AMANDA MELISSA GOMES M.D.
Prescription History 1649431321
Internal Medicine - Nephrology in West Branch, MI
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for AMANDA MELISSA GOMES M.D., an active Nephrology specialist practicing in West Branch, MI. Our medical registry currently tracks 25 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 988 documented patient claims. Among these therapy options, the most frequently utilized medication is Amlodipine Besylate, which accounts for 141 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 (2024)Rx (2024) | Avg Cost per FillCost / Fill | Vs. Other MI PrescribersVs. MI Avg |
|---|---|---|---|
| Amlodipine Besylate | 141 | $6.40▼ below MI avg | ≈ Typical |
About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION. In 2024, this provider wrote 141 Medicare prescriptions for Amlodipine Besylate, about the same volume as the typical Michigan prescriber of this medication (135). Medicare paid an average of $6.40 per fill, versus $7.48 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI 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 MI average for this medication. 415.4 30-Day Fills standardized to 30-day supplies 12,462 Days of Medication total across all patients in 2024 | |||
| Losartan Potassium | 76 | $10.98▼ below MI avg | ▼ Less than typical |
About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II. In 2024, this provider wrote 76 Medicare prescriptions for Losartan Potassium, about 66% of the volume of the typical Michigan prescriber of this medication (115). Medicare paid an average of $10.98 per fill, versus $12.96 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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 MI average for this medication. 216 30-Day Fills standardized to 30-day supplies 6,480 Days of Medication total across all patients in 2024 | |||
| Furosemide | 75 | $7.22 | ≈ Typical |
About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a "water pill" (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY. In 2024, this provider wrote 75 Medicare prescriptions for Furosemide, about the same volume as the typical Michigan prescriber of this medication (73.4). Medicare paid an average of $7.22 per fill, versus $5.64 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 204.8 30-Day Fills standardized to 30-day supplies 6,124 Days of Medication total across all patients in 2024 | |||
| JardianceEmpagliflozin | 64 | $1,162.82 | ≈ Typical |
About Jardiance: Empagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Empagliflozin is also used in patients with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Empagliflozin works by increasing the removal of sugar by your kidneys. Empagliflozin is also used to treat heart failure and kidney disease. It helps to lower the risk of death from heart disease and reduces the need of going to a hospital to treat heart failure or kidney disease. It also helps to lower the risk of dialysis in people with kidney disease. Empagliflozin works by increasing the removal of sodium by your kidneys. In 2024, this provider wrote 64 Medicare prescriptions for Jardiance, about 1.2 times the volume of the typical Michigan prescriber of this medication (53.3). Medicare paid an average of $1,162.82 per fill, versus $1,053.23 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 134 30-Day Fills standardized to 30-day supplies 4,020 Days of Medication total across all patients in 2024 | |||
| Calcium Acetate | 57 | $75.06▼ below MI avg | ▲ More than typical |
About Calcium Acetate: Calcium acetate is used to prevent high blood phosphate levels in patients who are on dialysis due to severe kidney disease. Show more ▾ Dialysis removes some phosphate from your blood, but it is difficult to remove enough to keep your phosphate levels balanced. Decreasing blood phosphate levels can help keep your bones strong, prevent unsafe buildup of minerals in your body, and possibly decrease the risk of heart disease and strokes that can result from high phosphate levels. Calcium acetate is a natural mineral that works by holding onto phosphate from the diet so that it can pass out of your body. A principal compound used as phosphate binders in patients with chronic renal failure; used like sevelamer. In 2024, this provider wrote 57 Medicare prescriptions for Calcium Acetate, about 2 times the volume of the typical Michigan prescriber of this medication (29.1). Medicare paid an average of $75.06 per fill, versus $85.21 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MI 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 MI average for this medication. 101.9 30-Day Fills standardized to 30-day supplies 2,889 Days of Medication total across all patients in 2024 | |||
| Potassium Chloride | 50 | $42.88 | ≈ Typical |
About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with "water pills"/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2024, this provider wrote 50 Medicare prescriptions for Potassium Chloride, about 86% of the volume of the typical Michigan prescriber of this medication (58.5). Medicare paid an average of $42.88 per fill, versus $23.31 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 128.5 30-Day Fills standardized to 30-day supplies 3,826 Days of Medication total across all patients in 2024 | |||
| Lisinopril | 50 | $7.88▼ below MI avg | ▼ Less than typical |
About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure. In 2024, this provider wrote 50 Medicare prescriptions for Lisinopril, about a third of the volume of the typical Michigan prescriber of this medication (124.1). Medicare paid an average of $7.88 per fill, versus $8.52 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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 MI average for this medication. 150 30-Day Fills standardized to 30-day supplies 4,500 Days of Medication total across all patients in 2024 | |||
