PAULO R SHIROMA MD
Prescription History 1477757607
Psychiatry & Neurology - Geriatric Psychiatry in Rochester, MN
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for PAULO R SHIROMA MD, an active Geriatric Psychiatry specialist practicing in Rochester, MN. Our medical registry currently tracks 3 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 44 documented patient claims. Among these therapy options, the most frequently utilized medication is Lamotrigine, which accounts for 16 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.
| Medication | Prescriptions (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other MN PrescribersVs. MN Avg |
|---|---|---|---|
| Lamotrigine | 16 | $9.12▼ below MN avg | ▼ Less than typical |
About Lamotrigine: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾ It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER. In 2023, this provider wrote 16 Medicare prescriptions for Lamotrigine, about a third of the volume of the typical Minnesota prescriber of this medication (54). Medicare paid an average of $9.12 per fill, versus $16.51 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MN average for this medication. 16.3 30-Day Fills standardized to 30-day supplies 490 Days of Medication total across all patients in 2023 | |||
| Aripiprazole | 14 | $13.34▼ below MN avg | ▼ Less than typical |
About Aripiprazole: Aripiprazole is used to treat certain mental/mood disorders (such as bipolar disorder, schizophrenia, Tourette's syndrome, and irritability associated with autistic disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Aripiprazole is known as an antipsychotic drug (atypical type). It works by helping to restore the balance of certain natural chemicals in the brain (neurotransmitters). This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. Aripiprazole can treat severe mood swings and decrease how often mood swings occur. A piperazine and quinolone derivative that is used primarily as an antipsychotic agent. It is a partial agonist of SEROTONIN RECEPTOR, 5-HT1A and DOPAMINE D2 RECEPTORS, where it also functions as a post-synaptic antagonist, and an antagonist of SEROTONIN RECEPTOR, 5-HT2A. It is used for the treatment of SCHIZOPHRENIA and BIPOLAR DISORDER, and as an adjunct therapy for the treatment of depression. In 2023, this provider wrote 14 Medicare prescriptions for Aripiprazole, about a quarter of the volume of the typical Minnesota prescriber of this medication (54). Medicare paid an average of $13.34 per fill, versus $125.86 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MN average for this medication. 20.2 30-Day Fills standardized to 30-day supplies 603 Days of Medication total across all patients in 2023 | |||
| Clonazepam | 14 | $5.51▼ below MN avg | ▼ Less than typical |
About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. In 2023, this provider wrote 14 Medicare prescriptions for Clonazepam, about a third of the volume of the typical Minnesota prescriber of this medication (45). Medicare paid an average of $5.51 per fill, versus $8.59 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MN average for this medication. 16 30-Day Fills standardized to 30-day supplies 457 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for PAULO R SHIROMA 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 Geriatric Psychiatry prescribing approach at this Rochester, MN 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 MN prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
