Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Physician Assistant

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,675Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 226

$900K Total Retail Price of All Prescriptions

Rank: 8 out of 226

378 Patients Receiving at Least One Drug in Part D
36% Patients 65 Years and Older

64% 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 Utah
lower than average

Antipsychotics

8% of this provider’s 137 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

This provider prescribed antibiotics to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Risky Drugs for Seniors

20% of this provider’s 137 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

86% of this provider’s 378 patients filled at least one prescription for an opioid, compared to an average of 26%.

More resources »

Brand Name Drugs *

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

* This is an estimate, see our methodology.

Prescription Price

$117 was the average price of a prescription from this provider, compared to $115 among peers.

Prescriptions per Patient

20 is the average number of prescriptions (including refills) per patient, compared to an average of 8.


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

$603K

2012

$788K

2013

$890K

2014

$900K

2015

Number of Claims

5,707

2012

7,035

2013

7,507

2014

7,675

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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

763

prescriptions, 10% of all prescriptions

257

prescriptions.

125

patients, 33% of all patients

O 1 1
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

754

prescriptions, 10% of all prescriptions

251

prescriptions.

120

patients, 32% of all patients

O 2 3
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

643

prescriptions, 8% of all prescriptions

195

prescriptions.

96

patients, 25% of all patients

O 3 9
GABAPENTIN

Treats certain types of sei... +

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

368

prescriptions, 5% of all prescriptions

75

prescriptions.

96

patients, 25% of all patients

4 7
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

350

prescriptions, 5% of all prescriptions

66

prescriptions.

81

patients, 21% of all patients

5 19
OXYCODONE HCL

Oxycodone is used to reliev... +

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

334

prescriptions, 4% of all prescriptions

120

prescriptions.

42

patients, 11% of all patients

O 6 4
FENTANYL

Treats severe, ongoing pain... +

Treats severe, ongoing pain (during and after surgery, cancer pain) that cannot be controlled with other medicines. Source: National Library of Medicine

291

prescriptions, 4% of all prescriptions

91

prescriptions.

46

patients, 12% of all patients

O 7 17
TRAMADOL HCL

Tramadol is used to relieve... +

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

233

prescriptions, 3% of all prescriptions

61

prescriptions.

50

patients, 13% of all patients

O 8 15
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

207

prescriptions, 3% of all prescriptions

42

prescriptions.

41

patients, 11% of all patients

R 9 23
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

178

prescriptions, 2% of all prescriptions

100

prescriptions.

27

patients, 7% of all patients

O 10 42
MORPHINE SULFATE

Morphine is used to relieve... +

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

154

prescriptions, 2% of all prescriptions

44

prescriptions.

19

patients, 5% of all patients

O 11 63
CLONAZEPAM

Treats seizures, panic diso... +

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

140

prescriptions, 2% of all prescriptions

21

prescriptions.

23

patients, 6% of all patients

12 28
SUBOXONE

Treats an addiction to or d... +

Treats an addiction to or dependence on narcotic medicine. Source: National Library of Medicine

128

prescriptions, 2% of all prescriptions

19

prescriptions.

22

patients, 6% of all patients

13 118
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

125

prescriptions, 2% of all prescriptions

18

prescriptions.

26

patients, 7% of all patients

14 26
METHADONE HCL

Methadone is used to reliev... +

Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. Source: National Library of Medicine

124

prescriptions, 2% of all prescriptions

31

prescriptions.

15

patients, 4% of all patients

O 15 27
OXYCONTIN

Oxycodone is used to reliev... +

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

124

prescriptions, 2% of all prescriptions

48

prescriptions.

15

patients, 4% of all patients

O 15 37
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

121

prescriptions, 2% of all prescriptions

18

prescriptions.

25

patients, 7% of all patients

17 35
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

110

prescriptions, 1% of all prescriptions

41

prescriptions.

15

patients, 4% of all patients

18 52
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

107

prescriptions, 1% of all prescriptions

27

prescriptions.

27

patients, 7% of all patients

19 56
QUETIAPINE FUMARATE

Quetiapine is used to treat... +

Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

106

prescriptions, 1% of all prescriptions

30

prescriptions.

28

patients, 7% of all patients

P 20 50
OXYMORPHONE HCL ER 96

prescriptions, 1% of all prescriptions

42

prescriptions.

18

patients, 5% of all patients

O 21 139
TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

20

prescriptions.

19

patients, 5% of all patients

22 62
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

13

prescriptions.

19

patients, 5% of all patients

R 23 59
TRAZODONE HCL

Trazodone is used to treat ... +

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

83

prescriptions, 1% of all prescriptions

14

prescriptions.

23

patients, 6% of all patients

24 33
PROMETHAZINE HCL

Promethazine is used to rel... +

Promethazine is used to relieve the symptoms of allergic reactions such as allergic rhinitis (runny nose and watery eyes caused by allergy to pollen, mold or dust), allergic conjunctivitis (red, watery eyes caused by allergies), allergic skin reactions, and allergic reactions to blood or plasma products. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

5

prescriptions.

17

patients, 4% of all patients

R 25 149
ALPRAZOLAM

Treats anxiety, panic disor... +

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

78

prescriptions, 1% of all prescriptions

13

prescriptions.

14

patients, 4% of all patients

26 21
OXYMORPHONE HCL 77

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 O 27 152
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

73

prescriptions, 1% of all prescriptions

24

prescriptions.

15

patients, 4% of all patients

28 2
CARISOPRODOL

Treats pain and stiffness o... +

Treats pain and stiffness of muscle spasms. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

20

prescriptions.

20

patients, 5% of all patients

R 29 91
CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

24

prescriptions.

15

patients, 4% of all patients

30 119
NUCYNTA ER 68

prescriptions, 1% of all prescriptions

13

prescriptions.

13

patients, 3% of all patients

O 31 124
OPANA ER

Used to relieve moderate to... +

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

67

prescriptions, 1% of all prescriptions

37

prescriptions.

13

patients, 3% of all patients

O 32 157
ENDOCET

Treats moderate to moderate... +

Treats moderate to moderately severe pain. Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

5

prescriptions.

23

patients, 6% of all patients

O 33 168
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 34 44
HYDROXYZINE HCL

Hydroxyzine is used to reli... +

Hydroxyzine is used to relieve the itching caused by allergies and to control the nausea and vomiting caused by various conditions, including motion sickness. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 R 35 124
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 8, 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.