212

Mayaguez | Puerto Rico | 00680

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At A Glance: This Prescriber in 2015

Rheumatology

Self-Reported Primary Specialty

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20,548Medicare Part D Prescriptions Filled, Including Refills

Rank: 3 out of 60

$4.29M Total Retail Price of All Prescriptions

Rank: 1 out of 60

1,443 Patients Receiving at Least One Drug in Part D
51% 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

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.

More resources »

Antibiotics

9% of this provider’s 1,443 patients filled at least one prescription for an antibiotic drug, compared to an average of 5%.

More resources »

Risky Drugs for Seniors

3% of this provider’s 742 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 5%.

More resources »

Opioids

6% of this provider’s 1,443 patients filled at least one prescription for an opioid, compared to an average of 20%.

More resources »

Brand Name Drugs

16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$209 was the average price of a prescription from this provider, compared to $193 among peers.

Prescriptions per Patient

14 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

$1.77M

2012

$2.47M

2013

$3.5M

2014

$4.29M

2015

Number of Claims

14,026

2012

15,954

2013

18,715

2014

20,548

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
METHOTREXATE

Treats several kinds of can... +

Treats several kinds of cancer, including cancer of the blood, bone, lung, breast, head, or neck. Source: National Library of Medicine

1,898

prescriptions, 9% of all prescriptions

494

prescriptions.

282

patients, 20% of all patients

10 1 2
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

1,432

prescriptions, 7% of all prescriptions

524

prescriptions.

317

patients, 22% of all patients

2 11
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

1,415

prescriptions, 7% of all prescriptions

905

prescriptions.

273

patients, 19% of all patients

3 4
GABAPENTIN

Treats certain types of sei... +

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

1,342

prescriptions, 7% of all prescriptions

449

prescriptions.

292

patients, 20% of all patients

4 1
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Source: National Library of Medicine

1,182

prescriptions, 6% of all prescriptions

400

prescriptions.

209

patients, 14% of all patients

5 3
NABUMETONE

Treats pain caused by arthr... +

Treats pain caused by arthritis. Source: National Library of Medicine

974

prescriptions, 5% of all prescriptions

376

prescriptions.

243

patients, 17% of all patients

10 6 6
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine

934

prescriptions, 5% of all prescriptions

434

prescriptions.

196

patients, 14% of all patients

7 9
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

681

prescriptions, 3% of all prescriptions

192

prescriptions.

157

patients, 11% of all patients

8 7
METHYLPREDNISOLONE

Treats asthma, allergic rea... +

Treats asthma, allergic reactions, inflammation, flare-ups of ongoing illnesses, and many other medical problems. Source: National Library of Medicine

649

prescriptions, 3% of all prescriptions

122

prescriptions.

109

patients, 8% of all patients

9 19
ETODOLAC

Treats pain caused by arthr... +

Treats pain caused by arthritis and other medical problems. Source: National Library of Medicine

576

prescriptions, 3% of all prescriptions

276

prescriptions.

152

patients, 11% of all patients

10 10 29
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

557

prescriptions, 3% of all prescriptions

255

prescriptions.

117

patients, 8% of all patients

11 12
SIMVASTATIN

Treats high cholesterol and... +

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

511

prescriptions, 2% of all prescriptions

191

prescriptions.

111

patients, 8% of all patients

12 20
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

489

prescriptions, 2% of all prescriptions

234

prescriptions.

106

patients, 7% of all patients

13 8
ENBREL

Treats rheumatoid arthritis... +

Treats rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and plaque psoriasis in adults. Source: National Library of Medicine

460

prescriptions, 2% of all prescriptions

113

prescriptions.

54

patients, 4% of all patients

10 14 18
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

447

prescriptions, 2% of all prescriptions

146

prescriptions.

102

patients, 7% of all patients

15 27
HYDROXYCHLOROQUINE SULFATE

Hydroxychloroquine is in a ... +

Hydroxychloroquine is in a class of drugs called antimalarials. Source: National Library of Medicine

434

prescriptions, 2% of all prescriptions

78

prescriptions.

76

patients, 5% of all patients

16 5
LEFLUNOMIDE

Treats rheumatoid arthritis... +

Treats rheumatoid arthritis in adults. Source: National Library of Medicine

403

prescriptions, 2% of all prescriptions

138

prescriptions.

93

patients, 6% of all patients

17 21
SULINDAC

Treats pain caused by arthr... +

Treats pain caused by arthritis, gout, or sore tendons. Source: National Library of Medicine

402

prescriptions, 2% of all prescriptions

121

prescriptions.

81

patients, 6% of all patients

10 18 14
HUMIRA 335

prescriptions, 2% of all prescriptions

72

prescriptions.

43

patients, 3% of all patients

10 19 30
IBANDRONATE SODIUM

Used to prevent and treat o... +

Used to prevent and treat osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause. Source: National Library of Medicine

332

prescriptions, 2% of all prescriptions

254

prescriptions.

62

patients, 4% of all patients

20 15
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

241

prescriptions, 1% of all prescriptions

5

prescriptions.

51

patients, 4% of all patients

R 21 48
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

233

prescriptions, 1% of all prescriptions

90

prescriptions.

