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 »

8,469Medicare Part D Prescriptions Filled, Including Refills

Rank: 1230 out of 6974

$480K Total Retail Price of All Prescriptions

Rank: 1639 out of 6974

217 Patients Receiving at Least One Drug in Part D
90% Patients 65 Years and Older

79% 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 California
lower than average

Antipsychotics

8% of this provider’s 196 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.

More resources »

Antibiotics

36% of this provider’s 217 patients filled at least one prescription for an antibiotic drug, compared to an average of 24%.

More resources »

Risky Drugs for Seniors

27% of this provider’s 196 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

24% of this provider’s 217 patients filled at least one prescription for an opioid, compared to an average of 16%.

More resources »

Brand Name Drugs

29% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$57 was the average price of a prescription from this provider, compared to $86 among peers.

Prescriptions per Patient

39 is the average number of prescriptions (including refills) per patient, compared to an average of 15.


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

$400K

2012

$448K

2013

$598K

2014

$480K

2015

Number of Claims

8,756

2012

9,939

2013

10,485

2014

8,469

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
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

706

prescriptions, 8% of all prescriptions

634

prescriptions.

62

patients, 29% of all patients

1 90
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

613

prescriptions, 7% of all prescriptions

541

prescriptions.

62

patients, 29% of all patients

2 3
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

356

prescriptions, 4% of all prescriptions

351

prescriptions.

58

patients, 27% of all patients

3 27
FUROSEMIDE

Treats fluid retention (ede... +

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

296

prescriptions, 3% of all prescriptions

255

prescriptions.

34

patients, 16% of all patients

4 11
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

271

prescriptions, 3% of all prescriptions

239

prescriptions.

41

patients, 19% of all patients

5 6
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

269

prescriptions, 3% of all prescriptions

241

prescriptions.

38

patients, 18% of all patients

6 23
MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

240

prescriptions, 3% of all prescriptions

235

prescriptions.

38

patients, 18% of all patients

7 191
RIVASTIGMINE*

Used to treat mild to moder... +

Used to treat mild to moderate dementia (memory loss and mental changes) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine

219

prescriptions, 3% of all prescriptions

197

prescriptions.

21

patients, 10% of all patients

8 333
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

208

prescriptions, 2% of all prescriptions

179

prescriptions.

32

patients, 15% of all patients

9 1
LISINOPRIL

Treats high blood pressure ... +

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

183

prescriptions, 2% of all prescriptions

167

prescriptions.

31

patients, 14% of all patients

10 5
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

158

prescriptions, 2% of all prescriptions

132

prescriptions.

37

patients, 17% of all patients

O 11 9
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

143

prescriptions, 2% of all prescriptions

138

prescriptions.

24

patients, 11% of all patients

12 8
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

131

prescriptions, 2% of all prescriptions

112

prescriptions.

26

patients, 12% of all patients

13 18
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

130

prescriptions, 2% of all prescriptions

119

prescriptions.

12

patients, 6% of all patients

14 20
GABAPENTIN

Treats certain types of sei... +

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

104

prescriptions, 1% of all prescriptions

91

prescriptions.

21

patients, 10% of all patients

15 14
CARVEDILOL

Treats high blood pressure ... +

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

101

prescriptions, 1% of all prescriptions

96

prescriptions.

13

patients, 6% of all patients

16 24
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

98

prescriptions, 1% of all prescriptions

72

prescriptions.

23

patients, 11% of all patients

17 31
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

97

prescriptions, 1% of all prescriptions

92

prescriptions.

18

patients, 8% of all patients

18 7
MEGESTROL ACETATE

Megestrol tablets treat bre... +

Megestrol tablets treat breast and uterine cancer. Source: National Library of Medicine

97

prescriptions, 1% of all prescriptions

92

prescriptions.

24

patients, 11% of all patients

R 18 172
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

72

prescriptions.

<11 20 94
JANTOVEN

Helps to prevent new blood ... +

Helps to prevent new blood clots from forming, and helps to keep existing blood clots from getting worse. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

87

prescriptions.

<11 21 221
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

85

prescriptions, 1% of all prescriptions

64

prescriptions.

20

patients, 9% of all patients

22 2
CITALOPRAM HBR

Citalopram is used to treat... +

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

82

prescriptions, 1% of all prescriptions

77

prescriptions.

15

patients, 7% of all patients

23 48
CRESTOR

Lowers high levels of chole... +

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

80

prescriptions, 1% of all prescriptions

75

prescriptions.

15

patients, 7% of all patients

24 37
NUEDEXTA

Used to treat pseudobulbar ... +

Used to treat pseudobulbar affect (PBA; a condition of sudden, frequent outbursts of crying or laughing that can not be controlled) in people with certain conditions such as amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease; condition in which the nerves that control muscle movement slowly die, causing the muscles to shrink and weaken) or multiple sclerosis (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). Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

79

prescriptions.

<11 25 167
SIMVASTATIN

Treats high cholesterol and... +

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

78

prescriptions, 1% of all prescriptions

73

prescriptions.

16

patients, 7% of all patients

26 4
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

75

prescriptions, 1% of all prescriptions

75

prescriptions.

11

patients, 5% of all patients

27 13
LORAZEPAM

Treats anxiety, anxiety wit... +

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

74

prescriptions, 1% of all prescriptions

46

prescriptions.

24

patients, 11% of all patients

28 26
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

66

prescriptions.

<11 29 63
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

70

prescriptions, 1% of all prescriptions

65

prescriptions.

<11 30 68
TEMAZEPAM

Treats insomnia (trouble sl... +

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

67

prescriptions, 1% of all prescriptions

49

prescriptions.

14

patients, 6% of all patients

31 56
ATENOLOL

Treats high blood pressure ... +

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

65

prescriptions, 1% of all prescriptions

60

prescriptions.

12

patients, 6% of all patients

32 10
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

64

prescriptions.

<11 33 73
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

61

prescriptions, 1% of all prescriptions

56

prescriptions.

<11 34 33
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

59

prescriptions, 1% of all prescriptions

54

prescriptions.

11

patients, 5% of all patients

35 19
CLOPIDOGREL

Helps prevent stroke, heart... +

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

57

prescriptions, 1% of all prescriptions

57

prescriptions.

12

patients, 6% of all patients

36 21
AMIODARONE HCL

Amiodarone is used to treat... +

Amiodarone is used to treat and prevent certain types of serious, life-threatening ventricular arrhythmias (a certain type of abnormal heart rhythm when other medications did not help or could not be tolerated. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

33

prescriptions.

<11 37 130
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

46

prescriptions.

<11 38 69
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

51

prescriptions, 1% of all prescriptions

35

prescriptions.

12

patients, 6% of all patients

38 12
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

51

prescriptions, 1% of all prescriptions

51

prescriptions.

<11 38 16
XARELTO

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung). Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

38

prescriptions.

<11 41 97
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.