Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nurse Practitioner

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

8,000Medicare Part D Prescriptions Filled, Including Refills

Rank: 10 out of 850

$255K Total Retail Price of All Prescriptions

Rank: 183 out of 850

309 Patients Receiving at Least One Drug in Part D
19% Patients 65 Years and Older

94% 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 California
lower than average

Antipsychotics

Comparisons are not shown because this provider has fewer than 100 patients who are 65 and older.

0 of this provider’s 59 patients who are 65 and older filled at least one prescription for an antipsychotic drug.

More resources »

Antibiotics

16% of this provider’s 309 patients filled at least one prescription for an antibiotic drug, compared to an average of 17%.

More resources »

Risky Drugs for Seniors

This provider prescribed potentially inappropriate drugs 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 »

Opioids

18% of this provider’s 309 patients filled at least one prescription for an opioid, compared to an average of 18%.

More resources »

Brand Name Drugs

13% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$32 was the average price of a prescription from this provider, compared to $223 among peers.

Prescriptions per Patient

26 is the average number of prescriptions (including refills) per patient, compared to an average of 8.


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

$230K

2012

$245K

2013

$265K

2014

$255K

2015

Number of Claims

7,676

2012

7,765

2013

7,952

2014

8,000

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
LOVASTATIN

Lowers high cholesterol and... +

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

612

prescriptions, 8% of all prescriptions

34

prescriptions.

70

patients, 23% of all patients

1 48
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

574

prescriptions, 7% of all prescriptions

36

prescriptions.

69

patients, 22% of all patients

2 7
FENOFIBRATE*

Treats high cholesterol and... +

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

457

prescriptions, 6% of all prescriptions

16

prescriptions.

37

patients, 12% of all patients

3 151
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

437

prescriptions, 5% of all prescriptions

38

prescriptions.

50

patients, 16% of all patients

4 5
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

357

prescriptions, 4% of all prescriptions

43

prescriptions.

39

patients, 13% of all patients

5 6
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

301

prescriptions, 4% of all prescriptions

19

prescriptions.

33

patients, 11% of all patients

6 3
LISINOPRIL

Treats high blood pressure ... +

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

283

prescriptions, 4% of all prescriptions

58

prescriptions.

62

patients, 20% of all patients

7 2
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

271

prescriptions, 3% of all prescriptions

25

prescriptions.

32

patients, 10% of all patients

8 77
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

252

prescriptions, 3% of all prescriptions

18

prescriptions.

22

patients, 7% of all patients

9 122
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

226

prescriptions, 3% of all prescriptions

19

prescriptions.

45

patients, 15% of all patients

10 26
SIMVASTATIN

Treats high cholesterol and... +

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

197

prescriptions, 2% of all prescriptions

18

prescriptions.

22

patients, 7% of all patients

11 8
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

190

prescriptions, 2% of all prescriptions

18

prescriptions.

29

patients, 9% of all patients

12 33
NIACIN ER

Lowers cholesterol and trig... +

Lowers cholesterol and triglyceride levels in the blood and treats niacin deficiency (pellagra). Source: National Library of Medicine

182

prescriptions, 2% of all prescriptions

0

prescriptions.

12

patients, 4% of all patients

13 258
FENOFIBRATE*

Treats high cholesterol and... +

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

155

prescriptions, 2% of all prescriptions

5

prescriptions.

<11 14 86
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

152

prescriptions, 2% of all prescriptions

5

prescriptions.

<11 15 36
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

140

prescriptions, 2% of all prescriptions

5

prescriptions.

13

patients, 4% of all patients

16 16
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

139

prescriptions, 2% of all prescriptions

37

prescriptions.

34

patients, 11% of all patients

17 12
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

135

prescriptions, 2% of all prescriptions

12

prescriptions.

36

patients, 12% of all patients

18 20
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

123

prescriptions, 2% of all prescriptions

5

prescriptions.

32

patients, 10% of all patients

R 19 95
GEMFIBROZIL

Lowers high triglyceride an... +

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

111

prescriptions, 1% of all prescriptions

0

prescriptions.

11

patients, 4% of all patients

20 149
LABETALOL HCL

Labetalol is used to treat ... +

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

105

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 21 255
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

103

prescriptions, 1% of all prescriptions

5

prescriptions.

12

patients, 4% of all patients

22 91
ATENOLOL

Treats high blood pressure ... +

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

102

prescriptions, 1% of all prescriptions

19

prescriptions.

15

patients, 5% of all patients

23 19
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

101

prescriptions, 1% of all prescriptions

5

prescriptions.

27

patients, 9% of all patients

O 24 1
TRAMADOL HCL

Tramadol is used to relieve... +

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

87

prescriptions, 1% of all prescriptions

5

prescriptions.

14

patients, 5% of all patients

O 25 27
GABAPENTIN

Treats certain types of sei... +

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

86

prescriptions, 1% of all prescriptions

5

prescriptions.

13

patients, 4% of all patients

26 9
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

78

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 27 56
PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole 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

72

prescriptions, 1% of all prescriptions

11

prescriptions.

<11 28 162
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

69

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 29 13
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

69

prescriptions, 1% of all prescriptions

5

prescriptions.

16

patients, 5% of all patients

29 37
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

5

prescriptions.

15

patients, 5% of all patients

O 29 132
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

67

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 32 18
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

64

prescriptions, 1% of all prescriptions

27

prescriptions.

24

patients, 8% of all patients

33 4
CLOTRIMAZOLE

This medicine is an antifun... +

This medicine is an antifungal. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

5

prescriptions.

17

patients, 6% of all patients

33 296
CLONIDINE HCL

Clonidine is used alone or ... +

Clonidine 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

5

prescriptions.

<11 35 72
PROPRANOLOL HCL

Propranolol is used to trea... +

Propranolol is used to treat high blood pressure, abnormal heart rhythms, heart disease, pheochromocytoma (tumor on a small gland near the kidneys), and certain types of tremor. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

17

prescriptions.

<11 36 195
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

55

prescriptions, 1% of all prescriptions

5

prescriptions.

26

patients, 8% of all patients

37 76
PREMARIN

Estrogens are female hormon... +

Estrogens are female hormones. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 R 38 153
VYTORIN

Lowers high cholesterol and... +

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

52

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 39 392
LOVAZA 52

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 39 392
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.