Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Pulmonary Disease

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

4,817Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 44

$392K Total Retail Price of All Prescriptions

Rank: 9 out of 44

213 Patients Receiving at Least One Drug in Part D
86% Patients 65 Years and Older

30% 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 New Hampshire
lower than average

Antipsychotics

This provider prescribed antipsychotics to at least one but fewer than 11 patients who are 65 and older, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Antibiotics

42% of this provider’s 213 patients filled at least one prescription for an antibiotic drug, compared to an average of 21%.

More resources »

Risky Drugs for Seniors

12% of this provider’s 183 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 2%.

More resources »

Opioids

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

37 of this provider’s 213 patients filled at least one prescription for an opioid

More resources »

Brand Name Drugs

24% of this provider’s prescriptions were for brand-name drugs, compared to an average of 63%. This is far fewer than peers.

Prescription Price

$81 was the average price of a prescription from this provider, compared to $264 among peers.

Prescriptions per Patient

23 is the average number of prescriptions (including refills) per patient, compared to an average of 6.


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

$347K

2012

$417K

2013

$398K

2014

$392K

2015

Number of Claims

4,857

2012

5,445

2013

5,148

2014

4,817

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

232

prescriptions, 5% of all prescriptions

185

prescriptions.

57

patients, 27% of all patients

1 11
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

136

prescriptions, 3% of all prescriptions

124

prescriptions.

34

patients, 16% of all patients

2 13
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

122

prescriptions, 3% of all prescriptions

70

prescriptions.

16

patients, 8% of all patients

O 3 15
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

111

prescriptions, 2% of all prescriptions

106

prescriptions.

24

patients, 11% of all patients

4 16
FUROSEMIDE

Treats fluid retention (ede... +

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

109

prescriptions, 2% of all prescriptions

104

prescriptions.

23

patients, 11% of all patients

5 17
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

103

prescriptions, 2% of all prescriptions

76

prescriptions.

30

patients, 14% of all patients

6 12
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

100

prescriptions, 2% of all prescriptions

95

prescriptions.

23

patients, 11% of all patients

7 20
LORAZEPAM

Treats anxiety, anxiety wit... +

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

99

prescriptions, 2% of all prescriptions

94

prescriptions.

27

patients, 13% of all patients

8 21
PREDNISONE

Treats inflammation (swelli... +

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

98

prescriptions, 2% of all prescriptions

93

prescriptions.

43

patients, 20% of all patients

9 5
GABAPENTIN

Treats certain types of sei... +

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

97

prescriptions, 2% of all prescriptions

92

prescriptions.

25

patients, 12% of all patients

10 22
VALSARTAN

Valsartan is used alone or ... +

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

91

prescriptions, 2% of all prescriptions

86

prescriptions.

18

patients, 8% of all patients

11 24
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

90

prescriptions, 2% of all prescriptions

76

prescriptions.

21

patients, 10% of all patients

12 25
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

88

prescriptions, 2% of all prescriptions

64

prescriptions.

25

patients, 12% of all patients

13 6
SIMVASTATIN

Treats high cholesterol and... +

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

85

prescriptions, 2% of all prescriptions

80

prescriptions.

22

patients, 10% of all patients

14 26
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

81

prescriptions, 2% of all prescriptions

76

prescriptions.

18

patients, 8% of all patients

15 29
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

74

prescriptions, 2% of all prescriptions

69

prescriptions.

17

patients, 8% of all patients

16 32
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

73

prescriptions, 2% of all prescriptions

68

prescriptions.

24

patients, 11% of all patients

17 33
AZITHROMYCIN

Treats infections caused by... +

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

71

prescriptions, 1% of all prescriptions

53

prescriptions.

45

patients, 21% of all patients

A 18 7
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

71

prescriptions, 1% of all prescriptions

66

prescriptions.

19

patients, 9% of all patients

18 34
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

58

prescriptions.

<11 20 35
PROAIR HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

46

prescriptions.

24

patients, 11% of all patients

21 4
ESCITALOPRAM OXALATE

Escitalopram is used to tre... +

Escitalopram is used to treat depression and generalized anxiety disorder (excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

56

prescriptions.

<11 22 36
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

56

prescriptions, 1% of all prescriptions

56

prescriptions.

12

patients, 6% of all patients

22 36
CARVEDILOL

Treats high blood pressure ... +

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

50

prescriptions, 1% of all prescriptions

50

prescriptions.

<11 24 44
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 July 8, 2007.
  • 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.