RAMYA RAMESH MALCHIRA MD.
Prescription History 1275810921
Internal Medicine - Nephrology in Santa Clarita, CA
What does Dr. Malchira prescribe?
In 2024, Dr. Malchira wrote 3,008 Medicare prescriptions for 81 medications. The most prescribed was Calcitriol, with 199 prescriptions for 58 patients.
Medicare Part D only. These are prescriptions filled by people with Medicare drug coverage in 2024, from the CMS data released in 2026, the most recent year available. CMS does not publish medications with fewer than 11 prescriptions, so this is not a full list of what Dr. Malchira prescribes.
Medications 81 medications
Prescriptions filled under Medicare Part D in 2024. Select a medication to see what it is used for and how it compares with other California prescribers.
What it is used for
Calcitriol is a man-made active form of vitamin D.
Compared with California prescribers
Dr. Malchira wrote 199 prescriptions for Calcitriol, about 4 times as often as the typical California prescriber of it (50). Medicare paid $20.16 per fill, versus $19.76 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Atorvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with California prescribers
Dr. Malchira wrote 184 prescriptions for Atorvastatin Calcium, about as often as the typical California prescriber of it (202). Medicare paid $11.08 per fill, versus $10.47 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Amlodipine is used with or without other medications to treat high blood pressure.
Compared with California prescribers
Dr. Malchira wrote 164 prescriptions for Amlodipine Besylate, about 1.2 times as often as the typical California prescriber of it (141). Medicare paid $7.93 per fill, versus $7.08 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Levothyroxine is used to treat an underactive thyroid (hypothyroidism).
Compared with California prescribers
Dr. Malchira wrote 163 prescriptions for Levothyroxine Sodium, about 1.3 times as often as the typical California prescriber of it (125). Medicare paid $11.51 per fill, versus $13.30 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes.
Compared with California prescribers
Dr. Malchira wrote 125 prescriptions for Losartan Potassium, about as often as the typical California prescriber of it (121). Medicare paid $10.43 per fill, versus $10.35 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Rosuvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with California prescribers
Dr. Malchira wrote 111 prescriptions for Rosuvastatin Calcium, about as often as the typical California prescriber of it (101). Medicare paid $16.92 per fill, versus $15.64 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease.
Compared with California prescribers
Dr. Malchira wrote 84 prescriptions for Furosemide, about 1.3 times as often as the typical California prescriber of it (64). Medicare paid $7.23 per fill, versus $6.39 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Lisinopril is used to treat high blood pressure.
Compared with California prescribers
Dr. Malchira wrote 73 prescriptions for Lisinopril, about 75% as often as the typical California prescriber of it (98). Medicare paid $6.14 per fill, versus $8.30 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults.
Compared with California prescribers
Dr. Malchira wrote 69 prescriptions for Zolpidem Tartrate, about 1.5 times as often as the typical California prescriber of it (45). Medicare paid $5.23 per fill, versus $6.02 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers).
Compared with California prescribers
Dr. Malchira wrote 63 prescriptions for Omeprazole, about 81% as often as the typical California prescriber of it (78). Medicare paid $12.04 per fill, versus $11.26 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Alprazolam is used to treat anxiety and panic disorders.
Compared with California prescribers
Dr. Malchira wrote 58 prescriptions for Alprazolam, about 1.2 times as often as the typical California prescriber of it (50). Medicare paid $3.09 per fill, versus $5.37 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Hydralazine is used with or without other medications to treat high blood pressure.
Compared with California prescribers
Dr. Malchira wrote 58 prescriptions for Hydralazine Hcl, about 1.3 times as often as the typical California prescriber of it (43). Medicare paid $13.39 per fill, versus $14.35 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Gabapentin is used with other medications to prevent and control seizures.
Compared with California prescribers
Dr. Malchira wrote 53 prescriptions for Gabapentin, about 66% as often as the typical California prescriber of it (80). Medicare paid $24.19 per fill, versus $15.63 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Pravastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with California prescribers
Dr. Malchira wrote 53 prescriptions for Pravastatin Sodium, about 1.4 times as often as the typical California prescriber of it (38). Medicare paid $15.29 per fill, versus $13.25 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Nifedipine is used alone or in combination with other drugs to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Malchira wrote 49 prescriptions for Nifedipine Er, about 1.5 times as often as the typical California prescriber of it (32). Medicare paid $43.36 per fill, versus $28.64 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, anxiety).
