Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Urology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

2,518Medicare Part D Prescriptions Filled, Including Refills

Rank: 40 out of 147

$298K Total Retail Price of All Prescriptions

Rank: 11 out of 147

452 Patients Receiving at Least One Drug in Part D
89% Patients 65 Years and Older

19% 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

0% of this provider’s 401 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

44% of this provider’s 452 patients filled at least one prescription for an antibiotic drug, compared to an average of 40%.

More resources »

Risky Drugs for Seniors

11% of this provider’s 401 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

8% of this provider’s 452 patients filled at least one prescription for an opioid, compared to an average of 13%.

More resources »

Brand Name Drugs *

31% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

* This is an estimate, see our methodology.

Prescription Price

$119 was the average price of a prescription from this provider, compared to $82 among peers.

Prescriptions per Patient

6 is the average number of prescriptions (including refills) per patient, compared to an average of 5.


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

$186K

2012

$221K

2013

$266K

2014

$298K

2015

Number of Claims

1,724

2012

1,958

2013

2,439

2014

2,518

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
VESICARE

Solifenacin is used to trea... +

Solifenacin is used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

350

prescriptions, 14% of all prescriptions

326

prescriptions.

81

patients, 18% of all patients

1 4
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

270

prescriptions, 11% of all prescriptions

258

prescriptions.

49

patients, 11% of all patients

2 2
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

227

prescriptions, 9% of all prescriptions

144

prescriptions.

47

patients, 10% of all patients

3 5
MYRBETRIQ

Used to treat overactive bl... +

Used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

184

prescriptions, 7% of all prescriptions

166

prescriptions.

38

patients, 8% of all patients

4 7
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

170

prescriptions, 7% of all prescriptions

155

prescriptions.

39

patients, 9% of all patients

5 1
CEPHALEXIN

Treats bacterial infections... +

Treats bacterial infections. Source: National Library of Medicine

133

prescriptions, 5% of all prescriptions

114

prescriptions.

44

patients, 10% of all patients

A 6 8
NITROFURANTOIN MONO-MACRO

Nitrofurantoinis used to tr... +

Nitrofurantoinis used to treat urinary tract infections. Source: National Library of Medicine

119

prescriptions, 5% of all prescriptions

92

prescriptions.

40

patients, 9% of all patients

A R 7 15
METHENAMINE HIPPURATE

Methenamine, an antibiotic,... +

Methenamine, an antibiotic, eliminates bacteria that cause urinary tract infections. Source: National Library of Medicine

101

prescriptions, 4% of all prescriptions

75

prescriptions.

23

patients, 5% of all patients

8 25
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

100

prescriptions, 4% of all prescriptions

95

prescriptions.

74

patients, 16% of all patients

A 9 3
AMPICILLIN TRIHYDRATE 96

prescriptions, 4% of all prescriptions

91

prescriptions.

31

patients, 7% of all patients

A 10 62
ESTRACE

Estrogens are female hormones. +

Estrogens are female hormones. Source: National Library of Medicine

87

prescriptions, 3% of all prescriptions

82

prescriptions.

64

patients, 14% of all patients

R 11 64
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

Treating infections caused by certain bacteria. Source: National Library of Medicine

86

prescriptions, 3% of all prescriptions

72

prescriptions.

35

patients, 8% of all patients

A 12 9
CEFDINIR

Treats certain types of ski... +

Treats certain types of skin infections, throat infections, and lung infections, such as pneumonia, bronchitis, sinusitis, pharyngitis, or tonsillitis. Source: National Library of Medicine

66

prescriptions, 3% of all prescriptions

61

prescriptions.

49

patients, 11% of all patients

A 13 46
OXYBUTYNIN CHLORIDE

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

62

prescriptions, 2% of all prescriptions

57

prescriptions.

16

patients, 4% of all patients

14 6
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 July 8, 2007.
  • Comparisons are based on each provider’s current address, not necessarily where he or she worked during the time period covered in this database.
  • 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.