Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2014

Internal Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

11,738Medicare Part D Prescriptions Filled, Including Refills

Rank: 58 out of 357

$634K Total Retail Price of All Prescriptions

Rank: 51 out of 357

380 Patients Receiving at Least One Drug in Part D
68% Patients 65 Years and Older

70% 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 avg Average for
this specialty
in Rhode Island
Lower avg

Antibiotics

21% of this provider’s 380 patients filled at least one prescription for an antibiotic drug , compared to an average of 23%.

More resources »

Risky Drugs for Seniors

3% of this provider’s 7,829 claims for patients 65 and older were for a potentially inappropriate drug , compared to an average of 2%.

More resources »

Opioids

20% of this provider’s 380 patients filled at least one prescription for an opioid, compared to an average of 14%.

More resources »

Brand Name Drugs

21% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%.

Prescription Price

$54 was the average price of a prescription from this provider, compared to $62 among peers.

Prescriptions per Patient

31 is the average number of prescriptions (including refills) per patient, compared to an average of 20.


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

$1.05M

2012

$862K

2013

$634K

2014

Number of Claims

18,922

2012

16,475

2013

11,738

2014

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
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

535

prescriptions, 5% of all prescriptions

349

prescriptions.

83

patients, 22% of all patients

1 4
SIMVASTATIN

Treats high cholesterol and... +

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

412

prescriptions, 4% of all prescriptions

306

prescriptions.

63

patients, 17% of all patients

2 6
LISINOPRIL

Treats high blood pressure ... +

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

402

prescriptions, 3% of all prescriptions

298

prescriptions.

62

patients, 16% of all patients

3 1
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

400

prescriptions, 3% of all prescriptions

318

prescriptions.

53

patients, 14% of all patients

4 3
FUROSEMIDE

Treats fluid retention (ede... +

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

340

prescriptions, 3% of all prescriptions

294

prescriptions.

58

patients, 15% of all patients

5 7
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

318

prescriptions, 3% of all prescriptions

217

prescriptions.

54

patients, 14% of all patients

6 2
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

303

prescriptions, 3% of all prescriptions

116

prescriptions.

34

patients, 9% of all patients

O 7 17
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

260

prescriptions, 2% of all prescriptions

166

prescriptions.

40

patients, 11% of all patients

8 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

204

prescriptions, 2% of all prescriptions

116

prescriptions.

31

patients, 8% of all patients

9 5
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

201

prescriptions, 2% of all prescriptions

150

prescriptions.

32

patients, 8% of all patients

10 9
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

183

prescriptions, 2% of all prescriptions

143

prescriptions.

25

patients, 7% of all patients

11 14
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

171

prescriptions, 1% of all prescriptions

116

prescriptions.

18

patients, 5% of all patients

12 28
NEXIUM

Treats heartburn, gastroeso... +

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

166

prescriptions, 1% of all prescriptions

73

prescriptions.

15

patients, 4% of all patients

13 68
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

159

prescriptions, 1% of all prescriptions

113

prescriptions.

28

patients, 7% of all patients

14 15
CITALOPRAM HBR

Citalopram is used to treat... +

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

146

prescriptions, 1% of all prescriptions

118

prescriptions.

26

patients, 7% of all patients

15 19
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

141

prescriptions, 1% of all prescriptions

136 *

prescriptions.

<11 16 10
ATENOLOL

Treats high blood pressure ... +

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

138

prescriptions, 1% of all prescriptions

108

prescriptions.

22

patients, 6% of all patients

17 11
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

136

prescriptions, 1% of all prescriptions

109

prescriptions.

20

patients, 5% of all patients

18 25
MELOXICAM

Treats symptoms of osteoart... +

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

135

prescriptions, 1% of all prescriptions

53

prescriptions.

22

patients, 6% of all patients

19 41
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

135

prescriptions, 1% of all prescriptions

99

prescriptions.

23

patients, 6% of all patients

19 12
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

135

prescriptions, 1% of all prescriptions

106

prescriptions.

23

patients, 6% of all patients

19 13
ALPRAZOLAM

Treats anxiety, panic disor... +

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

124

prescriptions, 1% of all prescriptions

53

prescriptions.

19

patients, 5% of all patients

22 21
GABAPENTIN

Treats certain types of sei... +

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

121

prescriptions, 1% of all prescriptions

66

prescriptions.

19

patients, 5% of all patients

23 17
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

117

prescriptions, 1% of all prescriptions

73

prescriptions.

37

patients, 10% of all patients

24 24
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

112

prescriptions, 1% of all prescriptions

71

prescriptions.

39

patients, 10% of all patients

25 61
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

109

prescriptions, 1% of all prescriptions

94

prescriptions.

17

patients, 4% of all patients

26 44
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

106

prescriptions, 1% of all prescriptions

80

prescriptions.

14

patients, 4% of all patients

27 20
CLONAZEPAM

Treats seizures, panic diso... +

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

106

prescriptions, 1% of all prescriptions

41

prescriptions.

