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Prescriber Checkup

DAVID NAKAMURA MD

670 PONAHAWAI ST STE 216 HILO FAMILY MEDICINE

Hilo | Hawaii | 96720

(808) 934-8989

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At A Glance: This Prescriber in 2012

Family Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

11,067Medicare Part D Prescriptions Filled, Including Refills

Rank: 4 out of 212

$649K Total Retail Price of All Prescriptions

Rank: 9 out of 212

447 Patients Receiving at Least One Drug in Part D
87%Patients 65 Years and Older
37% 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 avg Average for
this specialty
in Hawaii
Lower avg

Schedule Two
Controlled Substances

6% of this provider’s 447 patients filled at least one prescription for a schedule two drug, compared to an average of 5%.

Schedule Three
Controlled Substances

13% of this provider’s 447 patients filled at least one prescription for a schedule three drug, compared to an average of 9%.

Risky Drugs to Seniors

2% of this provider’s 9,876 prescriptions for patients 65 and older were for "potentially dangerous" drugs, compared to an average of 1%.

Brand Name Drugs

31% of this provider’s prescriptions were for brand-name drugs, compared to an average of 25%.

Prescription Price

$59 was the average price of a prescription from this provider, compared to $66 among peers.

Prescriptions per Patient

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


Another View

This chart shows a different comparison of all providers in this specialty based on their mix of drugs and volume. Providers are grouped by similarity; those least like their peers are farthest to the right. Hover over the bars to see names of other prescribers.

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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.

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S2

A schedule two drug. More » Schedule two drugs have a high potential for abuse and severe dependence, according to the Drug Enforcement Administration.

S3

A schedule three drug. More » Schedule three drugs have potential for abuse and dependence, according to the Drug Enforcement Administration.

A

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
Including Refills
Prescriptions
to 65+
Category For this Prescriber For All Prescribers in
This Specialty in Hawaii
AMLODIPINE BESYLATE 422 392 1 3
METOPROLOL SUCCINATE 359 307 2 14
FUROSEMIDE 313 288 3 11
ATORVASTATIN CALCIUM 276 271 4 6
LEVOTHYROXINE SODIUM 250 231 5 7
LOSARTAN POTASSIUM 245 231 6 4
SIMVASTATIN 242 205 7 1
PRAVASTATIN SODIUM 206 177 8 15
POTASSIUM CHLORIDE 201 166 9 27
CELEBREX 185 180 10 42
LISINOPRIL 183 160 11 2
SERTRALINE HCL 181 159 12 47
TAMSULOSIN HCL 172 172 13 21
HYDROCHLOROTHIAZIDE 160 160 14 8
METFORMIN HCL 160 146 14 5
GLIMEPIRIDE 159 147 16 61
ENALAPRIL MALEATE 152 132 17 60
ALLOPURINOL 145 137 18 18
ATENOLOL 144 134 19 13
OMEPRAZOLE 141 128 20 9
METOPROLOL TARTRATE 137 123 21 17
DIGOXIN 127 121 22 41
PLAVIX 119 119 23 54
HYDROCODONE-ACETAMINOPHEN 119 58 S3 23 10
METFORMIN HCL ER 114 90 25 34
PREDNISONE 104 96 26 46
CARVEDILOL 103 100 27 23
ALENDRONATE SODIUM 101 89 28 16
DONEPEZIL HCL 100 100 29 25
RANITIDINE HCL 99 85 30 29
WARFARIN SODIUM 97 87 31 19
PANTOPRAZOLE SODIUM 96 80 32 44
CLOPIDOGREL 92 92 33 31
DIOVAN 91 91 34 32
LOVASTATIN 91 88 34 12
KLOR-CON 10 88 85 36 159
SYNTHROID 86 84 37 69
AMLODIPINE BESYLATE-BENAZEPRIL 85 77 38 30
BISOPROLOL FUMARATE 82 77 39 115
ZETIA 79 73 40 108
FINASTERIDE 77 77 41 59
GABAPENTIN 76 60 42 22
ADVAIR DISKUS 75 69 43 33
LOSARTAN-HYDROCHLOROTHIAZIDE 74 73 44 20
CIPROFLOXACIN HCL 71 65 45 80
JANUVIA 70 56 46 35
GLIPIZIDE ER 69 57 47 55
PROAIR HFA 67 44 48 37
NAMENDA 62 62 49 28
OLANZAPINE 61 50 50 126
GLYBURIDE 58 58 R 51 53
COLCRYS 57 48 52 126
SPIRIVA 57 56 52 45
HYDROXYZINE HCL 50 37 R 54 113
COUMADIN 50 41 54 217
METOLAZONE 50 44 54 217
About This Data

ProPublica obtained prescribing data from Medicare’s prescription drug benefit, known as Part D, under the Freedom of Information Act. The data for 2012 includes more than 1.2 billion prescriptions written by nearly 1.5 million doctors, nurses and other providers. This database lists about 382,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. Almost three-fourths 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 drugs@propublica.org and we will update your information. If you have other questions about this data, send a note to drugs@propublica.org.

Caveats
  • No comparisons are shown if 10 or fewer prescribers in the state share this specialty.
  • The list of top drugs includes only those for which this provider wrote 50 or more prescriptions, but all prescriptions are counted in the summary totals at the top.
  • The calculation of “Risky Drugs to Seniors” does not include drugs for which a provider wrote 11 or fewer prescriptions because Medicare redacted the information to protect patient privacy.
  • 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.