Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nurse Practitioner

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

6,428Medicare Part D Prescriptions Filled, Including Refills

Rank: 8 out of 92

$289K Total Retail Price of All Prescriptions

Rank: 22 out of 92

289 Patients Receiving at Least One Drug in Part D
91% Patients 65 Years and Older

94% 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 Nevada
lower than average

Antipsychotics

15% of this provider’s 262 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.

More resources »

Antibiotics

30% of this provider’s 289 patients filled at least one prescription for an antibiotic drug, compared to an average of 18%.

More resources »

Risky Drugs for Seniors

15% of this provider’s 262 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

42% of this provider’s 289 patients filled at least one prescription for an opioid, compared to an average of 34%.

More resources »

Brand Name Drugs

14% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%.

Prescription Price

$45 was the average price of a prescription from this provider, compared to $156 among peers.

Prescriptions per Patient

22 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$80.6K

2012

$168K

2013

$305K

2014

$289K

2015

Number of Claims

1,497

2012

3,524

2013

6,349

2014

6,428

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
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

769

prescriptions, 12% of all prescriptions

676

prescriptions.

41

patients, 14% of all patients

1 14
LORAZEPAM

Treats anxiety, anxiety wit... +

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

296

prescriptions, 5% of all prescriptions

249

prescriptions.

58

patients, 20% of all patients

2 34
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

266

prescriptions, 4% of all prescriptions

224

prescriptions.

47

patients, 16% of all patients

O 3 1
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

244

prescriptions, 4% of all prescriptions

198

prescriptions.

49

patients, 17% of all patients

4 71
TRAMADOL HCL

Tramadol is used to relieve... +

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

219

prescriptions, 3% of all prescriptions

214

prescriptions.

46

patients, 16% of all patients

O 5 15
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

212

prescriptions, 3% of all prescriptions

207

prescriptions.

44

patients, 15% of all patients

6 58
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

204

prescriptions, 3% of all prescriptions

167

prescriptions.

21

patients, 7% of all patients

O 7 5
FUROSEMIDE

Treats fluid retention (ede... +

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

171

prescriptions, 3% of all prescriptions

156

prescriptions.

19

patients, 7% of all patients

8 17
TRAZODONE HCL

Trazodone is used to treat ... +

Trazodone is used to treat depression. Source: National Library of Medicine

148

prescriptions, 2% of all prescriptions

143

prescriptions.

31

patients, 11% of all patients

9 16
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

142

prescriptions, 2% of all prescriptions

109

prescriptions.

29

patients, 10% of all patients

10 26
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

136

prescriptions, 2% of all prescriptions

116

prescriptions.

13

patients, 4% of all patients

O 11 47
OXYCODONE HCL

Oxycodone is used to reliev... +

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

123

prescriptions, 2% of all prescriptions

49

prescriptions.

12

patients, 4% of all patients

O 12 6
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

118

prescriptions, 2% of all prescriptions

113

prescriptions.

14

patients, 5% of all patients

13 101
CLONAZEPAM

Treats seizures, panic diso... +

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

103

prescriptions, 2% of all prescriptions

69

prescriptions.

12

patients, 4% of all patients

14 40
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

98

prescriptions, 2% of all prescriptions

98

prescriptions.

16

patients, 6% of all patients

15 32
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

92

prescriptions, 1% of all prescriptions

92

prescriptions.

17

patients, 6% of all patients

16 4
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

91

prescriptions, 1% of all prescriptions

77

prescriptions.

17

patients, 6% of all patients

17 36
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

91

prescriptions, 1% of all prescriptions

46

prescriptions.

<11 17 38
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

85

prescriptions, 1% of all prescriptions

70

prescriptions.

19

patients, 7% of all patients

P 19 21
KLOR-CON M20

Potassium is essential for ... +

Potassium is essential for the proper functioning of the heart, kidneys, muscles, nerves, and digestive system. Source: National Library of Medicine

85

prescriptions, 1% of all prescriptions

80

prescriptions.

18

patients, 6% of all patients

19 143
GABAPENTIN

Treats certain types of sei... +

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

81

prescriptions, 1% of all prescriptions

76

prescriptions.

15

patients, 5% of all patients

21 3
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

81

prescriptions, 1% of all prescriptions

76

prescriptions.

15

patients, 5% of all patients

P 21 28
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

65

prescriptions.

12

patients, 4% of all patients

O 21 9
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

77

prescriptions, 1% of all prescriptions

77

prescriptions.

20

patients, 7% of all patients

24 11
PREDNISONE

Treats inflammation (swelli... +

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

67

prescriptions, 1% of all prescriptions

62

prescriptions.

14

patients, 5% of all patients

25 33
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

65

prescriptions.

<11 26 77
ALPRAZOLAM

Treats anxiety, panic disor... +

Treats anxiety, panic disorder, insomnia (trouble sleeping), and anxiety caused by depression. Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

56

prescriptions.

20

patients, 7% of all patients

27 12
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

49

prescriptions.

12

patients, 4% of all patients

28 31
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

31

prescriptions.

<11 29 66
ZOLPIDEM TARTRATE

Zolpidem is used to treat i... +

Zolpidem is used to treat insomnia (difficulty falling asleep or staying asleep). Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

54

prescriptions.

<11 R 29 24
CITALOPRAM HBR

Citalopram is used to treat... +

Citalopram is used to treat depression. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

43

prescriptions.

11

patients, 4% of all patients

29 22
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

53

prescriptions.

<11 32 186
OXYCONTIN

Oxycodone is used to reliev... +

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

52

prescriptions, 1% of all prescriptions

52

prescriptions.

<11 O 33 68
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

50

prescriptions, 1% of all prescriptions

45

prescriptions.

<11 34 8
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?

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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 March 14, 2016.
  • 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.