15

patients, 4% of all patients

27 39
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

105

prescriptions, 1% of all prescriptions

61

prescriptions.

13

patients, 3% of all patients

29 113
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

104

prescriptions, 1% of all prescriptions

68

prescriptions.

17

patients, 4% of all patients

R 30 32
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

99

prescriptions, 1% of all prescriptions

60

prescriptions.

29

patients, 8% of all patients

31 37
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

98

prescriptions, 1% of all prescriptions

70

prescriptions.

17

patients, 4% of all patients

32 47
OXYCODONE HCL

Oxycodone is used to reliev... +

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

98

prescriptions, 1% of all prescriptions

40

prescriptions.

15

patients, 4% of all patients

O 32 60
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

96

prescriptions, 1% of all prescriptions

62

prescriptions.

13

patients, 3% of all patients

34 33
TRAZODONE HCL

Trazodone is used to treat ... +

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

89

prescriptions, 1% of all prescriptions

84 *

prescriptions.

21

patients, 6% of all patients

35 16
DIAZEPAM

Treats anxiety, muscle spas... +

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

88

prescriptions, 1% of all prescriptions

20

prescriptions.

14

patients, 4% of all patients

36 82
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

87

prescriptions, 1% of all prescriptions

17

prescriptions.

14

patients, 4% of all patients

O 37 158
CARVEDILOL

Treats high blood pressure ... +

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

84

prescriptions, 1% of all prescriptions

73

prescriptions.

12

patients, 3% of all patients

38 62
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

83

prescriptions, 1% of all prescriptions

56

prescriptions.

16

patients, 4% of all patients

39 35
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

76

prescriptions, 1% of all prescriptions

61

prescriptions.

<11 40 59
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

45

prescriptions.

12

patients, 3% of all patients

41 118
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

75

prescriptions, 1% of all prescriptions

38

prescriptions.

<11 O 41 74
NAMENDA XR

Used to treat the symptoms ... +

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

74

prescriptions, 1% of all prescriptions

61

prescriptions.

<11 43 58
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

69

prescriptions, 1% of all prescriptions

44

prescriptions.

<11 44 50
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

69

prescriptions, 1% of all prescriptions

52

prescriptions.

<11 44 48
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

66

prescriptions, 1% of all prescriptions

28

prescriptions.

13

patients, 3% of all patients

46 55
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

64

prescriptions, 1% of all prescriptions

59 *

prescriptions.

13

patients, 3% of all patients

47 54
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

63

prescriptions, 1% of all prescriptions

46

prescriptions.

<11 48 45
CRESTOR

Lowers high levels of chole... +

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

63

prescriptions, 1% of all prescriptions

42

prescriptions.

12

patients, 3% of all patients

48 34
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

62

prescriptions, 1% of all prescriptions

50

prescriptions.

<11 50 80
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

62

prescriptions, 1% of all prescriptions

17

prescriptions.

<11 50 22
RISPERIDONE

Treats schizophrenia and ce... +

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

61

prescriptions, 1% of all prescriptions

20

prescriptions.

<11 P 52 78
JANUMET

This is a combination drug ... +

This is a combination drug containing metformin and sitagliptin and is used to treat high blood sugar levels caused by type 2 diabetes. Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

44

prescriptions.

<11 53 199
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

55 *

prescriptions.

<11 53 72
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

57

prescriptions, 0% of all prescriptions

34

prescriptions.

11

patients, 3% of all patients

55 57
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

56

prescriptions, 0% of all prescriptions

51 *

prescriptions.

<11 56 56
TRADJENTA

Used with proper diet and e... +

Used with proper diet and exercise to treat high blood sugar levels caused by type 2 diabetes. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

39

prescriptions.

<11 57 203
METOCLOPRAMIDE HCL

Metoclopramide is used to r... +

Metoclopramide is used to relieve heartburn and speed the healing of ulcers and sores in the esophagus (tube that connects the mouth to the stomach) in people who have gastroesophageal reflux disease (GERD; condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus) that did not get better with other treatments. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

35

prescriptions.

<11 58 206
SYMBICORT

This is a combination of bu... +

This is a combination of budesonide and formoterol used to help control the symptoms of asthma and improve lung function. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

32

prescriptions.

<11 59 123
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

52

prescriptions, 0% of all prescriptions

47 *

prescriptions.

<11 59 105
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

51

prescriptions, 0% of all prescriptions

28

prescriptions.

14

patients, 4% of all patients

R 61 145
CLOPIDOGREL

Helps prevent stroke, heart... +

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

51

prescriptions, 0% of all prescriptions

35

prescriptions.

<11 61 23
ALLOPURINOL

Treats gout and some kinds ... +

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

51

prescriptions, 0% of all prescriptions

37

prescriptions.

<11 61 29
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 2014 includes more than 1.4 billion prescriptions written by more than 1.3 million doctors, nurses and other providers. This database lists about 428,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. Almost 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 Aug. 28, 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.