Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Family Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

10,313Medicare Part D Prescriptions Filled, Including Refills

Rank: 380 out of 1528

$710K Total Retail Price of All Prescriptions

Rank: 258 out of 1528

394 Patients Receiving at Least One Drug in Part D
86% Patients 65 Years and Older

24% 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 Missouri
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

30% of this provider’s 394 patients filled at least one prescription for an antibiotic drug, compared to an average of 30%.

More resources »

Risky Drugs for Seniors

17% of this provider’s 338 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 12%.

More resources »

Opioids

21% of this provider’s 394 patients filled at least one prescription for an opioid, compared to an average of 24%.

More resources »

Brand Name Drugs

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%.

Prescription Price

$69 was the average price of a prescription from this provider, compared to $54 among peers.

Prescriptions per Patient

26 is the average number of prescriptions (including refills) per patient, compared to an average of 19.


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

$396K

2012

$452K

2013

$652K

2014

$710K

2015

Number of Claims

7,333

2012

7,872

2013

9,871

2014

10,313

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

502

prescriptions, 5% of all prescriptions

454

prescriptions.

95

patients, 24% of all patients

1 1
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

418

prescriptions, 4% of all prescriptions

389

prescriptions.

86

patients, 22% of all patients

2 6
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

331

prescriptions, 3% of all prescriptions

310

prescriptions.

58

patients, 15% of all patients

3 3
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

311

prescriptions, 3% of all prescriptions

278

prescriptions.

60

patients, 15% of all patients

4 4
FUROSEMIDE

Treats fluid retention (ede... +

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

288

prescriptions, 3% of all prescriptions

259

prescriptions.

48

patients, 12% of all patients

5 8
LISINOPRIL

Treats high blood pressure ... +

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

253

prescriptions, 2% of all prescriptions

206

prescriptions.

58

patients, 15% of all patients

6 2
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

206

prescriptions, 2% of all prescriptions

174

prescriptions.

44

patients, 11% of all patients

7 17
CARVEDILOL

Treats high blood pressure ... +

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

184

prescriptions, 2% of all prescriptions

158

prescriptions.

37

patients, 9% of all patients

8 21
FELODIPINE ER

Felodipine is used to treat... +

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

176

prescriptions, 2% of all prescriptions

142

prescriptions.

30

patients, 8% of all patients

9 219
GABAPENTIN

Treats certain types of sei... +

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

173

prescriptions, 2% of all prescriptions

134

prescriptions.

29

patients, 7% of all patients

10 10
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

172

prescriptions, 2% of all prescriptions

145

prescriptions.

36

patients, 9% of all patients

11 11
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

167

prescriptions, 2% of all prescriptions

98

prescriptions.

23

patients, 6% of all patients

12 45
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

159

prescriptions, 2% of all prescriptions

154

prescriptions.

36

patients, 9% of all patients

13 14
SIMVASTATIN

Treats high cholesterol and... +

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

159

prescriptions, 2% of all prescriptions

140

prescriptions.

40

patients, 10% of all patients

13 7
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

151

prescriptions, 1% of all prescriptions

137

prescriptions.

33

patients, 8% of all patients

15 22
CITALOPRAM HBR

Citalopram is used to treat... +

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

146

prescriptions, 1% of all prescriptions

135

prescriptions.

27

patients, 7% of all patients

16 19
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

138

prescriptions, 1% of all prescriptions

138

prescriptions.

37

patients, 9% of all patients

17 48
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

137

prescriptions, 1% of all prescriptions

117

prescriptions.

22

patients, 6% of all patients

18 51
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

137

prescriptions, 1% of all prescriptions

132

prescriptions.

29

patients, 7% of all patients

18 16
TRAMADOL HCL

Tramadol is used to relieve... +

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

136

prescriptions, 1% of all prescriptions

95

prescriptions.

34

patients, 9% of all patients

O 20 15
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

130

prescriptions, 1% of all prescriptions

111

prescriptions.

17

patients, 4% of all patients

21 18
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

120

prescriptions, 1% of all prescriptions

62

prescriptions.

18

patients, 5% of all patients

22 20
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

116

prescriptions, 1% of all prescriptions

111

prescriptions.

27

patients, 7% of all patients

23 25
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

106

prescriptions, 1% of all prescriptions

92

prescriptions.

