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 »

14,358Medicare Part D Prescriptions Filled, Including Refills

Rank: 8 out of 138

$1.08M Total Retail Price of All Prescriptions

Rank: 5 out of 138

249 Patients Receiving at Least One Drug in Part D
78% Patients 65 Years and Older

95% 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 Idaho
lower than average

Antipsychotics

34% of this provider’s 195 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

45% of this provider’s 249 patients filled at least one prescription for an antibiotic drug, compared to an average of 18%.

More resources »

Risky Drugs for Seniors

23% of this provider’s 195 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 12%.

More resources »

Opioids

51% of this provider’s 249 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

25% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$75 was the average price of a prescription from this provider, compared to $73 among peers.

Prescriptions per Patient

58 is the average number of prescriptions (including refills) per patient, compared to an average of 17.


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

$1.12M

2012

$1.03M

2013

$1.23M

2014

$1.08M

2015

Number of Claims

16,488

2012

17,612

2013

17,248

2014

14,358

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.

Click to Filter by Category

Clear Filter


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
FUROSEMIDE

Treats fluid retention (ede... +

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

1,004

prescriptions, 7% of all prescriptions

685

prescriptions.

77

patients, 31% of all patients

1 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

601

prescriptions, 4% of all prescriptions

515

prescriptions.

77

patients, 31% of all patients

2 1
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

505

prescriptions, 4% of all prescriptions

500

prescriptions.

21

patients, 8% of all patients

3 12
POTASSIUM CHLORIDE

Potassium is needed to main... +

Potassium is needed to maintain good health. Source: National Library of Medicine

373

prescriptions, 3% of all prescriptions

286

prescriptions.

46

patients, 18% of all patients

4 13
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

347

prescriptions, 2% of all prescriptions

278

prescriptions.

64

patients, 26% of all patients

O 5 7
LISINOPRIL

Treats high blood pressure ... +

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

325

prescriptions, 2% of all prescriptions

294

prescriptions.

49

patients, 20% of all patients

6 3
GABAPENTIN

Treats certain types of sei... +

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

324

prescriptions, 2% of all prescriptions

248

prescriptions.

49

patients, 20% of all patients

7 11
ENULOSE 299

prescriptions, 2% of all prescriptions

179

prescriptions.

22

patients, 9% of all patients

8 112
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

287

prescriptions, 2% of all prescriptions

247

prescriptions.

45

patients, 18% of all patients

9 4
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

284

prescriptions, 2% of all prescriptions

264

prescriptions.

72

patients, 29% of all patients

10 2
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

244

prescriptions, 2% of all prescriptions

202

prescriptions.

36

patients, 14% of all patients

11 22
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

218

prescriptions, 2% of all prescriptions

130

prescriptions.

25

patients, 10% of all patients

12 43
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

214

prescriptions, 1% of all prescriptions

209

prescriptions.

39

patients, 16% of all patients

13 5
KLOR-CON M20

Potassium is essential for ... +

Potassium is essential for the proper functioning of the heart, kidneys, muscles, nerves, and digestive system. Source: National Library of Medicine

182

prescriptions, 1% of all prescriptions

110

prescriptions.

23

patients, 9% of all patients

14 94
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

166

prescriptions, 1% of all prescriptions

149

prescriptions.

26

patients, 10% of all patients

P 15 111
OXYBUTYNIN CHLORIDE ER

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

164

prescriptions, 1% of all prescriptions

141

prescriptions.

22

patients, 9% of all patients

16 73
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

162

prescriptions, 1% of all prescriptions

157

prescriptions.

17

patients, 7% of all patients

17 31
ESCITALOPRAM OXALATE

Escitalopram is used to tre... +

Escitalopram is used to treat depression and generalized anxiety disorder (excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

159

prescriptions, 1% of all prescriptions

108

prescriptions.

33

patients, 13% of all patients

18 32
TRAMADOL HCL

Tramadol is used to relieve... +

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

155

prescriptions, 1% of all prescriptions

137

prescriptions.

31

patients, 12% of all patients

O 19 18
OLANZAPINE

Treats psychotic mental dis... +

Treats psychotic mental disorders, such as schizophrenia or bipolar disorder (manic-depressive illness). Source: National Library of Medicine

151

prescriptions, 1% of all prescriptions

133

prescriptions.

