Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Pain Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

4,692Medicare Part D Prescriptions Filled, Including Refills

Rank: 14 out of 28

$582K Total Retail Price of All Prescriptions

Rank: 11 out of 28

234 Patients Receiving at Least One Drug in Part D
35% Patients 65 Years and Older

62% 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

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

0 of this provider’s 81 patients who are 65 and older filled at least one prescription for an antipsychotic drug.

More resources »

Antibiotics

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

39 of this provider’s 234 patients filled at least one prescription for an antibiotic drug.

More resources »

Risky Drugs for Seniors

Comparisons are not shown because there are not enough providers in this specialty and state that prescribe these drugs, and because this provider has fewer than 100 patients 65 and older.

39 of this provider’s 81 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

92% of this provider’s 234 patients filled at least one prescription for an opioid, compared to an average of 87%.

More resources »

Brand Name Drugs

15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 14%.

Prescription Price

$124 was the average price of a prescription from this provider, compared to $82 among peers.

Prescriptions per Patient

20 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

$394K

2012

$546K

2013

$531K

2014

$582K

2015

Number of Claims

2,859

2012

4,114

2013

4,570

2014

4,692

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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

758

prescriptions, 16% of all prescriptions

273

prescriptions.

130

patients, 56% of all patients

O 1 1
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

393

prescriptions, 8% of all prescriptions

99

prescriptions.

74

patients, 32% of all patients

2 29
GABAPENTIN

Treats certain types of sei... +

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

264

prescriptions, 6% of all prescriptions

85

prescriptions.

49

patients, 21% of all patients

3 2
MORPHINE SULFATE ER

Morphine (extended release)... +

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

263

prescriptions, 6% of all prescriptions

55

prescriptions.

35

patients, 15% of all patients

O 4 6
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

242

prescriptions, 5% of all prescriptions

72

prescriptions.

31

patients, 13% of all patients

O 5 10
ALPRAZOLAM

Treats anxiety, panic disor... +

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

240

prescriptions, 5% of all prescriptions

67

prescriptions.

33

patients, 14% of all patients

6 17
METHADONE HCL

Methadone is used to reliev... +

Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. Source: National Library of Medicine

221

prescriptions, 5% of all prescriptions

17

prescriptions.

26

patients, 11% of all patients

O 7 8
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

203

prescriptions, 4% of all prescriptions

79

prescriptions.

33

patients, 14% of all patients

8 4
TRAMADOL HCL

Tramadol is used to relieve... +

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

185

prescriptions, 4% of all prescriptions

84

prescriptions.

21

patients, 9% of all patients

O 9 13
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

150

prescriptions, 3% of all prescriptions

11

prescriptions.

33

patients, 14% of all patients

R 10 11
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

139

prescriptions, 3% of all prescriptions

30

prescriptions.

18

patients, 8% of all patients

R 11 21
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

119

prescriptions, 3% of all prescriptions

33

prescriptions.

16

patients, 7% of all patients

12 15
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

107

prescriptions, 2% of all prescriptions

68

prescriptions.

14

patients, 6% of all patients

O 13 3
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

96

prescriptions, 2% of all prescriptions

30

prescriptions.

16

patients, 7% of all patients

14 7
OPANA ER

Used to relieve moderate to... +

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

90

prescriptions, 2% of all prescriptions

15

prescriptions.

17

patients, 7% of all patients

O 15 34
CLONAZEPAM

Treats seizures, panic diso... +

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

75

prescriptions, 2% of all prescriptions

5

prescriptions.

11

patients, 5% of all patients

16 19
ZOHYDRO ER 62

prescriptions, 1% of all prescriptions

23

prescriptions.

14

patients, 6% of all patients

O 10 17 67
GRALISE 59

prescriptions, 1% of all prescriptions

5

prescriptions.

12

patients, 5% of all patients

18 70
PROMETHAZINE HCL

Promethazine is used to rel... +

Promethazine is used to relieve the symptoms of allergic reactions such as allergic rhinitis (runny nose and watery eyes caused by allergy to pollen, mold or dust), allergic conjunctivitis (red, watery eyes caused by allergies), allergic skin reactions, and allergic reactions to blood or plasma products. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 R 18 30
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 20 14
TEMAZEPAM

Treats insomnia (trouble sl... +

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

52

prescriptions, 1% of all prescriptions

5

prescriptions.

13

patients, 6% of all patients

21 49
VOLTAREN

Treats pain caused by arthr... +

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

50

prescriptions, 1% of all prescriptions

24

prescriptions.

15

patients, 6% of all patients

22 32
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 Oct. 25, 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.
  • 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.