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 »

9,323Medicare Part D Prescriptions Filled, Including Refills

Rank: 94 out of 729

$419K Total Retail Price of All Prescriptions

Rank: 195 out of 729

794 Patients Receiving at Least One Drug in Part D
97% Patients 65 Years and Older

6% 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 Colorado
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

21% of this provider’s 794 patients filled at least one prescription for an antibiotic drug, compared to an average of 20%.

More resources »

Risky Drugs for Seniors

11% of this provider’s 770 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 794 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$45 was the average price of a prescription from this provider, compared to $70 among peers.

Prescriptions per Patient

12 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

$347K

2012

$320K

2013

$372K

2014

$419K

2015

Number of Claims

8,641

2012

8,930

2013

9,021

2014

9,323

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
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

690

prescriptions, 7% of all prescriptions

650

prescriptions.

175

patients, 22% of all patients

1 1
SIMVASTATIN

Treats high cholesterol and... +

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

489

prescriptions, 5% of all prescriptions

470

prescriptions.

136

patients, 17% of all patients

2 3
LISINOPRIL

Treats high blood pressure ... +

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

447

prescriptions, 5% of all prescriptions

442

prescriptions.

119

patients, 15% of all patients

3 2
ATENOLOL

Treats high blood pressure ... +

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

414

prescriptions, 4% of all prescriptions

399

prescriptions.

109

patients, 14% of all patients

4 14
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

339

prescriptions, 4% of all prescriptions

326

prescriptions.

107

patients, 13% of all patients

5 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

270

prescriptions, 3% of all prescriptions

265

prescriptions.

77

patients, 10% of all patients

6 6
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

268

prescriptions, 3% of all prescriptions

263

prescriptions.

69

patients, 9% of all patients

7 9
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

263

prescriptions, 3% of all prescriptions

252

prescriptions.

73

patients, 9% of all patients

8 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

255

prescriptions, 3% of all prescriptions

255

prescriptions.

66

patients, 8% of all patients

9 10
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

223

prescriptions, 2% of all prescriptions

223

prescriptions.

62

patients, 8% of all patients

10 22
FUROSEMIDE

Treats fluid retention (ede... +

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

217

prescriptions, 2% of all prescriptions

212

prescriptions.

67

patients, 8% of all patients

11 8
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

206

prescriptions, 2% of all prescriptions

201

prescriptions.

58

patients, 7% of all patients

12 4
TRAMADOL HCL

Tramadol is used to relieve... +

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

191

prescriptions, 2% of all prescriptions

186

prescriptions.

53

patients, 7% of all patients

O 13 16
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

178

prescriptions, 2% of all prescriptions

163

prescriptions.

57

patients, 7% of all patients

14 15
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

172

prescriptions, 2% of all prescriptions

172

prescriptions.

52

patients, 7% of all patients

15 12
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

160

prescriptions, 2% of all prescriptions

155

prescriptions.

74

patients, 9% of all patients

16 20
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

150

prescriptions, 2% of all prescriptions

145

prescriptions.

41

patients, 5% of all patients

17 7
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

146

prescriptions, 2% of all prescriptions

133

prescriptions.

52

patients, 7% of all patients

18 40
K-TAB ER

Potassium supplements are t... +

Potassium supplements are taken to replace potassium losses and prevent potassium deficiency. Source: National Library of Medicine

138

prescriptions, 1% of all prescriptions

133

prescriptions.

44

patients, 6% of all patients

19 47
CITALOPRAM HBR

Citalopram is used to treat... +

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

121

prescriptions, 1% of all prescriptions

109

prescriptions.

42

patients, 5% of all patients

20 23
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

113

prescriptions, 1% of all prescriptions

96

prescriptions.

42

patients, 5% of all patients

O 21 11
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

109

prescriptions, 1% of all prescriptions

109

prescriptions.

36

patients, 5% of all patients

22 36
GABAPENTIN

Treats certain types of sei... +

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

100

prescriptions, 1% of all prescriptions

86

prescriptions.

24

patients, 3% of all patients

23 13
TRAZODONE HCL

Trazodone is used to treat ... +

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

93

prescriptions, 1% of all prescriptions

88

prescriptions.

28

patients, 4% of all patients

24 26
ALLOPURINOL

Treats gout and some kinds ... +

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

93

prescriptions, 1% of all prescriptions

93

prescriptions.

23

patients, 3% of all patients

24 25
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

92

prescriptions, 1% of all prescriptions

87

prescriptions.

32

patients, 4% of all patients

26 59
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

91

prescriptions, 1% of all prescriptions

86

prescriptions.

59

patients, 7% of all patients

27 32
HUMULIN N

Treats diabetes mellitus. +

Treats diabetes mellitus. Source: National Library of Medicine

85

prescriptions, 1% of all prescriptions

80

prescriptions.

26

patients, 3% of all patients

28 53
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

84

prescriptions, 1% of all prescriptions

79

prescriptions.

25

patients, 3% of all patients

29 37
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

81

prescriptions, 1% of all prescriptions

76

prescriptions.

26

patients, 3% of all patients

30 30
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

79

prescriptions, 1% of all prescriptions

57

prescriptions.

20

patients, 3% of all patients

R 31 31
FAMOTIDINE*

Treats ulcers, gastroesopha... +

Treats ulcers, gastroesophageal reflux disease (GERD), and conditions that cause the stomach to produce too much stomach acid. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

75

prescriptions.

31

patients, 4% of all patients

32 87
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

72

prescriptions.

21

patients, 3% of all patients

33 27
ESTRADIOL

Replaces estrogen that decr... +

Replaces estrogen that decreases with menopause or removal of the ovaries. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

71

prescriptions.

23

patients, 3% of all patients

R 34 131
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

65

prescriptions, 1% of all prescriptions

60

prescriptions.

18

patients, 2% of all patients

35 28
PREDNISONE

Treats inflammation (swelli... +

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

61

prescriptions, 1% of all prescriptions

56

prescriptions.

47

patients, 6% of all patients

36 35
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

56

prescriptions.

17

patients, 2% of all patients

36 66
OXYCODONE HCL

Oxycodone is used to reliev... +

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

58

prescriptions, 1% of all prescriptions

58

prescriptions.

23

patients, 3% of all patients

O 38 34
CEFUROXIME

Treats infections caused by... +

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

56

prescriptions, 1% of all prescriptions

51

prescriptions.

38

patients, 5% of all patients

A 39 120
QVAR

Prevents asthma attacks. +

Prevents asthma attacks. Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

49

prescriptions.

26

patients, 3% of all patients

40 115
TERAZOSIN HCL

Terazosin is used in men to... +

Terazosin 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

53

prescriptions, 1% of all prescriptions

53

prescriptions.

15

patients, 2% of all patients

41 55
AMOXICILLIN-CLAVULANATE POTASS

Treats infections. +

Treats infections. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

47

prescriptions.

45

patients, 6% of all patients

A 42 144
LORAZEPAM

Treats anxiety, anxiety wit... +

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

51

prescriptions, 1% of all prescriptions

46

prescriptions.

23

patients, 3% of all patients

43 29
LOVASTATIN

Lowers high cholesterol and... +

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

50

prescriptions, 1% of all prescriptions

50

prescriptions.

15

patients, 2% of all patients

44 45
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 Nov. 11, 2010.
  • 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.