Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

JOSE FERNANDEZ M.D.

CALLE AUTONOMIA ESQUINA PEPITA ALBANDOZ EDIFICIO CENTRO DE USOS MULTIPLES

Canovanas | Puerto Rico | 00729

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At A Glance: This Prescriber in 2016

General Practice

Self-Reported Primary Specialty

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19,546Medicare Part D Prescriptions Filled, Including Refills

Rank: 30 out of 1525 providers in this state and specialty

$532K Total Retail Price of All Prescriptions

Rank: 94 out of 1525 providers in this state and specialty

716 Patients Receiving at Least One Drug in Part D
84% Patients 65 Years and Older

3% 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

7% of this provider’s 601 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

36% of this provider’s 716 patients filled at least one prescription for an antibiotic drug, compared to an average of 36%.

More resources »

Opioids

6% of this provider’s 716 patients filled at least one prescription for an opioid, compared to an average of 12%.

More resources »

Brand Name Drugs

11% of this provider’s prescriptions were for brand-name drugs, compared to an average of 14%.

Prescription Price

$27 was the average price of a prescription from this provider, compared to $38 among peers.

Prescriptions per Patient

27 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

$537K

2014

$566K

2015

$532K

2016

Number of Claims

19,641

2014

20,007

2015

19,546

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
PRAVASTATIN SODIUM 993

prescriptions, 5% of all prescriptions

841

prescriptions.

196

patients, 27% of all patients

1 40
METFORMIN HCL 872

prescriptions, 4% of all prescriptions

727

prescriptions.

167

patients, 23% of all patients

2 3
ATORVASTATIN CALCIUM 866

prescriptions, 4% of all prescriptions

712

prescriptions.

206

patients, 29% of all patients

3 6
GABAPENTIN 709

prescriptions, 4% of all prescriptions

580

prescriptions.

125

patients, 17% of all patients

4 2
LEVOTHYROXINE SODIUM 672

prescriptions, 3% of all prescriptions

583

prescriptions.

113

patients, 16% of all patients

5 8
RANITIDINE HCL 555

prescriptions, 3% of all prescriptions

490

prescriptions.

120

patients, 17% of all patients

6 4
OMEPRAZOLE 538

prescriptions, 3% of all prescriptions

441

prescriptions.

103

patients, 14% of all patients

7 5
AMLODIPINE BESYLATE 506

prescriptions, 3% of all prescriptions

469

prescriptions.

96

patients, 13% of all patients

8 10
ENALAPRIL MALEATE 495

prescriptions, 3% of all prescriptions

410

prescriptions.

98

patients, 14% of all patients

9 9
FUROSEMIDE 454

prescriptions, 2% of all prescriptions

416

prescriptions.

93

patients, 13% of all patients

10 21
LOSARTAN POTASSIUM 450

prescriptions, 2% of all prescriptions

431

prescriptions.

95

patients, 13% of all patients

11 7
CLONAZEPAM 414

prescriptions, 2% of all prescriptions

349

prescriptions.

80

patients, 11% of all patients

12 16
CAPTOPRIL 390

prescriptions, 2% of all prescriptions

328

prescriptions.

81

patients, 11% of all patients

13 107
CLOPIDOGREL 388

prescriptions, 2% of all prescriptions

352

prescriptions.

70

patients, 10% of all patients

14 20
SIMVASTATIN 362

prescriptions, 2% of all prescriptions

316

prescriptions.

103

patients, 14% of all patients

15 1
HYDROCHLOROTHIAZIDE 323

prescriptions, 2% of all prescriptions

272

prescriptions.

56

patients, 8% of all patients

16 18
LOSARTAN-HYDROCHLOROTHIAZIDE 288

prescriptions, 1% of all prescriptions

275

prescriptions.

54

patients, 8% of all patients

17 12
NAPROXEN 276

prescriptions, 1% of all prescriptions

243

prescriptions.

87

patients, 12% of all patients

18 48
ALENDRONATE SODIUM 250

prescriptions, 1% of all prescriptions

245

prescriptions.

