Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Cardiovascular Disease

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

11,250Medicare Part D Prescriptions Filled, Including Refills

Rank: 20 out of 305

$367K Total Retail Price of All Prescriptions

Rank: 60 out of 305

815 Patients Receiving at Least One Drug in Part D
79% Patients 65 Years and Older

37% 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 Missouri
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

6% of this provider’s 815 patients filled at least one prescription for an antibiotic drug, compared to an average of 4%.

More resources »

Risky Drugs for Seniors

6% of this provider’s 646 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 6%.

More resources »

Opioids

10% of this provider’s 815 patients filled at least one prescription for an opioid, compared to an average of 2%.

More resources »

Brand Name Drugs *

12% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

* This is an estimate, see our methodology.

Prescription Price

$33 was the average price of a prescription from this provider, compared to $54 among peers.

Prescriptions per Patient

14 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

$362K

2012

$407K

2013

$393K

2014

$367K

2015

Number of Claims

9,126

2012

11,109

2013

11,098

2014

11,250

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
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

829

prescriptions, 7% of all prescriptions

665

prescriptions.

164

patients, 20% of all patients

1 4
CLOPIDOGREL

Helps prevent stroke, heart... +

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

614

prescriptions, 5% of all prescriptions

450

prescriptions.

116

patients, 14% of all patients

2 8
CARVEDILOL

Treats high blood pressure ... +

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

545

prescriptions, 5% of all prescriptions

431

prescriptions.

106

patients, 13% of all patients

3 1
FUROSEMIDE

Treats fluid retention (ede... +

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

455

prescriptions, 4% of all prescriptions

359

prescriptions.

95

patients, 12% of all patients

4 5
CILOSTAZOL

Treats a circulation proble... +

Treats a circulation problem in which too little blood flows into your leg muscles (intermittent claudication). Source: National Library of Medicine

443

prescriptions, 4% of all prescriptions

310

prescriptions.

82

patients, 10% of all patients

5 55
LISINOPRIL

Treats high blood pressure ... +

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

417

prescriptions, 4% of all prescriptions

356

prescriptions.

99

patients, 12% of all patients

6 2
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

408

prescriptions, 4% of all prescriptions

317

prescriptions.

82

patients, 10% of all patients

7 3
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

363

prescriptions, 3% of all prescriptions

323

prescriptions.

73

patients, 9% of all patients

8 6
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

317

prescriptions, 3% of all prescriptions

260

prescriptions.

66

patients, 8% of all patients

9 10
AMIODARONE HCL

Amiodarone is used to treat... +

Amiodarone is used to treat and prevent certain types of serious, life-threatening ventricular arrhythmias (a certain type of abnormal heart rhythm when other medications did not help or could not be tolerated. Source: National Library of Medicine

301

prescriptions, 3% of all prescriptions

275

prescriptions.

70

patients, 9% of all patients

10 16
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

283

prescriptions, 3% of all prescriptions

246

prescriptions.

64

patients, 8% of all patients

11 48
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

252

prescriptions, 2% of all prescriptions

181

prescriptions.

53

patients, 7% of all patients

12 30
GABAPENTIN

Treats certain types of sei... +

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

241

prescriptions, 2% of all prescriptions

191

prescriptions.

53

patients, 7% of all patients

13 54
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

207

prescriptions, 2% of all prescriptions

163

prescriptions.

46

patients, 6% of all patients

14 13
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

199

prescriptions, 2% of all prescriptions

186

prescriptions.

43

patients, 5% of all patients

15 14
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

189

prescriptions, 2% of all prescriptions

159

prescriptions.

36

patients, 4% of all patients

16 25
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

177

prescriptions, 2% of all prescriptions

172

prescriptions.

33

patients, 4% of all patients

17 9
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

167

prescriptions, 1% of all prescriptions

131

prescriptions.

43

patients, 5% of all patients

18 15
FLECAINIDE ACETATE

Flecainide is used to preve... +

Flecainide is used to prevent certain types of life-threatening irregular heartbeats. Source: National Library of Medicine

165

prescriptions, 1% of all prescriptions

129

prescriptions.