36

patients, 2% of all patients

22 39
LANSOPRAZOLE

Treats stomach ulcers, gast... +

Treats stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

232

prescriptions, 1% of all prescriptions

76

prescriptions.

45

patients, 3% of all patients

23 47
RALOXIFENE HCL

Raloxifene is used to preve... +

Raloxifene is used to prevent and treat osteoporosis (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). Source: National Library of Medicine

220

prescriptions, 1% of all prescriptions

99

prescriptions.

44

patients, 3% of all patients

24 32
PIROXICAM 197

prescriptions, 1% of all prescriptions

118

prescriptions.

39

patients, 3% of all patients

25 65
CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

174

prescriptions, 1% of all prescriptions

70

prescriptions.

40

patients, 3% of all patients

26 34
SUCRALFATE

Treats ulcers and other sto... +

Treats ulcers and other stomach problems. Source: National Library of Medicine

148

prescriptions, 1% of all prescriptions

18

prescriptions.

29

patients, 2% of all patients

27 75
HUMIRA PEN

Treats the symptoms and pre... +

Treats the symptoms and prevent the progression of active rheumatoid arthritis and ankylosing spondylitis. Source: National Library of Medicine

144

prescriptions, 1% of all prescriptions

44

prescriptions.

16

patients, 1% of all patients

28 25
DICLOFENAC SODIUM ER 142

prescriptions, 1% of all prescriptions

30

prescriptions.

26

patients, 2% of all patients

29 54
ALLOPURINOL

Treats gout and some kinds ... +

Treats gout and some kinds of kidney stones. Source: National Library of Medicine

138

prescriptions, 1% of all prescriptions

41

prescriptions.

29

patients, 2% of all patients

30 26
CHLORZOXAZONE 128

prescriptions, 1% of all prescriptions

5

prescriptions.

29

patients, 2% of all patients

R 10 31 78
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

121

prescriptions, 1% of all prescriptions

57

prescriptions.

30

patients, 2% of all patients

32 103
TRAMADOL HCL-ACETAMINOPHEN

Treats short-term, medium t... +

Treats short-term, medium to medium-severe pain. Source: National Library of Medicine

115

prescriptions, 1% of all prescriptions

72

prescriptions.

54

patients, 4% of all patients

O 33 17
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

110

prescriptions, 1% of all prescriptions

47

prescriptions.

28

patients, 2% of all patients

34 40
SULFASALAZINE DR 106

prescriptions, 1% of all prescriptions

42

prescriptions.

39

patients, 3% of all patients

35 35
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

95

prescriptions, 0% of all prescriptions

48

prescriptions.

25

patients, 2% of all patients

36 22
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

92

prescriptions, 0% of all prescriptions

35

prescriptions.

28

patients, 2% of all patients

37 42
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

86

prescriptions, 0% of all prescriptions

29

prescriptions.

25

patients, 2% of all patients

38 33
SULFASALAZINE

Treats ulcerative colitis. ... +

Treats ulcerative colitis. Source: National Library of Medicine

80

prescriptions, 0% of all prescriptions

24

prescriptions.

21

patients, 1% of all patients

39 41
PENTOXIFYLLINE

Treats problems from poor b... +

Treats problems from poor blood circulation by improving the flow of blood through blood vessels. Source: National Library of Medicine

77

prescriptions, 0% of all prescriptions

53

prescriptions.

19

patients, 1% of all patients

40 109
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

74

prescriptions, 0% of all prescriptions

16

prescriptions.

15

patients, 1% of all patients

41 80
XELJANZ 67

prescriptions, 0% of all prescriptions

27

prescriptions.

<11 42 114
TRAMADOL HCL

Tramadol is used to relieve... +

Tramadol is used to relieve moderate to moderately severe pain. Source: National Library of Medicine

66

prescriptions, 0% of all prescriptions

40

prescriptions.

38

patients, 3% of all patients

O 43 10
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

64

prescriptions, 0% of all prescriptions

33

prescriptions.

12

patients, 1% of all patients

44 43
ORENCIA* 63

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 45 61
NAPROXEN SODIUM

Naproxen is a nonsteroidal ... +

Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve symptoms of arthritis (osteoarthritis, rheumatoid arthritis, or juvenile arthritis) such as inflammation, swelling, stiffness, and joint pain. Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

19

prescriptions.

17

patients, 1% of all patients

46 56
METHOTREXATE SODIUM 62

prescriptions, 0% of all prescriptions

16

prescriptions.

<11 46 66
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

60

prescriptions, 0% of all prescriptions

5

prescriptions.

15

patients, 1% of all patients

R 48 37
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

20

prescriptions.

<11 49 13
METHOCARBAMOL

Treats muscle pain and spas... +

Treats muscle pain and spasms. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

5

prescriptions.

19

patients, 1% of all patients

R 50 126
VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

18

prescriptions.

15

patients, 1% of all patients

51 44
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

Treating infections caused by certain bacteria. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

24

prescriptions.

49

patients, 3% of all patients

A 52 128
DULOXETINE HCL

Duloxetine is used to treat... +

Duloxetine is used to treat depression and generalized anxiety disorder (GAD; excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

14

prescriptions.

<11 52 16
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

53

prescriptions, 0% of all prescriptions

33

prescriptions.

51

patients, 4% of all patients

A 52 128
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 May 5, 2011.
  • 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.