MICHAEL GERALD BARILE MD
Prescription History 1669463501
Anesthesiology - Pain Medicine in Naples, FL
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MICHAEL GERALD BARILE MD, an active Pain Medicine specialist practicing in Naples, FL. Our medical registry currently tracks 40 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 4,355 documented patient claims. Among these therapy options, the most frequently utilized medication is Gabapentin, which accounts for 547 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 FL PrescribersVs. FL Avg |
|---|---|---|---|
| Gabapentin | 547 | $8.66▼ below FL avg | ▲ More than typical |
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 547 Medicare prescriptions for Gabapentin, about 5.3 times the volume of the typical Florida prescriber of this medication (103). Medicare paid an average of $8.66 per fill, versus $19.25 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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 FL average for this medication. 597 30-Day Fills standardized to 30-day supplies 17,874 Days of Medication total across all patients in 2023 | |||
| Tizanidine Hcl | 492 | $5.16▼ below FL avg | ▲ More than typical |
About Tizanidine Hcl: This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury). Show more ▾ It works by helping to relax the muscles. In 2023, this provider wrote 492 Medicare prescriptions for Tizanidine Hcl, about 8.8 times the volume of the typical Florida prescriber of this medication (56). Medicare paid an average of $5.16 per fill, versus $15.09 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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 FL average for this medication. 521 30-Day Fills standardized to 30-day supplies 15,577 Days of Medication total across all patients in 2023 | |||
| Oxycodone Hcl | 440 | $44.19 | ▲ More than typical |
About Oxycodone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾ Oxycodone 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 semisynthetic derivative of CODEINE. In 2023, this provider wrote 440 Medicare prescriptions for Oxycodone Hcl, about 4.5 times the volume of the typical Florida prescriber of this medication (97). Medicare paid an average of $44.19 per fill, versus $31.44 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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. 440 30-Day Fills standardized to 30-day supplies 12,901 Days of Medication total across all patients in 2023 | |||
| Tramadol Hcl | 367 | $10.92 | ▲ More than typical |
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 367 Medicare prescriptions for Tramadol Hcl, about 5.5 times the volume of the typical Florida prescriber of this medication (67). Medicare paid an average of $10.92 per fill, versus $7.51 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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. 371 30-Day Fills standardized to 30-day supplies 9,858 Days of Medication total across all patients in 2023 | |||
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 347 | $30.60 | ▲ More than typical |
About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone 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 347 Medicare prescriptions for Hydrocodone-Acetaminophen, about 3.5 times the volume of the typical Florida prescriber of this medication (100). Medicare paid an average of $30.60 per fill, versus $20.21 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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. 347 30-Day Fills standardized to 30-day supplies 9,501 Days of Medication total across all patients in 2023 | |||
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 327 | $48.09 | ▲ More than typical |
About Oxycodone-Acetaminophen: This combination medication is used to help relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (oxycodone) and a non-opioid pain reliever (acetaminophen). Oxycodone 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 327 Medicare prescriptions for Oxycodone-Acetaminophen, about 3.2 times the volume of the typical Florida prescriber of this medication (101). Medicare paid an average of $48.09 per fill, versus $33.99 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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. 327.5 30-Day Fills standardized to 30-day supplies 9,094 Days of Medication total across all patients in 2023 | |||
| Morphine Sulfate ErMorphine Sulfate | 235 | $26.50▼ below FL avg | ▲ More than typical |
About Morphine Sulfate Er: This medication is used to treat severe pain. Show more ▾ Morphine 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. The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle. In 2023, this provider wrote 235 Medicare prescriptions for Morphine Sulfate Er, about 2.1 times the volume of the typical Florida prescriber of this medication (114). Medicare paid an average of $26.50 per fill, versus $40.18 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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 FL average for this medication. 235 30-Day Fills standardized to 30-day supplies 6,872 Days of Medication total across all patients in 2023 | |||
| Ibuprofen | 225 | $5.69▼ below FL avg | ▲ More than typical |
