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 »

9,144Medicare Part D Prescriptions Filled, Including Refills

Rank: 100 out of 729

$730K Total Retail Price of All Prescriptions

Rank: 51 out of 729

334 Patients Receiving at Least One Drug in Part D
94% Patients 65 Years and Older

86% 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

17% of this provider’s 334 patients filled at least one prescription for an antibiotic drug, compared to an average of 20%.

More resources »

Risky Drugs for Seniors

12% of this provider’s 315 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

12% of this provider’s 334 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

32% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$80 was the average price of a prescription from this provider, compared to $70 among peers.

Prescriptions per Patient

27 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

$905K

2012

$806K

2013

$750K

2014

$730K

2015

Number of Claims

10,934

2012

10,043

2013

9,215

2014

9,144

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
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

411

prescriptions, 4% of all prescriptions

400

prescriptions.

71

patients, 21% of all patients

1 4
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

359

prescriptions, 4% of all prescriptions

354

prescriptions.

67

patients, 20% of all patients

2 1
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

295

prescriptions, 3% of all prescriptions

282

prescriptions.

45

patients, 13% of all patients

3 42
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

291

prescriptions, 3% of all prescriptions

280

prescriptions.

49

patients, 15% of all patients

4 5
SIMVASTATIN

Treats high cholesterol and... +

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

243

prescriptions, 3% of all prescriptions

228

prescriptions.

59

patients, 18% of all patients

5 3
NEXIUM

Treats heartburn, gastroeso... +

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

233

prescriptions, 3% of all prescriptions

222

prescriptions.

35

patients, 10% of all patients

6 67
FUROSEMIDE

Treats fluid retention (ede... +

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

224

prescriptions, 2% of all prescriptions

224

prescriptions.

38

patients, 11% of all patients

7 8
LISINOPRIL

Treats high blood pressure ... +

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

222

prescriptions, 2% of all prescriptions

217

prescriptions.

50

patients, 15% of all patients

8 2
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

219

prescriptions, 2% of all prescriptions

219

prescriptions.

36

patients, 11% of all patients

9 17
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

216

prescriptions, 2% of all prescriptions

211

prescriptions.

35

patients, 10% of all patients

10 9
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

201

prescriptions, 2% of all prescriptions

190

prescriptions.

40

patients, 12% of all patients

11 6
METFORMIN HCL ER

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

189

prescriptions, 2% of all prescriptions

184

prescriptions.

26

patients, 8% of all patients

12 71
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

176

prescriptions, 2% of all prescriptions

162

prescriptions.

30

patients, 9% of all patients

13 19
CARVEDILOL

Treats high blood pressure ... +

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

159

prescriptions, 2% of all prescriptions

154

prescriptions.

18

patients, 5% of all patients

14 43
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.

30

patients, 9% of all patients

15 7
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

149

prescriptions, 2% of all prescriptions

127

prescriptions.

29

patients, 9% of all patients

16 15
BYSTOLIC

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

143

prescriptions, 2% of all prescriptions

132

prescriptions.

21

patients, 6% of all patients

17 98
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

127

prescriptions, 1% of all prescriptions

111

prescriptions.

33

patients, 10% of all patients

18 20
CITALOPRAM HBR

Citalopram is used to treat... +

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

116

prescriptions, 1% of all prescriptions

116

prescriptions.

17

patients, 5% of all patients

19 23
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

107

prescriptions, 1% of all prescriptions

102

prescriptions.

15

patients, 4% of all patients

20 84
GABAPENTIN

Treats certain types of sei... +

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

104

prescriptions, 1% of all prescriptions

104

prescriptions.

20

patients, 6% of all patients

21 13
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

104

prescriptions, 1% of all prescriptions

99

prescriptions.

17

patients, 5% of all patients

21 52
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

103

prescriptions.

15

patients, 4% of all patients

23 72
VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

98

prescriptions.

20

patients, 6% of all patients

23 68
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

101

prescriptions, 1% of all prescriptions

101

prescriptions.

29

patients, 9% of all patients

25 21
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

98

prescriptions, 1% of all prescriptions

48

prescriptions.

23

patients, 7% of all patients

O 26 11
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

96

prescriptions, 1% of all prescriptions

96

prescriptions.

20

patients, 6% of all patients

27 91
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

95

prescriptions, 1% of all prescriptions

95

prescriptions.

13

patients, 4% of all patients

28 10
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

91

prescriptions, 1% of all prescriptions

86

prescriptions.

26

patients, 8% of all patients

R 29 31
ALLOPURINOL

Treats gout and some kinds ... +

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

91

prescriptions, 1% of all prescriptions

86

prescriptions.

20

patients, 6% of all patients

29 25
VALSARTAN

Valsartan is used alone or ... +

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

88

prescriptions, 1% of all prescriptions

83

prescriptions.

12

patients, 4% of all patients

31 83
ATENOLOL

Treats high blood pressure ... +

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

77

prescriptions, 1% of all prescriptions

72

prescriptions.

16

patients, 5% of all patients

32 14
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

77

prescriptions, 1% of all prescriptions

77

prescriptions.

13

patients, 4% of all patients

32 22
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

68

prescriptions.

<11 34 63
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

71

prescriptions, 1% of all prescriptions

71

prescriptions.

11

patients, 3% of all patients

35 48
ALPRAZOLAM

Treats anxiety, panic disor... +

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

66

prescriptions, 1% of all prescriptions

66

prescriptions.

15

patients, 4% of all patients

36 33
LIDODERM

Treats nerve pain that is c... +

Treats nerve pain that is caused by herpes zoster, or "shingles. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

65

prescriptions.

12

patients, 4% of all patients

37 147
CREON

Helps patients who have cys... +

Helps patients who have cystic fibrosis, pancreatitis, or digestive disorders digest food. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

58

prescriptions.

13

patients, 4% of all patients

38 135
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

63

prescriptions, 1% of all prescriptions

63

prescriptions.

13

patients, 4% of all patients

38 12
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

62

prescriptions, 1% of all prescriptions

62

prescriptions.

11

patients, 3% of all patients

40 60
ZETIA

Lowers cholesterol in your ... +

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

59

prescriptions, 1% of all prescriptions

54

prescriptions.

<11 41 94
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

58

prescriptions, 1% of all prescriptions

53

prescriptions.

<11 42 49
XARELTO

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung). Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

56

prescriptions.

<11 43 70
CLOPIDOGREL

Helps prevent stroke, heart... +

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

52

prescriptions, 1% of all prescriptions

47

prescriptions.

<11 44 39
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

52

prescriptions, 1% of all prescriptions

47

prescriptions.

18

patients, 5% of all patients

44 32
IBANDRONATE SODIUM

Used to prevent and treat o... +

Used to prevent and treat osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

52

prescriptions.

<11 44 207
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

50

prescriptions, 1% of all prescriptions

50

prescriptions.

13

patients, 4% of all patients

47 41
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. 10, 2009.
  • 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.