Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Physician Assistant

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

16,564Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 849

$527K Total Retail Price of All Prescriptions

Rank: 35 out of 849

704 Patients Receiving at Least One Drug in Part D
95% Patients 65 Years and Older

96% 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

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

23% of this provider’s 704 patients filled at least one prescription for an antibiotic drug, compared to an average of 28%.

More resources »

Risky Drugs for Seniors

6% of this provider’s 670 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 6%.

More resources »

Opioids

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

More resources »

Brand Name Drugs

19% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%.

Prescription Price

$32 was the average price of a prescription from this provider, compared to $108 among peers.

Prescriptions per Patient

24 is the average number of prescriptions (including refills) per patient, compared to an average of 5.


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

$62K

2012

$179K

2013

$405K

2014

$527K

2015

Number of Claims

1,819

2012

5,137

2013

10,407

2014

16,564

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

868

prescriptions, 5% of all prescriptions

844

prescriptions.

154

patients, 22% of all patients

1 2
FOLIC ACID 831

prescriptions, 5% of all prescriptions

801

prescriptions.

128

patients, 18% of all patients

2 91
VOLTAREN

Treats pain caused by arthr... +

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

686

prescriptions, 4% of all prescriptions

657

prescriptions.

152

patients, 22% of all patients

3 57
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

647

prescriptions, 4% of all prescriptions

631

prescriptions.

167

patients, 24% of all patients

4 5
LISINOPRIL

Treats high blood pressure ... +

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

532

prescriptions, 3% of all prescriptions

502

prescriptions.

130

patients, 18% of all patients

5 1
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

470

prescriptions, 3% of all prescriptions

411

prescriptions.

90

patients, 13% of all patients

6 29
EASY TOUCH ALCOHOL PREP PADS 425

prescriptions, 3% of all prescriptions

383

prescriptions.

87

patients, 12% of all patients

10 7 143
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

421

prescriptions, 3% of all prescriptions

399

prescriptions.

105

patients, 15% of all patients

8 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

406

prescriptions, 2% of all prescriptions

392

prescriptions.

73

patients, 10% of all patients

9 3
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

402

prescriptions, 2% of all prescriptions

397

prescriptions.

58

patients, 8% of all patients

10 11
VIAGRA 400

prescriptions, 2% of all prescriptions

364

prescriptions.

56

patients, 8% of all patients

11 89
FENOFIBRATE*

Treats high cholesterol and... +

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

400

prescriptions, 2% of all prescriptions

381

prescriptions.

75

patients, 11% of all patients

11 120
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

372

prescriptions, 2% of all prescriptions

367

prescriptions.

63

patients, 9% of all patients

13 4
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

361

prescriptions, 2% of all prescriptions

356

prescriptions.

76

patients, 11% of all patients

14 58
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

298

prescriptions, 2% of all prescriptions

278

prescriptions.

54

patients, 8% of all patients

15 55
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

296

prescriptions, 2% of all prescriptions

276

prescriptions.

62

patients, 9% of all patients

16 36
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

290

prescriptions, 2% of all prescriptions

278

prescriptions.

49

patients, 7% of all patients

17 10
CITALOPRAM HBR

Citalopram is used to treat... +

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

284

prescriptions, 2% of all prescriptions

279

prescriptions.

63

patients, 9% of all patients

18 42
PENTOXIFYLLINE

Treats problems from poor b... +

Treats problems from poor blood circulation by improving the flow of blood through blood vessels. Source: National Library of Medicine

281

prescriptions, 2% of all prescriptions

264

prescriptions.

47

patients, 7% of all patients

19 185
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

269

prescriptions, 2% of all prescriptions

255

prescriptions.

44

patients, 6% of all patients

20 30
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

250

prescriptions, 2% of all prescriptions

245

prescriptions.

47

patients, 7% of all patients

21 28
BACLOFEN

Treats muscle spasms caused... +

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

249

prescriptions, 2% of all prescriptions

231

prescriptions.

66

patients, 9% of all patients

22 48
CLOPIDOGREL

Helps prevent stroke, heart... +

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

244

prescriptions, 1% of all prescriptions

239

prescriptions.

37

patients, 5% of all patients

23 24
SIMVASTATIN

Treats high cholesterol and... +

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

233

prescriptions, 1% of all prescriptions

228

prescriptions.

63

patients, 9% of all patients

24 7
FUROSEMIDE

Treats fluid retention (ede... +

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

204

prescriptions, 1% of all prescriptions

163

prescriptions.

38

patients, 5% of all patients

25 12
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

199

prescriptions, 1% of all prescriptions

194

prescriptions.

51

patients, 7% of all patients

26 9
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

193

prescriptions, 1% of all prescriptions

193

prescriptions.

35

patients, 5% of all patients

27 17
ATENOLOL

Treats high blood pressure ... +

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

182

prescriptions, 1% of all prescriptions

165

prescriptions.

