Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nephrology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

15,467Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 76

$854K Total Retail Price of All Prescriptions

Rank: 2 out of 76

633 Patients Receiving at Least One Drug in Part D
83% Patients 65 Years and Older

2% 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 Puerto Rico
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

8% of this provider’s 633 patients filled at least one prescription for an antibiotic drug, compared to an average of 16%.

More resources »

Risky Drugs for Seniors

7% of this provider’s 528 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 6%.

More resources »

Opioids

14% of this provider’s 633 patients filled at least one prescription for an opioid, compared to an average of 6%.

More resources »

Brand Name Drugs

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$55 was the average price of a prescription from this provider, compared to $89 among peers.

Prescriptions per Patient

24 is the average number of prescriptions (including refills) per patient, compared to an average of 11.


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

$643K

2012

$653K

2013

$850K

2014

$854K

2015

Number of Claims

16,306

2012

16,653

2013

17,450

2014

15,467

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
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

1,101

prescriptions, 7% of all prescriptions

938

prescriptions.

211

patients, 33% of all patients

1 1
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

910

prescriptions, 6% of all prescriptions

764

prescriptions.

163

patients, 26% of all patients

2 4
CALCITRIOL

Treats low blood calcium in... +

Treats low blood calcium in kidney dialysis patients and other patients. Source: National Library of Medicine

553

prescriptions, 4% of all prescriptions

518

prescriptions.

130

patients, 21% of all patients

3 8
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

548

prescriptions, 4% of all prescriptions

506

prescriptions.

102

patients, 16% of all patients

4 13
GABAPENTIN

Treats certain types of sei... +

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

526

prescriptions, 3% of all prescriptions

444

prescriptions.

108

patients, 17% of all patients

5 5
SIMVASTATIN

Treats high cholesterol and... +

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

481

prescriptions, 3% of all prescriptions

435

prescriptions.

77

patients, 12% of all patients

6 3
DILTIAZEM HCL

Diltiazem is used to treat ... +

Diltiazem is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine

469

prescriptions, 3% of all prescriptions

388

prescriptions.

88

patients, 14% of all patients

10 7 47
PENTOXIFYLLINE

Treats problems from poor b... +

Treats problems from poor blood circulation by improving the flow of blood through blood vessels. Source: National Library of Medicine

460

prescriptions, 3% of all prescriptions

365

prescriptions.

100

patients, 16% of all patients

8 40
DOXAZOSIN MESYLATE

Doxazosin (Cardura, Cardura... +

Doxazosin (Cardura, Cardura XL) 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

422

prescriptions, 3% of all prescriptions

335

prescriptions.

66

patients, 10% of all patients

9 7
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

317

prescriptions, 2% of all prescriptions

261

prescriptions.

70

patients, 11% of all patients

10 29
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

310

prescriptions, 2% of all prescriptions

257

prescriptions.

58

patients, 9% of all patients

11 15
FUROSEMIDE

Treats fluid retention (ede... +

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

290

prescriptions, 2% of all prescriptions

271

prescriptions.

59

patients, 9% of all patients

12 6
CANDESARTAN CILEXETIL 277

prescriptions, 2% of all prescriptions

208

prescriptions.

55

patients, 9% of all patients

10 13 42
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

247

prescriptions, 2% of all prescriptions

226

prescriptions.

47

patients, 7% of all patients

14 32
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

244

prescriptions, 2% of all prescriptions

213

prescriptions.

42

patients, 7% of all patients

15 22
CANDESARTAN-HYDROCHLOROTHIAZID 230

prescriptions, 1% of all prescriptions

187

prescriptions.

47

patients, 7% of all patients

10 16 66
CLOPIDOGREL

Helps prevent stroke, heart... +

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

227

prescriptions, 1% of all prescriptions

210

prescriptions.

40

patients, 6% of all patients

17 17
TEMAZEPAM

Treats insomnia (trouble sl... +

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

224

prescriptions, 1% of all prescriptions

172

prescriptions.

46

patients, 7% of all patients

18 46
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

215

prescriptions, 1% of all prescriptions

173

prescriptions.

31

patients, 5% of all patients

19 33
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

209

prescriptions, 1% of all prescriptions

204

prescriptions.

35

patients, 6% of all patients

20 20
INDAPAMIDE

Treats high blood pressure ... +

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

201

prescriptions, 1% of all prescriptions

178

prescriptions.

32

patients, 5% of all patients

21 54
BUMETANIDE

Treats fluid retention (ede... +

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

201

prescriptions, 1% of all prescriptions

184

prescriptions.

32

patients, 5% of all patients

21 61
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

195

prescriptions, 1% of all prescriptions

172

prescriptions.

32

patients, 5% of all patients

23 31
CARVEDILOL

Treats high blood pressure ... +

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

183

prescriptions, 1% of all prescriptions

129

prescriptions.

35

patients, 6% of all patients

24 12
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

177

prescriptions, 1% of all prescriptions

155

prescriptions.

39

patients, 6% of all patients

25 16
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

175

prescriptions, 1% of all prescriptions

134

prescriptions.

42

patients, 7% of all patients

26 26
LISINOPRIL

Treats high blood pressure ... +

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

175

prescriptions, 1% of all prescriptions

163

prescriptions.

26

patients, 4% of all patients

26 30
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

172

prescriptions, 1% of all prescriptions

167

prescriptions.