| Metolazone | 47 | $38.23 | ▲ More than typical |
About Metolazone: Metolazone is a "water pill" (diuretic) that increases the amount of urine you make, which causes your body to get rid of excess water. Show more ▾ This drug is used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication also reduces swelling/fluid retention (edema) which can result from conditions such as heart failure or kidney disease. This can help to improve symptoms such as trouble breathing. A quinazoline-sulfonamide derived DIURETIC that functions by inhibiting SODIUM CHLORIDE SYMPORTERS. In 2024, this provider wrote 47 Medicare prescriptions for Metolazone, about 2 times the volume of the typical Michigan prescriber of this medication (23.3). Medicare paid an average of $38.23 per fill, versus $24.34 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 111 30-Day Fills standardized to 30-day supplies 3,330 Days of Medication total across all patients in 2024 | |||
| ProsolParenteral Amino Acid 20% No.1 | 45 | $176.32 | ▼ Less than typical |
In 2024, this provider wrote 45 Medicare prescriptions for Prosol, about 72% of the volume of the typical Michigan prescriber of this medication (62.9). Medicare paid an average of $176.32 per fill, versus $150.47 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 45 30-Day Fills standardized to 30-day supplies 312 Days of Medication total across all patients in 2024 | |||
| Sevelamer Carbonate | 42 | $214.62▼ below MI avg | ≈ Typical |
About Sevelamer Carbonate: Sevelamer is used to lower high blood phosphorus (phosphate) levels in patients who are on dialysis due to severe kidney disease. Show more ▾ Dialysis removes some phosphate from your blood, but it is difficult to remove enough to keep your phosphate levels balanced. Decreasing blood phosphate levels can help keep your bones strong, prevent unsafe buildup of minerals in your body, and possibly decrease the risk of heart disease and strokes that can result from high phosphate levels. Sevelamer works by holding onto phosphate from the diet so that it can pass out of your body. A polymeric amine that binds phosphate and is used to treat HYPERPHOSPHATEMIA in patients with kidney disease. In 2024, this provider wrote 42 Medicare prescriptions for Sevelamer Carbonate, about the same volume as the typical Michigan prescriber of this medication (37.3). Medicare paid an average of $214.62 per fill, versus $221.89 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI 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 MI average for this medication. 85.6 30-Day Fills standardized to 30-day supplies 2,528 Days of Medication total across all patients in 2024 | |||
| Calcitriol | 39 | $16.97▼ below MI avg | ≈ Typical |
About Calcitriol: Calcitriol is a man-made active form of vitamin D. Show more ▾ Most people get enough vitamin D from exposure to the sun and from fortified food products (such as dairy products, vitamins). Vitamin D helps control parathyroid hormone and the levels of certain minerals (such as calcium, phosphorus) that are needed for building and keeping strong bones. Before regular vitamin D can be used by the body, it needs to be changed to the active form by the liver and kidneys. Calcitriol is used in patients with kidney disease who can't make enough of the active form of Vitamin D. This medication is also used to prevent and treat certain types of calcium/phosphorus/parathyroid problems that can happen with long-term kidney dialysis or hypoparathyroidism. Calcitriol is usually used along with specific diet recommendations and sometimes other medications. The physiologically active form of vitamin D. It is formed primarily in the kidney by enzymatic hydroxylation of 25-hydroxycholecalciferol (CALCIFEDIOL). Its production is stimulated by low blood calcium levels and parathyroid hormone. Calcitriol increases intestinal absorption of calcium and phosphorus, and in concert with parathyroid hormone increases bone resorption. In 2024, this provider wrote 39 Medicare prescriptions for Calcitriol, about 82% of the volume of the typical Michigan prescriber of this medication (47.3). Medicare paid an average of $16.97 per fill, versus $23.37 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI 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 MI average for this medication. 93.6 30-Day Fills standardized to 30-day supplies 2,790 Days of Medication total across all patients in 2024 | |||
| Hydralazine Hcl | 34 | $10.91▼ below MI avg | ≈ Typical |
About Hydralazine Hcl: Hydralazine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydralazine is called a vasodilator. It works by relaxing blood vessels so blood can flow through the body more easily. A direct-acting vasodilator that is used as an antihypertensive agent. In 2024, this provider wrote 34 Medicare prescriptions for Hydralazine Hcl, about 83% of the volume of the typical Michigan prescriber of this medication (41). Medicare paid an average of $10.91 per fill, versus $16.59 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI 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 MI average for this medication. 80.5 30-Day Fills standardized to 30-day supplies 2,415 Days of Medication total across all patients in 2024 | |||
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 31 | $32.48▼ below MI avg | ≈ Typical |
About Diltiazem 24hr Er (Cd): Diltiazem is used to treat high blood pressure (hypertension) and prevent chest pain (angina). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. When used regularly, diltiazem can decrease the number and severity of episodes of chest pain from angina. It may help increase your ability to exercise. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart so blood can flow more easily. Diltiazem also lowers your heart rate. These effects help the heart work less hard and lower blood pressure. A benzothiazepine derivative with vasodilating action due to its antagonism of the actions of CALCIUM ion on membrane functions. In 2024, this provider wrote 31 Medicare prescriptions for Diltiazem 24hr Er (Cd), about the same volume as the typical Michigan prescriber of this medication (32.5). Medicare paid an average of $32.48 per fill, versus $34.21 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI 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 MI average for this medication. 83 30-Day Fills standardized to 30-day supplies 2,490 Days of Medication total across all patients in 2024 | |||
