Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

REX BIEDENBENDER MD

5516 VIRGINIA BEACH BLVD. JENCARE NEIGHBORHOOD MEDICAL CENTER VIRGINIA BEACH, LLC

Virginia beach | Virginia | 23462

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At A Glance: This Prescriber in 2015

Geriatric Medicine

Self-Reported Primary Specialty

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4,822Medicare Part D Prescriptions Filled, Including Refills

Rank: 21 out of 44

$211K Total Retail Price of All Prescriptions

Rank: 25 out of 44

538 Patients Receiving at Least One Drug in Part D
73% Patients 65 Years and Older

51% 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 Virginia
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

20% of this provider’s 538 patients filled at least one prescription for an antibiotic drug, compared to an average of 26%.

More resources »

Risky Drugs for Seniors

This provider prescribed potentially inappropriate drugs 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 »

Opioids

28% of this provider’s 538 patients filled at least one prescription for an opioid, compared to an average of 21%.

More resources »

Brand Name Drugs

13% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$44 was the average price of a prescription from this provider, compared to $61 among peers.

Prescriptions per Patient

9 is the average number of prescriptions (including refills) per patient, compared to an average of 22.


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 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

238

prescriptions, 5% of all prescriptions

186

prescriptions.

138

patients, 26% of all patients

1 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

194

prescriptions, 4% of all prescriptions

166

prescriptions.

114

patients, 21% of all patients

2 3
SIMVASTATIN

Treats high cholesterol and... +

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

183

prescriptions, 4% of all prescriptions

161

prescriptions.

107

patients, 20% of all patients

3 10
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

160

prescriptions, 3% of all prescriptions

124

prescriptions.

98

patients, 18% of all patients

4 97
GABAPENTIN

Treats certain types of sei... +

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

148

prescriptions, 3% of all prescriptions

85

prescriptions.

78

patients, 14% of all patients

5 8
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

144

prescriptions, 3% of all prescriptions

103

prescriptions.

83

patients, 15% of all patients

6 13
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

138

prescriptions, 3% of all prescriptions

93

prescriptions.

79

patients, 15% of all patients

7 60
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

133

prescriptions, 3% of all prescriptions

99

prescriptions.

86

patients, 16% of all patients

8 4
OXYCODONE HCL

Oxycodone is used to reliev... +

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

127

prescriptions, 3% of all prescriptions

43

prescriptions.

34

patients, 6% of all patients

O 9 58
TRAMADOL HCL

Tramadol is used to relieve... +

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

121

prescriptions, 3% of all prescriptions

97

prescriptions.

75

patients, 14% of all patients

O 10 30
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

115

prescriptions, 2% of all prescriptions

85

prescriptions.

73

patients, 14% of all patients

11 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

111

prescriptions, 2% of all prescriptions

106

prescriptions.

52

patients, 10% of all patients

12 2
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

105

prescriptions, 2% of all prescriptions

60

prescriptions.

35

patients, 7% of all patients

O 13 41
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

87

prescriptions, 2% of all prescriptions

63

prescriptions.

54

patients, 10% of all patients

14 35
FUROSEMIDE

Treats fluid retention (ede... +

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

85

prescriptions, 2% of all prescriptions

80

prescriptions.

57

patients, 11% of all patients

15 1
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

81

prescriptions, 2% of all prescriptions

68

prescriptions.

50

patients, 9% of all patients

16 9
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

81

prescriptions, 2% of all prescriptions

43

prescriptions.

52

patients, 10% of all patients

16 121
PREDNISONE

Treats inflammation (swelli... +

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

81

prescriptions, 2% of all prescriptions

57

prescriptions.

62

patients, 12% of all patients

16 39
TRAZODONE HCL

Trazodone is used to treat ... +

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

75

prescriptions, 2% of all prescriptions

59

prescriptions.

41

patients, 8% of all patients

19 16
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

71

prescriptions, 1% of all prescriptions

54

prescriptions.

60

patients, 11% of all patients

A 20 72
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

43

prescriptions.

40

patients, 7% of all patients

21 145
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

64

prescriptions, 1% of all prescriptions

59

prescriptions.

25

patients, 5% of all patients

22 7
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

50

prescriptions.

43

patients, 8% of all patients

23 53
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

62

prescriptions, 1% of all prescriptions

57

prescriptions.

43

patients, 8% of all patients

24 12
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

61

prescriptions, 1% of all prescriptions

43

prescriptions.

24

patients, 4% of all patients

O 25 27
CARVEDILOL

Treats high blood pressure ... +

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

55

prescriptions, 1% of all prescriptions

50

prescriptions.

38

patients, 7% of all patients

26 22
MELOXICAM

Treats symptoms of osteoart... +

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

53

prescriptions, 1% of all prescriptions

39

prescriptions.

40

patients, 7% of all patients

27 77
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

51

prescriptions, 1% of all prescriptions

37

prescriptions.

25

patients, 5% of all patients

28 54
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?

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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 March 31, 2015.
  • 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.