55

patients, 8% of all patients

19 14
SERTRALINE HCL 238

prescriptions, 1% of all prescriptions

222

prescriptions.

49

patients, 7% of all patients

20 38
DICLOFENAC POTASSIUM 237

prescriptions, 1% of all prescriptions

172

prescriptions.

62

patients, 9% of all patients

21 22
DONEPEZIL HCL 236

prescriptions, 1% of all prescriptions

236

prescriptions.

43

patients, 6% of all patients

22 35
LISINOPRIL 235

prescriptions, 1% of all prescriptions

209

prescriptions.

40

patients, 6% of all patients

23 13
GLIPIZIDE 227

prescriptions, 1% of all prescriptions

185

prescriptions.

46

patients, 6% of all patients

24 15
METOPROLOL TARTRATE 219

prescriptions, 1% of all prescriptions

172

prescriptions.

46

patients, 6% of all patients

25 26
FINASTERIDE 206

prescriptions, 1% of all prescriptions

201

prescriptions.

37

patients, 5% of all patients

26 60
ISOSORBIDE MONONITRATE ER 202

prescriptions, 1% of all prescriptions

197

prescriptions.

36

patients, 5% of all patients

27 41
FAMOTIDINE* 188

prescriptions, 1% of all prescriptions

177

prescriptions.

33

patients, 5% of all patients

28 39
TIZANIDINE HCL 179

prescriptions, 1% of all prescriptions

114

prescriptions.

66

patients, 9% of all patients

29 62
GLIMEPIRIDE 179

prescriptions, 1% of all prescriptions

174

prescriptions.

39

patients, 5% of all patients

29 19
ATENOLOL 179

prescriptions, 1% of all prescriptions

174

prescriptions.

33

patients, 5% of all patients

29 17
HUMULIN 70-30 176

prescriptions, 1% of all prescriptions

159

prescriptions.

28

patients, 4% of all patients

32 45
DOXAZOSIN MESYLATE 171

prescriptions, 1% of all prescriptions

149

prescriptions.

32

patients, 4% of all patients

33 43
MECLIZINE HCL 164

prescriptions, 1% of all prescriptions

153

prescriptions.

39

patients, 5% of all patients

34 49
MEMANTINE HCL 161

prescriptions, 1% of all prescriptions

161

prescriptions.

33

patients, 5% of all patients

35 71
AMOXICILLIN-CLAVULANATE POTASS 160

prescriptions, 1% of all prescriptions

146

prescriptions.

122

patients, 17% of all patients

A 36 81
CARVEDILOL 147

prescriptions, 1% of all prescriptions

124

prescriptions.

32

patients, 4% of all patients

37 33
PENTOXIFYLLINE 147

prescriptions, 1% of all prescriptions

142

prescriptions.

32

patients, 4% of all patients

37 42
TEMAZEPAM 140

prescriptions, 1% of all prescriptions

109

prescriptions.

25

patients, 3% of all patients

39 28
PANTOPRAZOLE SODIUM 136

prescriptions, 1% of all prescriptions

93

prescriptions.

29

patients, 4% of all patients

40 25
MONTELUKAST SODIUM 134

prescriptions, 1% of all prescriptions

103

prescriptions.

30

patients, 4% of all patients

41 24
ALPRAZOLAM 133

prescriptions, 1% of all prescriptions

128

prescriptions.

24

patients, 3% of all patients

42 30
LORAZEPAM 131

prescriptions, 1% of all prescriptions

94

prescriptions.

24

patients, 3% of all patients

43 51
GLIPIZIDE XL 127

prescriptions, 1% of all prescriptions

100

prescriptions.

37

patients, 5% of all patients

44 128
HUMULIN N 127

prescriptions, 1% of all prescriptions

114

prescriptions.

21

patients, 3% of all patients

44 54
GLIPIZIDE ER 126

prescriptions, 1% of all prescriptions

82

prescriptions.

35

patients, 5% of all patients

46 94
CLOTRIMAZOLE-BETAMETHASONE 125

prescriptions, 1% of all prescriptions

95

prescriptions.