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 225 Medicare prescriptions for Ibuprofen, about 5.5 times the volume of the typical Florida prescriber of this medication (41). Medicare paid an average of $5.69 per fill, versus $9.27 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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 FL average for this medication. 225 30-Day Fills standardized to 30-day supplies 6,655 Days of Medication total across all patients in 2023 | |||
| Cyclobenzaprine Hcl | 164 | $21.15 | ▲ More than typical |
About Cyclobenzaprine Hcl: Cyclobenzaprine is used short-term to treat muscle spasms. Show more ▾ It is usually used along with rest and physical therapy. It works by helping to relax the muscles. This medication is not recommended for use in older adults because they may be at greater risk for side effects while using this drug. Ask the doctor or pharmacist for details. In 2023, this provider wrote 164 Medicare prescriptions for Cyclobenzaprine Hcl, about 4.3 times the volume of the typical Florida prescriber of this medication (38). Medicare paid an average of $21.15 per fill, versus $17.73 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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. 168 30-Day Fills standardized to 30-day supplies 4,988 Days of Medication total across all patients in 2023 | |||
| Diclofenac Sodium | 154 | $52.27 | ▲ More than typical |
About Diclofenac Sodium: See also Warning section. Show more ▾ This medication is used to relieve joint pain from arthritis. Diclofenac belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). 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. A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt. In 2023, this provider wrote 154 Medicare prescriptions for Diclofenac Sodium, about 2.6 times the volume of the typical Florida prescriber of this medication (59). Medicare paid an average of $52.27 per fill, versus $28.76 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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. 160 30-Day Fills standardized to 30-day supplies 3,978 Days of Medication total across all patients in 2023 | |||
| Pregabalin | 120 | $36.49▼ below FL avg | ▲ More than typical |
About Pregabalin: This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury. Show more ▾ This medication is also used to treat pain in people with fibromyalgia. It is also used with other medications to treat certain types of seizures (focal seizures). A gamma-aminobutyric acid (GABA) derivative that functions as a CALCIUM CHANNEL BLOCKER and is used as an ANTICONVULSANT as well as an ANTI-ANXIETY AGENT. It is also used as an ANALGESIC in the treatment of NEUROPATHIC PAIN and FIBROMYALGIA. In 2023, this provider wrote 120 Medicare prescriptions for Pregabalin, about 2.4 times the volume of the typical Florida prescriber of this medication (50). Medicare paid an average of $36.49 per fill, versus $42.21 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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 FL average for this medication. 130 30-Day Fills standardized to 30-day supplies 3,754 Days of Medication total across all patients in 2023 | |||
| Folic Acid | 111 | $2.30▼ below FL avg | ▲ More than typical |
About Folic Acid: Folic acid is the man-made form of folate. Show more ▾ Folate is a B-vitamin naturally found in some foods. It is needed to form healthy cells, especially red blood cells. Folic acid supplements may come in different forms (such as L-methylfolate, levomefolate, methyltetrahydrofolate). They are used to treat or prevent low folate levels. Low folate levels can lead to certain types of anemia. Conditions that can cause low folate levels include poor diet, pregnancy, alcoholism, liver disease, certain stomach/intestinal problems, kidney dialysis, among others. Women of childbearing age should receive adequate amounts of folic acid either through their diet or supplements to prevent infant spinal cord birth defects. A member of the vitamin B family that stimulates the hematopoietic system. It is present in the liver and kidney and is found in mushrooms, spinach, yeast, green leaves, and grasses (POACEAE). Folic acid is used in the treatment and prevention of folate deficiencies and megaloblastic anemia. In 2023, this provider wrote 111 Medicare prescriptions for Folic Acid, about 2.1 times the volume of the typical Florida prescriber of this medication (54). Medicare paid an average of $2.30 per fill, versus $3.64 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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 FL average for this medication. 111 30-Day Fills standardized to 30-day supplies 3,232 Days of Medication total across all patients in 2023 | |||
| Meloxicam | 93 | $5.00▼ below FL avg | ▲ More than typical |
About Meloxicam: Meloxicam is used to help relieve moderate to severe pain. Show more ▾ Meloxicam 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 or pain. A benzothiazine and thiazole derivative that acts as a NSAID and cyclooxygenase-2 (COX-2) inhibitor. It is used in the treatment of RHEUMATOID ARTHRITIS; OSTEOARTHRITIS; and ANKYLOSING SPONDYLITIS. In 2023, this provider wrote 93 Medicare prescriptions for Meloxicam, about 1.6 times the volume of the typical Florida prescriber of this medication (58). Medicare paid an average of $5.00 per fill, versus $6.18 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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 FL average for this medication. 106 30-Day Fills standardized to 30-day supplies 3,170 Days of Medication total across all patients in 2023 | |||
