Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

General Practice

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

10,575Medicare Part D Prescriptions Filled, Including Refills

Rank: 71 out of 511

$884K Total Retail Price of All Prescriptions

Rank: 42 out of 511

311 Patients Receiving at Least One Drug in Part D
82% Patients 65 Years and Older

47% 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

6% of this provider’s 254 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 3%.

More resources »

Antibiotics

41% of this provider’s 311 patients filled at least one prescription for an antibiotic drug, compared to an average of 32%.

More resources »

Risky Drugs for Seniors

20% of this provider’s 254 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 13%.

More resources »

Opioids

44% of this provider’s 311 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

21% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$84 was the average price of a prescription from this provider, compared to $61 among peers.

Prescriptions per Patient

34 is the average number of prescriptions (including refills) per patient, compared to an average of 19.


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

$386K

2012

$558K

2013

$751K

2014

$884K

2015

Number of Claims

6,029

2012

8,527

2013

10,014

2014

10,575

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
GABAPENTIN

Treats certain types of sei... +

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

573

prescriptions, 5% of all prescriptions

348

prescriptions.

96

patients, 31% of all patients

1 10
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

456

prescriptions, 4% of all prescriptions

292

prescriptions.

81

patients, 26% of all patients

O 2 9
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

337

prescriptions, 3% of all prescriptions

250

prescriptions.

56

patients, 18% of all patients

3 6
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

308

prescriptions, 3% of all prescriptions

230

prescriptions.

72

patients, 23% of all patients

4 4
LISINOPRIL

Treats high blood pressure ... +

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

294

prescriptions, 3% of all prescriptions

264

prescriptions.

54

patients, 17% of all patients

5 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

232

prescriptions, 2% of all prescriptions

112

prescriptions.

45

patients, 14% of all patients

R 6 40
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

217

prescriptions, 2% of all prescriptions

169

prescriptions.

42

patients, 14% of all patients

7 5
ALPRAZOLAM

Treats anxiety, panic disor... +

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

216

prescriptions, 2% of all prescriptions

98

prescriptions.

31

patients, 10% of all patients

8 32
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

185

prescriptions, 2% of all prescriptions

97

prescriptions.

45

patients, 14% of all patients

9 15
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

180

prescriptions, 2% of all prescriptions

139

prescriptions.

32

patients, 10% of all patients

10 1
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

161

prescriptions, 2% of all prescriptions

109

prescriptions.

34

patients, 11% of all patients

11 20
CRESTOR

Lowers high levels of chole... +

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

151

prescriptions, 1% of all prescriptions

100

prescriptions.

31

patients, 10% of all patients

12 29
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

140

prescriptions, 1% of all prescriptions

113

prescriptions.

28

patients, 9% of all patients

13 2
FUROSEMIDE

Treats fluid retention (ede... +

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

139

prescriptions, 1% of all prescriptions

118

prescriptions.

34

patients, 11% of all patients

14 11
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

134

prescriptions, 1% of all prescriptions

33

prescriptions.

13

patients, 4% of all patients

15 71
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

132

prescriptions, 1% of all prescriptions

60

prescriptions.

20

patients, 6% of all patients

O 16 95
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

125

prescriptions, 1% of all prescriptions

28

prescriptions.

14

patients, 5% of all patients

O 17 124
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). Source: National Library of Medicine

120

prescriptions, 1% of all prescriptions

90

prescriptions.

24

patients, 8% of all patients

18 90
CARVEDILOL

Treats high blood pressure ... +

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

114

prescriptions, 1% of all prescriptions

101

prescriptions.

23

patients, 7% of all patients

19 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

113

prescriptions, 1% of all prescriptions

97

prescriptions.

27

patients, 9% of all patients

20 17
CLONAZEPAM

Treats seizures, panic diso... +

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

111

prescriptions, 1% of all prescriptions

23

prescriptions.

11

patients, 4% of all patients

21 58
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

110

prescriptions, 1% of all prescriptions

105

prescriptions.

18

patients, 6% of all patients

22 41
OXYCODONE HCL

Oxycodone is used to reliev... +

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

109

prescriptions, 1% of all prescriptions

5

prescriptions.

14

patients, 5% of all patients

O 23 92
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

108

prescriptions, 1% of all prescriptions

103

prescriptions.

24

patients, 8% of all patients

24 8
ZETIA

Lowers cholesterol in your ... +

Lowers cholesterol in your blood. Source: National Library of Medicine

107

prescriptions, 1% of all prescriptions

95

prescriptions.

17

patients, 5% of all patients

25 64
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

106

prescriptions, 1% of all prescriptions

93

prescriptions.

23

patients, 7% of all patients

26 67
SIMVASTATIN

Treats high cholesterol and... +

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

98

prescriptions, 1% of all prescriptions

93

prescriptions.