Compared with California prescribers
Dr. Malchira wrote 46 prescriptions for Escitalopram Oxalate, about as often as the typical California prescriber of it (48). Medicare paid $15.71 per fill, versus $11.14 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure.
Compared with California prescribers
Dr. Malchira wrote 46 prescriptions for Metoprolol Succinate, about half as often as the typical California prescriber of it (86). Medicare paid $16.40 per fill, versus $14.23 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with California prescribers
Dr. Malchira wrote 43 prescriptions for Trazodone Hcl, about 76% as often as the typical California prescriber of it (57). Medicare paid $12.96 per fill, versus $9.93 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a wide variety of bacterial infections.
Compared with California prescribers
Dr. Malchira wrote 42 prescriptions for Cephalexin, about 1.4 times as often as the typical California prescriber of it (30). Medicare paid $2.48 per fill, versus $7.62 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Sevelamer is used to lower high blood phosphorus (phosphate) levels in patients who are on dialysis due to severe kidney disease.
Compared with California prescribers
Dr. Malchira wrote 40 prescriptions for Sevelamer Carbonate, about 81% as often as the typical California prescriber of it (49). Medicare paid $324.60 per fill, versus $246.42 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed.
Compared with California prescribers
Dr. Malchira wrote 39 prescriptions for Famotidine, about 72% as often as the typical California prescriber of it (54). Medicare paid $21.09 per fill, versus $12.66 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Fluticasone is used to relieve seasonal and year-round allergic and non-allergic nasal symptoms, such as stuffy/runny nose, itching, and sneezing.
Compared with California prescribers
Dr. Malchira wrote 38 prescriptions for Fluticasone Propionate, about 76% as often as the typical California prescriber of it (50). Medicare paid $29.42 per fill, versus $15.10 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Empagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with California prescribers
Dr. Malchira wrote 37 prescriptions for Jardiance, about 64% as often as the typical California prescriber of it (58). Medicare paid $1,167.16 per fill, versus $933.82 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Valsartan is used to treat high blood pressure and heart failure.
Compared with California prescribers
Dr. Malchira wrote 37 prescriptions for Valsartan, about as often as the typical California prescriber of it (39). Medicare paid $69.47 per fill, versus $28.57 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with California prescribers
Dr. Malchira wrote 36 prescriptions for Metformin Hcl, about 36% as often as the typical California prescriber of it (100). Medicare paid $9.36 per fill, versus $9.26 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH).
Compared with California prescribers
Dr. Malchira wrote 36 prescriptions for Tamsulosin Hcl, about half as often as the typical California prescriber of it (84). Medicare paid $13.15 per fill, versus $15.02 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat anxiety.
Compared with California prescribers
Dr. Malchira wrote 35 prescriptions for Lorazepam, about 81% as often as the typical California prescriber of it (43). Medicare paid $5.08 per fill, versus $6.52 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Fluconazole is used to treat vaginal yeast infections.
Compared with California prescribers
Dr. Malchira wrote 34 prescriptions for Fluconazole, about 1.6 times as often as the typical California prescriber of it (21). Medicare paid $37.62 per fill, versus $17.16 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat high blood pressure.
Compared with California prescribers
Dr. Malchira wrote 32 prescriptions for Hydrochlorothiazide, about half as often as the typical California prescriber of it (62). Medicare paid $2.82 per fill, versus $5.71 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder).
Compared with California prescribers
Dr. Malchira wrote 31 prescriptions for Sertraline Hcl, about 68% as often as the typical California prescriber of it (46). Medicare paid $16.99 per fill, versus $9.59 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with California prescribers
Dr. Malchira wrote 30 prescriptions for Metformin Hcl Er, about half as often as the typical California prescriber of it (55). Medicare paid $7.19 per fill, versus $9.99 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat high levels of potassium in the blood.
Compared with California prescribers
Dr. Malchira wrote 29 prescriptions for Lokelma, about 82% as often as the typical California prescriber of it (35). Medicare paid $633.29 per fill, versus $825.11 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Cinacalcet is used to treat increased amounts of a certain hormone (parathyroid) in people with long-term kidney disease who are on dialysis.
Compared with California prescribers
Dr. Malchira wrote 28 prescriptions for Cinacalcet Hcl, about as often as the typical California prescriber of it (27). Medicare paid $148.69 per fill, versus $291.15 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Carvedilol is used to treat high blood pressure and heart failure.
