Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nephrology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

16,220Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 44

$1.54M Total Retail Price of All Prescriptions

Rank: 1 out of 44

1,023 Patients Receiving at Least One Drug in Part D
81% Patients 65 Years and Older

35% Subsidized Claims for Low-Income Patients

How Does This Prescriber Compare to Peers?

In the same specialty and state. Caveats »

Drugs That Present Special Risks
Costs of Prescribing
higher than average Average for
this specialty
in Iowa
lower than average

Antipsychotics

This provider prescribed antipsychotics to at least one but fewer than 11 patients who are 65 and older, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Antibiotics

11% of this provider’s 1,023 patients filled at least one prescription for an antibiotic drug, compared to an average of 14%.

More resources »

Risky Drugs for Seniors

3% of this provider’s 824 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 5%.

More resources »

Opioids

6% of this provider’s 1,023 patients filled at least one prescription for an opioid, compared to an average of 8%.

More resources »

Brand Name Drugs

24% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$95 was the average price of a prescription from this provider, compared to $91 among peers.

Prescriptions per Patient

16 is the average number of prescriptions (including refills) per patient, compared to an average of 11.


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

$725K

2012

$794K

2013

$1.2M

2014

$1.54M

2015

Number of Claims

7,739

2012

9,038

2013

11,718

2014

16,220

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
ALLOPURINOL

Treats gout and some kinds ... +

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

1,182

prescriptions, 7% of all prescriptions

1,002

prescriptions.

190

patients, 19% of all patients

10 1 4
CALCITRIOL

Treats low blood calcium in... +

Treats low blood calcium in kidney dialysis patients and other patients. Source: National Library of Medicine

924

prescriptions, 6% of all prescriptions

817

prescriptions.

161

patients, 16% of all patients

2 5
FUROSEMIDE

Treats fluid retention (ede... +

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

835

prescriptions, 5% of all prescriptions

709

prescriptions.

170

patients, 17% 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

775

prescriptions, 5% of all prescriptions

624

prescriptions.

127

patients, 12% of all patients

4 2
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

693

prescriptions, 4% of all prescriptions

556

prescriptions.

110

patients, 11% of all patients

5 7
CARVEDILOL

Treats high blood pressure ... +

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

684

prescriptions, 4% of all prescriptions

472

prescriptions.

118

patients, 12% of all patients

6 12
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

483

prescriptions, 3% of all prescriptions

408

prescriptions.

78

patients, 8% of all patients

7 9
SENSIPAR

Lowers the amount of calciu... +

Lowers the amount of calcium in your blood. Source: National Library of Medicine

424

prescriptions, 3% of all prescriptions

221

prescriptions.

82

patients, 8% of all patients

8 20
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

418

prescriptions, 3% of all prescriptions

369

prescriptions.

87

patients, 9% of all patients

9 6
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

403

prescriptions, 2% of all prescriptions

341

prescriptions.

85

patients, 8% of all patients

10 8
LISINOPRIL

Treats high blood pressure ... +

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

397

prescriptions, 2% of all prescriptions

305

prescriptions.

78

patients, 8% of all patients

11 3
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

386

prescriptions, 2% of all prescriptions

261

prescriptions.

65

patients, 6% of all patients

12 10
RENVELA

Lowers the amount of phosph... +

Lowers the amount of phosphorus in blood of patients receiving kidney dialysis. Source: National Library of Medicine

355

prescriptions, 2% of all prescriptions

209

prescriptions.

70

patients, 7% of all patients

13 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

336

prescriptions, 2% of all prescriptions

272

prescriptions.

63

patients, 6% of all patients

14 11
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

279

prescriptions, 2% of all prescriptions

253

prescriptions.

56

patients, 5% of all patients

15 13
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

238

prescriptions, 1% of all prescriptions

153

prescriptions.

56

patients, 5% of all patients

16 18
SIMVASTATIN

Treats high cholesterol and... +

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

218

prescriptions, 1% of all prescriptions

191

prescriptions.

33

patients, 3% of all patients

17 14
TRAMADOL HCL

Tramadol is used to relieve... +

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

195

prescriptions, 1% of all prescriptions

133

prescriptions.

63

patients, 6% of all patients

O 18 23
CALCIUM ACETATE

Used to treat hyperphosphat... +

Used to treat hyperphosphatemia (too much phosphate in the blood) in patients with end stage kidney disease who are on dialysis. Source: National Library of Medicine

193

prescriptions, 1% of all prescriptions

122

prescriptions.

52

patients, 5% of all patients

19 28
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

185

prescriptions, 1% of all prescriptions

145

prescriptions.

34

patients, 3% of all patients

20 25
MIDODRINE HCL

Midodrine hydrochloride tab... +

Midodrine hydrochloride tablets are indicated for the treatment of symptomatic orthostatic hypotension. Source: National Library of Medicine

182

prescriptions, 1% of all prescriptions

123

prescriptions.

43

patients, 4% of all patients

21 33
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

177

prescriptions, 1% of all prescriptions

163

prescriptions.

34

patients, 3% of all patients

22 27
ULORIC

Used to treat hyperuricemia... +

Used to treat hyperuricemia (high uric acid in the blood) in patients with gout. Source: National Library of Medicine

174

prescriptions, 1% of all prescriptions

142

prescriptions.

21

patients, 2% of all patients

23 57
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

171

prescriptions, 1% of all prescriptions

75

prescriptions.

31

patients, 3% of all patients

24 31
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

157

prescriptions, 1% of all prescriptions

138

prescriptions.

24

patients, 2% of all patients

25 35
PIOGLITAZONE HCL

Pioglitazone is used to tre... +

Pioglitazone is used 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

157

prescriptions, 1% of all prescriptions

143

prescriptions.

