Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

NIXZALIZ RODRIGUEZ RIVERA M. D.

At A Glance: This Prescriber in 2016

Endocrinology, Diabetes & Metabolism

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

12,950Medicare Part D Prescriptions Filled, Including Refills

Rank: 21 out of 64 providers in this state and specialty

$1.71M Total Retail Price of All Prescriptions

Rank: 13 out of 64 providers in this state and specialty

1,006 Patients Receiving at Least One Drug in Part D
70% 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

0% of this provider’s 701 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

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

0% of this provider’s 1,006 patients filled at least one prescription for an opioid, compared to an average of 1%.

More resources »

Brand Name Drugs

53% of this provider’s prescriptions were for brand-name drugs, compared to an average of 41%.

Prescription Price

$132 was the average price of a prescription from this provider, compared to $92 among peers.

Prescriptions per Patient

13 is the average number of prescriptions (including refills) per patient, compared to an average of 14.


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

$738K

2014

$1.52M

2015

$1.71M

2016

Number of Claims

5,832

2014

10,582

2015

12,950

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
SYNTHROID 2,336

prescriptions, 18% of all prescriptions

1,505

prescriptions.

378

patients, 38% of all patients

1 1
METFORMIN HCL ER 782

prescriptions, 6% of all prescriptions

511

prescriptions.

173

patients, 17% of all patients

2 15
LANTUS 669

prescriptions, 5% of all prescriptions

435

prescriptions.

163

patients, 16% of all patients

3 9
SIMVASTATIN 607

prescriptions, 5% of all prescriptions

423

prescriptions.

133

patients, 13% of all patients

4 4
LEVOTHYROXINE SODIUM 528

prescriptions, 4% of all prescriptions

403

prescriptions.

128

patients, 13% of all patients

5 2
METFORMIN HCL 509

prescriptions, 4% of all prescriptions

282

prescriptions.

116

patients, 12% of all patients

6 3
GLIMEPIRIDE 501

prescriptions, 4% of all prescriptions

353

prescriptions.

100

patients, 10% of all patients

7 6
HUMALOG 462

prescriptions, 4% of all prescriptions

266

prescriptions.

108

patients, 11% of all patients

8 14
LOSARTAN POTASSIUM 369

prescriptions, 3% of all prescriptions

245

prescriptions.

82

patients, 8% of all patients

9 7
LEVOXYL 326

prescriptions, 3% of all prescriptions

192

prescriptions.

62

patients, 6% of all patients

10 13
JANUMET XR 299

prescriptions, 2% of all prescriptions

227

prescriptions.

66

patients, 7% of all patients

10 11 41
ALENDRONATE SODIUM 285

prescriptions, 2% of all prescriptions

224

prescriptions.

63

patients, 6% of all patients

12 17
LOSARTAN-HYDROCHLOROTHIAZIDE 274

prescriptions, 2% of all prescriptions

207

prescriptions.

57

patients, 6% of all patients

13 10
LANTUS SOLOSTAR 217

prescriptions, 2% of all prescriptions

157

prescriptions.

41

patients, 4% of all patients

14 40
GLIPIZIDE 208

prescriptions, 2% of all prescriptions

155

prescriptions.

40

patients, 4% of all patients

15 25
KOMBIGLYZE XR 205

prescriptions, 2% of all prescriptions

165

prescriptions.

41

patients, 4% of all patients

10 16 37
JANUMET 198

prescriptions, 2% of all prescriptions

144

prescriptions.

46

patients, 5% of all patients

17 16
HYDROCHLOROTHIAZIDE 194

prescriptions, 1% of all prescriptions

156

prescriptions.

44

patients, 4% of all patients

18 34
JANUVIA 185

prescriptions, 1% of all prescriptions

129

prescriptions.

41

patients, 4% of all patients

19 27
ATORVASTATIN CALCIUM 182

prescriptions, 1% of all prescriptions

112

prescriptions.

38

patients, 4% of all patients

20 5
BD ULTRA-FINE PEN NEEDLE 172

prescriptions, 1% of all prescriptions

128

prescriptions.

43

patients, 4% of all patients

21 56
INSULIN SYRINGE* 149

prescriptions, 1% of all prescriptions

102

prescriptions.

47

patients, 5% of all patients

22 51
ONGLYZA 142

prescriptions, 1% of all prescriptions

112

prescriptions.

32

patients, 3% of all patients

23 42
TRADJENTA 141

prescriptions, 1% of all prescriptions

114

prescriptions.

29

patients, 3% of all patients

24 46
HUMALOG KWIKPEN U-100 127

prescriptions, 1% of all prescriptions

96

prescriptions.

26

patients, 3% of all patients

25 54
GABAPENTIN 127

prescriptions, 1% of all prescriptions

87

prescriptions.

30

patients, 3% of all patients

25 8
FENOFIBRATE* 123

prescriptions, 1% of all prescriptions

51

prescriptions.

28

patients, 3% of all patients

27 44
AMLODIPINE BESYLATE 116

prescriptions, 1% of all prescriptions

93

prescriptions.

26

patients, 3% of all patients

28 11
LEVEMIR 109

prescriptions, 1% of all prescriptions

68

prescriptions.

28

patients, 3% of all patients

29 69
GLUCOPHAGE XR 96

prescriptions, 1% of all prescriptions

80

prescriptions.

17

patients, 2% of all patients

10 30 125
GLIPIZIDE ER 95

prescriptions, 1% of all prescriptions

95

prescriptions.

18

patients, 2% of all patients

31 29
SURE COMFORT* 85

prescriptions, 1% of all prescriptions

65

prescriptions.

22

patients, 2% of all patients

32 68
HUMALOG MIX 50-50 82

prescriptions, 1% of all prescriptions

53

prescriptions.

19

patients, 2% of all patients

10 33 52
HUMALOG MIX 75-25 79

prescriptions, 1% of all prescriptions

66

prescriptions.

18

patients, 2% of all patients

34 24
FENOFIBRATE* 75

prescriptions, 1% of all prescriptions

36

prescriptions.

18

patients, 2% of all patients

35 28
INSULIN SYRINGE* 71

prescriptions, 1% of all prescriptions

51

prescriptions.

17

patients, 2% of all patients

36 49
RISEDRONATE SODIUM 67

prescriptions, 1% of all prescriptions

39

prescriptions.

17

patients, 2% of all patients

37 88
JENTADUETO 67

prescriptions, 1% of all prescriptions

62

prescriptions.

16

patients, 2% of all patients

37 60
PIOGLITAZONE HCL 66

prescriptions, 1% of all prescriptions

45

prescriptions.

12

patients, 1% of all patients

39 38
OMEGA-3 ACID ETHYL ESTERS 60

prescriptions, 0% of all prescriptions

23

prescriptions.

20

patients, 2% of all patients

40 61
HUMULIN 70-30 58

prescriptions, 0% of all prescriptions

53

prescriptions.

13

patients, 1% of all patients

41 18
GLIPIZIDE XL 57

prescriptions, 0% of all prescriptions

41

prescriptions.

13

patients, 1% of all patients

42 36
SURE COMFORT* 57

prescriptions, 0% of all prescriptions

31

prescriptions.

15

patients, 1% of all patients

42 79
METHIMAZOLE 56

prescriptions, 0% of all prescriptions

51

prescriptions.

<11 44 57
ENALAPRIL MALEATE 52

prescriptions, 0% of all prescriptions

34

prescriptions.

14

patients, 1% of all patients

45 12
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?

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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 Oct. 9, 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.