Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Pain Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

13,142Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 64

$1.71M Total Retail Price of All Prescriptions

Rank: 2 out of 64

531 Patients Receiving at Least One Drug in Part D
28% Patients 65 Years and Older

76% 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

3% of this provider’s 531 patients filled at least one prescription for an antibiotic drug, compared to an average of 4%.

More resources »

Risky Drugs for Seniors

26% of this provider’s 148 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

96% of this provider’s 531 patients filled at least one prescription for an opioid, compared to an average of 77%.

More resources »

Brand Name Drugs

14% of this provider’s prescriptions were for brand-name drugs, compared to an average of 13%.

Prescription Price

$130 was the average price of a prescription from this provider, compared to $88 among peers.

Prescriptions per Patient

25 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$1.25M

2012

$1.58M

2013

$1.97M

2014

$1.71M

2015

Number of Claims

10,418

2012

13,333

2013

14,732

2014

13,142

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
OXYCODONE HCL

Oxycodone is used to reliev... +

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

1,510

prescriptions, 11% of all prescriptions

225

prescriptions.

201

patients, 38% of all patients

O 1 3
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

1,200

prescriptions, 9% of all prescriptions

391

prescriptions.

178

patients, 34% of all patients

O 2 1
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

1,111

prescriptions, 8% of all prescriptions

251

prescriptions.

142

patients, 27% of all patients

O 3 5
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

980

prescriptions, 7% of all prescriptions

250

prescriptions.

175

patients, 33% of all patients

O 4 2
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

830

prescriptions, 6% of all prescriptions

75

prescriptions.

109

patients, 21% of all patients

5 16
GABAPENTIN

Treats certain types of sei... +

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

747

prescriptions, 6% of all prescriptions

144

prescriptions.

146

patients, 27% of all patients

6 4
CARISOPRODOL

Treats pain and stiffness o... +

Treats pain and stiffness of muscle spasms. Source: National Library of Medicine

624

prescriptions, 5% of all prescriptions

78

prescriptions.

81

patients, 15% of all patients

R 7 18
OXYCONTIN

Oxycodone is used to reliev... +

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

615

prescriptions, 5% of all prescriptions

91

prescriptions.

101

patients, 19% of all patients

O 8 9
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

427

prescriptions, 3% of all prescriptions

91

prescriptions.

78

patients, 15% of all patients

O 9 6
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

336

prescriptions, 3% of all prescriptions

73

prescriptions.

51

patients, 10% of all patients

O 10 11
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

311

prescriptions, 2% of all prescriptions

55

prescriptions.

73

patients, 14% of all patients

11 27
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

290

prescriptions, 2% of all prescriptions

42

prescriptions.

45

patients, 8% of all patients

O 12 7
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

278

prescriptions, 2% of all prescriptions

17

prescriptions.

58

patients, 11% of all patients

R 13 15
MELOXICAM

Treats symptoms of osteoart... +

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

277

prescriptions, 2% of all prescriptions

42

prescriptions.

57

patients, 11% of all patients

14 14
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

251

prescriptions, 2% of all prescriptions

53

prescriptions.

64

patients, 12% of all patients

15 10
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

247

prescriptions, 2% of all prescriptions

50

prescriptions.

46

patients, 9% of all patients

16 13
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

238

prescriptions, 2% of all prescriptions

37

prescriptions.

58

patients, 11% of all patients

17 25
TRAMADOL HCL

Tramadol is used to relieve... +

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

207

prescriptions, 2% of all prescriptions

48

prescriptions.

32

patients, 6% of all patients

O 18 8
LIDOCAINE-PRILOCAINE

This is used on the skin or... +

This is used on the skin or in the genital area to cause numbness or loss of feeling before certain medical procedures. Source: National Library of Medicine

199

prescriptions, 2% of all prescriptions

73

prescriptions.

74

patients, 14% of all patients

19 26
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

179

prescriptions, 1% of all prescriptions

29

prescriptions.

27

patients, 5% of all patients

R 20 24
TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Source: National Library of Medicine

177

prescriptions, 1% of all prescriptions

21

prescriptions.

37

patients, 7% of all patients

21 28
VOLTAREN

Treats pain caused by arthr... +

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

143

prescriptions, 1% of all prescriptions

21

prescriptions.

30

patients, 6% of all patients

22 20
BACLOFEN

Treats muscle spasms caused... +

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

140

prescriptions, 1% of all prescriptions

22

prescriptions.

24

patients, 5% of all patients

23 12
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

118

prescriptions, 1% of all prescriptions

5

prescriptions.

32

patients, 6% of all patients

24 22
CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

113

prescriptions, 1% of all prescriptions

35

prescriptions.

21

patients, 4% of all patients

25 30
CLONAZEPAM

Treats seizures, panic diso... +

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

105

prescriptions, 1% of all prescriptions

18

prescriptions.

13

patients, 2% of all patients

26 37
PROMETHAZINE HCL

Promethazine is used to rel... +

Promethazine is used to relieve the symptoms of allergic reactions such as allergic rhinitis (runny nose and watery eyes caused by allergy to pollen, mold or dust), allergic conjunctivitis (red, watery eyes caused by allergies), allergic skin reactions, and allergic reactions to blood or plasma products. Source: National Library of Medicine

105

prescriptions, 1% of all prescriptions

11

prescriptions.

26

patients, 5% of all patients

R 26 46
ALPRAZOLAM

Treats anxiety, panic disor... +

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

97

prescriptions, 1% of all prescriptions

5

prescriptions.

23

patients, 4% of all patients

28 34
LIDOCAINE

Causes numbness or loss of ... +

Causes numbness or loss of feeling in an area of your body. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

5

prescriptions.

24

patients, 5% of all patients

29 31
MORPHINE SULFATE

Morphine is used to relieve... +

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

82

prescriptions, 1% of all prescriptions

21

prescriptions.

14

patients, 3% of all patients

O 30 17
METHOCARBAMOL

Treats muscle pain and spas... +

Treats muscle pain and spasms. Source: National Library of Medicine

64

prescriptions, 0% of all prescriptions

11

prescriptions.

13

patients, 2% of all patients

R 31 23
TRAZODONE HCL

Trazodone is used to treat ... +

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

62

prescriptions, 0% of all prescriptions

14

prescriptions.

11

patients, 2% of all patients

32 35
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

54

prescriptions, 0% of all prescriptions

28

prescriptions.

16

patients, 3% of all patients

R 33 21
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?

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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 Feb. 20, 2016.
  • 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.