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 »

5,204Medicare Part D Prescriptions Filled, Including Refills

Rank: 20 out of 338

$222K Total Retail Price of All Prescriptions

Rank: 76 out of 338

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

82% 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 Washington
lower than average

Antipsychotics

6% of this provider’s 254 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 3%.

More resources »

Antibiotics

15% of this provider’s 281 patients filled at least one prescription for an antibiotic drug, compared to an average of 16%.

More resources »

Risky Drugs for Seniors

11% of this provider’s 254 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

42% of this provider’s 281 patients filled at least one prescription for an opioid, compared to an average of 21%.

More resources »

Brand Name Drugs *

20% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%.

* This is an estimate, see our methodology.

Prescription Price

$43 was the average price of a prescription from this provider, compared to $178 among peers.

Prescriptions per Patient

19 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

$70.4K

2012

$116K

2013

$140K

2014

$222K

2015

Number of Claims

1,377

2012

2,526

2013

3,561

2014

5,204

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
FUROSEMIDE

Treats fluid retention (ede... +

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

293

prescriptions, 6% of all prescriptions

270

prescriptions.

58

patients, 21% of all patients

1 8
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

286

prescriptions, 5% of all prescriptions

281

prescriptions.

44

patients, 16% of all patients

O 2 3
OXYCODONE HCL

Oxycodone is used to reliev... +

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

203

prescriptions, 4% of all prescriptions

169

prescriptions.

43

patients, 15% of all patients

O 3 11
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

190

prescriptions, 4% of all prescriptions

175

prescriptions.

41

patients, 15% of all patients

4 18
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

173

prescriptions, 3% of all prescriptions

173

prescriptions.

26

patients, 9% of all patients

5 5
GABAPENTIN

Treats certain types of sei... +

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

160

prescriptions, 3% of all prescriptions

143

prescriptions.

30

patients, 11% of all patients

6 7
MORPHINE SULFATE ER

Morphine (extended release)... +

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

136

prescriptions, 3% of all prescriptions

96

prescriptions.

13

patients, 5% of all patients

O 7 26
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

124

prescriptions, 2% of all prescriptions

99

prescriptions.

28

patients, 10% of all patients

8 2
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

121

prescriptions, 2% of all prescriptions

116

prescriptions.

38

patients, 14% of all patients

9 6
LISINOPRIL

Treats high blood pressure ... +

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

117

prescriptions, 2% of all prescriptions

99

prescriptions.

39

patients, 14% of all patients

10 1
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

100

prescriptions, 2% of all prescriptions

95

prescriptions.

36

patients, 13% of all patients

11 16
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

88

prescriptions, 2% of all prescriptions

88

prescriptions.

31

patients, 11% of all patients

12 14
LORAZEPAM

Treats anxiety, anxiety wit... +

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

80

prescriptions, 2% of all prescriptions

75

prescriptions.

30

patients, 11% of all patients

13 19
CLOPIDOGREL

Helps prevent stroke, heart... +

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

79

prescriptions, 2% of all prescriptions

74

prescriptions.

18

patients, 6% of all patients

14 25
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

76

prescriptions, 1% of all prescriptions

71

prescriptions.

21

patients, 7% of all patients

15 9
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

75

prescriptions, 1% of all prescriptions

75

prescriptions.

<11 P 16 24
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

75

prescriptions, 1% of all prescriptions

75

prescriptions.

<11 16 48
TRAMADOL HCL

Tramadol is used to relieve... +

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

73

prescriptions, 1% of all prescriptions

68

prescriptions.

15

patients, 5% of all patients

O 18 23
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

71

prescriptions, 1% of all prescriptions

66

prescriptions.

31

patients, 11% of all patients

19 4
HUMALOG

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

60

prescriptions.

<11 20 109
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

62

prescriptions, 1% of all prescriptions

57

prescriptions.

11

patients, 4% of all patients

21 12
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

59

prescriptions, 1% of all prescriptions

54

prescriptions.

17

patients, 6% of all patients

22 41
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

58

prescriptions, 1% of all prescriptions

53

prescriptions.

11

patients, 4% of all patients

23 21
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

58

prescriptions.

11

patients, 4% of all patients

23 61
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

54

prescriptions, 1% of all prescriptions

54

prescriptions.

<11 25 31
TRAZODONE HCL

Trazodone is used to treat ... +

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

54

prescriptions, 1% of all prescriptions

49

prescriptions.

<11 25 17
IPRATROPIUM-ALBUTEROL

The combination of albutero... +

The combination of albuterol and ipratropium is used to prevent wheezing, difficulty breathing, chest tightness, and coughing in people with chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to the air sacs in the lungs). Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

46

prescriptions.

16

patients, 6% of all patients

27 165
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

51

prescriptions, 1% of all prescriptions

51

prescriptions.

<11 O 27 38
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

50

prescriptions, 1% of all prescriptions

45

prescriptions.

14

patients, 5% of all patients

O 29 30
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. 6, 2015.
  • 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.