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 »

14,512Medicare Part D Prescriptions Filled, Including Refills

Rank: 199 out of 1528

$704K Total Retail Price of All Prescriptions

Rank: 267 out of 1528

414 Patients Receiving at Least One Drug in Part D
93% Patients 65 Years and Older

49% 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 Missouri
lower than average

Antipsychotics

14% of this provider’s 386 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 3%.

More resources »

Antibiotics

34% of this provider’s 414 patients filled at least one prescription for an antibiotic drug, compared to an average of 30%.

More resources »

Risky Drugs for Seniors

11% of this provider’s 386 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 12%.

More resources »

Opioids

28% of this provider’s 414 patients filled at least one prescription for an opioid, compared to an average of 24%.

More resources »

Brand Name Drugs

20% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%.

Prescription Price

$48 was the average price of a prescription from this provider, compared to $54 among peers.

Prescriptions per Patient

35 is the average number of prescriptions (including refills) per patient, compared to an average of 19.


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

$495K

2012

$573K

2013

$612K

2014

$704K

2015

Number of Claims

12,333

2012

14,387

2013

13,945

2014

14,512

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
FUROSEMIDE

Treats fluid retention (ede... +

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

805

prescriptions, 6% of all prescriptions

754

prescriptions.

108

patients, 26% of all patients

1 8
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

783

prescriptions, 5% of all prescriptions

759

prescriptions.

114

patients, 28% of all patients

2 1
LISINOPRIL

Treats high blood pressure ... +

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

560

prescriptions, 4% of all prescriptions

543

prescriptions.

88

patients, 21% of all patients

3 2
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

369

prescriptions, 3% of all prescriptions

364

prescriptions.

37

patients, 9% of all patients

4 18
GABAPENTIN

Treats certain types of sei... +

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

365

prescriptions, 3% of all prescriptions

349

prescriptions.

80

patients, 19% of all patients

5 10
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

361

prescriptions, 2% of all prescriptions

356

prescriptions.

61

patients, 15% of all patients

6 3
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

346

prescriptions, 2% of all prescriptions

333

prescriptions.

66

patients, 16% of all patients

7 12
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

313

prescriptions, 2% of all prescriptions

308

prescriptions.

47

patients, 11% of all patients

8 23
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

312

prescriptions, 2% of all prescriptions

307

prescriptions.

60

patients, 14% of all patients

9 6
DONEPEZIL HCL

Donepezil is used to treat ... +

Donepezil is used to treat dementia (a brain disorder that affects the ability to remember, think clearly, communicate, and perform daily activities and may cause changes in mood and personality) associated with Alzheimer's disease (AD; a brain disease that slowly destroys the memory and the ability to think, learn, communicate and handle daily activities). Source: National Library of Medicine

298

prescriptions, 2% of all prescriptions

298

prescriptions.

42

patients, 10% of all patients

10 40
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

267

prescriptions, 2% of all prescriptions

262

prescriptions.

48

patients, 12% of all patients

11 49
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

261

prescriptions, 2% of all prescriptions

256

prescriptions.

54

patients, 13% of all patients

12 4
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

243

prescriptions, 2% of all prescriptions

231

prescriptions.

35

patients, 8% of all patients

13 9
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

232

prescriptions, 2% of all prescriptions

221

prescriptions.

51

patients, 12% of all patients

14 11
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

224

prescriptions, 2% of all prescriptions

196

prescriptions.

43

patients, 10% of all patients

O 15 5
BUSPIRONE HCL

Buspirone is used to treat ... +

Buspirone is used to treat anxiety disorders or in the short-term treatment of symptoms of anxiety. Source: National Library of Medicine

178

prescriptions, 1% of all prescriptions

160

prescriptions.

33

patients, 8% of all patients

16 83
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

172

prescriptions, 1% of all prescriptions

157

prescriptions.

27

patients, 7% of all patients

17 14
CITALOPRAM HBR

Citalopram is used to treat... +

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

164

prescriptions, 1% of all prescriptions

159

prescriptions.

