Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Family Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

10,203Medicare Part D Prescriptions Filled, Including Refills

Rank: 102 out of 632

$585K Total Retail Price of All Prescriptions

Rank: 81 out of 632

425 Patients Receiving at Least One Drug in Part D
87% Patients 65 Years and Older

40% Subsidized Claims for Low-Income Patients

How Does This Prescriber Compare to Peers?

In the same specialty and state. Caveats »

Drugs That Present Special Risks
Costs of Prescribing
higher than average Average for
this specialty
in Nebraska
lower than average

Antipsychotics

5% of this provider’s 369 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 3%.

More resources »

Antibiotics

40% of this provider’s 425 patients filled at least one prescription for an antibiotic drug, compared to an average of 31%.

More resources »

Risky Drugs for Seniors

11% of this provider’s 369 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

27% of this provider’s 425 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

19% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$57 was the average price of a prescription from this provider, compared to $53 among peers.

Prescriptions per Patient

24 is the average number of prescriptions (including refills) per patient, compared to an average of 18.


How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all patients.

This Provider's History

A comparison of this provider’s prescribing in Part D since 2012. All years may not be shown if there is insufficient data.

Cost of Claims

$536K

2012

$520K

2013

$569K

2014

$585K

2015

Number of Claims

11,406

2012

11,288

2013

10,620

2014

10,203

2015

This Prescriber's Drugs

The table below list this provider’s drugs, the number of prescriptions and how many went to seniors. Drugs are ranked by volume and compared with the rank for all providers in the same specialty and state. The list below includes only those drugs for which this provider wrote 50 or more prescriptions.

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O

An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.

A

An antibiotic drug. More » Used to treat bacterial infections but are often prescribed incorrectly to treat viral infections, such as chest colds or the flu.

P

An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.

R

A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.

10

This provider is among the top 10 prescribers of this drug in the country.

This provider’s prescriptions for this drug were for more days than those of peers. More » Because of this, his or her prescription count may be lower.

This provider’s prescriptions for this drug were for fewer days than those of peers. More » Because of this, his or her prescription count may be higher.

This Drug's Rank
Drug Name Total Prescriptions Filled with Refills Prescriptions
to 65+
Patients Receiving this Drug Category For this Prescriber For this Prescriber's Peers
LEVOTHYROXINE SODIUM

Levothyroxine, a thyroid ho... +

Levothyroxine, a thyroid hormone, is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. Source: National Library of Medicine

424

prescriptions, 4% of all prescriptions

383

prescriptions.

81

patients, 19% of all patients

1 1
OMEPRAZOLE

Treats heartburn, stomach u... +

Treats heartburn, stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome, endocrine tumors, and systemic mastocytosis. Source: National Library of Medicine

421

prescriptions, 4% of all prescriptions

372

prescriptions.

73

patients, 17% of all patients

2 2
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). Source: National Library of Medicine

338

prescriptions, 3% of all prescriptions

323

prescriptions.

57

patients, 13% of all patients

3 7
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

293

prescriptions, 3% of all prescriptions

270

prescriptions.

69

patients, 16% of all patients

4 4
WARFARIN SODIUM

Warfarin is used to prevent... +

Warfarin is used to prevent blood clots from forming or growing larger in your blood and blood vessels. Source: National Library of Medicine

259

prescriptions, 3% of all prescriptions

259

prescriptions.

30

patients, 7% of all patients

5 9
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. Source: National Library of Medicine

215

prescriptions, 2% of all prescriptions

164

prescriptions.

50

patients, 12% of all patients

O 6 11
AMLODIPINE BESYLATE

Amlodipine is used alone or... +

Amlodipine is used alone or in combination with other medications to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

215

prescriptions, 2% of all prescriptions

195

prescriptions.

40

patients, 9% of all patients

6 3
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels. Source: National Library of Medicine

209

prescriptions, 2% of all prescriptions

192

prescriptions.

