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 »

13,079Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 106

$1000K Total Retail Price of All Prescriptions

Rank: 3 out of 106

650 Patients Receiving at Least One Drug in Part D
22% Patients 65 Years and Older

81% 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 California
lower than average

Antipsychotics

0% of this provider’s 142 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

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

More resources »

Risky Drugs for Seniors

13% of this provider’s 142 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

94% of this provider’s 650 patients filled at least one prescription for an opioid, compared to an average of 68%.

More resources »

Brand Name Drugs *

12% of this provider’s prescriptions were for brand-name drugs, compared to an average of 14%.

* This is an estimate, see our methodology.

Prescription Price

$76 was the average price of a prescription from this provider, compared to $91 among peers.

Prescriptions per Patient

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


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

$257K

2012

$1.11M

2013

$1.16M

2014

$1000K

2015

Number of Claims

4,199

2012

17,712

2013

15,867

2014

13,079

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.

Click to Filter by Category

Clear Filter


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-ACETAMINOPHEN

Used to relieve moderate to... +

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

2,143

prescriptions, 16% of all prescriptions

477

prescriptions.

299

patients, 46% of all patients

O 1 3
GABAPENTIN

Treats certain types of sei... +

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

1,468

prescriptions, 11% of all prescriptions

281

prescriptions.

245

patients, 38% of all patients

2 2
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

1,425

prescriptions, 11% of all prescriptions

308

prescriptions.

241

patients, 37% of all patients

O 3 1
MORPHINE SULFATE ER

Morphine (extended release)... +

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

786

prescriptions, 6% of all prescriptions

101

prescriptions.

109

patients, 17% of all patients

O 4 5
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

724

prescriptions, 6% of all prescriptions

135

prescriptions.

124

patients, 19% of all patients

5 14
BACLOFEN

Treats muscle spasms caused... +

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

695

prescriptions, 5% of all prescriptions

97

prescriptions.

114

patients, 18% of all patients

6 7
MELOXICAM

Treats symptoms of osteoart... +

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

572

prescriptions, 4% of all prescriptions

62

prescriptions.

119

patients, 18% of all patients

7 16
NABUMETONE

Treats pain caused by arthr... +

Treats pain caused by arthritis. Source: National Library of Medicine

417

prescriptions, 3% of all prescriptions

41

prescriptions.

65

patients, 10% of all patients

8 33
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

395

prescriptions, 3% of all prescriptions

49

prescriptions.

57

patients, 9% of all patients

9 12
TRAMADOL HCL

Tramadol is used to relieve... +

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

377

prescriptions, 3% of all prescriptions

98

prescriptions.

68

patients, 10% of all patients

O 10 8
VOLTAREN

Treats pain caused by arthr... +

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

366

prescriptions, 3% of all prescriptions

109

prescriptions.

59

patients, 9% of all patients

11 15
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

343

prescriptions, 3% of all prescriptions

41

prescriptions.

67

patients, 10% of all patients

R 12 18
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

336

prescriptions, 3% of all prescriptions

46

prescriptions.

65

patients, 10% of all patients

13 42
OXYCODONE HCL

Oxycodone is used to reliev... +

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

330

prescriptions, 3% of all prescriptions

86

prescriptions.

52

patients, 8% of all patients

O 14 4
CELECOXIB

Treats mild to moderate pai... +

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

176

prescriptions, 1% of all prescriptions

37

prescriptions.

36

patients, 6% of all patients

15 26
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. Source: National Library of Medicine

174

prescriptions, 1% of all prescriptions

16

prescriptions.

33

patients, 5% of all patients

16 35
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

142

prescriptions, 1% of all prescriptions

44

prescriptions.

20

patients, 3% of all patients

O 17 11
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

139

prescriptions, 1% of all prescriptions

12

prescriptions.

22

patients, 3% of all patients

O 18 6
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

139

prescriptions, 1% of all prescriptions

25

prescriptions.

22

patients, 3% of all patients

18 24
TIAGABINE HCL 130

prescriptions, 1% of all prescriptions

5

prescriptions.

30

patients, 5% of all patients

10 20 68
METHOCARBAMOL

Treats muscle pain and spas... +

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

123

prescriptions, 1% of all prescriptions

19

prescriptions.

40

patients, 6% of all patients

R 21 29
GRALISE 121

prescriptions, 1% of all prescriptions

5

prescriptions.

26

patients, 4% of all patients

22 72
ENDOCET

Treats moderate to moderate... +

Treats moderate to moderately severe pain. Source: National Library of Medicine

112

prescriptions, 1% of all prescriptions

17

prescriptions.

37

patients, 6% of all patients

O 23 78
OXYCONTIN

Oxycodone is used to reliev... +

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

101

prescriptions, 1% of all prescriptions

13

prescriptions.

16

patients, 2% of all patients

O 24 10
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

91

prescriptions, 1% of all prescriptions

5

prescriptions.

22

patients, 3% of all patients

25 49
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

88

prescriptions, 1% of all prescriptions

5

prescriptions.

17

patients, 3% of all patients

26 23
LIDOCAINE-PRILOCAINE

This is used on the skin or... +

This is used on the skin or in the genital area to cause numbness or loss of feeling before certain medical procedures. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

21

prescriptions.

38

patients, 6% of all patients

27 87
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

84

prescriptions, 1% of all prescriptions

61

prescriptions.

13

patients, 2% of all patients

28 21
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

83

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 O 29 9
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

80

prescriptions, 1% of all prescriptions

5

prescriptions.

15

patients, 2% of all patients

R 30 53
OPANA ER

Used to relieve moderate to... +

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

74

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 O 31 37
MORPHINE SULFATE

Morphine is used to relieve... +

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

71

prescriptions, 1% of all prescriptions

0

prescriptions.

11

patients, 2% of all patients

O 32 22
PIROXICAM 64

prescriptions, 0% of all prescriptions

16

prescriptions.

14

patients, 2% of all patients

33 101
LIDOCAINE

Causes numbness or loss of ... +

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

60

prescriptions, 0% of all prescriptions

20

prescriptions.

20

patients, 3% of all patients

34 25
CHLORZOXAZONE 56

prescriptions, 0% of all prescriptions

5

prescriptions.

14

patients, 2% of all patients

R 35 111
SAVELLA 50

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 36 117
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 Aug. 9, 2016.
  • 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.