35

patients, 8% of all patients

18 19
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

Treats stuffy nose caused by hay fever and other allergies. Source: National Library of Medicine

154

prescriptions, 1% of all prescriptions

149

prescriptions.

39

patients, 9% of all patients

19 26
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

151

prescriptions, 1% of all prescriptions

151

prescriptions.

17

patients, 4% of all patients

20 74
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

142

prescriptions, 1% of all prescriptions

142

prescriptions.

24

patients, 6% of all patients

21 16
VENLAFAXINE HCL

Venlafaxine is used to trea... +

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

133

prescriptions, 1% of all prescriptions

133

prescriptions.

18

patients, 4% of all patients

22 190
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

132

prescriptions, 1% of all prescriptions

127

prescriptions.

31

patients, 7% of all patients

23 27
CARBIDOPA-LEVODOPA

The combination of levodopa... +

The combination of levodopa and carbidopa is used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

132

prescriptions, 1% of all prescriptions

132

prescriptions.

19

patients, 5% of all patients

23 115
CARVEDILOL

Treats high blood pressure ... +

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

131

prescriptions, 1% of all prescriptions

126

prescriptions.

32

patients, 8% of all patients

25 21
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

122

prescriptions, 1% of all prescriptions

122

prescriptions.

36

patients, 9% of all patients

26 25
TRAZODONE HCL

Trazodone is used to treat ... +

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

117

prescriptions, 1% of all prescriptions

112

prescriptions.

31

patients, 7% of all patients

27 31
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

116

prescriptions, 1% of all prescriptions

111

prescriptions.

54

patients, 13% of all patients

28 63
NAMENDA XR

Used to treat the symptoms ... +

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

113

prescriptions, 1% of all prescriptions

113

prescriptions.

16

patients, 4% of all patients

29 58
TRAMADOL HCL

Tramadol is used to relieve... +

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

112

prescriptions, 1% of all prescriptions

107

prescriptions.

39

patients, 9% of all patients

O 30 15
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

111

prescriptions, 1% of all prescriptions

106

prescriptions.

15

patients, 4% of all patients

31 64
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

109

prescriptions, 1% of all prescriptions

104

prescriptions.

35

patients, 8% of all patients

P 32 57
FAMOTIDINE*

Treats ulcers, gastroesopha... +

Treats ulcers, gastroesophageal reflux disease (GERD), and conditions that cause the stomach to produce too much stomach acid. Source: National Library of Medicine

104

prescriptions, 1% of all prescriptions

104

prescriptions.

18

patients, 4% of all patients

33 90
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

104

prescriptions, 1% of all prescriptions

99

prescriptions.

19

patients, 5% of all patients

33 20
OXYBUTYNIN CHLORIDE ER

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

100

prescriptions, 1% of all prescriptions

87

prescriptions.

19

patients, 5% of all patients

35 103
SIMVASTATIN

Treats high cholesterol and... +

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

100

prescriptions, 1% of all prescriptions

100

prescriptions.

27

patients, 7% of all patients

35 7
CLOPIDOGREL

Helps prevent stroke, heart... +

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

96

prescriptions, 1% of all prescriptions

91

prescriptions.

19

patients, 5% of all patients

37 28
FINASTERIDE

Treats an enlarged prostate... +

Treats an enlarged prostate (benign prostatic hyperplasia or BPH) in men and causes hair growth in male pattern baldness. Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

95

prescriptions.

18

patients, 4% of all patients

38 78
LOVASTATIN

Lowers high cholesterol and... +

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

94

prescriptions, 1% of all prescriptions

94

prescriptions.

14

patients, 3% of all patients

39 30
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

93

prescriptions, 1% of all prescriptions

93

prescriptions.

13

patients, 3% of all patients

40 45
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

92

prescriptions, 1% of all prescriptions

92

prescriptions.

18

patients, 4% of all patients

41 17
DILTIAZEM 24HR CD

Diltiazem is used to treat ... +

Diltiazem is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

86

prescriptions.

