Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Urology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,104Medicare Part D Prescriptions Filled, Including Refills

Rank: 5 out of 772

$497K Total Retail Price of All Prescriptions

Rank: 30 out of 772

1,049 Patients Receiving at Least One Drug in Part D
95% Patients 65 Years and Older

69% 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

0% of this provider’s 997 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

30% of this provider’s 1,049 patients filled at least one prescription for an antibiotic drug, compared to an average of 38%.

More resources »

Risky Drugs for Seniors

3% of this provider’s 997 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

6% of this provider’s 1,049 patients filled at least one prescription for an opioid, compared to an average of 10%.

More resources »

Brand Name Drugs

23% of this provider’s prescriptions were for brand-name drugs, compared to an average of 17%.

Prescription Price

$70 was the average price of a prescription from this provider, compared to $97 among peers.

Prescriptions per Patient

7 is the average number of prescriptions (including refills) per patient, compared to an average of 4.


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

$237K

2012

$347K

2013

$458K

2014

$497K

2015

Number of Claims

4,013

2012

5,563

2013

6,661

2014

7,104

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
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

1,504

prescriptions, 21% of all prescriptions

1,459

prescriptions.

276

patients, 26% of all patients

1 1
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

1,209

prescriptions, 17% of all prescriptions

1,197

prescriptions.

238

patients, 23% of all patients

2 2
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

781

prescriptions, 11% of all prescriptions

727

prescriptions.

171

patients, 16% of all patients

3 14
ALFUZOSIN HCL ER

Alfuzosin is used in men to... +

Alfuzosin is used in men to treat 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

455

prescriptions, 6% of all prescriptions

434

prescriptions.

75

patients, 7% of all patients

4 12
AVODART

Treats problems with urinat... +

Treats problems with urination caused by an enlarged prostate (benign prostatic hyperplasia or BPH). Source: National Library of Medicine

434

prescriptions, 6% of all prescriptions

434

prescriptions.

73

patients, 7% of all patients

5 7
PREMARIN

Estrogens are female hormon... +

Estrogens are female hormones. Source: National Library of Medicine

281

prescriptions, 4% of all prescriptions

276

prescriptions.

108

patients, 10% of all patients

R 6 25
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

198

prescriptions, 3% of all prescriptions

179

prescriptions.

54

patients, 5% of all patients

7 11
METHENAMINE HIPPURATE

Methenamine, an antibiotic,... +

Methenamine, an antibiotic, eliminates bacteria that cause urinary tract infections. Source: National Library of Medicine

196

prescriptions, 3% of all prescriptions

183

prescriptions.

75

patients, 7% of all patients

8 20
JALYN 181

prescriptions, 3% of all prescriptions

176

prescriptions.

23

patients, 2% of all patients

9 19
RAPAFLO

Treats problems caused by a... +

Treats problems caused by an enlarged prostate (benign prostatic hyperplasia, or BPH). Source: National Library of Medicine

167

prescriptions, 2% of all prescriptions

155

prescriptions.

35

patients, 3% of all patients

10 9
OXYBUTYNIN CHLORIDE ER

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

140

prescriptions, 2% of all prescriptions

128

prescriptions.

29

patients, 3% of all patients

11 4
POTASSIUM CITRATE ER

Potassium citrate is used t... +

Potassium citrate is used to treat a kidney stone condition called renal tubular acidosis. Source: National Library of Medicine

137

prescriptions, 2% of all prescriptions

137

prescriptions.

24

patients, 2% of all patients

12 23
TERAZOSIN HCL

Terazosin is used in men to... +

Terazosin 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

132

prescriptions, 2% of all prescriptions

132

prescriptions.

37

patients, 4% of all patients

13 5
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

109

prescriptions, 2% of all prescriptions

104

prescriptions.

91

patients, 9% of all patients

A 14 3
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

108

prescriptions, 2% of all prescriptions

103

prescriptions.

96

patients, 9% of all patients

A 15 10
BICALUTAMIDE

Used together with other me... +

Used together with other medicines (such as a luteinizing hormone-releasing hormone or LHRH analog) to treat prostate cancer. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

92

prescriptions.

20

patients, 2% of all patients

16 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

67

prescriptions, 1% of all prescriptions

62

prescriptions.

37

patients, 4% of all patients

17 96
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

66

prescriptions, 1% of all prescriptions

61

prescriptions.

58

patients, 6% of all patients

O 18 33
DOXYCYCLINE HYCLATE

Doxycycline is used to trea... +

Doxycycline is used to treat bacterial infections, including pneumonia and other respiratory tract infections; Lyme disease; acne; infections of skin, genital, and urinary systems; and anthrax (after inhalational exposure). Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

51

prescriptions.

54

patients, 5% of all patients

A 19 53
ALLOPURINOL

Treats gout and some kinds ... +

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

54

prescriptions, 1% of all prescriptions

54

prescriptions.

<11 20 35
CEFUROXIME

Treats infections caused by... +

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

53

prescriptions, 1% of all prescriptions

48

prescriptions.

50

patients, 5% of all patients

A 21 40
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 Aug. 16, 2010.
  • 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.