JOHN G ORFANOS MD
Prescription History 1366476921
Surgery in Mcallen, TX

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
86.22/100
CMS Quality Rating
1100 E DOVE AVE STE 300, MCALLEN, TX 78504(563) 628-1709(956) 362-8168 Get Directions

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for JOHN G ORFANOS MD, an active Surgery specialist practicing in Mcallen, TX. Our medical registry currently tracks 11 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 511 documented patient claims. Among these therapy options, the most frequently utilized medication is Cephalexin, which accounts for 115 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.

11
Medications
511
Total Claims
535
30-Day Fills
Cephalexin
Most Prescribed · 115 claims
View details
11 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by JOHN G ORFANOS MD in 2023, with prescription volumes, average cost per fill, and TX state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other TX PrescribersVs. TX Avg

About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾

This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms.

In 2023, this provider wrote 115 Medicare prescriptions for Cephalexin, about 4 times the volume of the typical Texas prescriber of this medication (29). Medicare paid an average of $6.24 per fill, versus $9.13 statewide.

How often this provider prescribes it

This provider
115
TX average
29.0

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$6.24
TX average
$9.13

This provider's average cost per fill is below the TX average for this medication.

115
30-Day Fills
standardized to 30-day supplies
679
Days of Medication
total across all patients in 2023

About Ibuprofen: Ibuprofen is used to help relieve mild to moderate pain. Show more ▾

When used with an opioid (such as morphine), it may be used to relieve moderate to severe pain. It is also used to reduce fever. Ibuprofen is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling, pain, or fever. A non-steroidal anti-inflammatory agent with analgesic, antipyretic, and anti-inflammatory properties

In 2023, this provider wrote 100 Medicare prescriptions for Ibuprofen, about 2.9 times the volume of the typical Texas prescriber of this medication (34). Medicare paid an average of $3.53 per fill, versus $9.68 statewide.

How often this provider prescribes it

This provider
100
TX average
34.0

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$3.53
TX average
$9.68

This provider's average cost per fill is below the TX average for this medication.

100
30-Day Fills
standardized to 30-day supplies
565
Days of Medication
total across all patients in 2023

About Acetaminophen-Codeine: See also Warning section. Show more ▾

This combination medication is used to help relieve mild to moderate pain. It contains an opioid pain reliever (codeine) and a non-opioid pain reliever (acetaminophen). Codeine works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever.

In 2023, this provider wrote 66 Medicare prescriptions for Acetaminophen-Codeine, about 1.5 times the volume of the typical Texas prescriber of this medication (44). Medicare paid an average of $3.26 per fill, versus $18.55 statewide.

How often this provider prescribes it

This provider
66
TX average
44.0

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$3.26
TX average
$18.55

This provider's average cost per fill is below the TX average for this medication.

66
30-Day Fills
standardized to 30-day supplies
178
Days of Medication
total across all patients in 2023

About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾

It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238)

In 2023, this provider wrote 63 Medicare prescriptions for Alprazolam, about the same volume as the typical Texas prescriber of this medication (68). Medicare paid an average of $1.13 per fill, versus $8.23 statewide.

How often this provider prescribes it

This provider
63
TX average
68.0

This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$1.13
TX average
$8.23

This provider's average cost per fill is below the TX average for this medication.

63
30-Day Fills
standardized to 30-day supplies
242
Days of Medication
total across all patients in 2023

About Tramadol Hcl: See also Warning section. Show more ▾

This medication is used to help relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A narcotic analgesic proposed for severe pain. It may be habituating.

In 2023, this provider wrote 42 Medicare prescriptions for Tramadol Hcl, about 68% of the volume of the typical Texas prescriber of this medication (62). Medicare paid an average of $4.56 per fill, versus $7.68 statewide.

How often this provider prescribes it

This provider
42
TX average
62.0

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$4.56
TX average
$7.68

This provider's average cost per fill is below the TX average for this medication.

42
30-Day Fills
standardized to 30-day supplies
264
Days of Medication
total across all patients in 2023

About Cilostazol: Cilostazol is used to improve the symptoms of a certain blood flow problem in the legs (intermittent claudication). Show more ▾

Cilostazol can decrease the muscle pain/cramps that occur during exercise/walking. Claudication pain is caused by too little oxygen getting to the muscles. Cilostazol can increase blood flow and the amount of oxygen that gets to the muscles. Cilostazol is an antiplatelet drug and a vasodilator. It works by stopping blood cells called platelets from sticking together and prevents them from forming harmful clots. It also widens blood vessels in the legs. Cilostazol helps the blood to move more easily and keeps blood flowing smoothly in your body. A quinoline and tetrazole derivative that acts as a phosphodiesterase type 3 inhibitor, with anti-platelet and vasodilating activity. It is used in the treatment of PERIPHERAL VASCULAR DISEASES; ISCHEMIC HEART DISEASE; and in the prevention of stroke.

