Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Orthopaedic Surgery

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

8,774Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 566

$2.51M Total Retail Price of All Prescriptions

Rank: 1 out of 566

324 Patients Receiving at Least One Drug in Part D
30% Patients 65 Years and Older

69% 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 Florida
lower than average

Antipsychotics

Comparisons are not shown because this provider has fewer than 100 patients who are 65 and older.

0 of this provider’s 97 patients who are 65 and older filled at least one prescription for an antipsychotic drug.

More resources »

Antibiotics

3% of this provider’s 324 patients filled at least one prescription for an antibiotic drug, compared to an average of 12%.

More resources »

Risky Drugs for Seniors

Comparisons are not shown because this provider has fewer than 100 patients who are 65 and older.

24 of this provider’s 97 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

98% of this provider’s 324 patients filled at least one prescription for an opioid, compared to an average of 60%.

More resources »

Brand Name Drugs

25% of this provider’s prescriptions were for brand-name drugs, compared to an average of 8%. This is far more than peers.

Prescription Price

$286 was the average price of a prescription from this provider, compared to $41 among peers.

Prescriptions per Patient

27 is the average number of prescriptions (including refills) per patient, compared to an average of 3.


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

$1.6M

2012

$1.96M

2013

$2.39M

2014

$2.51M

2015

Number of Claims

6,894

2012

7,169

2013

7,928

2014

8,774

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
OXYCODONE HCL

Oxycodone is used to reliev... +

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

972

prescriptions, 11% of all prescriptions

276

prescriptions.

107

patients, 33% of all patients

O 1 6
OXYCONTIN

Oxycodone is used to reliev... +

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

924

prescriptions, 11% of all prescriptions

249

prescriptions.

106

patients, 33% of all patients

O 10 2 19
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

908

prescriptions, 10% of all prescriptions

215

prescriptions.

121

patients, 37% of all patients

O 3 2
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

874

prescriptions, 10% of all prescriptions

185

prescriptions.

100

patients, 31% of all patients

O 4 14
MELOXICAM

Treats symptoms of osteoart... +

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

732

prescriptions, 8% of all prescriptions

127

prescriptions.

119

patients, 37% of all patients

5 3
CARISOPRODOL

Treats pain and stiffness o... +

Treats pain and stiffness of muscle spasms. Source: National Library of Medicine

482

prescriptions, 5% of all prescriptions

105

prescriptions.

60

patients, 19% of all patients

R 6 22
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

334

prescriptions, 4% of all prescriptions

152

prescriptions.

44

patients, 14% of all patients

O 7 1
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

306

prescriptions, 3% of all prescriptions

90

prescriptions.

44

patients, 14% of all patients

O 8 28
MORPHINE SULFATE

Morphine is used to relieve... +

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

283

prescriptions, 3% of all prescriptions

60

prescriptions.

34

patients, 10% of all patients

O 9 43
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

255

prescriptions, 3% of all prescriptions

65

prescriptions.

30

patients, 9% of all patients

O 10 18
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

213

prescriptions, 2% of all prescriptions

40

prescriptions.

40

patients, 12% of all patients

R 11 24
OXYCODONE HCL ER 150

prescriptions, 2% of all prescriptions

16

prescriptions.

30

patients, 9% of all patients

O 10 12 54
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

143

prescriptions, 2% of all prescriptions

47

prescriptions.

21

patients, 6% of all patients

13 34
BUTALBITAL-ACETAMINOPHEN-CAFFE

This combination of drugs i... +

This combination of drugs is used to relieve tension headaches. Source: National Library of Medicine

122

prescriptions, 1% of all prescriptions

38

prescriptions.

<11 R 14 59
GABAPENTIN

Treats certain types of sei... +

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

112

prescriptions, 1% of all prescriptions

18

prescriptions.

24

patients, 7% of all patients

15 9
ALPRAZOLAM

Treats anxiety, panic disor... +

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

103

prescriptions, 1% of all prescriptions

19

prescriptions.

20

patients, 6% of all patients

16 32
LIDOCAINE

Causes numbness or loss of ... +

Causes numbness or loss of feeling in an area of your body. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

20

prescriptions.

21

patients, 6% of all patients

17 66
CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

88

prescriptions, 1% of all prescriptions

48

prescriptions.

14

patients, 4% of all patients

18 10
HYDROMORPHONE ER 79

prescriptions, 1% of all prescriptions

42

prescriptions.

12

patients, 4% of all patients

O 19 68
OPANA ER

Used to relieve moderate to... +

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

73

prescriptions, 1% of all prescriptions

22

prescriptions.

12

patients, 4% of all patients

O 20 71
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

72

prescriptions, 1% of all prescriptions

5

prescriptions.

13

patients, 4% of all patients

21 12
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

13

prescriptions.

15

patients, 5% of all patients

22 7
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

66

prescriptions, 1% of all prescriptions

27

prescriptions.

14

patients, 4% of all patients

R 23 30
BUTRANS 61

prescriptions, 1% of all prescriptions

34

prescriptions.

15

patients, 5% of all patients

O 24 80
TRAZODONE HCL

Trazodone is used to treat ... +

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

58

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 25 84
OXYMORPHONE HCL 53

prescriptions, 1% of all prescriptions

13

prescriptions.

<11 O 26 89
VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

15

prescriptions.

<11 27 8
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

51

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 28 94
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?

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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 March 7, 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.