Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Internal Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,505Medicare Part D Prescriptions Filled, Including Refills

Rank: 134 out of 308

$1.98M Total Retail Price of All Prescriptions

Rank: 2 out of 308

591 Patients Receiving at Least One Drug in Part D
79% Patients 65 Years and Older

32% 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 Iowa
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

2% of this provider’s 591 patients filled at least one prescription for an antibiotic drug, compared to an average of 26%.

More resources »

Risky Drugs for Seniors

2% of this provider’s 464 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

3% of this provider’s 591 patients filled at least one prescription for an opioid, compared to an average of 17%.

More resources »

Brand Name Drugs

50% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%. This is far more than peers.

Prescription Price

$264 was the average price of a prescription from this provider, compared to $70 among peers.

Prescriptions per Patient

13 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

$1.02M

2012

$1.39M

2013

$1.58M

2014

$1.98M

2015

Number of Claims

8,545

2012

8,397

2013

7,916

2014

7,505

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
VICTOZA 3-PAK

Used to treat a type of dia... +

Used to treat a type of diabetes mellitus (sugar diabetes) called type 2 diabetes. Source: National Library of Medicine

418

prescriptions, 6% of all prescriptions

318

prescriptions.

77

patients, 13% of all patients

1 154
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

386

prescriptions, 5% of all prescriptions

294

prescriptions.

114

patients, 19% of all patients

2 90
NOVOLOG FLEXPEN

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

374

prescriptions, 5% of all prescriptions

263

prescriptions.

83

patients, 14% of all patients

3 95
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

323

prescriptions, 4% of all prescriptions

259

prescriptions.

74

patients, 13% of all patients

4 12
NOVOLOG MIX 70-30 FLEXPEN

This is used by people with... +

This is used by people with diabetes to help keep blood sugar levels under control. Source: National Library of Medicine

313

prescriptions, 4% of all prescriptions

287

prescriptions.

55

patients, 9% of all patients

5 188
CARVEDILOL

Treats high blood pressure ... +

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

245

prescriptions, 3% of all prescriptions

224

prescriptions.

61

patients, 10% of all patients

6 30
NOVOLOG

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

236

prescriptions, 3% of all prescriptions

164

prescriptions.

38

patients, 6% of all patients

7 86
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

217

prescriptions, 3% of all prescriptions

153

prescriptions.

44

patients, 7% of all patients

8 1
NOVOLIN 70-30

Insulin injection is used t... +

Insulin injection is used to control blood sugar in people who have type 1 diabetes (condition in which the body does not make insulin and therefore cannot control the amount of sugar in the blood) or in people who have type 2 diabetes (condition in which the blood sugar is too high because the body does not produce or use insulin normally) that cannot be controlled with oral medications alone. Source: National Library of Medicine

199

prescriptions, 3% of all prescriptions

131

prescriptions.

44

patients, 7% of all patients

9 222
GABAPENTIN

Treats certain types of sei... +

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

187

prescriptions, 2% of all prescriptions

117

prescriptions.

39

patients, 7% of all patients

10 14
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

179

prescriptions, 2% of all prescriptions

145

prescriptions.

54

patients, 9% of all patients

11 104
SIMVASTATIN

Treats high cholesterol and... +

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

174

prescriptions, 2% of all prescriptions

159

prescriptions.

50

patients, 8% of all patients

12 3
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

157

prescriptions, 2% of all prescriptions

138

prescriptions.

40

patients, 7% of all patients

13 11
METFORMIN HCL ER

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

149

prescriptions, 2% of all prescriptions

103

prescriptions.

40

patients, 7% of all patients

14 52
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

147

prescriptions, 2% of all prescriptions

131

prescriptions.

44

patients, 7% of all patients

15 51
VICTOZA 2-PAK

Used with a diet and exerci... +

Used with a diet and exercise program to control blood sugar levels in adults with type 2 diabetes. Source: National Library of Medicine

139

prescriptions, 2% of all prescriptions

123

prescriptions.