| Chlorthalidone | 31 | $16.44▼ below MI avg | ≈ Typical |
About Chlorthalidone: Chlorthalidone is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to reduce extra salt and water in the body caused by conditions such as heart failure, liver disease, and kidney disease. Decreasing extra salt and water in the body helps to decrease swelling (edema) and breathing problems caused by fluid in the lungs. Chlorthalidone is a "water pill" (diuretic). It increases the amount of urine you make, especially when you first start the medication. It also helps to relax the blood vessels so that blood can flow more easily. A benzenesulfonamide-phthalimidine that tautomerizes to a BENZOPHENONES form. It is considered a thiazide-like diuretic. In 2024, this provider wrote 31 Medicare prescriptions for Chlorthalidone, about the same volume as the typical Michigan prescriber of this medication (28.2). Medicare paid an average of $16.44 per fill, versus $17.09 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI 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 MI average for this medication. 84.7 30-Day Fills standardized to 30-day supplies 2,540 Days of Medication total across all patients in 2024 | |||
| Famotidine | 27 | $12.26▼ below MI avg | ▼ Less than typical |
About Famotidine: Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed. Show more ▾ This medication is also used to treat certain stomach and throat (esophagus) problems (such as erosive esophagitis, gastroesophageal reflux disease-GERD, Zollinger-Ellison syndrome). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as cough that doesn't go away, stomach pain, heartburn, and difficulty swallowing. Famotidine belongs to a class of drugs known as H2 blockers. This medication is also available without a prescription. It is used to prevent and treat heartburn and other symptoms caused by too much acid in the stomach (acid indigestion). If you are taking this medication for self-treatment, it is important to read the manufacturer's package instructions carefully so you know when to consult your doctor or pharmacist. A competitive histamine H2-receptor antagonist. Its main pharmacodynamic effect is the inhibition of gastric secretion. In 2024, this provider wrote 27 Medicare prescriptions for Famotidine, about half the volume of the typical Michigan prescriber of this medication (50.9). Medicare paid an average of $12.26 per fill, versus $16.24 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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 MI average for this medication. 58.5 30-Day Fills standardized to 30-day supplies 1,755 Days of Medication total across all patients in 2024 | |||
| Carvedilol | 27 | $9.07▼ below MI avg | ▼ Less than typical |
About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾ It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION. In 2024, this provider wrote 27 Medicare prescriptions for Carvedilol, about half the volume of the typical Michigan prescriber of this medication (60.9). Medicare paid an average of $9.07 per fill, versus $12.41 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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 MI average for this medication. 67.5 30-Day Fills standardized to 30-day supplies 2,025 Days of Medication total across all patients in 2024 | |||
| LokelmaSodium Zirconium Cyclosilicate | 21 | $992.73 | ≈ Typical |
About Lokelma: This medication is used to treat high levels of potassium in the blood. Show more ▾ It works by binding to potassium in the gut. This medication does not work right away, and should not be used to treat life-threatening high levels of potassium. High potassium levels can cause symptoms such as nausea, muscle weakness/tiredness, irregular heartbeats, or paralysis. Used to treat hyperkalemia. In 2024, this provider wrote 21 Medicare prescriptions for Lokelma, about 89% of the volume of the typical Michigan prescriber of this medication (23.7). Medicare paid an average of $992.73 per fill, versus $679.37 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 34.4 30-Day Fills standardized to 30-day supplies 1,017 Days of Medication total across all patients in 2024 | |||
| FarxigaDapagliflozin Propanediol | 20 | $896.41▼ below MI avg | ▼ Less than typical |
About Farxiga: Dapagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. This medication is also used in people with type 2 diabetes and heart disease to lower the risk of going to the hospital for heart failure. Dapagliflozin works by increasing the removal of sugar by your kidneys. Dapagliflozin is also used to treat kidney disease and heart failure. It helps to lower the risk of death from heart disease and reduces the need of going to a doctor or hospital to treat heart failure. Dapagliflozin works by increasing the removal of sodium by your kidneys. In 2024, this provider wrote 20 Medicare prescriptions for Farxiga, about half the volume of the typical Michigan prescriber of this medication (40.2). Medicare paid an average of $896.41 per fill, versus $940.16 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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 MI average for this medication. 32.3 30-Day Fills standardized to 30-day supplies 970 Days of Medication total across all patients in 2024 | |||
| Cephalexin | 20 | $3.29▼ below MI avg | ▼ Less than typical |
