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 »

11,981Medicare Part D Prescriptions Filled, Including Refills

Rank: 264 out of 1067

$704K Total Retail Price of All Prescriptions

Rank: 251 out of 1067

444 Patients Receiving at Least One Drug in Part D
88% Patients 65 Years and Older

18% 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 Missouri
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

43% of this provider’s 444 patients filled at least one prescription for an antibiotic drug, compared to an average of 27%.

More resources »

Risky Drugs for Seniors

14% of this provider’s 389 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

27% of this provider’s 444 patients filled at least one prescription for an opioid, compared to an average of 21%.

More resources »

Brand Name Drugs

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

Prescription Price

$59 was the average price of a prescription from this provider, compared to $68 among peers.

Prescriptions per Patient

27 is the average number of prescriptions (including refills) per patient, compared to an average of 18.


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

$550K

2012

$934K

2013

$728K

2014

$704K

2015

Number of Claims

10,576

2012

13,170

2013

12,506

2014

11,981

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
LISINOPRIL

Treats high blood pressure ... +

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

447

prescriptions, 4% of all prescriptions

405

prescriptions.

98

patients, 22% of all patients

1 2
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

434

prescriptions, 4% of all prescriptions

376

prescriptions.

68

patients, 15% of all patients

2 1
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

429

prescriptions, 4% of all prescriptions

357

prescriptions.

78

patients, 18% of all patients

3 5
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

405

prescriptions, 3% of all prescriptions

376

prescriptions.

73

patients, 16% of all patients

4 3
FUROSEMIDE

Treats fluid retention (ede... +

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

326

prescriptions, 3% of all prescriptions

312

prescriptions.

69

patients, 16% of all patients

5 7
SIMVASTATIN

Treats high cholesterol and... +

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

323

prescriptions, 3% of all prescriptions

295

prescriptions.

72

patients, 16% of all patients

6 6
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

303

prescriptions, 3% of all prescriptions

277

prescriptions.

63

patients, 14% of all patients

7 4
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

297

prescriptions, 2% of all prescriptions

292

prescriptions.

49

patients, 11% of all patients

8 12
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

262

prescriptions, 2% of all prescriptions

245

prescriptions.

39

patients, 9% of all patients

9 19
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

257

prescriptions, 2% of all prescriptions

209

prescriptions.

43

patients, 10% of all patients

10 11
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

256

prescriptions, 2% of all prescriptions

196

prescriptions.

34

patients, 8% of all patients

11 18
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

224

prescriptions, 2% of all prescriptions

189

prescriptions.

46

patients, 10% of all patients

12 17
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

222

prescriptions, 2% of all prescriptions

181

prescriptions.

57

patients, 13% of all patients

O 13 8
TRAMADOL HCL

Tramadol is used to relieve... +

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

203

prescriptions, 2% of all prescriptions

191

prescriptions.

45

patients, 10% of all patients

O 14 16
ALPRAZOLAM

Treats anxiety, panic disor... +

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

203

prescriptions, 2% of all prescriptions

177

prescriptions.

32

patients, 7% of all patients

14 14
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

200

prescriptions, 2% of all prescriptions

195

prescriptions.

46

patients, 10% of all patients

16 15
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

189

prescriptions, 2% of all prescriptions

166

prescriptions.

33

patients, 7% of all patients

17 10
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

182

prescriptions, 2% of all prescriptions

168

prescriptions.

32

patients, 7% of all patients

18 34
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

180

prescriptions, 2% of all prescriptions

175

prescriptions.

34

patients, 8% of all patients

19 9
CLOPIDOGREL

Helps prevent stroke, heart... +

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

159

prescriptions, 1% of all prescriptions

144

prescriptions.

33

patients, 7% of all patients

20 23
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

140

prescriptions, 1% of all prescriptions

119

prescriptions.

27

patients, 6% of all patients

21 21
GABAPENTIN

Treats certain types of sei... +

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

135

prescriptions, 1% of all prescriptions

120

prescriptions.

29

patients, 7% of all patients

22 13
CARVEDILOL

Treats high blood pressure ... +

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

126

prescriptions, 1% of all prescriptions

121

prescriptions.

24

patients, 5% of all patients

23 20
CITALOPRAM HBR

Citalopram is used to treat... +

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

120

prescriptions, 1% of all prescriptions

91

prescriptions.

21

patients, 5% of all patients

24 22
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

116

prescriptions, 1% of all prescriptions

111

prescriptions.

