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 »

9,997Medicare Part D Prescriptions Filled, Including Refills

Rank: 263 out of 691

$1.07M Total Retail Price of All Prescriptions

Rank: 105 out of 691

499 Patients Receiving at Least One Drug in Part D
97% Patients 65 Years and Older

8% 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 Kentucky
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

29% of this provider’s 499 patients filled at least one prescription for an antibiotic drug, compared to an average of 31%.

More resources »

Risky Drugs for Seniors

14% of this provider’s 483 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 14%.

More resources »

Opioids

18% of this provider’s 499 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

30% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$107 was the average price of a prescription from this provider, compared to $66 among peers.

Prescriptions per Patient

20 is the average number of prescriptions (including refills) per patient, compared to an average of 21.


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

$675K

2012

$856K

2013

$974K

2014

$1.07M

2015

Number of Claims

7,498

2012

7,855

2013

9,639

2014

9,997

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
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

649

prescriptions, 6% of all prescriptions

644

prescriptions.

126

patients, 25% of all patients

1 4
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

475

prescriptions, 5% of all prescriptions

454

prescriptions.

128

patients, 26% of all patients

2 1
SIMVASTATIN

Treats high cholesterol and... +

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

327

prescriptions, 3% of all prescriptions

315

prescriptions.

75

patients, 15% of all patients

3 8
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

310

prescriptions, 3% of all prescriptions

298

prescriptions.

51

patients, 10% of all patients

4 3
ZETIA

Lowers cholesterol in your ... +

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

300

prescriptions, 3% of all prescriptions

272

prescriptions.

60

patients, 12% of all patients

5 67
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

286

prescriptions, 3% of all prescriptions

268

prescriptions.

67

patients, 13% of all patients

6 5
CRESTOR

Lowers high levels of chole... +

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

240

prescriptions, 2% of all prescriptions

203

prescriptions.

55

patients, 11% of all patients

7 30
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

224

prescriptions, 2% of all prescriptions

224

prescriptions.

49

patients, 10% of all patients

8 18
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

187

prescriptions, 2% of all prescriptions

182

prescriptions.

55

patients, 11% of all patients

9 38
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

185

prescriptions, 2% of all prescriptions

180

prescriptions.

60

patients, 12% of all patients

O 10 6
VYTORIN

Lowers high cholesterol and... +

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

175

prescriptions, 2% of all prescriptions

175

prescriptions.

35

patients, 7% of all patients

10 11 265
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

167

prescriptions, 2% of all prescriptions

154

prescriptions.

34

patients, 7% of all patients

R 12 43
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

159

prescriptions, 2% of all prescriptions

145

prescriptions.

45

patients, 9% of all patients

13 44
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, 2% of all prescriptions

147

prescriptions.

47

patients, 9% of all patients

14 14
PREDNISONE

Treats inflammation (swelli... +

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

138

prescriptions, 1% of all prescriptions

133

prescriptions.

93

patients, 19% of all patients

15 39
LISINOPRIL

Treats high blood pressure ... +

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

137

prescriptions, 1% of all prescriptions

126

prescriptions.

36

patients, 7% of all patients

16 2
ALLOPURINOL

Treats gout and some kinds ... +

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

136

prescriptions, 1% of all prescriptions

136

prescriptions.

38

patients, 8% of all patients

17 31
VALSARTAN-HYDROCHLOROTHIAZIDE

Treats high blood pressure. +

Treats high blood pressure. Source: National Library of Medicine

129

prescriptions, 1% of all prescriptions

129

prescriptions.

31

patients, 6% of all patients

18 93
ALPRAZOLAM

Treats anxiety, panic disor... +

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

121

prescriptions, 1% of all prescriptions

116

prescriptions.

33

patients, 7% of all patients

19 17
FUROSEMIDE

Treats fluid retention (ede... +

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

120

prescriptions, 1% of all prescriptions

120

prescriptions.

35

patients, 7% of all patients

20 7
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

116

prescriptions, 1% of all prescriptions

116

prescriptions.

32

patients, 6% of all patients

21 28
GABAPENTIN

Treats certain types of sei... +

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

114

prescriptions, 1% of all prescriptions

109

prescriptions.

31

patients, 6% of all patients

22 9
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

105

prescriptions, 1% of all prescriptions

105

prescriptions.

22

patients, 4% of all patients

23 16
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

105

prescriptions, 1% of all prescriptions

105

prescriptions.

18

patients, 4% of all patients

23 48
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

101

prescriptions, 1% of all prescriptions

101

prescriptions.