28

patients, 11% of all patients

P 20 81
ALPRAZOLAM

Treats anxiety, panic disor... +

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

150

prescriptions, 1% of all prescriptions

122

prescriptions.

25

patients, 10% of all patients

21 29
TRAZODONE HCL

Trazodone is used to treat ... +

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

149

prescriptions, 1% of all prescriptions

122

prescriptions.

36

patients, 14% of all patients

22 17
HUMALOG KWIKPEN U-100

Treats diabetes mellitus. +

Treats diabetes mellitus. Source: National Library of Medicine

147

prescriptions, 1% of all prescriptions

69

prescriptions.

14

patients, 6% of all patients

23 125
CITALOPRAM HBR

Citalopram is used to treat... +

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

143

prescriptions, 1% of all prescriptions

138

prescriptions.

19

patients, 8% of all patients

24 19
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

140

prescriptions, 1% of all prescriptions

123

prescriptions.

21

patients, 8% of all patients

25 14
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

139

prescriptions, 1% of all prescriptions

127

prescriptions.

23

patients, 9% of all patients

26 16
ALLOPURINOL

Treats gout and some kinds ... +

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

135

prescriptions, 1% of all prescriptions

124

prescriptions.

17

patients, 7% of all patients

27 26
NOVOLOG FLEXPEN

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

130

prescriptions, 1% of all prescriptions

98

prescriptions.

16

patients, 6% of all patients

28 86
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

127

prescriptions, 1% of all prescriptions

109

prescriptions.

16

patients, 6% of all patients

O 29 44
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

127

prescriptions, 1% of all prescriptions

103

prescriptions.

25

patients, 10% of all patients

29 21
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

124

prescriptions, 1% of all prescriptions

112

prescriptions.

15

patients, 6% of all patients

31 54
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

123

prescriptions, 1% of all prescriptions

118

prescriptions.

26

patients, 10% of all patients

32 50
IPRATROPIUM-ALBUTEROL

The combination of albutero... +

The combination of albuterol and ipratropium is used to prevent wheezing, difficulty breathing, chest tightness, and coughing in people with chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to the air sacs in the lungs). Source: National Library of Medicine

122

prescriptions, 1% of all prescriptions

111

prescriptions.

44

patients, 18% of all patients

33 107
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

120

prescriptions, 1% of all prescriptions

89

prescriptions.

11

patients, 4% of all patients

34 138
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

118

prescriptions, 1% of all prescriptions

59

prescriptions.

14

patients, 6% of all patients

35 36
SIMVASTATIN

Treats high cholesterol and... +

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

111

prescriptions, 1% of all prescriptions

97

prescriptions.

16

patients, 6% of all patients

36 6
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

110

prescriptions, 1% of all prescriptions

105

prescriptions.

23

patients, 9% of all patients

37 80
PREDNISONE

Treats inflammation (swelli... +

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

107

prescriptions, 1% of all prescriptions

102

prescriptions.

29

patients, 12% of all patients

38 35
ROPINIROLE HCL

Ropinirole is used alone or... +

Ropinirole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

102

prescriptions, 1% of all prescriptions

89

prescriptions.

11

patients, 4% of all patients

39 64
NOVOLOG

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

98

prescriptions, 1% of all prescriptions

83

prescriptions.

16

patients, 6% of all patients

40 115
OXYCODONE HCL

Oxycodone is used to reliev... +

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

95

prescriptions, 1% of all prescriptions

50

prescriptions.

19

patients, 8% of all patients

O 41 58
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

83

prescriptions.

<11 41 39
DIGOXIN

Treats certain heart rhythm... +

Treats certain heart rhythm problems (atrial fibrillation). Source: National Library of Medicine

93

prescriptions, 1% of all prescriptions

93

prescriptions.

<11 R 43 72
BACLOFEN

Treats muscle spasms caused... +

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

93

prescriptions, 1% of all prescriptions

60

prescriptions.

14

patients, 6% of all patients

43 87
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

90

prescriptions, 1% of all prescriptions

68

prescriptions.

13

patients, 5% of all patients

P 45 59
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

90

prescriptions, 1% of all prescriptions

72

prescriptions.