29

patients, 5% of all patients

16 241
LISINOPRIL

Treats high blood pressure ... +

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

137

prescriptions, 2% of all prescriptions

101

prescriptions.

35

patients, 6% of all patients

17 5
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

120

prescriptions, 2% of all prescriptions

78

prescriptions.

28

patients, 5% of all patients

18 56
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

119

prescriptions, 2% of all prescriptions

101

prescriptions.

36

patients, 6% of all patients

19 39
INVOKANA

Used along with diet and ex... +

Used along with diet and exercise, and sometimes with other medications, to lower blood sugar levels in patients with type 2 diabetes (condition in which blood sugar is too high because the body does not produce or use insulin normally). Source: National Library of Medicine

117

prescriptions, 2% of all prescriptions

82

prescriptions.

21

patients, 4% of all patients

20 187
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

113

prescriptions, 2% of all prescriptions

98

prescriptions.

33

patients, 6% of all patients

21 4
HUMALOG KWIKPEN U-100

Treats diabetes mellitus. +

Treats diabetes mellitus. Source: National Library of Medicine

102

prescriptions, 1% of all prescriptions

88

prescriptions.

31

patients, 5% of all patients

22 231
UNIFINE PENTIPS

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

77

prescriptions.

28

patients, 5% of all patients

23 268
TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Source: National Library of Medicine

88

prescriptions, 1% of all prescriptions

54

prescriptions.

15

patients, 3% of all patients

24 163
INSULIN SYRINGE*

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

35

prescriptions.

26

patients, 4% of all patients

25 218
BYDUREON 74

prescriptions, 1% of all prescriptions

61

prescriptions.

14

patients, 2% of all patients

26 281
HUMALOG MIX 50-50 KWIKPEN 74

prescriptions, 1% of all prescriptions

69

prescriptions.

15

patients, 3% of all patients

26 281
NOVOLIN N

Treats diabetes mellitus. +

Treats diabetes mellitus. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

43

prescriptions.

14

patients, 2% of all patients

28 206
HUMULIN R U-500 68

prescriptions, 1% of all prescriptions

21

prescriptions.

<11 29 296
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

63

prescriptions, 1% of all prescriptions

50

prescriptions.

11

patients, 2% of all patients

30 130
INSULIN SYRINGE*

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

35

prescriptions.

20

patients, 3% of all patients

31 261
HYDRALAZINE HCL

Hydralazine is used to trea... +

Hydralazine is used to treat high blood pressure. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

43

prescriptions.

12

patients, 2% of all patients

31 92
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

57

prescriptions, 1% of all prescriptions

57

prescriptions.

15

patients, 3% of all patients

33 19
HUMULIN 70-30

Insulin injection is used t... +

Insulin injection is used to control blood sugar in people who have type 1 diabetes (condition in which the body does not make insulin and therefore cannot control the amount of sugar in the blood) or in people who have type 2 diabetes (condition in which the blood sugar is too high because the body does not produce or use insulin normally) that cannot be controlled with oral medications alone. Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

52

prescriptions.

11

patients, 2% of all patients

33 263
LEVEMIR

Helps control blood sugar l... +

Helps control blood sugar levels. Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

27

prescriptions.

12

patients, 2% of all patients

33 124
BYDUREON PEN 56

prescriptions, 1% of all prescriptions

44

prescriptions.

<11 36 318
METHADONE HCL

Methadone is used to reliev... +

Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

17

prescriptions.

<11 O 37 233
NOVOLOG MIX 70-30

This is used by people with... +

This is used by people with diabetes to help keep blood sugar levels under control. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

52

prescriptions.

<11 38 330
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

50

prescriptions, 1% of all prescriptions

15

prescriptions.

12

patients, 2% of all patients

39 151
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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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 Oct. 14, 2015.
  • 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.