30

patients, 6% of all patients

25 15
TRAMADOL HCL

Tramadol is used to relieve... +

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

97

prescriptions, 1% of all prescriptions

97

prescriptions.

30

patients, 6% of all patients

O 26 29
CITALOPRAM HBR

Citalopram is used to treat... +

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

97

prescriptions, 1% of all prescriptions

97

prescriptions.

26

patients, 5% of all patients

26 23
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

95

prescriptions, 1% of all prescriptions

95

prescriptions.

25

patients, 5% of all patients

28 27
MELOXICAM

Treats symptoms of osteoart... +

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

94

prescriptions, 1% of all prescriptions

94

prescriptions.

28

patients, 6% of all patients

29 24
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

94

prescriptions, 1% of all prescriptions

94

prescriptions.

28

patients, 6% of all patients

29 12
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

91

prescriptions, 1% of all prescriptions

86

prescriptions.

20

patients, 4% of all patients

31 63
BENICAR HCT

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure. Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

86

prescriptions.

23

patients, 5% of all patients

31 281
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

88

prescriptions, 1% of all prescriptions

88

prescriptions.

22

patients, 4% of all patients

33 92
ATENOLOL

Treats high blood pressure ... +

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

88

prescriptions, 1% of all prescriptions

83

prescriptions.

17

patients, 3% of all patients

33 25
CARVEDILOL

Treats high blood pressure ... +

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

86

prescriptions, 1% of all prescriptions

86

prescriptions.

23

patients, 5% of all patients

35 21
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

83

prescriptions, 1% of all prescriptions

83

prescriptions.

25

patients, 5% of all patients

36 19
BENICAR

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

80

prescriptions, 1% of all prescriptions

80

prescriptions.

17

patients, 3% of all patients

37 187
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

76

prescriptions, 1% of all prescriptions

71

prescriptions.

16

patients, 3% of all patients

38 10
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

76

prescriptions, 1% of all prescriptions

71

prescriptions.

18

patients, 4% of all patients

38 52
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

74

prescriptions, 1% of all prescriptions

69

prescriptions.

17

patients, 3% of all patients

40 164
JANUMET XR

This combination is used to... +

This combination is used to treat high blood sugar levels caused by type 2 diabetes. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

69

prescriptions.

17

patients, 3% of all patients

40 311
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

72

prescriptions, 1% of all prescriptions

72

prescriptions.

15

patients, 3% of all patients

42 37
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

71

prescriptions, 1% of all prescriptions

59

prescriptions.

13

patients, 3% of all patients

43 22
CLONAZEPAM

Treats seizures, panic diso... +

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

68

prescriptions, 1% of all prescriptions

63

prescriptions.

<11 44 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

67

prescriptions, 1% of all prescriptions

62

prescriptions.

15

patients, 3% of all patients

45 11
JANUMET

This is a combination drug ... +

This is a combination drug containing metformin and sitagliptin and is used to treat high blood sugar levels caused by type 2 diabetes. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

67

prescriptions.

13

patients, 3% of all patients

45 241
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

66

prescriptions, 1% of all prescriptions

66

prescriptions.

14

patients, 3% of all patients

47 101
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

66

prescriptions, 1% of all prescriptions

66

prescriptions.

12

patients, 2% of all patients

47 33
CLOPIDOGREL

Helps prevent stroke, heart... +

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

65

prescriptions, 1% of all prescriptions

65

prescriptions.

19

patients, 4% of all patients

49 20
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

64

prescriptions, 1% of all prescriptions

64

prescriptions.

16

patients, 3% of all patients

50 50
PROPRANOLOL HCL ER

Propranolol is used to trea... +

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

63

prescriptions, 1% of all prescriptions

63

prescriptions.

<11 51 309
AZOR

This is a combination of am... +

This is a combination of amlodipine and olmesartan is a combination of medicines that may be used alone or with other medicines to treat high blood pressure (hypertension). Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

62

prescriptions.

<11 52 351
LEVOFLOXACIN

Levofloxacin is used to tre... +

Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

56

prescriptions.

54

patients, 11% of all patients

A 53 59
FENOFIBRIC ACID*

Lowers high cholesterol and... +

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

61

prescriptions, 1% of all prescriptions

61

prescriptions.

12

patients, 2% of all patients

53 211
DOXAZOSIN MESYLATE

Doxazosin (Cardura, Cardura... +

Doxazosin (Cardura, Cardura XL) 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

57

prescriptions, 1% of all prescriptions

57

prescriptions.

15

patients, 3% of all patients

55 90
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

55

prescriptions, 1% of all prescriptions

55

prescriptions.

41

patients, 8% of all patients

A 56 72
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 Jan. 17, 2015.
  • 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.