| Hydromorphone Hcl | 83 | $44.29 | ▲ More than typical |
About Hydromorphone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾ Hydromorphone 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. An opioid analgesic made from MORPHINE and used mainly as an analgesic. It has a shorter duration of action than morphine. In 2023, this provider wrote 83 Medicare prescriptions for Hydromorphone Hcl, about 3.2 times the volume of the typical Florida prescriber of this medication (26). Medicare paid an average of $44.29 per fill, versus $5.11 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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. 83 30-Day Fills standardized to 30-day supplies 2,436 Days of Medication total across all patients in 2023 | |||
| Baclofen | 83 | $6.87▼ below FL avg | ▲ More than typical |
About Baclofen: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease). Show more ▾ It works by helping to relax the muscles. A GAMMA-AMINOBUTYRIC ACID derivative that is a specific agonist of GABA-B RECEPTORS. It is used in the treatment of MUSCLE SPASTICITY, especially that due to SPINAL CORD INJURIES. Its therapeutic effects result from actions at spinal and supraspinal sites, generally the reduction of excitatory transmission. In 2023, this provider wrote 83 Medicare prescriptions for Baclofen, about 1.7 times the volume of the typical Florida prescriber of this medication (49). Medicare paid an average of $6.87 per fill, versus $24.56 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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 FL average for this medication. 83 30-Day Fills standardized to 30-day supplies 2,464 Days of Medication total across all patients in 2023 | |||
| Amitriptyline Hcl | 58 | $16.63▼ below FL avg | ▲ More than typical |
About Amitriptyline Hcl: This medication is used to treat mental/mood problems such as depression. Show more ▾ It may help improve mood and feelings of well-being, relieve anxiety and tension, help you sleep better, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters such as serotonin) in the brain. In 2023, this provider wrote 58 Medicare prescriptions for Amitriptyline Hcl, about 2.1 times the volume of the typical Florida prescriber of this medication (27). Medicare paid an average of $16.63 per fill, versus $21.82 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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 FL average for this medication. 58 30-Day Fills standardized to 30-day supplies 1,678 Days of Medication total across all patients in 2023 | |||
| Naproxen | 48 | $6.01▼ below FL avg | ▲ More than typical |
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 48 Medicare prescriptions for Naproxen, about 1.6 times the volume of the typical Florida prescriber of this medication (30). Medicare paid an average of $6.01 per fill, versus $12.07 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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 FL average for this medication. 48 30-Day Fills standardized to 30-day supplies 1,396 Days of Medication total across all patients in 2023 | |||
| Naloxone Hcl | 42 | $95.11 | ≈ Typical |
About Naloxone Hcl: This medication is used for the emergency treatment of known or suspected opioid overdose. Show more ▾ Serious opioid overdose symptoms may include unusual sleepiness, unusual difficulty waking up, or breathing problems (ranging from slow/shallow breathing to no breathing). Other symptoms of overdose may include very small pinpoint pupils, slow heartbeat, or low blood pressure. If someone has serious overdose symptoms but you are not sure if the symptoms are due to overdose, give this medication right away anyway, since lasting slow/shallow breathing may cause permanent damage to the brain or death. This medication belongs to a class of drugs known as opioid antagonists. It works by blocking the effects of the opioid in the brain. This medication may not work as well to block the effects of certain types of opioids (mixed agonist/antagonists such as buprenorphine, pentazocine). With these types of opioids, blocking may be incomplete or you may need a higher dose of naloxone. The effects of naloxone will not last as long as the effects of the opioid. Since treatment with this medication is not long lasting, be sure to get medical help right away after giving the first dose of naloxone. Treatment of opioid overdose should also include breathing treatment (such as oxygen given through tubes in the nose, mechanical ventilation, artificial respiration). A specific opiate antagonist that has no agonist activity. It is a competitive antagonist at mu, delta, and kappa opioid receptors. In 2023, this provider wrote 42 Medicare prescriptions for Naloxone Hcl, about 82% of the volume of the typical Florida prescriber of this medication (51). Medicare paid an average of $95.11 per fill, versus $89.81 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average FL 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 855 Days of Medication total across all patients in 2023 | |||
