DR. MIGUEL ANGEL PANIAGUA M.D./M.P.H.
Prescription History 1699856443
Internal Medicine - Cardiovascular Disease in Saint Louis, MO
What does Dr. Paniagua prescribe?
In 2024, Dr. Paniagua wrote 266 Medicare prescriptions for 14 medications. The most prescribed was Pantoprazole Sodium, with 47 prescriptions for 13 patients.
Medicare Part D only. These are prescriptions filled by people with Medicare drug coverage in 2024, from the CMS data released in 2026, the most recent year available. CMS does not publish medications with fewer than 11 prescriptions, so this is not a full list of what Dr. Paniagua prescribes.
Medications 14 medications
Prescriptions filled under Medicare Part D in 2024. Select a medication to see what it is used for and how it compares with other Missouri prescribers.
What it is used for
Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux).
Compared with Missouri prescribers
Dr. Paniagua wrote 47 prescriptions for Pantoprazole Sodium, about half as often as the typical Missouri prescriber of it (105). Medicare paid $3.95 per fill, versus $10.99 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH).
Compared with Missouri prescribers
Dr. Paniagua wrote 27 prescriptions for Tamsulosin Hcl, about 25% as often as the typical Missouri prescriber of it (106). Medicare paid $10.39 per fill, versus $12.31 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Lisinopril is used to treat high blood pressure.
Compared with Missouri prescribers
Dr. Paniagua wrote 22 prescriptions for Lisinopril, about 15% as often as the typical Missouri prescriber of it (151). Medicare paid $2.21 per fill, versus $5.80 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat high blood pressure.
Compared with Missouri prescribers
Dr. Paniagua wrote 20 prescriptions for Hydrochlorothiazide, about 24% as often as the typical Missouri prescriber of it (85). Medicare paid $7.36 per fill, versus $3.84 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Levothyroxine is used to treat an underactive thyroid (hypothyroidism).
Compared with Missouri prescribers
Dr. Paniagua wrote 20 prescriptions for Levothyroxine Sodium, about 10% as often as the typical Missouri prescriber of it (194). Medicare paid $10.45 per fill, versus $8.86 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with Missouri prescribers
Dr. Paniagua wrote 19 prescriptions for Metformin Hcl, about 18% as often as the typical Missouri prescriber of it (105). Medicare paid $2.94 per fill, versus $6.52 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, anxiety).
Compared with Missouri prescribers
Dr. Paniagua wrote 15 prescriptions for Duloxetine Hcl, about 20% as often as the typical Missouri prescriber of it (73). Medicare paid $31.30 per fill, versus $21.77 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Fenofibrate is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with Missouri prescribers
Dr. Paniagua wrote 15 prescriptions for Fenofibrate, about half as often as the typical Missouri prescriber of it (29). Medicare paid $32.91 per fill, versus $22.84 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath).
Compared with Missouri prescribers
Dr. Paniagua wrote 15 prescriptions for Montelukast Sodium, about 20% as often as the typical Missouri prescriber of it (75). Medicare paid $15.64 per fill, versus $8.77 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood.
Compared with Missouri prescribers
Dr. Paniagua wrote 15 prescriptions for Potassium Chloride, about 17% as often as the typical Missouri prescriber of it (90). Medicare paid $17.59 per fill, versus $17.91 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder).
Compared with Missouri prescribers
Dr. Paniagua wrote 15 prescriptions for Quetiapine Fumarate, about 22% as often as the typical Missouri prescriber of it (69). Medicare paid $17.10 per fill, versus $16.57 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Benztropine is used to treat symptoms of Parkinson's disease or involuntary movements due to the side effects of certain psychiatric drugs (antipsychotics such as chlorpromazine/haloperidol).
Compared with Missouri prescribers
Dr. Paniagua wrote 12 prescriptions for Benztropine Mesylate, about 19% as often as the typical Missouri prescriber of it (63). Medicare paid $12.97 per fill, versus $12.46 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with Missouri prescribers
Dr. Paniagua wrote 12 prescriptions for Bupropion Hcl Sr, about 40% as often as the typical Missouri prescriber of it (30). Medicare paid $25.16 per fill, versus $19.42 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with Missouri prescribers
Dr. Paniagua wrote 12 prescriptions for Naproxen, about half as often as the typical Missouri prescriber of it (26). Medicare paid $3.53 per fill, versus $12.07 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Questions about Dr. Paniagua’s prescriptions
What does Dr. Paniagua prescribe most?
In 2024 Medicare Part D data, Dr. Paniagua's most prescribed medications were Pantoprazole Sodium (47), Tamsulosin Hcl (27) and Lisinopril (22).
How does Dr. Paniagua's prescribing compare with other Missouri prescribers?
Of the 14 medications with a state comparison, Dr. Paniagua prescribes 14 less often than the typical Missouri prescriber. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Dr. Paniagua prescribes?
No. It covers prescriptions filled by people with Medicare Part D drug coverage in 2024, and CMS leaves out any medication with fewer than 11 prescriptions.
About this data
This page shows one provider’s slice of public Medicare files. NPI Profile does not receive prescriptions or patient records.
| Source | What it provides here | Data year |
|---|---|---|
| CMS Medicare Part D Prescribers by Provider and Drug | Each medication, prescriptions, patients, 30-day fills, days of medication and cost. State comparisons average the Missouri prescribers of the same medication and form, where at least five wrote it. | 2024 (released 2026, the most recent available) |
| CMS Medicare Part D Drug Spending Dashboard | What each medication is used for. | 2024 |
- Only prescriptions filled by people with Medicare Part D drug coverage are counted. Private insurance, Medicaid and cash purchases are not.
- CMS leaves out medications with fewer than 11 prescriptions and hides patient counts under 11.
- Cost per fill is what the plan and the patient paid the pharmacy together, not what you pay at the counter.
- Medication descriptions are summaries from CMS. They are not medical advice; ask a health care professional about any medication.