52

patients, 12% of all patients

8 6
METOPROLOL SUCCINATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

202

prescriptions, 2% of all prescriptions

202

prescriptions.

31

patients, 7% of all patients

9 12
METOPROLOL TARTRATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

193

prescriptions, 2% of all prescriptions

188

prescriptions.

35

patients, 8% of all patients

10 13
FENTANYL

Treats severe, ongoing pain... +

Treats severe, ongoing pain (during and after surgery, cancer pain) that cannot be controlled with other medicines. Source: National Library of Medicine

189

prescriptions, 2% of all prescriptions

155

prescriptions.

26

patients, 6% of all patients

O 11 51
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

166

prescriptions, 2% of all prescriptions

148

prescriptions.

109

patients, 26% of all patients

A 12 81
ALLOPURINOL

Treats gout and some kinds ... +

Treats gout and some kinds of kidney stones. Source: National Library of Medicine

158

prescriptions, 2% of all prescriptions

153

prescriptions.

36

patients, 8% of all patients

13 26
ENALAPRIL MALEATE

Enalapril is used alone or ... +

Enalapril is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

156

prescriptions, 2% of all prescriptions

140

prescriptions.

38

patients, 9% of all patients

14 49
GABAPENTIN

Treats certain types of sei... +

Treats certain types of seizures. Source: National Library of Medicine

156

prescriptions, 2% of all prescriptions

140

prescriptions.

28

patients, 7% of all patients

14 14
LISINOPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure. Source: National Library of Medicine

154

prescriptions, 2% of all prescriptions

154

prescriptions.

43

patients, 10% of all patients

16 5
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

146

prescriptions, 1% of all prescriptions

122

prescriptions.

33

patients, 8% of all patients

17 31
POTASSIUM CHLORIDE

Potassium is needed to main... +

Potassium is needed to maintain good health. Source: National Library of Medicine

142

prescriptions, 1% of all prescriptions

142

prescriptions.

18

patients, 4% of all patients

18 10
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. Source: National Library of Medicine

139

prescriptions, 1% of all prescriptions

97

prescriptions.

29

patients, 7% of all patients

O 19 52
METFORMIN HCL

Metformin is used alone or ... +

Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Source: National Library of Medicine

136

prescriptions, 1% of all prescriptions

131

prescriptions.

41

patients, 10% of all patients

20 8
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

122

prescriptions, 1% of all prescriptions

109

prescriptions.

21

patients, 5% of all patients

21 44
LORAZEPAM

Treats anxiety, anxiety wit... +

Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine

121

prescriptions, 1% of all prescriptions

116

prescriptions.

35

patients, 8% of all patients

22 32
SERTRALINE HCL

Sertraline is used to treat... +

Sertraline is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks), posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine

117

prescriptions, 1% of all prescriptions

112

prescriptions.

12

patients, 3% of all patients

23 20
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

114

prescriptions, 1% of all prescriptions

114

prescriptions.

25

patients, 6% of all patients

24 68
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Source: National Library of Medicine

111

prescriptions, 1% of all prescriptions

106

prescriptions.

29

patients, 7% of all patients

25 30
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

105

prescriptions, 1% of all prescriptions

100

prescriptions.

25

patients, 6% of all patients

26 71
TRAMADOL HCL

Tramadol is used to relieve... +

Tramadol is used to relieve moderate to moderately severe pain. Source: National Library of Medicine

105

prescriptions, 1% of all prescriptions

81

prescriptions.

22

patients, 5% of all patients

O 26 16
CLOPIDOGREL

Helps prevent stroke, heart... +

Helps prevent stroke, heart attack, and other heart problems. Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

91

prescriptions.

15

patients, 4% of all patients

28 28
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

89

prescriptions.

18

patients, 4% of all patients

29 18
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

77

prescriptions.