| Clonazepam | 38 | $4.89▼ below FL 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 38 Medicare prescriptions for Clonazepam, about half the volume of the typical Florida prescriber of this medication (69). Medicare paid an average of $4.89 per fill, versus $8.30 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 38 30-Day Fills standardized to 30-day supplies 1,112 Days of Medication total across all patients in 2023 | |||
| Hydrochlorothiazide | 36 | $4.37▼ below FL avg | ▼ 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 2023, this provider wrote 36 Medicare prescriptions for Hydrochlorothiazide, about half the volume of the typical Florida prescriber of this medication (79). Medicare paid an average of $4.37 per fill, versus $5.36 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 38 30-Day Fills standardized to 30-day supplies 1,138 Days of Medication total across all patients in 2023 | |||
| Celecoxib | 28 | $56.68 | ▼ Less than typical |
About Celecoxib: This medication is a nonsteroidal anti-inflammatory drug (NSAID), specifically a COX-2 inhibitor, which relieves pain and swelling (inflammation). Show more ▾ It is used to treat arthritis, acute pain, and menstrual pain and discomfort. The pain and swelling relief provided by this medication helps you perform more of your normal daily activities. 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 drug works by blocking the enzyme in your body that makes prostaglandins. Decreasing prostaglandins helps to reduce pain and swelling. A pyrazole derivative and selective CYCLOOXYGENASE 2 INHIBITOR that is used to treat symptoms associated with RHEUMATOID ARTHRITIS; OSTEOARTHRITIS and JUVENILE ARTHRITIS, as well as the management of ACUTE PAIN. In 2023, this provider wrote 28 Medicare prescriptions for Celecoxib, about 74% of the volume of the typical Florida prescriber of this medication (38). Medicare paid an average of $56.68 per fill, versus $46.88 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 30-Day Fills standardized to 30-day supplies 1,020 Days of Medication total across all patients in 2023 | |||
| Lidocaine | 27 | $64.30▼ below FL avg | ≈ Typical |
About Lidocaine: This product is used to help reduce itching and pain from certain skin conditions (such as scrapes, minor skin irritations, insect bites). Show more ▾ It may also be used to help relieve nerve pain after shingles (infection with herpes zoster virus). Lidocaine belongs to a class of drugs known as local anesthetics. It works by causing a temporary loss of feeling in the area where you apply the patch. A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE. In 2023, this provider wrote 27 Medicare prescriptions for Lidocaine, about the same volume as the typical Florida prescriber of this medication (27). Medicare paid an average of $64.30 per fill, versus $129.52 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average FL 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 FL average for this medication. 27 30-Day Fills standardized to 30-day supplies 732 Days of Medication total across all patients in 2023 | |||
| Lisinopril | 27 | $4.66▼ below FL 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 2023, this provider wrote 27 Medicare prescriptions for Lisinopril, about a quarter of the volume of the typical Florida prescriber of this medication (124). Medicare paid an average of $4.66 per fill, versus $6.04 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 31 30-Day Fills standardized to 30-day supplies 930 Days of Medication total across all patients in 2023 | |||
| Duloxetine Hcl | 27 | $15.02▼ below FL avg | ▼ Less than typical |
About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾ In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA. In 2023, this provider wrote 27 Medicare prescriptions for Duloxetine Hcl, about half the volume of the typical Florida prescriber of this medication (51). Medicare paid an average of $15.02 per fill, versus $45.79 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 27 30-Day Fills standardized to 30-day supplies 781 Days of Medication total across all patients in 2023 | |||
| Atorvastatin Calcium | 25 | $6.16▼ below FL avg | ▼ Less than typical |
About Atorvastatin Calcium: 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. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors. In 2023, this provider wrote 25 Medicare prescriptions for Atorvastatin Calcium, about 13% of the volume of the typical Florida prescriber of this medication (192). Medicare paid an average of $6.16 per fill, versus $11.76 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 29 30-Day Fills standardized to 30-day supplies 870 Days of Medication total across all patients in 2023 | |||
| Dexlansoprazole DrDexlansoprazole | 22 | $220.37▼ below FL avg | ≈ Typical |
About Dexlansoprazole Dr: Dexlansoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾ It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Dexlansoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). Dexlansoprazole is not recommended for use in children younger than 2 years due to an increased risk of serious side effects. Ask the doctor or pharmacist for details. The R-isomer of lansoprazole that is used to treat severe GASTROESOPHAGEAL REFLUX DISEASE. In 2023, this provider wrote 22 Medicare prescriptions for Dexlansoprazole Dr, about the same volume as the typical Florida prescriber of this medication (20). Medicare paid an average of $220.37 per fill, versus $434.67 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average FL 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 FL average for this medication. 22 30-Day Fills standardized to 30-day supplies 658 Days of Medication total across all patients in 2023 | |||
