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 »

12,322Medicare Part D Prescriptions Filled, Including Refills

Rank: 44 out of 410

$1.58M Total Retail Price of All Prescriptions

Rank: 3 out of 410

966 Patients Receiving at Least One Drug in Part D
93% 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 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

11% of this provider’s 966 patients filled at least one prescription for an antibiotic drug, compared to an average of 26%.

More resources »

Risky Drugs for Seniors

11% of this provider’s 901 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

14% of this provider’s 966 patients filled at least one prescription for an opioid, compared to an average of 20%.

More resources »

Brand Name Drugs

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$128 was the average price of a prescription from this provider, compared to $74 among peers.

Prescriptions per Patient

13 is the average number of prescriptions (including refills) per patient, compared to an average of 14.


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

$691K

2012

$746K

2013

$977K

2014

$1.58M

2015

Number of Claims

8,074

2012

8,865

2013

10,707

2014

12,322

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

575

prescriptions, 5% of all prescriptions

547

prescriptions.

191

patients, 20% of all patients

1 2
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

447

prescriptions, 4% of all prescriptions

402

prescriptions.

136

patients, 14% of all patients

2 1
SIMVASTATIN

Treats high cholesterol and... +

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

442

prescriptions, 4% of all prescriptions

407

prescriptions.

139

patients, 14% of all patients

3 5
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

378

prescriptions, 3% of all prescriptions

366

prescriptions.

127

patients, 13% of all patients

4 3
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

330

prescriptions, 3% of all prescriptions

310

prescriptions.

109

patients, 11% of all patients

5 7
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

272

prescriptions, 2% of all prescriptions

267

prescriptions.

105

patients, 11% of all patients

6 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

264

prescriptions, 2% of all prescriptions

249

prescriptions.

83

patients, 9% of all patients

7 6
FUROSEMIDE

Treats fluid retention (ede... +

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

264

prescriptions, 2% of all prescriptions

252

prescriptions.

80

patients, 8% of all patients

7 12
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

249

prescriptions, 2% of all prescriptions

244

prescriptions.

75

patients, 8% of all patients

9 9
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

234

prescriptions, 2% of all prescriptions

229

prescriptions.

75

patients, 8% of all patients

10 11
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

199

prescriptions, 2% of all prescriptions

159

prescriptions.

60

patients, 6% of all patients

O 11 8
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

192

prescriptions, 2% of all prescriptions

187

prescriptions.

64

patients, 7% of all patients

12 15
ALPRAZOLAM

Treats anxiety, panic disor... +

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

190

prescriptions, 2% of all prescriptions

155

prescriptions.

46

patients, 5% of all patients

13 13
GABAPENTIN

Treats certain types of sei... +

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

188

prescriptions, 2% of all prescriptions

170

prescriptions.

60

patients, 6% of all patients

14 10
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

181

prescriptions, 1% of all prescriptions

176

prescriptions.

53

patients, 5% of all patients

15 17
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

178

prescriptions, 1% of all prescriptions

173

prescriptions.

57

patients, 6% of all patients

16 22
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

159

prescriptions, 1% of all prescriptions

154

prescriptions.

52

patients, 5% of all patients

17 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

157

prescriptions, 1% of all prescriptions

157

prescriptions.

42

patients, 4% of all patients

18 26
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

150

prescriptions, 1% of all prescriptions

150

prescriptions.

44

patients, 5% of all patients

19 14
TRAMADOL HCL

Tramadol is used to relieve... +

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

143

prescriptions, 1% of all prescriptions

138

prescriptions.

50

patients, 5% of all patients

O 20 28
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

135

prescriptions, 1% of all prescriptions

106

prescriptions.

35

patients, 4% of all patients

R 21 30
ALLOPURINOL

Treats gout and some kinds ... +

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

128

prescriptions, 1% of all prescriptions

113

prescriptions.

42

patients, 4% of all patients

22 27
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

124

prescriptions, 1% of all prescriptions

107

prescriptions.

39

patients, 4% of all patients

23 38
CARVEDILOL

Treats high blood pressure ... +

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

121

prescriptions, 1% of all prescriptions

116

prescriptions.

39

patients, 4% of all patients

24 20
LORAZEPAM

Treats anxiety, anxiety wit... +

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

117

prescriptions, 1% of all prescriptions

112

prescriptions.

26

patients, 3% of all patients

25 45
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

114

prescriptions, 1% of all prescriptions

101

prescriptions.