<11 42 93
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

84

prescriptions, 1% of all prescriptions

84

prescriptions.

16

patients, 4% of all patients

43 22
ALENDRONATE SODIUM

Alendronate is used to trea... +

Alendronate is used to treat and prevent osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause (''change of life,'' end of menstrual periods) and to treat osteoporosis in men. Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

81

prescriptions.

13

patients, 3% of all patients

44 46
CLONAZEPAM

Treats seizures, panic diso... +

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

80

prescriptions, 1% of all prescriptions

75

prescriptions.

16

patients, 4% of all patients

45 44
CLONIDINE HCL

Clonidine is used alone or ... +

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

78

prescriptions, 1% of all prescriptions

73

prescriptions.

13

patients, 3% of all patients

46 75
MELOXICAM

Treats symptoms of osteoart... +

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

77

prescriptions, 1% of all prescriptions

72

prescriptions.

14

patients, 3% of all patients

47 24
LORAZEPAM

Treats anxiety, anxiety wit... +

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

76

prescriptions, 1% of all prescriptions

71

prescriptions.

27

patients, 7% of all patients

48 34
OXYCODONE HCL

Oxycodone is used to reliev... +

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

73

prescriptions, 1% of all prescriptions

68

prescriptions.

25

patients, 6% of all patients

O 49 62
IPRATROPIUM-ALBUTEROL

The combination of albutero... +

The combination of albuterol and ipratropium is used to prevent wheezing, difficulty breathing, chest tightness, and coughing in people with chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to the air sacs in the lungs). Source: National Library of Medicine

72

prescriptions, 0% of all prescriptions

72

prescriptions.

18

patients, 4% of all patients

50 133
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

72

prescriptions, 0% of all prescriptions

72

prescriptions.

21

patients, 5% of all patients

50 68
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

70

prescriptions, 0% of all prescriptions

65

prescriptions.

12

patients, 3% of all patients

52 79
ALLOPURINOL

Treats gout and some kinds ... +

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

66

prescriptions, 0% of all prescriptions

66

prescriptions.

17

patients, 4% of all patients

53 36
LATANOPROST

Latanoprost ophthalmic is u... +

Latanoprost ophthalmic is used to treat glaucoma (a condition in which increased pressure in the eye can lead to gradual loss of vision) and ocular hypertension (a condition which causes increased pressure in the eye). Source: National Library of Medicine

66

prescriptions, 0% of all prescriptions

66

prescriptions.

11

patients, 3% of all patients

53 181
PREDNISONE

Treats inflammation (swelli... +

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

66

prescriptions, 0% of all prescriptions

61

prescriptions.

18

patients, 4% of all patients

53 42
ONDANSETRON ODT

Used to prevent nausea and ... +

Used to prevent nausea and vomiting caused by cancer chemotherapy, radiation therapy, and surgery. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

63

prescriptions.

35

patients, 8% of all patients

56 293
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

63

prescriptions.

12

patients, 3% of all patients

56 105
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

62

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 58 124
PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

62

prescriptions.

<11 58 138
DIGOX

Digox (digoxin) is used to ... +

Digox (digoxin) is used to treat heart failure and abnormal heart rhythms (arrhythmias). Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

58

prescriptions.

<11 R 60 169
ATENOLOL

Treats high blood pressure ... +

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

57

prescriptions, 0% of all prescriptions

57

prescriptions.

<11 61 32
OXYCONTIN

Oxycodone is used to reliev... +

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

57

prescriptions, 0% of all prescriptions

52

prescriptions.

<11 O 61 113
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

44

prescriptions.

<11 63 197
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

51

prescriptions.

11

patients, 3% of all patients

63 76
BENAZEPRIL HCL

Benazepril is used alone or... +

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

55

prescriptions, 0% of all prescriptions

55

prescriptions.

<11 65 99
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

48

prescriptions.

11

patients, 3% of all patients

66 51
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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

<11 66 35
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 Dec. 27, 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.