| Morphine Sulfate | 20 | $48.28 | ▼ Less than typical |
About Morphine Sulfate: This medication is used to treat severe pain. Show more ▾ Morphine 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. The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle. In 2023, this provider wrote 20 Medicare prescriptions for Morphine Sulfate, about a third of the volume of the typical Florida prescriber of this medication (51). Medicare paid an average of $48.28 per fill, versus $35.40 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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. 20 30-Day Fills standardized to 30-day supplies 585 Days of Medication total across all patients in 2023 | |||
| Sildenafil Citrate | 19 | $3.95▼ below FL avg | ▼ Less than typical |
About Sildenafil Citrate: Sildenafil is used to treat high blood pressure in the lungs (pulmonary hypertension). Show more ▾ It works by relaxing and widening the blood vessels in your lungs which allows the blood to flow more easily. Decreasing high blood pressure in the lungs allows your heart and lungs to work better and improves your ability to exercise. This medication is not recommended for use in children. Discuss the risks and benefits of this medication with the doctor. A PHOSPHODIESTERASE TYPE-5 INHIBITOR; VASODILATOR AGENT and UROLOGICAL AGENT that is used in the treatment of ERECTILE DYSFUNCTION and PRIMARY PULMONARY HYPERTENSION. In 2023, this provider wrote 19 Medicare prescriptions for Sildenafil Citrate, about a third of the volume of the typical Florida prescriber of this medication (47). Medicare paid an average of $3.95 per fill, versus $19.13 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 19 30-Day Fills standardized to 30-day supplies 327 Days of Medication total across all patients in 2023 | |||
| Acetaminophen-CodeineAcetaminophen With Codeine | 17 | $40.77 | ▼ Less than typical |
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 17 Medicare prescriptions for Acetaminophen-Codeine, about half the volume of the typical Florida prescriber of this medication (35). Medicare paid an average of $40.77 per fill, versus $15.14 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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. 17 30-Day Fills standardized to 30-day supplies 510 Days of Medication total across all patients in 2023 | |||
| Clonidine Hcl | 13 | $5.94▼ below FL avg | ▼ Less than typical |
About Clonidine Hcl: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Clonidine belongs to a class of drugs (central alpha agonists) that act in the brain to lower blood pressure. It works by relaxing blood vessels so blood can flow more easily. In 2023, this provider wrote 13 Medicare prescriptions for Clonidine Hcl, about a third of the volume of the typical Florida prescriber of this medication (32). Medicare paid an average of $5.94 per fill, versus $8.40 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023 | |||
| Albuterol Sulfate HfaAlbuterol Sulfate | 13 | $22.93▼ below FL avg | ▼ Less than typical |
About Albuterol Sulfate Hfa: Albuterol (also known as salbutamol) is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. Show more ▾ It is a quick-relief medication. Albuterol belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol. In 2023, this provider wrote 13 Medicare prescriptions for Albuterol Sulfate Hfa, about 19% of the volume of the typical Florida prescriber of this medication (67). Medicare paid an average of $22.93 per fill, versus $49.17 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 13 30-Day Fills standardized to 30-day supplies 290 Days of Medication total across all patients in 2023 | |||
| NucyntaTapentadol Hcl | 12 | $1,708.70 | ▼ Less than typical |
About Nucynta: Tapentadol is used to help relieve moderate to severe short-term pain (such as pain from an injury or after surgery). Show more ▾ It 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. An opioid analgesic, MU OPIOID RECEPTOR agonist, and noradrenaline reuptake inhibitor that is used in the treatment of moderate to severe pain, and of pain associated with DIABETIC NEUROPATHIES. In 2023, this provider wrote 12 Medicare prescriptions for Nucynta, about 67% of the volume of the typical Florida prescriber of this medication (18). Medicare paid an average of $1,708.70 per fill, versus $1,010.53 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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. 14 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2023 | |||
| Omeprazole | 12 | $5.86▼ below FL avg | ▼ Less than typical |
About Omeprazole: Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾ It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter omeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS. In 2023, this provider wrote 12 Medicare prescriptions for Omeprazole, about 11% of the volume of the typical Florida prescriber of this medication (105). Medicare paid an average of $5.86 per fill, versus $13.37 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 12 30-Day Fills standardized to 30-day supplies 287 Days of Medication total across all patients in 2023 | |||