37

patients, 5% of all patients

28 31
GABAPENTIN

Treats certain types of sei... +

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

170

prescriptions, 1% of all prescriptions

149

prescriptions.

40

patients, 6% of all patients

29 8
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

164

prescriptions, 1% of all prescriptions

159

prescriptions.

42

patients, 6% of all patients

30 38
MECLIZINE HCL

Meclizine is used to preven... +

Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Source: National Library of Medicine

141

prescriptions, 1% of all prescriptions

141

prescriptions.

27

patients, 4% of all patients

31 106
CARVEDILOL

Treats high blood pressure ... +

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

139

prescriptions, 1% of all prescriptions

139

prescriptions.

17

patients, 2% of all patients

32 25
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

136

prescriptions, 1% of all prescriptions

125

prescriptions.

42

patients, 6% of all patients

33 13
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

125

prescriptions, 1% of all prescriptions

111

prescriptions.

38

patients, 5% of all patients

34 34
EASY TOUCH PEN NEEDLE 115

prescriptions, 1% of all prescriptions

91

prescriptions.

16

patients, 2% of all patients

35 254
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

109

prescriptions, 1% of all prescriptions

109

prescriptions.

31

patients, 4% of all patients

36 26
VITAMIN D2 99

prescriptions, 1% of all prescriptions

94

prescriptions.

24

patients, 3% of all patients

37 105
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

97

prescriptions, 1% of all prescriptions

83

prescriptions.

15

patients, 2% of all patients

38 85
MELOXICAM

Treats symptoms of osteoart... +

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

91

prescriptions, 1% of all prescriptions

86

prescriptions.

27

patients, 4% of all patients

39 19
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

90

prescriptions, 1% of all prescriptions

90

prescriptions.

20

patients, 3% of all patients

40 59
ENALAPRIL MALEATE

Enalapril is used alone or ... +

Enalapril is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

89

prescriptions.

25

patients, 4% of all patients

41 92
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

89

prescriptions, 1% of all prescriptions

89

prescriptions.

21

patients, 3% of all patients

41 21
ALLOPURINOL

Treats gout and some kinds ... +

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

88

prescriptions, 1% of all prescriptions

83

prescriptions.

16

patients, 2% of all patients

43 65
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

82

prescriptions.

20

patients, 3% of all patients

44 40
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

82

prescriptions, 0% of all prescriptions

77

prescriptions.

69

patients, 10% of all patients

A 45 27
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

77

prescriptions, 0% of all prescriptions

72

prescriptions.

26

patients, 4% of all patients

46 53
TERBINAFINE HCL

Terbinafine is used to trea... +

Terbinafine is used to treat fungal infections of the toenail and fingernail. Source: National Library of Medicine

72

prescriptions, 0% of all prescriptions

72

prescriptions.

28

patients, 4% of all patients

47 288
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

68

prescriptions, 0% of all prescriptions

63

prescriptions.

17

patients, 2% of all patients

48 74
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

66

prescriptions, 0% of all prescriptions

66

prescriptions.

13

patients, 2% of all patients

49 167
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

63

prescriptions, 0% of all prescriptions

63

prescriptions.

<11 50 33
CHLORTHALIDONE

Treats high blood pressure ... +

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

63

prescriptions, 0% of all prescriptions

63

prescriptions.

<11 50 256
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

61

prescriptions, 0% of all prescriptions

61

prescriptions.

16

patients, 2% of all patients

52 202
SYMBICORT

This is a combination of bu... +

This is a combination of budesonide and formoterol used to help control the symptoms of asthma and improve lung function. Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

58

prescriptions.

12

patients, 2% of all patients

53 114
FAMOTIDINE*

Treats ulcers, gastroesopha... +

Treats ulcers, gastroesophageal reflux disease (GERD), and conditions that cause the stomach to produce too much stomach acid. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

57

prescriptions.

19

patients, 3% of all patients

54 122
AZITHROMYCIN

Treats infections caused by... +

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

55

prescriptions, 0% of all prescriptions

50

prescriptions.

49

patients, 7% of all patients

A 55 15
CLOTRIMAZOLE-BETAMETHASONE

This combination medication... +

This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

48

prescriptions.

17

patients, 2% of all patients

56 108
NIFEDIPINE ER

Used for the treatment of v... +

Used for the treatment of vasospastic angina, chronic stable angina and hypertension. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

53

prescriptions.

<11 56 129
DICLOFENAC SODIUM ER 52

prescriptions, 0% of all prescriptions

52

prescriptions.

17

patients, 2% of all patients

58 265
LEVOCETIRIZINE DIHYDROCHLORIDE

Levocetirizine is an antihi... +

Levocetirizine is an antihistamine used to relieve the symptoms of hay fever and hives of the skin. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

52

prescriptions.

<11 58 180
AMMONIUM LACTATE

Treats dry, scaly skin cond... +

Treats dry, scaly skin conditions called xerosis and ichthyosis. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

16

patients, 2% of all patients

60 71
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 July 7, 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.