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 »

17,550Medicare Part D Prescriptions Filled, Including Refills

Rank: 16 out of 369

$811K Total Retail Price of All Prescriptions

Rank: 21 out of 369

608 Patients Receiving at Least One Drug in Part D
90% Patients 65 Years and Older

77% 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 Rhode Island
lower than average

Antipsychotics

8% of this provider’s 548 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 3%.

More resources »

Antibiotics

27% of this provider’s 608 patients filled at least one prescription for an antibiotic drug, compared to an average of 23%.

More resources »

Risky Drugs for Seniors

7% of this provider’s 548 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

14% of this provider’s 608 patients filled at least one prescription for an opioid, compared to an average of 13%.

More resources »

Brand Name Drugs

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 16%.

Prescription Price

$46 was the average price of a prescription from this provider, compared to $56 among peers.

Prescriptions per Patient

29 is the average number of prescriptions (including refills) per patient, compared to an average of 18.


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

$1.5M

2012

$1.11M

2013

$873K

2014

$811K

2015

Number of Claims

27,497

2012

24,203

2013

20,169

2014

17,550

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
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

773

prescriptions, 4% of all prescriptions

768

prescriptions.

38

patients, 6% of all patients

1 12
FUROSEMIDE

Treats fluid retention (ede... +

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

732

prescriptions, 4% of all prescriptions

727

prescriptions.

91

patients, 15% of all patients

2 7
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

685

prescriptions, 4% of all prescriptions

680

prescriptions.

56

patients, 9% of all patients

3 15
TRAZODONE HCL

Trazodone is used to treat ... +

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

549

prescriptions, 3% of all prescriptions

525

prescriptions.

108

patients, 18% of all patients

4 14
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

496

prescriptions, 3% of all prescriptions

483

prescriptions.

73

patients, 12% of all patients

5 4
LISINOPRIL

Treats high blood pressure ... +

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

496

prescriptions, 3% of all prescriptions

472

prescriptions.

83

patients, 14% of all patients

5 2
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

487

prescriptions, 3% of all prescriptions

482

prescriptions.

69

patients, 11% of all patients

7 5
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

472

prescriptions, 3% of all prescriptions

467

prescriptions.

71

patients, 12% of all patients

8 8
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

466

prescriptions, 3% of all prescriptions

446

prescriptions.

92

patients, 15% of all patients

9 1
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

429

prescriptions, 2% of all prescriptions

429

prescriptions.

25

patients, 4% of all patients

10 48
SIMVASTATIN

Treats high cholesterol and... +

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

344

prescriptions, 2% of all prescriptions

344

prescriptions.

50

patients, 8% of all patients

11 6
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

325

prescriptions, 2% of all prescriptions

296

prescriptions.

29

patients, 5% of all patients

12 28
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

314

prescriptions, 2% of all prescriptions

314

prescriptions.

41

patients, 7% of all patients

13 29
CITALOPRAM HBR

Citalopram is used to treat... +

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

271

prescriptions, 2% of all prescriptions

249

prescriptions.

36

patients, 6% of all patients

14 19
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

262

prescriptions, 1% of all prescriptions

257

prescriptions.

52

patients, 9% of all patients

15 10
GABAPENTIN

Treats certain types of sei... +

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

261

prescriptions, 1% of all prescriptions

247

prescriptions.

40

patients, 7% of all patients

16 17
QUETIAPINE FUMARATE

Quetiapine is used to treat... +

Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

260

prescriptions, 1% of all prescriptions

255

prescriptions.

27

patients, 4% of all patients

P 17 49
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

248

prescriptions, 1% of all prescriptions

231

prescriptions.

33

patients, 5% of all patients

18 16
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

244

prescriptions, 1% of all prescriptions

224

prescriptions.

54

patients, 9% of all patients

19 3
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

242

prescriptions, 1% of all prescriptions

216

prescriptions.

33

patients, 5% of all patients

20 22
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

229

prescriptions, 1% of all prescriptions

211

prescriptions.

35

patients, 6% of all patients

21 11
CLOPIDOGREL

Helps prevent stroke, heart... +

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

220

prescriptions, 1% of all prescriptions

215

prescriptions.

29

patients, 5% of all patients

22 26
ATENOLOL

Treats high blood pressure ... +

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

216

prescriptions, 1% of all prescriptions

197

prescriptions.

38

patients, 6% of all patients

23 13
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

214

prescriptions, 1% of all prescriptions

209

prescriptions.

34

patients, 6% of all patients

24 35
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

207

prescriptions, 1% of all prescriptions

202

prescriptions.

36

patients, 6% of all patients

25 30
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

174

prescriptions, 1% of all prescriptions

169

prescriptions.

22

patients, 4% of all patients

26 44
LATANOPROST

Latanoprost ophthalmic is u... +

Latanoprost ophthalmic is used to treat glaucoma (a condition in which increased pressure in the eye can lead to gradual loss of vision) and ocular hypertension (a condition which causes increased pressure in the eye). Source: National Library of Medicine

163

prescriptions, 1% of all prescriptions

163

prescriptions.

20

patients, 3% of all patients

27 79
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

157

prescriptions, 1% of all prescriptions

157

prescriptions.

21

patients, 3% of all patients

28 18
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

135

prescriptions, 1% of all prescriptions

135

prescriptions.

<11 29 97
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

130

prescriptions, 1% of all prescriptions

125

prescriptions.

24

patients, 4% of all patients

30 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

126

prescriptions, 1% of all prescriptions

121

prescriptions.