35

patients, 6% of all patients

28 24
PIOGLITAZONE HCL

Pioglitazone is used to tre... +

Pioglitazone is used 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

169

prescriptions, 1% of all prescriptions

139

prescriptions.

38

patients, 6% of all patients

29 53
SENSIPAR

Lowers the amount of calciu... +

Lowers the amount of calcium in your blood. Source: National Library of Medicine

163

prescriptions, 1% of all prescriptions

110

prescriptions.

26

patients, 4% of all patients

30 28
ATENOLOL

Treats high blood pressure ... +

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

160

prescriptions, 1% of all prescriptions

145

prescriptions.

23

patients, 4% of all patients

31 34
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

155

prescriptions, 1% of all prescriptions

136

prescriptions.

32

patients, 5% of all patients

32 2
RAMIPRIL

Treats high blood pressure ... +

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

145

prescriptions, 1% of all prescriptions

112

prescriptions.

24

patients, 4% of all patients

33 44
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

138

prescriptions, 1% of all prescriptions

113

prescriptions.

31

patients, 5% of all patients

34 41
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

136

prescriptions, 1% of all prescriptions

118

prescriptions.

24

patients, 4% of all patients

35 62
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

133

prescriptions, 1% of all prescriptions

120

prescriptions.

26

patients, 4% of all patients

36 14
CALCIUM ACETATE

Used to treat hyperphosphat... +

Used to treat hyperphosphatemia (too much phosphate in the blood) in patients with end stage kidney disease who are on dialysis. Source: National Library of Medicine

128

prescriptions, 1% of all prescriptions

83

prescriptions.

32

patients, 5% of all patients

37 10
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

127

prescriptions, 1% of all prescriptions

88

prescriptions.

23

patients, 4% of all patients

38 69
MINOXIDIL

Treats high blood pressure ... +

Treats high blood pressure that has not been controlled with other medicines. Source: National Library of Medicine

120

prescriptions, 1% of all prescriptions

65

prescriptions.

31

patients, 5% of all patients

39 83
TRAMADOL HCL

Tramadol is used to relieve... +

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

114

prescriptions, 1% of all prescriptions

101

prescriptions.

68

patients, 11% of all patients

O 40 57
ALLOPURINOL

Treats gout and some kinds ... +

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

111

prescriptions, 1% of all prescriptions

92

prescriptions.

25

patients, 4% of all patients

41 11
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

107

prescriptions, 1% of all prescriptions

85

prescriptions.

21

patients, 3% of all patients

42 35
ENALAPRIL MALEATE

Enalapril is used alone or ... +

Enalapril is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

102

prescriptions, 1% of all prescriptions

97

prescriptions.

20

patients, 3% of all patients

43 18
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

98

prescriptions, 1% of all prescriptions

93

prescriptions.

26

patients, 4% of all patients

44 27
ZETIA

Lowers cholesterol in your ... +

Lowers cholesterol in your blood. Source: National Library of Medicine

97

prescriptions, 1% of all prescriptions

92

prescriptions.

17

patients, 3% of all patients

45 49
IRBESARTAN

Used alone or in combinatio... +

Used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

93

prescriptions, 1% of all prescriptions

88

prescriptions.

19

patients, 3% of all patients

46 9
ALPRAZOLAM

Treats anxiety, panic disor... +

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

86

prescriptions, 1% of all prescriptions

81

prescriptions.

15

patients, 2% of all patients

47 63
NABUMETONE

Treats pain caused by arthr... +

Treats pain caused by arthritis. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

71

prescriptions.

24

patients, 4% of all patients

47 80
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

52

prescriptions.

21

patients, 3% of all patients

49 81
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

76

prescriptions, 0% of all prescriptions

76

prescriptions.

12

patients, 2% of all patients

50 21
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

76

prescriptions, 0% of all prescriptions

71

prescriptions.

14

patients, 2% of all patients

50 59
HUMALOG

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

71

prescriptions, 0% of all prescriptions

42

prescriptions.

17

patients, 3% of all patients

52 60
RENVELA

Lowers the amount of phosph... +

Lowers the amount of phosphorus in blood of patients receiving kidney dialysis. Source: National Library of Medicine

71

prescriptions, 0% of all prescriptions

43

prescriptions.

15

patients, 2% of all patients

52 23
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

68

prescriptions, 0% of all prescriptions

44

prescriptions.

<11 54 39
MEGESTROL ACETATE

Megestrol tablets treat bre... +

Megestrol tablets treat breast and uterine cancer. Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

62

prescriptions.

14

patients, 2% of all patients

R 55 113
SODIUM POLYSTYRENE SULFONATE 62

prescriptions, 0% of all prescriptions

47

prescriptions.

17

patients, 3% of all patients

55 72
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

62

prescriptions, 0% of all prescriptions

57

prescriptions.

13

patients, 2% of all patients

55 25
DILTIAZEM 24HR CD

Diltiazem is used to treat ... +

Diltiazem is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

55

prescriptions.

11

patients, 2% of all patients

58 86
PREDNISONE

Treats inflammation (swelli... +

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

58

prescriptions, 0% of all prescriptions

27

prescriptions.

<11 59 36
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

37

prescriptions.

<11 60 122
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

34

prescriptions.

11

patients, 2% of all patients

60 64
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

50

prescriptions, 0% of all prescriptions

45

prescriptions.

14

patients, 2% of all patients

62 125
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 Jan. 19, 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.