29

patients, 4% of all patients

19 31
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

149

prescriptions, 1% of all prescriptions

131

prescriptions.

35

patients, 4% of all patients

20 19
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

149

prescriptions, 1% of all prescriptions

85

prescriptions.

35

patients, 4% of all patients

20 85
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

144

prescriptions, 1% of all prescriptions

117

prescriptions.

29

patients, 4% of all patients

22 7
ATENOLOL

Treats high blood pressure ... +

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

128

prescriptions, 1% of all prescriptions

107

prescriptions.

27

patients, 3% of all patients

23 22
BYSTOLIC

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

124

prescriptions, 1% of all prescriptions

90

prescriptions.

20

patients, 2% of all patients

24 33
CLONAZEPAM

Treats seizures, panic diso... +

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

124

prescriptions, 1% of all prescriptions

111

prescriptions.

36

patients, 4% of all patients

24 146
SIMVASTATIN

Treats high cholesterol and... +

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

121

prescriptions, 1% of all prescriptions

116

prescriptions.

23

patients, 3% of all patients

26 12
CITALOPRAM HBR

Citalopram is used to treat... +

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

117

prescriptions, 1% of all prescriptions

103

prescriptions.

27

patients, 3% of all patients

27 67
DILTIAZEM 24HR CD

Diltiazem is used to treat ... +

Diltiazem is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine

111

prescriptions, 1% of all prescriptions

80

prescriptions.

28

patients, 3% of all patients

28 27
CARTIA XT

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

110

prescriptions, 1% of all prescriptions

88

prescriptions.

32

patients, 4% of all patients

29 26
DILTIAZEM HCL

Diltiazem is used to treat ... +

Diltiazem is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

87

prescriptions.

22

patients, 3% of all patients

30 59
ALPRAZOLAM

Treats anxiety, panic disor... +

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

95

prescriptions, 1% of all prescriptions

42

prescriptions.

26

patients, 3% of all patients

31 41
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

95

prescriptions, 1% of all prescriptions

90

prescriptions.

22

patients, 3% of all patients

31 11
TRAMADOL HCL

Tramadol is used to relieve... +

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

94

prescriptions, 1% of all prescriptions

81

prescriptions.

25

patients, 3% of all patients

O 33 61
LOVASTATIN

Lowers high cholesterol and... +

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

88

prescriptions, 1% of all prescriptions

77

prescriptions.

14

patients, 2% of all patients

34 39
CRESTOR

Lowers high levels of chole... +

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

80

prescriptions, 1% of all prescriptions

75

prescriptions.

22

patients, 3% of all patients

35 17
TRAZODONE HCL

Trazodone is used to treat ... +

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

72

prescriptions, 1% of all prescriptions

49

prescriptions.

25

patients, 3% of all patients

36 95
KLOR-CON M20

Potassium is essential for ... +

Potassium is essential for the proper functioning of the heart, kidneys, muscles, nerves, and digestive system. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

52

prescriptions.

18

patients, 2% of all patients

37 45
DIGOXIN

Treats certain heart rhythm... +

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

59

prescriptions, 1% of all prescriptions

48

prescriptions.

11

patients, 1% of all patients

R 38 23
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

59

prescriptions, 1% of all prescriptions

59

prescriptions.

15

patients, 2% of all patients

38 29
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

57

prescriptions, 1% of all prescriptions

40

prescriptions.

<11 R 40 68
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

56

prescriptions, 0% of all prescriptions

51

prescriptions.

55

patients, 7% of all patients

O 41 86
ALLOPURINOL

Treats gout and some kinds ... +

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

53

prescriptions, 0% of all prescriptions

42

prescriptions.

<11 42 56
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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

24

patients, 3% of all patients

42 99
VERAPAMIL ER

Verapamil is used to treat ... +

Verapamil is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 44 91
NITROSTAT

Treats or prevents angina (... +

Treats or prevents angina (chest pain). Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

36

prescriptions.

43

patients, 5% of all patients

44 24
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 Dec. 14, 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.