Compared with California prescribers
Dr. Malchira wrote 27 prescriptions for Carvedilol, about half as often as the typical California prescriber of it (56). Medicare paid $9.35 per fill, versus $8.98 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux).
Compared with California prescribers
Dr. Malchira wrote 27 prescriptions for Pantoprazole Sodium, about 42% as often as the typical California prescriber of it (65). Medicare paid $14.16 per fill, versus $13.87 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Allopurinol is used to treat gout and certain types of kidney stones.
Compared with California prescribers
Dr. Malchira wrote 26 prescriptions for Allopurinol, about half as often as the typical California prescriber of it (44). Medicare paid $7.30 per fill, versus $10.39 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Benazepril is used to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Malchira wrote 26 prescriptions for Benazepril Hcl, about 75% as often as the typical California prescriber of it (35). Medicare paid $14.36 per fill, versus $11.17 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Labetalol is used with or without other medications to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Malchira wrote 26 prescriptions for Labetalol Hcl, about as often as the typical California prescriber of it (25). Medicare paid $40.72 per fill, versus $29.18 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Simvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with California prescribers
Dr. Malchira wrote 26 prescriptions for Simvastatin, about 41% as often as the typical California prescriber of it (63). Medicare paid $9.75 per fill, versus $9.03 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a certain sleep problem (insomnia).
Compared with California prescribers
Dr. Malchira wrote 26 prescriptions for Temazepam, about as often as the typical California prescriber of it (28). Medicare paid $13.26 per fill, versus $13.53 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Atenolol is used with or without other medications to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Malchira wrote 24 prescriptions for Atenolol, about half as often as the typical California prescriber of it (50). Medicare paid $11.47 per fill, versus $9.20 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, anxiety).
Compared with California prescribers
Dr. Malchira wrote 24 prescriptions for Duloxetine Hcl, about half as often as the typical California prescriber of it (40). Medicare paid $56.38 per fill, versus $24.72 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Dapagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with California prescribers
Dr. Malchira wrote 24 prescriptions for Farxiga, about half as often as the typical California prescriber of it (52). Medicare paid $841.58 per fill, versus $914.82 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Spironolactone is used to treat high blood pressure and heart failure.
Compared with California prescribers
Dr. Malchira wrote 24 prescriptions for Spironolactone, about 64% as often as the typical California prescriber of it (37). Medicare paid $7.01 per fill, versus $10.05 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Meloxicam is used to treat arthritis.
Compared with California prescribers
Dr. Malchira wrote 22 prescriptions for Meloxicam, about half as often as the typical California prescriber of it (50). Medicare paid $2.45 per fill, versus $4.39 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with California prescribers
Dr. Malchira wrote 21 prescriptions for Bupropion Xl, about half as often as the typical California prescriber of it (35). Medicare paid $57.41 per fill, versus $25.68 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease).
Compared with California prescribers
Dr. Malchira wrote 21 prescriptions for Isosorbide Mononitrate Er, about 60% as often as the typical California prescriber of it (35). Medicare paid $27.93 per fill, versus $14.01 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Metoprolol is used with or without other medications to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Malchira wrote 21 prescriptions for Metoprolol Tartrate, about 37% as often as the typical California prescriber of it (57). Medicare paid $7.22 per fill, versus $7.82 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Levothyroxine is used to treat an underactive thyroid (hypothyroidism).
Compared with California prescribers
Dr. Malchira wrote 21 prescriptions for Synthroid, about half as often as the typical California prescriber of it (38). Medicare paid $82.97 per fill, versus $74.43 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Albuterol (also known as salbutamol) is used to prevent and treat wheezing and shortness of breath caused by breathing problems (such as asthma, chronic obstructive pulmonary disease).
Compared with California prescribers
Dr. Malchira wrote 19 prescriptions for Albuterol Sulfate Hfa, about 33% as often as the typical California prescriber of it (58). Medicare paid $34.95 per fill, versus $28.70 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Thyroid hormone is used to treat underactive thyroid (hypothyroidism).
Compared with California prescribers
Dr. Malchira wrote 19 prescriptions for Armour Thyroid, about as often as the typical California prescriber of it (21). Medicare paid $42.33 per fill, versus $76.17 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults.