In 2023, this provider wrote 39 Medicare prescriptions for Cilostazol, about 1.3 times the volume of the typical Texas prescriber of this medication (31). Medicare paid an average of $29.49 per fill, versus $29.38 statewide.

How often this provider prescribes it

This provider
39
TX average
31.0

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$29.49
TX average
$29.38

Gross Part D cost per fill; not the patient's out-of-pocket price.

44.8
30-Day Fills
standardized to 30-day supplies
1,345
Days of Medication
total across all patients in 2023

About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾

It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME.

In 2023, this provider wrote 23 Medicare prescriptions for Gabapentin, about a quarter of the volume of the typical Texas prescriber of this medication (94). Medicare paid an average of $23.26 per fill, versus $21.94 statewide.

How often this provider prescribes it

This provider
23
TX average
94.0

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$23.26
TX average
$21.94

Gross Part D cost per fill; not the patient's out-of-pocket price.

26.5
30-Day Fills
standardized to 30-day supplies
795
Days of Medication
total across all patients in 2023

About Naproxen: Naproxen is used to relieve mild to moderate pain from various conditions. Show more ▾

It also reduces pain, swelling, and joint stiffness from arthritis. This medication is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. See also Warning section. This form of naproxen is absorbed slowly and should not be used for pain that needs quick relief (such as during a gout attack). Ask your doctor or pharmacist about using a different form of this drug or other medications for quick relief of pain. An anti-inflammatory agent with analgesic and antipyretic properties. Both the acid and its sodium salt are used in the treatment of rheumatoid arthritis and other rheumatic or musculoskeletal disorders, dysmenorrhea, and acute gout.

In 2023, this provider wrote 21 Medicare prescriptions for Naproxen, about 72% of the volume of the typical Texas prescriber of this medication (29). Medicare paid an average of $12.02 per fill, versus $29.57 statewide.

How often this provider prescribes it

This provider
21
TX average
29.0

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$12.02
TX average
$29.57

This provider's average cost per fill is below the TX average for this medication.

21
30-Day Fills
standardized to 30-day supplies
336
Days of Medication
total across all patients in 2023

About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾

With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood.

In 2023, this provider wrote 17 Medicare prescriptions for Eliquis, about a quarter of the volume of the typical Texas prescriber of this medication (76). Medicare paid an average of $687.09 per fill, versus $810.39 statewide.

How often this provider prescribes it

This provider
17
TX average
76.0

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$687.09
TX average
$810.39

This provider's average cost per fill is below the TX average for this medication.

19
30-Day Fills
standardized to 30-day supplies
570
Days of Medication
total across all patients in 2023

About Amoxicillin-Clavulanate Potass: Amoxicillin/clavulanic acid is a combination penicillin-type antibiotic used to treat a wide variety of bacterial infections. Show more ▾

It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A fixed-ratio combination of amoxicillin trihydrate and potassium clavulanate.

In 2023, this provider wrote 14 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about half the volume of the typical Texas prescriber of this medication (27). Medicare paid an average of $6.58 per fill, versus $13.74 statewide.

How often this provider prescribes it

This provider
14
TX average
27.0

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$6.58
TX average
$13.74

This provider's average cost per fill is below the TX average for this medication.

14
30-Day Fills
standardized to 30-day supplies
88
Days of Medication
total across all patients in 2023

About Clopidogrel: 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). Show more ▾

It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION.

In 2023, this provider wrote 11 Medicare prescriptions for Clopidogrel, about 17% of the volume of the typical Texas prescriber of this medication (64). Medicare paid an average of $16.12 per fill, versus $17.76 statewide.

How often this provider prescribes it

This provider
11
TX average
64.0

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$16.12
TX average
$17.76

This provider's average cost per fill is below the TX average for this medication.

24
30-Day Fills
standardized to 30-day supplies
720
Days of Medication
total across all patients in 2023
No medications match the current filters.
= the 5 medications this provider prescribes most. More than typical Typical Less than typical= prescription volume vs the average TX prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the TX average cost per fill.

About this data. The prescription history for JOHN G ORFANOS MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Surgery prescribing approach at this Mcallen, TX practice.

Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average volume among TX prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.