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 »

11,958Medicare Part D Prescriptions Filled, Including Refills

Rank: 61 out of 951

$514K Total Retail Price of All Prescriptions

Rank: 164 out of 951

800 Patients Receiving at Least One Drug in Part D
93% Patients 65 Years and Older

17% 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 Washington
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

13% of this provider’s 800 patients filled at least one prescription for an antibiotic drug, compared to an average of 20%.

More resources »

Risky Drugs for Seniors

11% of this provider’s 742 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

24% of this provider’s 800 patients filled at least one prescription for an opioid, compared to an average of 18%.

More resources »

Brand Name Drugs

14% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$43 was the average price of a prescription from this provider, compared to $74 among peers.

Prescriptions per Patient

15 is the average number of prescriptions (including refills) per patient, compared to an average of 15.


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

$426K

2012

$564K

2013

$598K

2014

$514K

2015

Number of Claims

10,582

2012

12,946

2013

12,845

2014

11,958

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
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

567

prescriptions, 5% of all prescriptions

511

prescriptions.

129

patients, 16% of all patients

1 4
SIMVASTATIN

Treats high cholesterol and... +

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

458

prescriptions, 4% of all prescriptions

444

prescriptions.

111

patients, 14% of all patients

2 6
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

445

prescriptions, 4% of all prescriptions

428

prescriptions.

112

patients, 14% of all patients

3 5
LISINOPRIL

Treats high blood pressure ... +

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

443

prescriptions, 4% of all prescriptions

410

prescriptions.

122

patients, 15% of all patients

4 2
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

404

prescriptions, 3% of all prescriptions

387

prescriptions.

115

patients, 14% of all patients

5 3
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

398

prescriptions, 3% of all prescriptions

377

prescriptions.

105

patients, 13% of all patients

6 1
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

313

prescriptions, 3% of all prescriptions

308

prescriptions.

80

patients, 10% of all patients

7 8
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

282

prescriptions, 2% of all prescriptions

227

prescriptions.

68

patients, 9% of all patients

O 8 10
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

273

prescriptions, 2% of all prescriptions

223

prescriptions.

61

patients, 8% of all patients

9 15
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

267

prescriptions, 2% of all prescriptions

262

prescriptions.

73

patients, 9% of all patients

10 16
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

252

prescriptions, 2% of all prescriptions

252

prescriptions.

52

patients, 7% of all patients

11 13
GABAPENTIN

Treats certain types of sei... +

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

202

prescriptions, 2% of all prescriptions

186

prescriptions.

51

patients, 6% of all patients

12 11
TRAMADOL HCL

Tramadol is used to relieve... +

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

199

prescriptions, 2% of all prescriptions

176

prescriptions.

67

patients, 8% of all patients

O 13 26
FUROSEMIDE

Treats fluid retention (ede... +

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

198

prescriptions, 2% of all prescriptions

193

prescriptions.

52

patients, 7% of all patients

14 7
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

187

prescriptions, 2% of all prescriptions

172

prescriptions.

41

patients, 5% of all patients

15 22
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

185

prescriptions, 2% of all prescriptions

185

prescriptions.

58

patients, 7% of all patients

16 12
TRAZODONE HCL

Trazodone is used to treat ... +

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

180

prescriptions, 2% of all prescriptions

164

prescriptions.

49

patients, 6% of all patients

17 21
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

155

prescriptions, 1% of all prescriptions

150

prescriptions.

38

patients, 5% of all patients

18 19
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

153

prescriptions, 1% of all prescriptions

136

prescriptions.

45

patients, 6% of all patients

19 9
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

152

prescriptions, 1% of all prescriptions

152

prescriptions.

39

patients, 5% of all patients

20 20
METFORMIN HCL ER

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

144

prescriptions, 1% of all prescriptions

144

prescriptions.

38

patients, 5% of all patients

21 51
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

140

prescriptions, 1% of all prescriptions

128

prescriptions.

38

patients, 5% of all patients

22 60
CITALOPRAM HBR

Citalopram is used to treat... +

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

137

prescriptions, 1% of all prescriptions

132

prescriptions.

37

patients, 5% of all patients

23 18
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

128

prescriptions, 1% of all prescriptions

113

prescriptions.

35

patients, 4% of all patients

24 39
ALLOPURINOL

Treats gout and some kinds ... +

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

124

prescriptions, 1% of all prescriptions

119

prescriptions.