61

patients, 9% of all patients

47 37
QUETIAPINE FUMARATE 121

prescriptions, 1% of all prescriptions

116

prescriptions.

24

patients, 3% of all patients

P 48 57
METOPROLOL SUCCINATE 116

prescriptions, 1% of all prescriptions

91

prescriptions.

29

patients, 4% of all patients

49 32
TRAMADOL HCL 111

prescriptions, 1% of all prescriptions

57

prescriptions.

37

patients, 5% of all patients

O 50 23
CIPROFLOXACIN HCL 109

prescriptions, 1% of all prescriptions

86

prescriptions.

90

patients, 13% of all patients

A 51 46
TAMSULOSIN HCL 107

prescriptions, 1% of all prescriptions

102

prescriptions.

22

patients, 3% of all patients

52 27
AZITHROMYCIN 95

prescriptions, 0% of all prescriptions

78

prescriptions.

83

patients, 12% of all patients

A 53 34
HYDRALAZINE HCL 94

prescriptions, 0% of all prescriptions

89

prescriptions.

15

patients, 2% of all patients

54 106
IRBESARTAN 94

prescriptions, 0% of all prescriptions

75

prescriptions.

21

patients, 3% of all patients

54 36
RISPERIDONE 86

prescriptions, 0% of all prescriptions

63

prescriptions.

19

patients, 3% of all patients

P 56 76
CARBIDOPA-LEVODOPA 84

prescriptions, 0% of all prescriptions

79

prescriptions.

15

patients, 2% of all patients

57 167
SYNTHROID 82

prescriptions, 0% of all prescriptions

69

prescriptions.

21

patients, 3% of all patients

58 11
LANTUS 80

prescriptions, 0% of all prescriptions

75

prescriptions.

15

patients, 2% of all patients

59 29
LEVETIRACETAM 68

prescriptions, 0% of all prescriptions

39

prescriptions.

14

patients, 2% of all patients

60 121
WARFARIN SODIUM 67

prescriptions, 0% of all prescriptions

67

prescriptions.

<11 61 79
NABUMETONE 67

prescriptions, 0% of all prescriptions

62

prescriptions.

14

patients, 2% of all patients

61 31
SPIRONOLACTONE 66

prescriptions, 0% of all prescriptions

49

prescriptions.

15

patients, 2% of all patients

63 99
GALANTAMINE ER 64

prescriptions, 0% of all prescriptions

64

prescriptions.

<11 64 208
CLOTRIMAZOLE 62

prescriptions, 0% of all prescriptions

57

prescriptions.

34

patients, 5% of all patients

65 168
FLUOXETINE HCL 62

prescriptions, 0% of all prescriptions

44

prescriptions.

11

patients, 2% of all patients

65 69
SILVER SULFADIAZINE 62

prescriptions, 0% of all prescriptions

57

prescriptions.

36

patients, 5% of all patients

65 113
DIVALPROEX SODIUM 60

prescriptions, 0% of all prescriptions

30

prescriptions.

<11 68 122
INSULIN SYRINGE* 58

prescriptions, 0% of all prescriptions

53

prescriptions.

14

patients, 2% of all patients

69 77
AMLODIPINE BESYLATE-BENAZEPRIL 58

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 69 66
VERAPAMIL ER 57

prescriptions, 0% of all prescriptions

46

prescriptions.

13

patients, 2% of all patients

71 57
EASY COMFORT INSULIN SYRINGE* 55

prescriptions, 0% of all prescriptions

50

prescriptions.

18

patients, 3% of all patients

72 359
CLONIDINE HCL 54

prescriptions, 0% of all prescriptions

36

prescriptions.

11

patients, 2% of all patients

73 87
LATANOPROST 52

prescriptions, 0% of all prescriptions

52

prescriptions.

11

patients, 2% of all patients

74 73
LANSOPRAZOLE 51

prescriptions, 0% of all prescriptions

33

prescriptions.

<11 75 74
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?

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 Nov. 3, 2015.
  • 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.