20

patients, 5% of all patients

30 25
HYDROCHLOROTHIAZIDE

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

81

prescriptions.

19

patients, 4% of all patients

31 17
PAROXETINE HCL

Paroxetine tablets, suspens... +

Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

78

prescriptions.

12

patients, 3% of all patients

32 73
DOXAZOSIN MESYLATE

Doxazosin (Cardura, Cardura... +

Doxazosin (Cardura, Cardura XL) is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH), which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

75

prescriptions.

20

patients, 5% of all patients

33 88
PANTOPRAZOLE SODIUM

Pantoprazole is used to tre... +

Pantoprazole is used to treat gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the esophagus (the tube between the throat and stomach). Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

64

prescriptions.

12

patients, 3% of all patients

34 22
FLUOXETINE HCL

Fluoxetine is used to treat... +

Fluoxetine is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

53

prescriptions.

17

patients, 4% of all patients

35 72
TAMSULOSIN HCL

Tamsulosin is used in men t... +

Tamsulosin is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH) which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Source: National Library of Medicine

66

prescriptions, 1% of all prescriptions

66

prescriptions.

13

patients, 3% of all patients

36 19
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

51

prescriptions.

20

patients, 5% of all patients

37 129
OXYCONTIN

Oxycodone is used to reliev... +

Oxycodone is used to relieve moderate to severe pain. Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

57

prescriptions.

<11 O 38 133
OLANZAPINE

Treats psychotic mental dis... +

Treats psychotic mental disorders, such as schizophrenia or bipolar disorder (manic-depressive illness). Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

48

prescriptions.

<11 P 38 116
CLONAZEPAM

Treats seizures, panic diso... +

Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

44

prescriptions.

12

patients, 3% of all patients

40 47
QUETIAPINE FUMARATE

Quetiapine is used to treat... +

Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

60

prescriptions.

<11 P 40 54
LEVEMIR FLEXTOUCH

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

53

prescriptions.

<11 42 115
PRAVASTATIN SODIUM

Pravastatin is used with di... +

Pravastatin is used with diet, weight-loss, and exercise to reduce the risk of heart attack and stroke and to decrease the chance that heart surgery will be needed in people who have heart disease or who are at risk of developing heart disease. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

50

prescriptions.

12

patients, 3% of all patients

43 23
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

Treating infections caused by certain bacteria. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

48

prescriptions.

19

patients, 4% of all patients

A 44 112
LOSARTAN POTASSIUM

Losartan is used alone or i... +

Losartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

47

prescriptions.

15

patients, 4% of all patients

45 15
NITROFURANTOIN

Treats or prevents urinary ... +

Treats or prevents urinary tract infections caused by bacteria. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 A R 46 251
AZITHROMYCIN

Treats infections caused by... +

Treats infections caused by certain bacteria. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

43

patients, 10% of all patients

A 47 62
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 47 70
About This Data

Prescribing data from Medicare’s prescription drug benefit, known as Part D, was compiled and released by the Centers for Medicare and Medicaid Services, the federal agency that oversees the program. The data for 2015 includes more than 1.4 billion prescriptions written by nearly 1.4 million doctors, nurses and other providers. This database lists about 447,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. More than three-fourths of these prescriptions went to patients 65 and older; the rest were for disabled patients. Methodology »

Incorrect Info?

If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org.

Caveats
  • No comparisons are shown if there are fewer than 20 prescribers in the state share this specialty.
  • Comparisons do not take into account the medical conditions of patients. Medications for certain conditions do not have generic alternatives, so patients would receive more expensive brand name drugs.
  • This provider's address and specialty information was last updated on Aug. 1, 2013.
  • Comparisons are based on each provider’s current address, not necessarily where he or she worked during the time period covered in this database.
  • In rare circumstances, providers' prescription tallies may be inflated. Sometimes providers are credited with prescriptions written by colleagues (this happens in long-term care facilities) or are victims of fraud involving theft of their provider number.