15

patients, 3% of all patients

25 38
CEFUROXIME

Treats infections caused by... +

Treats infections caused by bacteria. Source: National Library of Medicine

114

prescriptions, 1% of all prescriptions

109

prescriptions.

84

patients, 19% of all patients

A 26 157
ATENOLOL

Treats high blood pressure ... +

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

109

prescriptions, 1% of all prescriptions

104

prescriptions.

17

patients, 4% of all patients

27 24
LOVASTATIN

Lowers high cholesterol and... +

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

106

prescriptions, 1% of all prescriptions

101

prescriptions.

18

patients, 4% of all patients

28 33
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

103

prescriptions, 1% of all prescriptions

85

prescriptions.

39

patients, 9% of all patients

29 27
MELOXICAM

Treats symptoms of osteoart... +

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

99

prescriptions, 1% of all prescriptions

94

prescriptions.

20

patients, 5% of all patients

30 30
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

93

prescriptions, 1% of all prescriptions

82

prescriptions.

20

patients, 5% of all patients

R 31 35
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

92

prescriptions, 1% of all prescriptions

67

prescriptions.

15

patients, 3% of all patients

32 56
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

90

prescriptions, 1% of all prescriptions

85

prescriptions.

16

patients, 4% of all patients

33 44
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

90

prescriptions, 1% of all prescriptions

85

prescriptions.

21

patients, 5% of all patients

33 46
FINASTERIDE

Treats an enlarged prostate... +

Treats an enlarged prostate (benign prostatic hyperplasia or BPH) in men and causes hair growth in male pattern baldness. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

85

prescriptions.

19

patients, 4% of all patients

33 60
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

88

prescriptions, 1% of all prescriptions

83

prescriptions.

16

patients, 4% of all patients

36 63
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

86

prescriptions, 1% of all prescriptions

86

prescriptions.

14

patients, 3% of all patients

37 32
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

84

prescriptions.

15

patients, 3% of all patients

38 39
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

74

prescriptions, 1% of all prescriptions

69

prescriptions.

13

patients, 3% of all patients

39 25
DOXAZOSIN MESYLATE

Doxazosin (Cardura, Cardura... +

Doxazosin (Cardura, Cardura XL) 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

70

prescriptions, 1% of all prescriptions

65

prescriptions.

14

patients, 3% of all patients

40 89
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

66

prescriptions, 1% of all prescriptions

66

prescriptions.

11

patients, 2% of all patients

41 70
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

65

prescriptions, 1% of all prescriptions

42

prescriptions.

26

patients, 6% of all patients

42 36
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

64

prescriptions.

18

patients, 4% of all patients

43 53
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

61

prescriptions, 1% of all prescriptions

49

prescriptions.

<11 44 54
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

60

prescriptions, 1% of all prescriptions

55

prescriptions.

15

patients, 3% of all patients

45 26
KLOR-CON M20

Potassium is essential for ... +

Potassium is essential for the proper functioning of the heart, kidneys, muscles, nerves, and digestive system. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

54

prescriptions.

11

patients, 2% of all patients

46 101
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

59

prescriptions, 0% of all prescriptions

59

prescriptions.

13

patients, 3% of all patients

46 49
TEMAZEPAM

Treats insomnia (trouble sl... +

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

58

prescriptions, 0% of all prescriptions

41

prescriptions.

11

patients, 2% of all patients

48 100
CRESTOR

Lowers high levels of chole... +

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

58

prescriptions, 0% of all prescriptions

58

prescriptions.

<11 48 43
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

57

prescriptions, 0% of all prescriptions

45

prescriptions.

11

patients, 2% of all patients

50 31
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

Treating infections caused by certain bacteria. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

51

prescriptions.

43

patients, 10% of all patients

A 51 114
PRADAXA

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) in patients who have been treated with an injectable anticoagulant (''blood thinner''). Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

55

prescriptions.

<11 52 217
FENOFIBRATE*

Treats high cholesterol and... +

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

55

prescriptions, 0% of all prescriptions

50

prescriptions.

12

patients, 3% of all patients

52 105
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

54

prescriptions, 0% of all prescriptions

49

prescriptions.

<11 54 61
TRAZODONE HCL

Trazodone is used to treat ... +

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

54

prescriptions, 0% of all prescriptions

38

prescriptions.

11

patients, 2% of all patients

54 28
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

53

prescriptions.

<11 56 67
GEMFIBROZIL

Lowers high triglyceride an... +

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

52

prescriptions, 0% of all prescriptions

47

prescriptions.

<11 57 112
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

50

prescriptions.

<11 58 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 Feb. 5, 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.