30

patients, 5% of all patients

31 9
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

111

prescriptions, 1% of all prescriptions

111

prescriptions.

13

patients, 2% of all patients

32 55
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

108

prescriptions, 1% of all prescriptions

108

prescriptions.

11

patients, 2% of all patients

P 33 71
ALPRAZOLAM

Treats anxiety, panic disor... +

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

107

prescriptions, 1% of all prescriptions

78

prescriptions.

23

patients, 4% of all patients

34 20
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

99

prescriptions, 1% of all prescriptions

94

prescriptions.

15

patients, 2% of all patients

35 56
NOVOLOG FLEXPEN

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

95

prescriptions.

14

patients, 2% of all patients

36 113
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

94

prescriptions, 1% of all prescriptions

89

prescriptions.

24

patients, 4% of all patients

37 24
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

87

prescriptions, 0% of all prescriptions

82

prescriptions.

15

patients, 2% of all patients

38 64
TAMIFLU

Used in the treatment of th... +

Used in the treatment of the infection caused by the flu virus (influenza A and influenza B). Source: National Library of Medicine

87

prescriptions, 0% of all prescriptions

82

prescriptions.

87

patients, 14% of all patients

38 80
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

84

prescriptions, 0% of all prescriptions

79

prescriptions.

<11 40 81
AUTOSHIELD DUO PEN NEEDLE 82

prescriptions, 0% of all prescriptions

82

prescriptions.

15

patients, 2% of all patients

41 133
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

81

prescriptions, 0% of all prescriptions

81

prescriptions.

<11 42 70
LORAZEPAM

Treats anxiety, anxiety wit... +

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

81

prescriptions, 0% of all prescriptions

81

prescriptions.

26

patients, 4% of all patients

42 25
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

79

prescriptions, 0% of all prescriptions

79

prescriptions.

12

patients, 2% of all patients

44 42
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

77

prescriptions, 0% of all prescriptions

41

prescriptions.

20

patients, 3% of all patients

O 45 21
TRAMADOL HCL

Tramadol is used to relieve... +

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

77

prescriptions, 0% of all prescriptions

72

prescriptions.

25

patients, 4% of all patients

O 45 32
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

76

prescriptions, 0% of all prescriptions

76

prescriptions.

<11 47 68
ALLOPURINOL

Treats gout and some kinds ... +

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

73

prescriptions, 0% of all prescriptions

73

prescriptions.

12

patients, 2% of all patients

48 27
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

72

prescriptions, 0% of all prescriptions

67

prescriptions.

<11 49 72
ZETIA

Lowers cholesterol in your ... +

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

71

prescriptions, 0% of all prescriptions

71

prescriptions.

<11 50 88
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

69

prescriptions, 0% of all prescriptions

51

prescriptions.

11

patients, 2% of all patients

R 51 85
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

66

prescriptions, 0% of all prescriptions

61

prescriptions.

<11 52 129
LEVEMIR FLEXTOUCH

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

60

prescriptions.

<11 53 139
AZITHROMYCIN

Treats infections caused by... +

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

60

prescriptions, 0% of all prescriptions

55

prescriptions.

45

patients, 7% of all patients

A 53 60
DIAZEPAM

Treats anxiety, muscle spas... +

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

59

prescriptions, 0% of all prescriptions

46

prescriptions.

16

patients, 3% of all patients

55 74
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

59

prescriptions, 0% of all prescriptions

54

prescriptions.

11

patients, 2% of all patients

55 59
BISOPROLOL FUMARATE

Bisoprolol is used alone or... +

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

58

prescriptions, 0% of all prescriptions

58

prescriptions.

<11 57 66
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

57

prescriptions, 0% of all prescriptions

52

prescriptions.

12

patients, 2% of all patients

58 152
OXYCONTIN

Oxycodone is used to reliev... +

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

56

prescriptions, 0% of all prescriptions

40

prescriptions.

<11 O 59 102
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

56

prescriptions, 0% of all prescriptions

56

prescriptions.

25

patients, 4% of all patients

A 59 144
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

54

prescriptions, 0% of all prescriptions

54

prescriptions.

<11 61 31
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

54

prescriptions, 0% of all prescriptions

37

prescriptions.

17

patients, 3% of all patients

61 23
CEPHALEXIN

Treats bacterial infections... +

Treats bacterial infections. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

48

prescriptions.

28

patients, 5% of all patients

A 63 123
LABETALOL HCL

Labetalol is used to treat ... +

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

52

prescriptions, 0% of all prescriptions

52

prescriptions.

<11 64 143
QUINAPRIL HCL

Quinapril is used alone or ... +

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

52

prescriptions, 0% of all prescriptions

52

prescriptions.

<11 64 67
ENALAPRIL MALEATE

Enalapril is used alone or ... +

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

52

prescriptions, 0% of all prescriptions

47

prescriptions.

<11 64 62
PREDNISONE

Treats inflammation (swelli... +

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

52

prescriptions, 0% of all prescriptions

52

prescriptions.

15

patients, 2% of all patients

64 36
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

51

prescriptions.

<11 68 121
CARVEDILOL

Treats high blood pressure ... +

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

51

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 68 61
CLONAZEPAM

Treats seizures, panic diso... +

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

51

prescriptions, 0% of all prescriptions

46

prescriptions.

12

patients, 2% of all patients

68 34
PHENYTOIN SODIUM EXTENDED

Phenytoin is used to contro... +

Phenytoin is used to control certain type of seizures, and to treat and prevent seizures that may begin during or after surgery to the brain or nervous system. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 71 198
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 16, 2012.
  • 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.