18

patients, 6% of all patients

27 3
LORAZEPAM

Treats anxiety, anxiety wit... +

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

97

prescriptions, 1% of all prescriptions

85

prescriptions.

17

patients, 5% of all patients

28 23
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

93

prescriptions, 1% of all prescriptions

23

prescriptions.

15

patients, 5% of all patients

29 125
ESCITALOPRAM OXALATE

Escitalopram is used to tre... +

Escitalopram is used to treat depression and generalized anxiety disorder (excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

86

prescriptions.

15

patients, 5% of all patients

30 55
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

91

prescriptions, 1% of all prescriptions

56

prescriptions.

26

patients, 8% of all patients

30 60
DEXILANT

Treats erosive esophagitis,... +

Treats erosive esophagitis, heartburn, gastroesophageal reflux disease (GERD), and other conditions caused by too much stomach acid. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

63

prescriptions.

19

patients, 6% of all patients

32 57
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

90

prescriptions, 1% of all prescriptions

66

prescriptions.

18

patients, 6% of all patients

32 16
MORPHINE SULFATE ER

Morphine (extended release)... +

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

90

prescriptions, 1% of all prescriptions

33

prescriptions.

16

patients, 5% of all patients

O 32 134
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

87

prescriptions, 1% of all prescriptions

55

prescriptions.

19

patients, 6% of all patients

35 220
CHLORTHALIDONE

Treats high blood pressure ... +

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

85

prescriptions, 1% of all prescriptions

68

prescriptions.

17

patients, 5% of all patients

36 162
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

79

prescriptions, 1% of all prescriptions

62

prescriptions.

22

patients, 7% of all patients

37 30
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

79

prescriptions, 1% of all prescriptions

67

prescriptions.

20

patients, 6% of all patients

37 14
QUETIAPINE FUMARATE

Quetiapine is used to treat... +

Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 P 39 78
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

77

prescriptions.

14

patients, 5% of all patients

39 81
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

77

prescriptions, 1% of all prescriptions

77

prescriptions.

13

patients, 4% of all patients

39 27
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

74

prescriptions, 1% of all prescriptions

36

prescriptions.

11

patients, 4% of all patients

42 218
MUPIROCIN*

Treats skin infections and ... +

Treats skin infections and bacterial infections in your nose. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

57

prescriptions.

46

patients, 15% of all patients

43 184
FLUOXETINE HCL

Fluoxetine is used to treat... +

Fluoxetine 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), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

38

prescriptions.

<11 44 84
TRAMADOL HCL

Tramadol is used to relieve... +

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

65

prescriptions, 1% of all prescriptions

31

prescriptions.

14

patients, 5% of all patients

O 45 19
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

64

prescriptions, 1% of all prescriptions

43

prescriptions.

19

patients, 6% of all patients

46 28
WARFARIN SODIUM

Warfarin is used to prevent... +

Warfarin is used to prevent blood clots from forming or growing larger in your blood and blood vessels. Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

49

prescriptions.

<11 47 36
TEMAZEPAM

Treats insomnia (trouble sl... +

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

62

prescriptions, 1% of all prescriptions

45

prescriptions.

17

patients, 5% of all patients

47 68
VOLTAREN

Treats pain caused by arthr... +

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

61

prescriptions, 1% of all prescriptions

56

prescriptions.

17

patients, 5% of all patients

49 38
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

59

prescriptions, 1% of all prescriptions

54

prescriptions.

15

patients, 5% of all patients

50 12
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

58

prescriptions, 1% of all prescriptions

58

prescriptions.

<11 51 18
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

57

prescriptions, 1% of all prescriptions

40

prescriptions.

21

patients, 7% of all patients

52 33
AZITHROMYCIN

Treats infections caused by... +

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

56

prescriptions, 1% of all prescriptions

44

prescriptions.

46

patients, 15% of all patients

A 53 43
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

55

prescriptions, 1% of all prescriptions

16

prescriptions.

<11 R 54 139
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

49

prescriptions.

16

patients, 5% of all patients

55 35
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

54

prescriptions.

11

patients, 4% of all patients

55 83
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

53

prescriptions, 1% of all prescriptions

29

prescriptions.

<11 57 79
OXYCONTIN

Oxycodone is used to reliev... +

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

53

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 O 57 248
ESTRADIOL

Replaces estrogen that decr... +

Replaces estrogen that decreases with menopause or removal of the ovaries. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

14

prescriptions.

<11 R 59 216
PREDNISONE

Treats inflammation (swelli... +

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

51

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 60 75
AMOXICILLIN-CLAVULANATE POTASS

Treats infections. +

Treats infections. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

39

patients, 13% of all patients

A 61 154
SUMATRIPTAN SUCCINATE

Sumatriptan is used to trea... +

Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light). Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

26

prescriptions.

<11 61 153
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.