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 »

7,985Medicare Part D Prescriptions Filled, Including Refills

Rank: 1353 out of 6974

$3.79M Total Retail Price of All Prescriptions

Rank: 38 out of 6974

214 Patients Receiving at Least One Drug in Part D
50% Patients 65 Years and Older

33% 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

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

24% of this provider’s 214 patients filled at least one prescription for an antibiotic drug, compared to an average of 24%.

More resources »

Risky Drugs for Seniors

12% of this provider’s 107 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

31% of this provider’s 214 patients filled at least one prescription for an opioid, compared to an average of 16%.

More resources »

Brand Name Drugs

43% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%. This is far more than peers.

Prescription Price

$475 was the average price of a prescription from this provider, compared to $86 among peers.

Prescriptions per Patient

37 is the average number of prescriptions (including refills) per patient, compared to an average of 15.


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

$2.84M

2012

$3.4M

2013

$3.42M

2014

$3.79M

2015

Number of Claims

6,676

2012

8,439

2013

8,615

2014

7,985

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
NORVIR

Treats human immunodeficien... +

Treats human immunodeficiency virus (HIV) infection. Source: National Library of Medicine

329

prescriptions, 4% of all prescriptions

136

prescriptions.

37

patients, 17% of all patients

1 151
TRUVADA

Treats HIV infection. Also ... +

Treats HIV infection. Source: National Library of Medicine

275

prescriptions, 3% of all prescriptions

99

prescriptions.

33

patients, 15% of all patients

2 144
ACYCLOVIR

Treats herpes labialis (col... +

Treats herpes labialis (cold sores). Source: National Library of Medicine

249

prescriptions, 3% of all prescriptions

84

prescriptions.

36

patients, 17% of all patients

3 182
ISENTRESS

Treats human immunodeficien... +

Treats human immunodeficiency virus (HIV) infection. Source: National Library of Medicine

228

prescriptions, 3% of all prescriptions

106

prescriptions.

26

patients, 12% of all patients

4 180
LORAZEPAM

Treats anxiety, anxiety wit... +

Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine

226

prescriptions, 3% of all prescriptions

87

prescriptions.

32

patients, 15% of all patients

5 26
LISINOPRIL

Treats high blood pressure ... +

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

206

prescriptions, 3% of all prescriptions

100

prescriptions.

31

patients, 14% of all patients

6 5
PREZISTA

Treats human immunodeficien... +

Treats human immunodeficiency virus (HIV) infection. Source: National Library of Medicine

191

prescriptions, 2% of all prescriptions

95

prescriptions.

21

patients, 10% of all patients

7 190
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

176

prescriptions, 2% of all prescriptions

91

prescriptions.

27

patients, 13% of all patients

8 1
TIVICAY 157

prescriptions, 2% of all prescriptions

53

prescriptions.

19

patients, 9% of all patients

9 235
REYATAZ 147

prescriptions, 2% of all prescriptions

29

prescriptions.

20

patients, 9% of all patients

10 254
EPZICOM 129

prescriptions, 2% of all prescriptions

47

prescriptions.

14

patients, 7% of all patients

11 232
ANDROGEL

Treats low testosterone lev... +

Treats low testosterone levels when your body does not produce enough natural testosterone. Source: National Library of Medicine

123

prescriptions, 2% of all prescriptions

26

prescriptions.

18

patients, 8% of all patients

12 296
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

120

prescriptions, 2% of all prescriptions

47

prescriptions.

32

patients, 15% of all patients

O 13 9
TRIUMEQ 118

prescriptions, 1% of all prescriptions

14

prescriptions.

13

patients, 6% of all patients

14 302
INTELENCE 108

prescriptions, 1% of all prescriptions

25

prescriptions.

<11 15 307
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

101

prescriptions, 1% of all prescriptions

47

prescriptions.

14

patients, 7% of all patients

16 6
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

99

prescriptions, 1% of all prescriptions

82

prescriptions.

13

patients, 6% of all patients

17 3
VALACYCLOVIR

Treats herpes virus infecti... +

Treats herpes virus infections, including shingles (herpes zoster), cold sores (herpes labialis), and genital herpes (herpes simplex) in adults. Source: National Library of Medicine

99

prescriptions, 1% of all prescriptions

34

prescriptions.

16

patients, 7% of all patients

17 253
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

91

prescriptions, 1% of all prescriptions

17

prescriptions.

14

patients, 7% of all patients

R 19 34
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

89

prescriptions, 1% of all prescriptions

20

prescriptions.

18

patients, 8% of all patients

20 7
GABAPENTIN

Treats certain types of sei... +

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

88

prescriptions, 1% of all prescriptions

37

prescriptions.

16

patients, 7% of all patients

21 14
ATENOLOL

Treats high blood pressure ... +

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

77

prescriptions, 1% of all prescriptions

40

prescriptions.

<11 22 10
DULOXETINE HCL

Duloxetine is used to treat... +

Duloxetine is used to treat depression and generalized anxiety disorder (GAD; excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 5% of all patients

23 62
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

76

prescriptions, 1% of all prescriptions

52

prescriptions.

11

patients, 5% of all patients

23 27
LAMIVUDINE 73

prescriptions, 1% of all prescriptions

17

prescriptions.

<11 25 380
CIALIS

Treats men who have erecti... +

Treats men who have erectile dysfunction (also called sexual impotence). Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

33

prescriptions.

<11 26 410
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

70

prescriptions, 1% of all prescriptions

42

prescriptions.

11

patients, 5% of all patients

26 16
TEMAZEPAM

Treats insomnia (trouble sl... +

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

70

prescriptions, 1% of all prescriptions

19

prescriptions.

16

patients, 7% of all patients

26 56
OXYCODONE HCL

Oxycodone is used to reliev... +

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

66

prescriptions, 1% of all prescriptions

23

prescriptions.

17

patients, 8% of all patients

O 29 120
ATRIPLA

Treats human immunodeficien... +

Treats human immunodeficiency virus (HIV) infection. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

11

prescriptions.

<11 30 287
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

33

prescriptions.

11

patients, 5% of all patients

31 63
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

62

prescriptions, 1% of all prescriptions

57

prescriptions.

14

patients, 7% of all patients

32 2
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

14

prescriptions.

12

patients, 6% of all patients

33 156
CREON

Helps patients who have cys... +

Helps patients who have cystic fibrosis, pancreatitis, or digestive disorders digest food. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

23

prescriptions.

<11 34 88
TRAZODONE HCL

Trazodone is used to treat ... +

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

59

prescriptions, 1% of all prescriptions

14

prescriptions.

11

patients, 5% of all patients

34 36
VIREAD 57

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 36 276
TESTOSTERONE CYPIONATE

Used to treat symptoms of l... +

Used to treat symptoms of low testosterone in men who do not produce enough natural testosterone. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 37 310
DIPHENOXYLATE-ATROPINE

Treats diarrhea. +

Treats diarrhea. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

17

prescriptions.

11

patients, 5% of all patients

38 234
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

52

prescriptions, 1% of all prescriptions

35

prescriptions.

<11 39 8
DRONABINOL 52

prescriptions, 1% of all prescriptions

28

prescriptions.

<11 39 479
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

52

prescriptions, 1% of all prescriptions

28

prescriptions.

12

patients, 6% of all patients

39 12
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

27

prescriptions.

<11 42 260
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 11, 2007.
  • 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.