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 »

12,155Medicare Part D Prescriptions Filled, Including Refills

Rank: 48 out of 410

$807K Total Retail Price of All Prescriptions

Rank: 33 out of 410

656 Patients Receiving at Least One Drug in Part D
78% Patients 65 Years and Older

39% 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

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

15% of this provider’s 656 patients filled at least one prescription for an antibiotic drug, compared to an average of 26%.

More resources »

Risky Drugs for Seniors

13% of this provider’s 512 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

34% of this provider’s 656 patients filled at least one prescription for an opioid, compared to an average of 20%.

More resources »

Brand Name Drugs

18% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$66 was the average price of a prescription from this provider, compared to $74 among peers.

Prescriptions per Patient

19 is the average number of prescriptions (including refills) per patient, compared to an average of 14.


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

$716K

2012

$906K

2013

$891K

2014

$807K

2015

Number of Claims

10,850

2012

13,600

2013

13,448

2014

12,155

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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

733

prescriptions, 6% of all prescriptions

406

prescriptions.

127

patients, 19% of all patients

O 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

470

prescriptions, 4% of all prescriptions

426

prescriptions.

106

patients, 16% of all patients

2 1
SIMVASTATIN

Treats high cholesterol and... +

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

370

prescriptions, 3% of all prescriptions

318

prescriptions.

90

patients, 14% of all patients

3 5
OXYCODONE HCL

Oxycodone is used to reliev... +

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

367

prescriptions, 3% of all prescriptions

101

prescriptions.

61

patients, 9% of all patients

O 4 48
LISINOPRIL

Treats high blood pressure ... +

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

342

prescriptions, 3% of all prescriptions

292

prescriptions.

87

patients, 13% of all patients

5 2
ALPRAZOLAM

Treats anxiety, panic disor... +

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

340

prescriptions, 3% of all prescriptions

178

prescriptions.

56

patients, 9% of all patients

6 13
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

275

prescriptions, 2% of all prescriptions

239

prescriptions.

67

patients, 10% of all patients

7 7
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

261

prescriptions, 2% of all prescriptions

215

prescriptions.

69

patients, 11% of all patients

8 3
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

249

prescriptions, 2% of all prescriptions

74

prescriptions.

49

patients, 7% of all patients

O 9 36
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

246

prescriptions, 2% of all prescriptions

196

prescriptions.

66

patients, 10% of all patients

10 6
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

221

prescriptions, 2% of all prescriptions

196

prescriptions.

51

patients, 8% of all patients

11 4
GABAPENTIN

Treats certain types of sei... +

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

187

prescriptions, 2% of all prescriptions

112

prescriptions.

42

patients, 6% of all patients

12 10
FUROSEMIDE

Treats fluid retention (ede... +

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

181

prescriptions, 1% of all prescriptions

153

prescriptions.

37

patients, 6% of all patients

13 12
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

179

prescriptions, 1% of all prescriptions

154

prescriptions.

43

patients, 7% of all patients

14 15
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

174

prescriptions, 1% of all prescriptions

103

prescriptions.

40

patients, 6% of all patients

15 35
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

174

prescriptions, 1% of all prescriptions

81

prescriptions.

32

patients, 5% of all patients

15 66
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

152

prescriptions, 1% of all prescriptions

130

prescriptions.

36

patients, 5% of all patients

17 18
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

150

prescriptions, 1% of all prescriptions

85

prescriptions.

33

patients, 5% of all patients

R 18 30
LOVASTATIN

Lowers high cholesterol and... +

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

147

prescriptions, 1% of all prescriptions

142

prescriptions.

37

patients, 6% of all patients

19 21
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

142

prescriptions, 1% of all prescriptions

92

prescriptions.

37

patients, 6% of all patients

20 14
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

137

prescriptions, 1% of all prescriptions

108

prescriptions.

27

patients, 4% of all patients

21 11
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

131

prescriptions, 1% of all prescriptions

79

prescriptions.

29

patients, 4% of all patients

22 50
MORPHINE SULFATE ER

Morphine (extended release)... +

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

127

prescriptions, 1% of all prescriptions

53

prescriptions.

22

patients, 3% of all patients

O 23 82
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

123

prescriptions, 1% of all prescriptions

111

prescriptions.

34

patients, 5% of all patients

24 9
CARVEDILOL

Treats high blood pressure ... +

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

119

prescriptions, 1% of all prescriptions

103

prescriptions.

27

patients, 4% of all patients

25 20
CLONAZEPAM

Treats seizures, panic diso... +

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

113

prescriptions, 1% of all prescriptions

67

prescriptions.

21

patients, 3% of all patients

26 57
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

113

prescriptions, 1% of all prescriptions

108

prescriptions.

21

patients, 3% of all patients

26 17
ALLOPURINOL

Treats gout and some kinds ... +

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

108

prescriptions, 1% of all prescriptions

103

prescriptions.