Compared with California prescribers
Dr. Malchira wrote 17 prescriptions for Alendronate Sodium, about 28% as often as the typical California prescriber of it (61). Medicare paid $10.36 per fill, versus $9.65 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Chlorthalidone is used to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Malchira wrote 17 prescriptions for Chlorthalidone, about 65% as often as the typical California prescriber of it (26). Medicare paid $20.61 per fill, versus $15.58 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Nebivolol is used to treat high blood pressure.
Compared with California prescribers
Dr. Malchira wrote 17 prescriptions for Nebivolol Hcl, about half as often as the typical California prescriber of it (37). Medicare paid $76.83 per fill, versus $55.93 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood.
Compared with California prescribers
Dr. Malchira wrote 17 prescriptions for Potassium Chloride, about 36% as often as the typical California prescriber of it (48). Medicare paid $10.95 per fill, versus $24.00 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This form of tacrolimus is used on the skin to treat a skin condition called eczema (atopic dermatitis) in patients who have not responded well to (or should not use) other eczema medications.
Compared with California prescribers
Dr. Malchira wrote 17 prescriptions for Tacrolimus, about half as often as the typical California prescriber of it (38). Medicare paid $110.80 per fill, versus $133.78 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim.
Compared with California prescribers
Dr. Malchira wrote 16 prescriptions for Sulfamethoxazole-Trimethoprim, about 63% as often as the typical California prescriber of it (25). Medicare paid $2.85 per fill, versus $4.62 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with California prescribers
Dr. Malchira wrote 16 prescriptions for Tramadol Hcl, about 37% as often as the typical California prescriber of it (44). Medicare paid $4.82 per fill, versus $6.24 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Valacyclovir is used to treat infections caused by certain types of viruses.
Compared with California prescribers
Dr. Malchira wrote 16 prescriptions for Valacyclovir, about 72% as often as the typical California prescriber of it (22). Medicare paid $33.36 per fill, versus $35.75 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Clonazepam is used to prevent and control seizures.
Compared with California prescribers
Dr. Malchira wrote 15 prescriptions for Clonazepam, about 37% as often as the typical California prescriber of it (40). Medicare paid $1.14 per fill, versus $7.09 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Diltiazem is used to treat high blood pressure (hypertension) and prevent chest pain (angina).
Compared with California prescribers
Dr. Malchira wrote 15 prescriptions for Diltiazem 24hr Er (Cd), about half as often as the typical California prescriber of it (28). Medicare paid $21.70 per fill, versus $32.58 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is an antibiotic used to treat bladder infections (acute cystitis).
Compared with California prescribers
Dr. Malchira wrote 15 prescriptions for Nitrofurantoin Mono-Macro, about half as often as the typical California prescriber of it (26). Medicare paid $10.29 per fill, versus $13.21 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Sucroferric oxyhydroxide is used to lower high blood phosphate levels in people who are on dialysis due to severe kidney disease.
Compared with California prescribers
Dr. Malchira wrote 15 prescriptions for Velphoro, about half as often as the typical California prescriber of it (33). Medicare paid $3,097.24 per fill, versus $2,826.98 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Ferric citrate is used to lower high blood phosphate levels in people who are on dialysis due to severe kidney disease.
Compared with California prescribers
Dr. Malchira wrote 14 prescriptions for Auryxia, about half as often as the typical California prescriber of it (28). Medicare paid $1,046.45 per fill, versus $1,502.68 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat anxiety.
Compared with California prescribers
Dr. Malchira wrote 14 prescriptions for Buspirone Hcl, about 38% as often as the typical California prescriber of it (37). Medicare paid $10.97 per fill, versus $13.30 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Nystatin is used to treat fungal skin infections.
Compared with California prescribers
Dr. Malchira wrote 14 prescriptions for Nystatin, about 63% as often as the typical California prescriber of it (22). Medicare paid $31.11 per fill, versus $20.30 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders.
Compared with California prescribers
Dr. Malchira wrote 14 prescriptions for Prednisone, about 35% as often as the typical California prescriber of it (40). Medicare paid $8.91 per fill, versus $5.64 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Bumetanide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease.
Compared with California prescribers
Dr. Malchira wrote 13 prescriptions for Bumetanide, about half as often as the typical California prescriber of it (29). Medicare paid $58.41 per fill, versus $38.82 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Calcium acetate is used to prevent high blood phosphate levels in patients who are on dialysis due to severe kidney disease.
