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 »

14,265Medicare Part D Prescriptions Filled, Including Refills

Rank: 31 out of 410

$834K Total Retail Price of All Prescriptions

Rank: 24 out of 410

937 Patients Receiving at Least One Drug in Part D
95% Patients 65 Years and Older

17% 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 Nevada
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

11% of this provider’s 937 patients filled at least one prescription for an antibiotic drug, compared to an average of 26%.

More resources »

Risky Drugs for Seniors

12% of this provider’s 886 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

17% of this provider’s 937 patients filled at least one prescription for an opioid, compared to an average of 20%.

More resources »

Brand Name Drugs

18% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$58 was the average price of a prescription from this provider, compared to $74 among peers.

Prescriptions per Patient

15 is the average number of prescriptions (including refills) per patient, compared to an average of 14.


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

$557K

2012

$707K

2013

$762K

2014

$834K

2015

Number of Claims

10,517

2012

11,787

2013

12,444

2014

14,265

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
LISINOPRIL

Treats high blood pressure ... +

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

778

prescriptions, 5% of all prescriptions

728

prescriptions.

198

patients, 21% of all patients

1 2
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

665

prescriptions, 5% of all prescriptions

654

prescriptions.

178

patients, 19% of all patients

2 3
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

579

prescriptions, 4% of all prescriptions

560

prescriptions.

132

patients, 14% of all patients

3 1
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

487

prescriptions, 3% of all prescriptions

453

prescriptions.

120

patients, 13% of all patients

4 4
ALPRAZOLAM

Treats anxiety, panic disor... +

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

486

prescriptions, 3% of all prescriptions

426

prescriptions.

96

patients, 10% of all patients

5 13
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

480

prescriptions, 3% of all prescriptions

408

prescriptions.

89

patients, 9% of all patients

O 6 8
SIMVASTATIN

Treats high cholesterol and... +

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

430

prescriptions, 3% of all prescriptions

412

prescriptions.

106

patients, 11% of all patients

7 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

410

prescriptions, 3% of all prescriptions

375

prescriptions.

97

patients, 10% of all patients

8 6
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

327

prescriptions, 2% of all prescriptions

322

prescriptions.

78

patients, 8% of all patients

9 14
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

283

prescriptions, 2% of all prescriptions

257

prescriptions.

72

patients, 8% of all patients

10 7
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

261

prescriptions, 2% of all prescriptions

236

prescriptions.

72

patients, 8% of all patients

11 9
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

259

prescriptions, 2% of all prescriptions

254

prescriptions.

53

patients, 6% of all patients

12 17
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

240

prescriptions, 2% of all prescriptions

220

prescriptions.

65

patients, 7% of all patients

13 15
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

223

prescriptions, 2% of all prescriptions

223

prescriptions.

56

patients, 6% of all patients

14 46
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

215

prescriptions, 2% of all prescriptions

202

prescriptions.

51

patients, 5% of all patients

R 15 30
LOVASTATIN

Lowers high cholesterol and... +

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

196

prescriptions, 1% of all prescriptions

172

prescriptions.

52

patients, 6% of all patients

16 21
ATENOLOL

Treats high blood pressure ... +

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

189

prescriptions, 1% of all prescriptions

184

prescriptions.

42

patients, 4% of all patients

17 16
FUROSEMIDE

Treats fluid retention (ede... +

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

181

prescriptions, 1% of all prescriptions

176

prescriptions.

47

patients, 5% of all patients

18 12
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

178

prescriptions, 1% of all prescriptions

173

prescriptions.

53

patients, 6% of all patients

19 11
GABAPENTIN

Treats certain types of sei... +

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

166

prescriptions, 1% of all prescriptions

129

prescriptions.

35

patients, 4% of all patients

20 10
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

160

prescriptions, 1% of all prescriptions

148

prescriptions.

33

patients, 4% of all patients

21 18
FLUOXETINE HCL

Fluoxetine is used to treat... +

Fluoxetine 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), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Source: National Library of Medicine

160

prescriptions, 1% of all prescriptions

120

prescriptions.

30

patients, 3% of all patients

21 50
CITALOPRAM HBR

Citalopram is used to treat... +

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

155

prescriptions, 1% of all prescriptions

150

prescriptions.

35

patients, 4% of all patients

23 32
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

147

prescriptions, 1% of all prescriptions

147

prescriptions.

29

patients, 3% of all patients

24 26
BENAZEPRIL HCL

Benazepril is used alone or... +

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

142

prescriptions, 1% of all prescriptions

142

prescriptions.

33

patients, 4% of all patients

25 60
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

137

prescriptions, 1% of all prescriptions

120

prescriptions.

25

patients, 3% of all patients

26 59
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

131

prescriptions, 1% of all prescriptions

126

prescriptions.