28

patients, 3% of all patients

26 40
ATENOLOL

Treats high blood pressure ... +

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

104

prescriptions, 1% of all prescriptions

104

prescriptions.

30

patients, 3% of all patients

27 16
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

103

prescriptions, 1% of all prescriptions

103

prescriptions.

31

patients, 3% of all patients

28 34
CRESTOR

Lowers high levels of chole... +

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

101

prescriptions, 1% of all prescriptions

101

prescriptions.

32

patients, 3% of all patients

29 49
CLOPIDOGREL

Helps prevent stroke, heart... +

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

98

prescriptions, 1% of all prescriptions

87

prescriptions.

31

patients, 3% of all patients

30 23
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

95

prescriptions, 1% of all prescriptions

90

prescriptions.

20

patients, 2% of all patients

31 63
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

94

prescriptions, 1% of all prescriptions

89

prescriptions.

26

patients, 3% of all patients

32 52
LOVASTATIN

Lowers high cholesterol and... +

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

93

prescriptions, 1% of all prescriptions

88

prescriptions.

30

patients, 3% of all patients

33 21
PREDNISONE

Treats inflammation (swelli... +

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

93

prescriptions, 1% of all prescriptions

88

prescriptions.

37

patients, 4% of all patients

33 54
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

91

prescriptions, 1% of all prescriptions

91

prescriptions.

25

patients, 3% of all patients

35 56
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

91

prescriptions, 1% of all prescriptions

86

prescriptions.

32

patients, 3% of all patients

35 29
MELOXICAM

Treats symptoms of osteoart... +

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

89

prescriptions, 1% of all prescriptions

73

prescriptions.

26

patients, 3% of all patients

37 44
LEVEMIR FLEXTOUCH

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

64

prescriptions.

17

patients, 2% of all patients

37 114
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

89

prescriptions, 1% of all prescriptions

84

prescriptions.

30

patients, 3% of all patients

37 25
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

88

prescriptions, 1% of all prescriptions

74

prescriptions.

30

patients, 3% of all patients

40 35
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

84

prescriptions, 1% of all prescriptions

79

prescriptions.

27

patients, 3% of all patients

41 51
CITALOPRAM HBR

Citalopram is used to treat... +

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

82

prescriptions, 1% of all prescriptions

77

prescriptions.

24

patients, 2% of all patients

42 32
FLUOXETINE HCL

Fluoxetine is used to treat... +

Fluoxetine 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), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

76

prescriptions.

26

patients, 3% of all patients

43 50
TEMAZEPAM

Treats insomnia (trouble sl... +

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

69

prescriptions, 1% of all prescriptions

64

prescriptions.

19

patients, 2% of all patients

44 37
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

67

prescriptions, 1% of all prescriptions

62

prescriptions.

25

patients, 3% of all patients

45 24
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

64

prescriptions, 1% of all prescriptions

59

prescriptions.

19

patients, 2% of all patients

46 39
TRAZODONE HCL

Trazodone is used to treat ... +

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

61

prescriptions, 0% of all prescriptions

45

prescriptions.

22

patients, 2% of all patients

47 31
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

46

prescriptions.

11

patients, 1% of all patients

48 61
METHOTREXATE

Treats several kinds of can... +

Treats several kinds of cancer, including cancer of the blood, bone, lung, breast, head, or neck. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

54

prescriptions.

15

patients, 2% of all patients

48 203
CLONAZEPAM

Treats seizures, panic diso... +

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

58

prescriptions, 0% of all prescriptions

19

prescriptions.

13

patients, 1% of all patients

50 57
XARELTO

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung). Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

55

prescriptions.

14

patients, 1% of all patients

51 97
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

54

prescriptions, 0% of all prescriptions

49

prescriptions.

15

patients, 2% of all patients

52 73
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

52

prescriptions.

16

patients, 2% of all patients

53 62
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

47

prescriptions.

15

patients, 2% of all patients

53 80
ACYCLOVIR

Treats herpes labialis (col... +

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

51

prescriptions, 0% of all prescriptions

39

prescriptions.

15

patients, 2% of all patients

55 185
TRADJENTA

Used with proper diet and e... +

Used with proper diet and exercise to treat high blood sugar levels caused by type 2 diabetes. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

15

patients, 2% of all patients

56 150
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 Oct. 3, 2011.
  • 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.