16

patients, 6% of all patients

45 89
ABILIFY

Treats schizophrenia, bipol... +

Treats schizophrenia, bipolar disorder, and depression. Source: National Library of Medicine

88

prescriptions, 1% of all prescriptions

58

prescriptions.

11

patients, 4% of all patients

P 47 131
DONEPEZIL HCL

Donepezil is used to treat ... +

Donepezil is used to treat dementia (a brain disorder that affects the ability to remember, think clearly, communicate, and perform daily activities and may cause changes in mood and personality) associated with Alzheimer's disease (AD; a brain disease that slowly destroys the memory and the ability to think, learn, communicate and handle daily activities). Source: National Library of Medicine

88

prescriptions, 1% of all prescriptions

77

prescriptions.

13

patients, 5% of all patients

47 38
CARVEDILOL

Treats high blood pressure ... +

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

85

prescriptions, 1% of all prescriptions

80

prescriptions.

15

patients, 6% of all patients

49 24
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

81

prescriptions, 1% of all prescriptions

52

prescriptions.

19

patients, 8% of all patients

50 10
KETOCONAZOLE

Treats fungal infections in... +

Treats fungal infections in the skin, throat, urinary tract, and lungs. Source: National Library of Medicine

80

prescriptions, 1% of all prescriptions

42

prescriptions.

16

patients, 6% of all patients

51 196
NYSTOP

Treats infections caused by... +

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

79

prescriptions, 1% of all prescriptions

46

prescriptions.

21

patients, 8% of all patients

52 164
CARBAMAZEPINE

Treats different types of s... +

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

78

prescriptions, 1% of all prescriptions

43

prescriptions.

<11 53 198
TRIAMCINOLONE ACETONIDE

Triamcinolone is used to tr... +

Triamcinolone is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

60

prescriptions.

20

patients, 8% of all patients

54 113
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

75

prescriptions, 1% of all prescriptions

70

prescriptions.

16

patients, 6% of all patients

55 9
LATANOPROST

Latanoprost ophthalmic is u... +

Latanoprost ophthalmic is used to treat glaucoma (a condition in which increased pressure in the eye can lead to gradual loss of vision) and ocular hypertension (a condition which causes increased pressure in the eye). Source: National Library of Medicine

69

prescriptions, 0% of all prescriptions

57

prescriptions.

12

patients, 5% of all patients

56 171
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

68

prescriptions, 0% of all prescriptions

63

prescriptions.

<11 O 57 78
CLOPIDOGREL

Helps prevent stroke, heart... +

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

66

prescriptions, 0% of all prescriptions

61

prescriptions.

11

patients, 4% of all patients

58 34
LEVOFLOXACIN

Levofloxacin is used to tre... +

Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

60

prescriptions.

34

patients, 14% of all patients

A 59 121
BUMETANIDE

Treats fluid retention (ede... +

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

64

prescriptions, 0% of all prescriptions

64

prescriptions.

<11 60 96
MEDROXYPROGESTERONE ACETATE

Medroxyprogesterone is used... +

Medroxyprogesterone is used to treat abnormal menstruation (periods) or irregular vaginal bleeding. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

34

prescriptions.

<11 61 211
CARBIDOPA-LEVODOPA

The combination of levodopa... +

The combination of levodopa and carbidopa is used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

57

prescriptions.

<11 62 103
METOCLOPRAMIDE HCL

Metoclopramide is used to r... +

Metoclopramide is used to relieve heartburn and speed the healing of ulcers and sores in the esophagus (tube that connects the mouth to the stomach) in people who have gastroesophageal reflux disease (GERD; condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus) that did not get better with other treatments. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

38

prescriptions.

<11 63 178
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

58

prescriptions, 0% of all prescriptions

53

prescriptions.

11

patients, 4% of all patients

64 102
LORAZEPAM

Treats anxiety, anxiety wit... +

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

58

prescriptions, 0% of all prescriptions

45

prescriptions.

21

patients, 8% of all patients

64 25
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

49

prescriptions.

14

patients, 6% of all patients

66 65
ATENOLOL

Treats high blood pressure ... +

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

51

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 67 27
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 68 110
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. 7, 2008.
  • 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.