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 2024, this provider wrote 20 Medicare prescriptions for Cephalexin, about 64% of the volume of the typical Michigan prescriber of this medication (31.1). Medicare paid an average of $3.29 per fill, versus $6.85 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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 MI average for this medication. 20 30-Day Fills standardized to 30-day supplies 95 Days of Medication total across all patients in 2024 | |||
| VeltassaPatiromer Calcium Sorbitex | 19 | $974.54▼ below MI avg | ≈ Typical |
About Veltassa: This medication is used to treat a high level of potassium in your blood. Show more ▾ Too much potassium in your blood can sometimes cause heart rhythm problems. Patiromer helps get rid of extra potassium by binding to it. The potassium then passes out of your body in your stool. Binds potassium ions in the gastrointestinal tract to lower serum potassium levels. In 2024, this provider wrote 19 Medicare prescriptions for Veltassa, about 87% of the volume of the typical Michigan prescriber of this medication (22). Medicare paid an average of $974.54 per fill, versus $1,103.51 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI 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 MI average for this medication. 22.6 30-Day Fills standardized to 30-day supplies 664 Days of Medication total across all patients in 2024 | |||
| Allopurinol | 18 | $15.83 | ▼ Less than typical |
About Allopurinol: Allopurinol is used to treat gout and certain types of kidney stones. Show more ▾ It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have increased uric acid levels due to release of uric acid from the dying cancer cells. Allopurinol works by reducing the amount of uric acid made by the body. Increased uric acid levels can cause gout and kidney problems. A XANTHINE OXIDASE inhibitor that decreases URIC ACID production. It also acts as an antimetabolite on some simpler organisms. In 2024, this provider wrote 18 Medicare prescriptions for Allopurinol, about a third of the volume of the typical Michigan prescriber of this medication (47.5). Medicare paid an average of $15.83 per fill, versus $12.68 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 54 30-Day Fills standardized to 30-day supplies 1,620 Days of Medication total across all patients in 2024 | |||
| Spironolactone | 15 | $23.43 | ▼ Less than typical |
About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a "water pill" (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) In 2024, this provider wrote 15 Medicare prescriptions for Spironolactone, about a third of the volume of the typical Michigan prescriber of this medication (42.4). Medicare paid an average of $23.43 per fill, versus $11.27 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 43 30-Day Fills standardized to 30-day supplies 1,288 Days of Medication total across all patients in 2024 | |||
| Hydrochlorothiazide | 15 | $12.07 | ▼ Less than typical |
About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/"water pills." It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism. In 2024, this provider wrote 15 Medicare prescriptions for Hydrochlorothiazide, about a quarter of the volume of the typical Michigan prescriber of this medication (66.8). Medicare paid an average of $12.07 per fill, versus $5.14 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 43 30-Day Fills standardized to 30-day supplies 1,290 Days of Medication total across all patients in 2024 | |||
| Torsemide | 12 | $11.12▼ below MI avg | ▼ Less than typical |
About Torsemide: Torsemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Torsemide is a "water pill" (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A pyridine and sulfonamide derivative that acts as a sodium-potassium chloride symporter inhibitor (loop diuretic). It is used for the treatment of EDEMA associated with CONGESTIVE HEART FAILURE; CHRONIC RENAL INSUFFICIENCY; and LIVER DISEASES. It is also used for the management of HYPERTENSION. In 2024, this provider wrote 12 Medicare prescriptions for Torsemide, about a third of the volume of the typical Michigan prescriber of this medication (37.2). Medicare paid an average of $11.12 per fill, versus $19.47 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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 MI average for this medication. 16 30-Day Fills standardized to 30-day supplies 480 Days of Medication total across all patients in 2024 | |||
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 12 | $10.46▼ below MI avg | ▼ Less than typical |
About Triamterene-Hydrochlorothiazid: This drug is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is a combination of two "water pills" (diuretics): triamterene and hydrochlorothiazide. This combination is used by people who have developed or are at risk for having low potassium levels on hydrochlorothiazide. It causes you to make more urine, which helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. In 2024, this provider wrote 12 Medicare prescriptions for Triamterene-Hydrochlorothiazid, about a third of the volume of the typical Michigan prescriber of this medication (30.9). Medicare paid an average of $10.46 per fill, versus $11.93 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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 MI average for this medication. 32 30-Day Fills standardized to 30-day supplies 960 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for AMANDA MELISSA GOMES M.D. is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, 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 Nephrology prescribing approach at this West Branch, MI 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 among MI prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.
About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.
