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 »

5,001Medicare Part D Prescriptions Filled, Including Refills

Rank: 14 out of 93

$525K Total Retail Price of All Prescriptions

Rank: 34 out of 93

628 Patients Receiving at Least One Drug in Part D
72% Patients 65 Years and Older

64% 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 Alabama
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

16% of this provider’s 628 patients filled at least one prescription for an antibiotic drug, compared to an average of 14%.

More resources »

Risky Drugs for Seniors

7% of this provider’s 450 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 6%.

More resources »

Opioids

8% of this provider’s 628 patients filled at least one prescription for an opioid, compared to an average of 7%.

More resources »

Brand Name Drugs *

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 25%.

* This is an estimate, see our methodology.

Prescription Price

$105 was the average price of a prescription from this provider, compared to $207 among peers.

Prescriptions per Patient

8 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$351K

2012

$361K

2013

$419K

2014

$525K

2015

Number of Claims

4,737

2012

4,952

2013

4,907

2014

5,001

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
NIFEDIPINE ER

Used for the treatment of v... +

Used for the treatment of vasospastic angina, chronic stable angina and hypertension. Source: National Library of Medicine

268

prescriptions, 5% of all prescriptions

150

prescriptions.

63

patients, 10% of all patients

1 34
FUROSEMIDE

Treats fluid retention (ede... +

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

262

prescriptions, 5% of all prescriptions

224

prescriptions.

86

patients, 14% of all patients

2 3
LISINOPRIL

Treats high blood pressure ... +

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

262

prescriptions, 5% of all prescriptions

200

prescriptions.

67

patients, 11% of all patients

2 5
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

209

prescriptions, 4% of all prescriptions

58

prescriptions.

67

patients, 11% of all patients

4 10
CARVEDILOL

Treats high blood pressure ... +

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

205

prescriptions, 4% of all prescriptions

87

prescriptions.

54

patients, 9% of all patients

5 6
BUMETANIDE

Treats fluid retention (ede... +

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

201

prescriptions, 4% of all prescriptions

141

prescriptions.

56

patients, 9% of all patients

6 39
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

148

prescriptions, 3% of all prescriptions

50

prescriptions.

28

patients, 4% of all patients

7 11
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

146

prescriptions, 3% of all prescriptions

93

prescriptions.

41

patients, 7% of all patients

8 7
CALCITRIOL

Treats low blood calcium in... +

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

139

prescriptions, 3% of all prescriptions

71

prescriptions.

36

patients, 6% of all patients

9 12
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

124

prescriptions, 2% of all prescriptions

88

prescriptions.

41

patients, 7% of all patients

10 9
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

120

prescriptions, 2% of all prescriptions

81

prescriptions.

31

patients, 5% of all patients

11 78
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

119

prescriptions, 2% of all prescriptions

85

prescriptions.

29

patients, 5% of all patients

12 26
SENSIPAR

Lowers the amount of calciu... +

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

113

prescriptions, 2% of all prescriptions

53

prescriptions.

25

patients, 4% of all patients

13 2
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

113

prescriptions, 2% of all prescriptions

33

prescriptions.

28

patients, 4% of all patients

13 13
RENVELA

Lowers the amount of phosph... +

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

111

prescriptions, 2% of all prescriptions

40

prescriptions.

33

patients, 5% of all patients

15 4
ALLOPURINOL

Treats gout and some kinds ... +

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

111

prescriptions, 2% of all prescriptions

72

prescriptions.

30

patients, 5% of all patients

15 8
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

108

prescriptions, 2% of all prescriptions

84

prescriptions.

36

patients, 6% of all patients

17 1
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

89

prescriptions, 2% of all prescriptions

61

prescriptions.

32

patients, 5% of all patients

18 18
NIFEDICAL XL

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

88

prescriptions, 2% of all prescriptions

66

prescriptions.

25

patients, 4% of all patients

19 99
SIMVASTATIN

Treats high cholesterol and... +

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

87

prescriptions, 2% of all prescriptions

60

prescriptions.

15

patients, 2% of all patients

20 15
TRAMADOL HCL

Tramadol is used to relieve... +

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

77

prescriptions, 2% of all prescriptions

35

prescriptions.

26

patients, 4% of all patients

O 21 35
GABAPENTIN

Treats certain types of sei... +

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

68

prescriptions, 1% of all prescriptions

39

prescriptions.

19

patients, 3% of all patients

22 21
PREDNISONE

Treats inflammation (swelli... +

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

59

prescriptions, 1% of all prescriptions

5

prescriptions.

16

patients, 3% of all patients

23 23
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

58

prescriptions, 1% of all prescriptions

32

prescriptions.

14

patients, 2% of all patients

24 31
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

58

prescriptions, 1% of all prescriptions

40

prescriptions.

16

patients, 3% of all patients

24 43
BYSTOLIC

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

36

prescriptions.

<11 26 64
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

50

prescriptions, 1% of all prescriptions

22

prescriptions.

17

patients, 3% of all patients

27 16
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 Jan. 23, 2014.
  • 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.