22

patients, 3% of all patients

28 27
DULOXETINE HCL

Duloxetine is used to treat... +

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

100

prescriptions, 1% of all prescriptions

71

prescriptions.

19

patients, 3% of all patients

29 59
TRAZODONE HCL

Trazodone is used to treat ... +

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

99

prescriptions, 1% of all prescriptions

58

prescriptions.

25

patients, 4% of all patients

30 31
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

98

prescriptions, 1% of all prescriptions

77

prescriptions.

17

patients, 3% of all patients

31 33
ATENOLOL

Treats high blood pressure ... +

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

92

prescriptions, 1% of all prescriptions

87

prescriptions.

23

patients, 4% of all patients

32 16
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

92

prescriptions, 1% of all prescriptions

92

prescriptions.

18

patients, 3% of all patients

32 60
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

88

prescriptions, 1% of all prescriptions

21

prescriptions.

11

patients, 2% of all patients

O 34 145
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

87

prescriptions, 1% of all prescriptions

67

prescriptions.

17

patients, 3% of all patients

35 22
CLOPIDOGREL

Helps prevent stroke, heart... +

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

87

prescriptions, 1% of all prescriptions

72

prescriptions.

17

patients, 3% of all patients

35 23
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

86

prescriptions, 1% of all prescriptions

55

prescriptions.

17

patients, 3% of all patients

37 29
LORAZEPAM

Treats anxiety, anxiety wit... +

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

79

prescriptions, 1% of all prescriptions

49

prescriptions.

20

patients, 3% of all patients

38 45
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

74

prescriptions.

20

patients, 3% of all patients

38 38
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

79

prescriptions, 1% of all prescriptions

74

prescriptions.

17

patients, 3% of all patients

38 19
MELOXICAM

Treats symptoms of osteoart... +

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

78

prescriptions, 1% of all prescriptions

56

prescriptions.

16

patients, 2% of all patients

41 44
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

72

prescriptions.

16

patients, 2% of all patients

42 61
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

75

prescriptions, 1% of all prescriptions

56

prescriptions.

22

patients, 3% of all patients

43 24
TRAMADOL HCL

Tramadol is used to relieve... +

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

73

prescriptions, 1% of all prescriptions

42

prescriptions.

26

patients, 4% of all patients

O 44 28
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

72

prescriptions, 1% of all prescriptions

39

prescriptions.

12

patients, 2% of all patients

O 45 159
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

71

prescriptions, 1% of all prescriptions

51

prescriptions.

19

patients, 3% of all patients

46 103
PREDNISONE

Treats inflammation (swelli... +

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

68

prescriptions, 1% of all prescriptions

55

prescriptions.

29

patients, 4% of all patients

47 54
TRIAMTERENE-HYDROCHLOROTHIAZID

Used to treat high blood pr... +

Used to treat high blood pressure and edema (fluid retention; excess fluid held in body tissues) in patients who have lower amounts of potassium in their bodies or for whom low potassium levels in the body could be dangerous. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

48

prescriptions.

16

patients, 2% of all patients

48 56
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

64

prescriptions, 1% of all prescriptions

59

prescriptions.

17

patients, 3% of all patients

49 26
CITALOPRAM HBR

Citalopram is used to treat... +

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

64

prescriptions, 1% of all prescriptions

52

prescriptions.

16

patients, 2% of all patients

49 32
ROPINIROLE HCL

Ropinirole is used alone or... +

Ropinirole 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

63

prescriptions, 1% of all prescriptions

35

prescriptions.

<11 51 107
ESTRADIOL

Replaces estrogen that decr... +

Replaces estrogen that decreases with menopause or removal of the ovaries. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

34

prescriptions.

17

patients, 3% of all patients

R 51 129
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

16

prescriptions.

14

patients, 2% of all patients

R 53 141
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

55

prescriptions.

14

patients, 2% of all patients

54 63
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

60

prescriptions, 0% of all prescriptions

60

prescriptions.

11

patients, 2% of all patients

54 25
TERAZOSIN HCL

Terazosin is used in men to... +

Terazosin 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

60

prescriptions, 0% of all prescriptions

48

prescriptions.

12

patients, 2% of all patients

54 72
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

57

prescriptions, 0% of all prescriptions

57

prescriptions.

13

patients, 2% of all patients

57 62
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, 0% of all prescriptions

51

prescriptions.

12

patients, 2% of all patients

58 51
TEMAZEPAM

Treats insomnia (trouble sl... +

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

54

prescriptions, 0% of all prescriptions

28

prescriptions.

<11 59 37
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

27

prescriptions.

16

patients, 2% of all patients

59 65
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

53

prescriptions.

11

patients, 2% of all patients

61 80
RISPERIDONE

Treats schizophrenia and ce... +

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

51

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 P 62 70
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

36

prescriptions.

14

patients, 2% of all patients

63 99
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

34

prescriptions.

14

patients, 2% of all patients

63 122
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 June 29, 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.