LILIAM R. MACHADO PMHNP
Prescription History 1972168227
Nurse Practitioner - Psychiatric/Mental Health in Coral Gables, FL

Active since May 02, 2019PECOS Enrolled
3850 W FLAGLER ST, CORAL GABLES, FL 33134(305) 774-3300 Get Directions

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 19, 2024, May 2, 2019 (2 updates tracked since 2019).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for LILIAM R. MACHADO PMHNP, an active Psychiatric/Mental Health specialist practicing in Coral Gables, FL. Our medical registry currently tracks 3 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 43 documented patient claims. Among these therapy options, the most frequently utilized medication is Mirtazapine, which accounts for 16 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.

3
Medications
43
Total Claims
65
30-Day Fills
Mirtazapine
Most Prescribed · 16 claims
View details
3 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by LILIAM R. MACHADO PMHNP in 2024, with prescription volumes, average cost per fill, and FL state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other FL PrescribersVs. FL Avg
Mirtazapine16$6.45▼ below FL avg▼ Less than typical

About Mirtazapine: This medication is used to treat depression. Show more ▾

Mirtazapine works by helping to restore the balance of certain natural substances in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders.

In 2024, this provider wrote 16 Medicare prescriptions for Mirtazapine, about a quarter of the volume of the typical Florida prescriber of this medication (57.3). Medicare paid an average of $6.45 per fill, versus $19.64 statewide.

How often this provider prescribes it

This provider
16
FL average
57.3

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
$6.45
FL average
$19.64

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

27.3
30-Day Fills
standardized to 30-day supplies
820
Days of Medication
total across all patients in 2024
Escitalopram Oxalate15$4.29▼ below FL avg▼ Less than typical

About Escitalopram Oxalate: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾

Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder.

In 2024, this provider wrote 15 Medicare prescriptions for Escitalopram Oxalate, about a quarter of the volume of the typical Florida prescriber of this medication (65.2). Medicare paid an average of $4.29 per fill, versus $10.12 statewide.

How often this provider prescribes it

This provider
15
FL average
65.2

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
$4.29
FL average
$10.12

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

21.3
30-Day Fills
standardized to 30-day supplies
640
Days of Medication
total across all patients in 2024
Quetiapine Fumarate12$5.26▼ below FL avg▼ Less than typical

About Quetiapine Fumarate: 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). Show more ▾

Quetiapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER.

In 2024, this provider wrote 12 Medicare prescriptions for Quetiapine Fumarate, about 18% of the volume of the typical Florida prescriber of this medication (67.8). Medicare paid an average of $5.26 per fill, versus $16.41 statewide.

How often this provider prescribes it

This provider
12
FL average
67.8

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
$5.26
FL average
$16.41

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

16
30-Day Fills
standardized to 30-day supplies
480
Days of Medication
total across all patients in 2024
No medications match the current filters.
▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average FL prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the FL average cost per fill.

About this data. The prescription history for LILIAM R. MACHADO PMHNP 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 Psychiatric/Mental Health prescribing approach at this Coral Gables, 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 among FL 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.