27

patients, 3% of all patients

25 56
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

148

prescriptions, 1% of all prescriptions

94

prescriptions.

19

patients, 2% of all patients

27 69
GABAPENTIN

Treats certain types of sei... +

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

145

prescriptions, 1% of all prescriptions

107

prescriptions.

31

patients, 3% of all patients

28 16
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

145

prescriptions, 1% of all prescriptions

118

prescriptions.

24

patients, 2% of all patients

28 65
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

139

prescriptions, 1% of all prescriptions

108

prescriptions.

21

patients, 2% of all patients

30 22
ACETAZOLAMIDE

Treats glaucoma, certain ty... +

Treats glaucoma, certain types of epilepsy, mountain sickness, and other conditions. Source: National Library of Medicine

133

prescriptions, 1% of all prescriptions

116

prescriptions.

24

patients, 2% of all patients

31 61
PREDNISONE

Treats inflammation (swelli... +

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

123

prescriptions, 1% of all prescriptions

76

prescriptions.

21

patients, 2% of all patients

32 15
VALSARTAN

Valsartan is used alone or ... +

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

104

prescriptions, 1% of all prescriptions

80

prescriptions.

13

patients, 1% of all patients

33 63
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

81

prescriptions.

17

patients, 2% of all patients

34 32
FENOFIBRATE*

Treats high cholesterol and... +

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

90

prescriptions, 1% of all prescriptions

69

prescriptions.

12

patients, 1% of all patients

35 105
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

88

prescriptions, 1% of all prescriptions

28

prescriptions.

26

patients, 3% of all patients

R 36 75
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

70

prescriptions.

13

patients, 1% of all patients

37 43
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

86

prescriptions, 1% of all prescriptions

81

prescriptions.

16

patients, 2% of all patients

37 19
BUMETANIDE

Treats fluid retention (ede... +

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

85

prescriptions, 1% of all prescriptions

80

prescriptions.

16

patients, 2% of all patients

39 30
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

83

prescriptions, 1% of all prescriptions

69

prescriptions.

22

patients, 2% of all patients

40 40
METOLAZONE

Treats high blood pressure ... +

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

82

prescriptions, 1% of all prescriptions

77

prescriptions.

22

patients, 2% of all patients

41 39
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

81

prescriptions, 0% of all prescriptions

32

prescriptions.

13

patients, 1% of all patients

42 49
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

80

prescriptions, 0% of all prescriptions

62

prescriptions.

14

patients, 1% of all patients

43 84
PARICALCITOL 79

prescriptions, 0% of all prescriptions

65

prescriptions.

15

patients, 1% of all patients

44 50
CRESTOR

Lowers high levels of chole... +

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

79

prescriptions, 0% of all prescriptions

53

prescriptions.

13

patients, 1% of all patients

44 64
CEPHALEXIN

Treats bacterial infections... +

Treats bacterial infections. Source: National Library of Medicine

76

prescriptions, 0% of all prescriptions

45

prescriptions.

35

patients, 3% of all patients

A 46 62
RALOXIFENE HCL

Raloxifene is used to preve... +

Raloxifene is used to prevent and treat osteoporosis (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). Source: National Library of Medicine

71

prescriptions, 0% of all prescriptions

71

prescriptions.

<11 47 117
LEVEMIR FLEXTOUCH

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

68

prescriptions, 0% of all prescriptions

25

prescriptions.

14

patients, 1% of all patients

48 48
IRBESARTAN

Used alone or in combinatio... +

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

65

prescriptions, 0% of all prescriptions

65

prescriptions.

<11 49 92
ZETIA

Lowers cholesterol in your ... +

Lowers cholesterol in your blood. Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

53

prescriptions.

<11 49 120
GEMFIBROZIL

Lowers high triglyceride an... +

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

64

prescriptions, 0% of all prescriptions

52

prescriptions.

<11 51 66
QUINAPRIL HCL

Quinapril is used alone or ... +

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

63

prescriptions, 0% of all prescriptions

63

prescriptions.

13

patients, 1% of all patients

52 123
KIONEX 63

prescriptions, 0% of all prescriptions

40

prescriptions.

54

patients, 5% of all patients

52 123
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

61

prescriptions, 0% of all prescriptions

61

prescriptions.

<11 54 44
OXYBUTYNIN CHLORIDE

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

60

prescriptions, 0% of all prescriptions

55

prescriptions.

11

patients, 1% of all patients

55 129
POTASSIUM CITRATE ER

Potassium citrate is used t... +

Potassium citrate is used to treat a kidney stone condition called renal tubular acidosis. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

54

prescriptions.

14

patients, 1% of all patients

56 130
MINOXIDIL

Treats high blood pressure ... +

Treats high blood pressure that has not been controlled with other medicines. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

22

prescriptions.

<11 57 82
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

54

prescriptions, 0% of all prescriptions

28

prescriptions.

<11 58 90
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

50

prescriptions, 0% of all prescriptions

45

prescriptions.

11

patients, 1% of all patients

59 74
About This Data

Prescribing data from Medicare’s prescription drug benefit, known as Part D, was compiled and released by the Centers for Medicare and Medicaid Services, the federal agency that oversees the program. The data for 2015 includes more than 1.4 billion prescriptions written by nearly 1.4 million doctors, nurses and other providers. This database lists about 447,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. More than three-fourths of these prescriptions went to patients 65 and older; the rest were for disabled patients. Methodology »

Incorrect Info?

If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

Caveats
  • No comparisons are shown if there are fewer than 20 prescribers in the state share this specialty.
  • Comparisons do not take into account the medical conditions of patients. Medications for certain conditions do not have generic alternatives, so patients would receive more expensive brand name drugs.
  • This provider's address and specialty information was last updated on May 29, 2008.
  • 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.