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 »

7,726Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 243

$851K Total Retail Price of All Prescriptions

Rank: 2 out of 243

1,967 Patients Receiving at Least One Drug in Part D
87% Patients 65 Years and Older

20% 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 Michigan
lower than average

Antipsychotics

0% of this provider’s 1,715 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

65% of this provider’s 1,967 patients filled at least one prescription for an antibiotic drug, compared to an average of 41%.

More resources »

Risky Drugs for Seniors

15% of this provider’s 1,715 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

13% of this provider’s 1,967 patients filled at least one prescription for an opioid, compared to an average of 15%.

More resources »

Brand Name Drugs

24% of this provider’s prescriptions were for brand-name drugs, compared to an average of 17%.

Prescription Price

$110 was the average price of a prescription from this provider, compared to $108 among peers.

Prescriptions per Patient

4 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

$421K

2012

$780K

2013

$772K

2014

$851K

2015

Number of Claims

4,514

2012

7,454

2013

7,739

2014

7,726

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.

Click to Filter by Category

Clear Filter


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

1,302

prescriptions, 17% of all prescriptions

1,152

prescriptions.

379

patients, 19% of all patients

1 1
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

1,280

prescriptions, 17% of all prescriptions

1,118

prescriptions.

898

patients, 46% of all patients

A 10 2 3
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

627

prescriptions, 8% of all prescriptions

552

prescriptions.

177

patients, 9% of all patients

A 3 8
VESICARE

Solifenacin is used to trea... +

Solifenacin is used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

614

prescriptions, 8% of all prescriptions

544

prescriptions.

185

patients, 9% of all patients

4 5
NITROFURANTOIN MONO-MACRO

Nitrofurantoinis used to tr... +

Nitrofurantoinis used to treat urinary tract infections. Source: National Library of Medicine

353

prescriptions, 5% of all prescriptions

290

prescriptions.

232

patients, 12% of all patients

A R 5 13
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

311

prescriptions, 4% of all prescriptions

219

prescriptions.

89

patients, 5% of all patients

6 4
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

287

prescriptions, 4% of all prescriptions

282

prescriptions.

75

patients, 4% of all patients

7 2
TRIMETHOPRIM

Treats urinary tract infect... +

Treats urinary tract infections. Source: National Library of Medicine

281

prescriptions, 4% of all prescriptions

247

prescriptions.

64

patients, 3% of all patients

A 8 14
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

276

prescriptions, 4% of all prescriptions

226

prescriptions.

254

patients, 13% of all patients

O 9 6
CEPHALEXIN

Treats bacterial infections... +

Treats bacterial infections. Source: National Library of Medicine

221

prescriptions, 3% of all prescriptions

203

prescriptions.

113

patients, 6% of all patients

A 10 9
AVODART

Treats problems with urinat... +

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

210

prescriptions, 3% of all prescriptions

210

prescriptions.

60

patients, 3% of all patients

11 12
NITROFURANTOIN

Treats or prevents urinary ... +

Treats or prevents urinary tract infections caused by bacteria. Source: National Library of Medicine

195

prescriptions, 3% of all prescriptions

171

prescriptions.

67

patients, 3% of all patients

A R 12 23
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

137

prescriptions, 2% of all prescriptions

132

prescriptions.

27

patients, 1% of all patients

13 18
MYRBETRIQ

Used to treat overactive bl... +

Used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

136

prescriptions, 2% of all prescriptions

131

prescriptions.

38

patients, 2% of all patients

14 10
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

127

prescriptions, 2% of all prescriptions

110

prescriptions.

44

patients, 2% of all patients

15 25
JALYN 124

prescriptions, 2% of all prescriptions

109

prescriptions.

39

patients, 2% of all patients

16 27
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

117

prescriptions, 2% of all prescriptions

95

prescriptions.

33

patients, 2% of all patients

17 11
BETHANECHOL CHLORIDE

Bethanechol is used to reli... +

Bethanechol is used to relieve difficulties in urinating caused by surgery, drugs, or other factors. Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

86

prescriptions.

43

patients, 2% of all patients

18 24
RAPAFLO

Treats problems caused by a... +

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

98

prescriptions, 1% of all prescriptions

98

prescriptions.

25

patients, 1% of all patients

19 17
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

74

prescriptions, 1% of all prescriptions

69

prescriptions.

69

patients, 4% of all patients

A 20 26
ESTRACE

Estrogens are female hormones. +

Estrogens are female hormones. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

59

prescriptions.

27

patients, 1% of all patients

R 21 31
TOLTERODINE TARTRATE ER

Tolterodine is used treat o... +

Tolterodine is used treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination) to relieve urinary difficulties, including frequent urination and inability to control urination. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

50

prescriptions.

14

patients, 1% of all patients

22 15
DUTASTERIDE 54

prescriptions, 1% of all prescriptions

54

prescriptions.

38

patients, 2% of all patients

23 49
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

50

prescriptions, 1% of all prescriptions

45

prescriptions.

36

patients, 2% of all patients

A 24 42
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 28, 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.