Compared with California prescribers
Dr. Malchira wrote 13 prescriptions for Calcium Acetate, about 34% as often as the typical California prescriber of it (38). Medicare paid $70.42 per fill, versus $84.08 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with California prescribers
Dr. Malchira wrote 13 prescriptions for Citalopram Hbr, about half as often as the typical California prescriber of it (30). Medicare paid $10.85 per fill, versus $8.24 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease).
Compared with California prescribers
Dr. Malchira wrote 13 prescriptions for Clopidogrel, about 27% as often as the typical California prescriber of it (48). Medicare paid $13.89 per fill, versus $12.42 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This combination medication is used to relieve moderate to severe pain.
Compared with California prescribers
Dr. Malchira wrote 13 prescriptions for Hydrocodone-Acetaminophen, about 17% as often as the typical California prescriber of it (76). Medicare paid $7.71 per fill, versus $21.39 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Olmesartan is used to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Malchira wrote 13 prescriptions for Olmesartan Medoxomil, about 27% as often as the typical California prescriber of it (48). Medicare paid $19.71 per fill, versus $18.88 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used for certain patients who have symptoms of low blood pressure when standing.
Compared with California prescribers
Dr. Malchira wrote 12 prescriptions for Midodrine Hcl, about half as often as the typical California prescriber of it (27). Medicare paid $62.16 per fill, versus $66.72 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath).
Compared with California prescribers
Dr. Malchira wrote 12 prescriptions for Montelukast Sodium, about 25% as often as the typical California prescriber of it (49). Medicare paid $10.65 per fill, versus $10.71 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Malchira wrote 12 prescriptions for Prosol, about 16% as often as the typical California prescriber of it (76). Medicare paid $131.31 per fill, versus $161.29 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, allergies, rash).
Compared with California prescribers
Dr. Malchira wrote 12 prescriptions for Triamcinolone Acetonide, about 28% as often as the typical California prescriber of it (43). Medicare paid $15.77 per fill, versus $10.03 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This product is used to treat high blood pressure.
Compared with California prescribers
Dr. Malchira wrote 11 prescriptions for Amlodipine-Valsartan, about 41% as often as the typical California prescriber of it (27). Medicare paid $27.09 per fill, versus $47.70 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a variety of bacterial infections.
Compared with California prescribers
Dr. Malchira wrote 11 prescriptions for Ciprofloxacin Hcl, about 36% as often as the typical California prescriber of it (30). Medicare paid $1.73 per fill, versus $6.32 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with California prescribers
Dr. Malchira wrote 11 prescriptions for Desvenlafaxine Succinate Er, about half as often as the typical California prescriber of it (24). Medicare paid $56.51 per fill, versus $62.60 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, anxiety).
Compared with California prescribers
Dr. Malchira wrote 11 prescriptions for Doxepin Hcl, about half as often as the typical California prescriber of it (22). Medicare paid $82.67 per fill, versus $64.61 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Questions about Dr. Malchira’s prescriptions
What does Dr. Malchira prescribe most?
In 2024 Medicare Part D data, Dr. Malchira's most prescribed medications were Calcitriol (199), Atorvastatin Calcium (184) and Amlodipine Besylate (164).
How does Dr. Malchira's prescribing compare with other California prescribers?
Of the 81 medications with a state comparison, Dr. Malchira prescribes 9 more often than the typical California prescriber, 18 about as often and 54 less often. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Dr. Malchira prescribes?
No. It covers prescriptions filled by people with Medicare Part D drug coverage in 2024, and CMS leaves out any medication with fewer than 11 prescriptions.
About this data
This page shows one provider’s slice of public Medicare files. NPI Profile does not receive prescriptions or patient records.
| Source | What it provides here | Data year |
|---|---|---|
| CMS Medicare Part D Prescribers by Provider and Drug | Each medication, prescriptions, patients, 30-day fills, days of medication and cost. State comparisons average the California prescribers of the same medication and form, where at least five wrote it. | 2024 (released 2026, the most recent available) |
| CMS Medicare Part D Drug Spending Dashboard | What each medication is used for. | 2024 |
- Only prescriptions filled by people with Medicare Part D drug coverage are counted. Private insurance, Medicaid and cash purchases are not.
- CMS leaves out medications with fewer than 11 prescriptions and hides patient counts under 11.
- Cost per fill is what the plan and the patient paid the pharmacy together, not what you pay at the counter.
- Medication descriptions are summaries from CMS. They are not medical advice; ask a health care professional about any medication.