| Metoprolol Succinate | 12 | $9.22▼ below FL avg | ▼ Less than typical |
About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 12 Medicare prescriptions for Metoprolol Succinate, about 12% of the volume of the typical Florida prescriber of this medication (99). Medicare paid an average of $9.22 per fill, versus $20.16 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| Entacapone | 12 | $214.26▼ below FL avg | ▼ Less than typical |
About Entacapone: This medication is used with other medications (levodopa/carbidopa) to treat Parkinson's disease. Show more ▾ Entacapone belongs to a class of drugs known as COMT inhibitors. Many people taking levodopa for Parkinson's have problems with the effects of the levodopa wearing off between scheduled doses, causing symptoms to return or worsen. Entacapone blocks a certain natural substance (COMT enzyme) that breaks down the levodopa in the body. This effect allows the levodopa to last longer in the system so that it doesn't wear off before the next dose. In 2023, this provider wrote 12 Medicare prescriptions for Entacapone, about half the volume of the typical Florida prescriber of this medication (23). Medicare paid an average of $214.26 per fill, versus $242.22 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| Sulindac | 12 | $20.20▼ below FL avg | ▼ Less than typical |
About Sulindac: See also Warning section. Show more ▾ Sulindac is used to reduce pain, swelling, and joint stiffness from arthritis. It is also used to treat arthritis of the spine, gouty arthritis, and shoulder bursitis/tendonitis. Sulindac 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. 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. A sulfinylindene derivative prodrug whose sulfinyl moiety is converted in vivo to an active NSAID analgesic. Specifically, the prodrug is converted by liver enzymes to a sulfide which is excreted in the bile and then reabsorbed from the intestine. This helps to maintain constant blood levels with reduced gastrointestinal side effects. In 2023, this provider wrote 12 Medicare prescriptions for Sulindac, about half the volume of the typical Florida prescriber of this medication (24). Medicare paid an average of $20.20 per fill, versus $23.38 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| Carisoprodol | 12 | $7.16▼ below FL avg | ▼ Less than typical |
About Carisoprodol: Carisoprodol is used short-term to treat muscle pain and discomfort. Show more ▾ It is usually used along with rest, physical therapy, and other treatments. It works by helping to relax the muscles. A centrally acting skeletal muscle relaxant whose mechanism of action is not completely understood but may be related to its sedative actions. It is used as an adjunct in the symptomatic treatment of musculoskeletal conditions associated with painful muscle spasm. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1202) In 2023, this provider wrote 12 Medicare prescriptions for Carisoprodol, about half the volume of the typical Florida prescriber of this medication (24). Medicare paid an average of $7.16 per fill, versus $14.77 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| Carbidopa-LevodopaCarbidopa/Levodopa | 12 | $31.84▼ below FL avg | ▼ Less than typical |
About Carbidopa-Levodopa: This combination medication is used to treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving). Show more ▾ Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain, helping to control movement. Carbidopa prevents the breakdown of levodopa in the bloodstream so more levodopa can enter the brain. Carbidopa can also reduce some of levodopa's side effects such as nausea and vomiting. In 2023, this provider wrote 12 Medicare prescriptions for Carbidopa-Levodopa, about 20% of the volume of the typical Florida prescriber of this medication (61). Medicare paid an average of $31.84 per fill, versus $47.19 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| Trazodone Hcl | 12 | $9.17▼ below FL avg | ▼ Less than typical |
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain. In 2023, this provider wrote 12 Medicare prescriptions for Trazodone Hcl, about 16% of the volume of the typical Florida prescriber of this medication (75). Medicare paid an average of $9.17 per fill, versus $12.82 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 18 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2023 | |||
| Propranolol Hcl | 11 | $22.40▼ below FL avg | ▼ Less than typical |
About Propranolol Hcl: This formulation of propranolol is used for infants and children to treat a certain benign tumor (proliferating infantile hemangioma). Show more ▾ It helps to shrink the tumor. Propranolol belongs to a class of drugs known as beta blockers. In 2023, this provider wrote 11 Medicare prescriptions for Propranolol Hcl, about half the volume of the typical Florida prescriber of this medication (23). Medicare paid an average of $22.40 per fill, versus $28.17 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for MICHAEL GERALD BARILE 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 Pain Medicine prescribing approach at this Naples, FL 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 FL prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