20

patients, 5% of all patients

24 9
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

102

prescriptions, 1% of all prescriptions

65

prescriptions.

16

patients, 4% of all patients

25 23
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

98

prescriptions, 1% of all prescriptions

68

prescriptions.

12

patients, 3% of all patients

26 40
LORAZEPAM

Treats anxiety, anxiety wit... +

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

98

prescriptions, 1% of all prescriptions

80

prescriptions.

21

patients, 5% of all patients

26 34
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

77

prescriptions.

21

patients, 5% of all patients

28 33
PREDNISONE

Treats inflammation (swelli... +

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

91

prescriptions, 1% of all prescriptions

86

prescriptions.

41

patients, 10% of all patients

28 42
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

87

prescriptions, 1% of all prescriptions

53

prescriptions.

17

patients, 4% of all patients

R 30 65
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

85

prescriptions, 1% of all prescriptions

80

prescriptions.

14

patients, 4% of all patients

R 31 38
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

84

prescriptions, 1% of all prescriptions

68

prescriptions.

<11 32 50
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

83

prescriptions, 1% of all prescriptions

83

prescriptions.

12

patients, 3% of all patients

33 12
CRESTOR

Lowers high levels of chole... +

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

83

prescriptions, 1% of all prescriptions

78

prescriptions.

17

patients, 4% of all patients

33 43
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

79

prescriptions, 1% of all prescriptions

57

prescriptions.

28

patients, 7% of all patients

O 35 5
CLONAZEPAM

Treats seizures, panic diso... +

Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

48

prescriptions.

16

patients, 4% of all patients

36 44
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

67

prescriptions.

20

patients, 5% of all patients

37 72
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

72

prescriptions, 1% of all prescriptions

40

prescriptions.

15

patients, 4% of all patients

37 39
LOVASTATIN

Lowers high cholesterol and... +

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

72

prescriptions, 1% of all prescriptions

54

prescriptions.

15

patients, 4% of all patients

37 30
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

66

prescriptions.

14

patients, 4% of all patients

40 35
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

69

prescriptions, 1% of all prescriptions

64

prescriptions.

14

patients, 4% of all patients

41 47
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

63

prescriptions.

15

patients, 4% of all patients

42 24
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

67

prescriptions, 1% of all prescriptions

62

prescriptions.

<11 43 53
ALPRAZOLAM

Treats anxiety, panic disor... +

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

67

prescriptions, 1% of all prescriptions

62

prescriptions.

16

patients, 4% of all patients

43 13
ALLOPURINOL

Treats gout and some kinds ... +

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

67

prescriptions, 1% of all prescriptions

67

prescriptions.

12

patients, 3% of all patients

43 36
INDAPAMIDE

Treats high blood pressure ... +

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

66

prescriptions, 1% of all prescriptions

66

prescriptions.

16

patients, 4% of all patients

46 245
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

64

prescriptions, 1% of all prescriptions

46

prescriptions.

14

patients, 4% of all patients

47 60
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

63

prescriptions, 1% of all prescriptions

47

prescriptions.

24

patients, 6% of all patients

48 26
IRBESARTAN

Used alone or in combinatio... +

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

57

prescriptions, 1% of all prescriptions

57

prescriptions.

14

patients, 4% of all patients

49 168
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

57

prescriptions, 1% of all prescriptions

52

prescriptions.

15

patients, 4% of all patients

49 111
OXYCODONE HCL

Oxycodone is used to reliev... +

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

57

prescriptions, 1% of all prescriptions

46

prescriptions.

12

patients, 3% of all patients

O 49 62
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

57

prescriptions, 1% of all prescriptions

52

prescriptions.

<11 49 74
SYMBICORT

This is a combination of bu... +

This is a combination of budesonide and formoterol used to help control the symptoms of asthma and improve lung function. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

55

prescriptions.

12

patients, 3% of all patients

53 73
ATENOLOL

Treats high blood pressure ... +

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

52

prescriptions, 1% of all prescriptions

47

prescriptions.

<11 54 32
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

51

prescriptions, 0% of all prescriptions

46

prescriptions.

31

patients, 8% of all patients

55 29
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

50

prescriptions, 0% of all prescriptions

32

prescriptions.

13

patients, 3% of all patients

56 64
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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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 Oct. 24, 2014.
  • 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.