29

patients, 4% of all patients

25 27
ATENOLOL

Treats high blood pressure ... +

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

122

prescriptions, 1% of all prescriptions

109

prescriptions.

31

patients, 4% of all patients

26 17
OXYCODONE HCL

Oxycodone is used to reliev... +

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

122

prescriptions, 1% of all prescriptions

99

prescriptions.

29

patients, 4% of all patients

O 26 24
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

111

prescriptions, 1% of all prescriptions

79

prescriptions.

20

patients, 3% of all patients

R 28 36
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

109

prescriptions, 1% of all prescriptions

104

prescriptions.

23

patients, 3% of all patients

29 44
LOVASTATIN

Lowers high cholesterol and... +

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

108

prescriptions, 1% of all prescriptions

108

prescriptions.

28

patients, 4% of all patients

30 25
PROPRANOLOL HCL

Propranolol is used to trea... +

Propranolol is used to treat high blood pressure, abnormal heart rhythms, heart disease, pheochromocytoma (tumor on a small gland near the kidneys), and certain types of tremor. Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

84

prescriptions.

24

patients, 3% of all patients

31 147
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

103

prescriptions, 1% of all prescriptions

77

prescriptions.

23

patients, 3% of all patients

31 35
LORAZEPAM

Treats anxiety, anxiety wit... +

Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine

100

prescriptions, 1% of all prescriptions

88

prescriptions.

37

patients, 5% of all patients

33 29
CRESTOR

Lowers high levels of chole... +

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

97

prescriptions, 1% of all prescriptions

97

prescriptions.

23

patients, 3% of all patients

34 41
OXYBUTYNIN CHLORIDE

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

84

prescriptions.

28

patients, 4% of all patients

35 79
CLONAZEPAM

Treats seizures, panic diso... +

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

78

prescriptions, 1% of all prescriptions

61

prescriptions.

15

patients, 2% of all patients

36 45
PREDNISONE

Treats inflammation (swelli... +

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

75

prescriptions, 1% of all prescriptions

70

prescriptions.

48

patients, 6% of all patients

37 38
DIGOXIN

Treats certain heart rhythm... +

Treats certain heart rhythm problems (atrial fibrillation). Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

69

prescriptions.

17

patients, 2% of all patients

R 38 118
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

74

prescriptions, 1% of all prescriptions

74

prescriptions.

20

patients, 3% of all patients

38 37
CLOPIDOGREL

Helps prevent stroke, heart... +

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

71

prescriptions, 1% of all prescriptions

66

prescriptions.

22

patients, 3% of all patients

40 28
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

56

prescriptions.

15

patients, 2% of all patients

41 59
MORPHINE SULFATE ER

Morphine (extended release)... +

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

68

prescriptions, 1% of all prescriptions

46

prescriptions.

13

patients, 2% of all patients

O 42 52
METHOCARBAMOL

Treats muscle pain and spas... +

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

68

prescriptions, 1% of all prescriptions

23

prescriptions.

19

patients, 2% of all patients

R 42 174
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

67

prescriptions, 1% of all prescriptions

26

prescriptions.

16

patients, 2% of all patients

O 44 42
PAROXETINE HCL

Paroxetine tablets, suspens... +

Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), 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

65

prescriptions, 1% of all prescriptions

53

prescriptions.

12

patients, 2% of all patients

45 64
PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole 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

60

prescriptions, 1% of all prescriptions

45

prescriptions.

14

patients, 2% of all patients

46 115
TEMAZEPAM

Treats insomnia (trouble sl... +

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

59

prescriptions, 0% of all prescriptions

47

prescriptions.

<11 47 127
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

57

prescriptions, 0% of all prescriptions

57

prescriptions.

13

patients, 2% of all patients

48 76
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

56

prescriptions, 0% of all prescriptions

44

prescriptions.

<11 49 32
GLIPIZIDE ER

Glipizide is used along wit... +

Glipizide is used along with diet and exercise, and sometimes with other medications, 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

54

prescriptions, 0% of all prescriptions

49

prescriptions.

16

patients, 2% of all patients

50 128
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

52

prescriptions, 0% of all prescriptions

52

prescriptions.

15

patients, 2% of all patients

51 61
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

51

prescriptions, 0% of all prescriptions

27

prescriptions.

13

patients, 2% of all patients

52 30
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

50

prescriptions, 0% of all prescriptions

45

prescriptions.

21

patients, 3% of all patients

53 23
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 May 13, 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.