Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Family Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

8,401Medicare Part D Prescriptions Filled, Including Refills

Rank: 95 out of 473

$553K Total Retail Price of All Prescriptions

Rank: 64 out of 473

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

34% 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 Nevada
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

22% of this provider’s 771 patients filled at least one prescription for an antibiotic drug, compared to an average of 25%.

More resources »

Risky Drugs for Seniors

5% of this provider’s 632 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

17% of this provider’s 771 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%.

Prescription Price

$66 was the average price of a prescription from this provider, compared to $57 among peers.

Prescriptions per Patient

11 is the average number of prescriptions (including refills) per patient, compared to an average of 13.


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

$175K

2012

$364K

2013

$532K

2014

$553K

2015

Number of Claims

3,846

2012

6,853

2013

8,390

2014

8,401

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
LISINOPRIL

Treats high blood pressure ... +

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

530

prescriptions, 6% of all prescriptions

479

prescriptions.

181

patients, 23% of all patients

1 1
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

364

prescriptions, 4% of all prescriptions

309

prescriptions.

99

patients, 13% of all patients

2 2
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

258

prescriptions, 3% of all prescriptions

240

prescriptions.

98

patients, 13% of all patients

3 3
SIMVASTATIN

Treats high cholesterol and... +

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

234

prescriptions, 3% of all prescriptions

192

prescriptions.

81

patients, 11% of all patients

4 5
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

229

prescriptions, 3% of all prescriptions

194

prescriptions.

82

patients, 11% of all patients

5 4
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

224

prescriptions, 3% of all prescriptions

189

prescriptions.

86

patients, 11% of all patients

6 6
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

222

prescriptions, 3% of all prescriptions

203

prescriptions.

91

patients, 12% of all patients

7 19
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

214

prescriptions, 3% of all prescriptions

188

prescriptions.

71

patients, 9% of all patients

8 8
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

210

prescriptions, 2% of all prescriptions

184

prescriptions.

76

patients, 10% of all patients

9 15
ALPRAZOLAM

Treats anxiety, panic disor... +

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

202

prescriptions, 2% of all prescriptions

142

prescriptions.

48

patients, 6% of all patients

10 11
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

161

prescriptions, 2% of all prescriptions

156

prescriptions.

60

patients, 8% of all patients

11 9
GABAPENTIN

Treats certain types of sei... +

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

159

prescriptions, 2% of all prescriptions

107

prescriptions.

60

patients, 8% of all patients

12 10
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

159

prescriptions, 2% of all prescriptions

115

prescriptions.

55

patients, 7% of all patients

O 12 7
LOVASTATIN

Lowers high cholesterol and... +

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

156

prescriptions, 2% of all prescriptions

133

prescriptions.

62

patients, 8% of all patients

14 17
TRAMADOL HCL

Tramadol is used to relieve... +

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

139

prescriptions, 2% of all prescriptions

134

prescriptions.

46

patients, 6% of all patients

O 15 25
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

137

prescriptions, 2% of all prescriptions

121

prescriptions.

47

patients, 6% of all patients

16 12
FUROSEMIDE

Treats fluid retention (ede... +

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

133

prescriptions, 2% of all prescriptions

120

prescriptions.

46

patients, 6% of all patients

17 14
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

111

prescriptions, 1% of all prescriptions

97

prescriptions.

40

patients, 5% of all patients

18 13
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

104

prescriptions, 1% of all prescriptions

80

prescriptions.

36

patients, 5% of all patients

19 22
TRAZODONE HCL

Trazodone is used to treat ... +

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

103

prescriptions, 1% of all prescriptions

58

prescriptions.

36

patients, 5% of all patients

20 24
CLOPIDOGREL

Helps prevent stroke, heart... +

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

102

prescriptions, 1% of all prescriptions

97

prescriptions.

36

patients, 5% of all patients

21 29
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

98

prescriptions, 1% of all prescriptions

93

prescriptions.

29

patients, 4% of all patients

22 35
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

82

prescriptions.

30

patients, 4% of all patients

23 37
ATENOLOL

Treats high blood pressure ... +

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

86

prescriptions, 1% of all prescriptions

72

prescriptions.

26

patients, 3% of all patients

24 16
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

85

prescriptions, 1% of all prescriptions

80

prescriptions.

33

patients, 4% of all patients

25 18
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

81

prescriptions, 1% of all prescriptions

76

prescriptions.

20

patients, 3% of all patients

26 28
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

57

prescriptions.

29

patients, 4% of all patients

27 26
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

73

prescriptions, 1% of all prescriptions

68

prescriptions.

60

patients, 8% of all patients

A 28 59
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

71

prescriptions, 1% of all prescriptions

66

prescriptions.

27

patients, 4% of all patients

29 20
PAROXETINE HCL

Paroxetine tablets, suspens... +

Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), 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

70

prescriptions, 1% of all prescriptions

65

prescriptions.

19

patients, 2% of all patients

30 63
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

46

prescriptions.

16

patients, 2% of all patients

31 56
MELOXICAM

Treats symptoms of osteoart... +

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

64

prescriptions, 1% of all prescriptions

43

prescriptions.

21

patients, 3% of all patients

32 41
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

64

prescriptions, 1% of all prescriptions

59

prescriptions.

16

patients, 2% of all patients

O 32 36
SYMBICORT

This is a combination of bu... +

This is a combination of budesonide and formoterol used to help control the symptoms of asthma and improve lung function. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

58

prescriptions.

16

patients, 2% of all patients

34 73
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

62

prescriptions, 1% of all prescriptions

57

prescriptions.

20

patients, 3% of all patients

O 35 123
AZITHROMYCIN

Treats infections caused by... +

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

61

prescriptions, 1% of all prescriptions

56

prescriptions.

45

patients, 6% of all patients

A 36 42
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

61

prescriptions, 1% of all prescriptions

56

prescriptions.

29

patients, 4% of all patients

36 52
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

59

prescriptions, 1% of all prescriptions

44

prescriptions.

17

patients, 2% of all patients

38 30
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

58

prescriptions, 1% of all prescriptions

40

prescriptions.

21

patients, 3% of all patients

39 34
CARVEDILOL

Treats high blood pressure ... +

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

53

prescriptions, 1% of all prescriptions

48

prescriptions.

16

patients, 2% of all patients

40 23
TEMAZEPAM

Treats insomnia (trouble sl... +

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

53

prescriptions, 1% of all prescriptions

41

prescriptions.

14

patients, 2% of all patients

40 38
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 Feb. 11, 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.