28

patients, 3% of all patients

27 49
TRAMADOL HCL

Tramadol is used to relieve... +

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

127

prescriptions, 1% of all prescriptions

113

prescriptions.

43

patients, 5% of all patients

O 28 28
CLOPIDOGREL

Helps prevent stroke, heart... +

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

126

prescriptions, 1% of all prescriptions

121

prescriptions.

24

patients, 3% of all patients

29 23
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

126

prescriptions, 1% of all prescriptions

126

prescriptions.

23

patients, 2% of all patients

29 39
CLONAZEPAM

Treats seizures, panic diso... +

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

123

prescriptions, 1% of all prescriptions

99

prescriptions.

19

patients, 2% of all patients

31 57
CARVEDILOL

Treats high blood pressure ... +

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

122

prescriptions, 1% of all prescriptions

122

prescriptions.

31

patients, 3% of all patients

32 20
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

121

prescriptions, 1% of all prescriptions

116

prescriptions.

28

patients, 3% of all patients

33 22
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

117

prescriptions, 1% of all prescriptions

102

prescriptions.

26

patients, 3% of all patients

34 25
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

114

prescriptions, 1% of all prescriptions

102

prescriptions.

26

patients, 3% of all patients

35 29
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

113

prescriptions, 1% of all prescriptions

96

prescriptions.

28

patients, 3% of all patients

36 40
ALLOPURINOL

Treats gout and some kinds ... +

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

112

prescriptions, 1% of all prescriptions

107

prescriptions.

36

patients, 4% of all patients

37 27
TRAZODONE HCL

Trazodone is used to treat ... +

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

111

prescriptions, 1% of all prescriptions

98

prescriptions.

25

patients, 3% of all patients

38 31
LORAZEPAM

Treats anxiety, anxiety wit... +

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

105

prescriptions, 1% of all prescriptions

100

prescriptions.

27

patients, 3% of all patients

39 45
TRIAMTERENE-HYDROCHLOROTHIAZID

Used to treat high blood pr... +

Used to treat high blood pressure and edema (fluid retention; excess fluid held in body tissues) in patients who have lower amounts of potassium in their bodies or for whom low potassium levels in the body could be dangerous. Source: National Library of Medicine

105

prescriptions, 1% of all prescriptions

105

prescriptions.

23

patients, 2% of all patients

39 56
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

101

prescriptions, 1% of all prescriptions

101

prescriptions.

25

patients, 3% of all patients

41 51
VALSARTAN

Valsartan is used alone or ... +

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

100

prescriptions, 1% of all prescriptions

100

prescriptions.

27

patients, 3% of all patients

42 110
METFORMIN HCL ER

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

89

prescriptions, 1% of all prescriptions

76

prescriptions.

20

patients, 2% of all patients

43 53
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

86

prescriptions, 1% of all prescriptions

62

prescriptions.

29

patients, 3% of all patients

44 35
ESTRADIOL

Replaces estrogen that decr... +

Replaces estrogen that decreases with menopause or removal of the ovaries. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

61

prescriptions.

18

patients, 2% of all patients

R 45 129
DIAZEPAM

Treats anxiety, muscle spas... +

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

76

prescriptions, 1% of all prescriptions

47

prescriptions.

22

patients, 2% of all patients

46 66
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

76

prescriptions.

15

patients, 2% of all patients

46 37
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

74

prescriptions, 1% of all prescriptions

44

prescriptions.

16

patients, 2% of all patients

O 48 36
PAROXETINE HCL

Paroxetine tablets, suspens... +

Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), 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

74

prescriptions, 1% of all prescriptions

74

prescriptions.

17

patients, 2% of all patients

48 73
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

74

prescriptions, 1% of all prescriptions

74

prescriptions.

13

patients, 1% of all patients

48 103
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

73

prescriptions, 1% of all prescriptions

73

prescriptions.

16

patients, 2% of all patients

51 63
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

71

prescriptions, 0% of all prescriptions

66

prescriptions.

20

patients, 2% of all patients

52 61
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

68

prescriptions, 0% of all prescriptions

68

prescriptions.

13

patients, 1% of all patients

53 79
FLUOCINONIDE

Treats many skin disorders.... +

Treats many skin disorders. Source: National Library of Medicine

68

prescriptions, 0% of all prescriptions

68

prescriptions.

<11 53 231
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

63

prescriptions, 0% of all prescriptions

63

prescriptions.

18

patients, 2% of all patients

55 74
VALSARTAN-HYDROCHLOROTHIAZIDE

Treats high blood pressure. +

Treats high blood pressure. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

63

prescriptions.

16

patients, 2% of all patients

55 100
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

59

prescriptions, 0% of all prescriptions

45

prescriptions.

17

patients, 2% of all patients

57 24
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

52

prescriptions.

15

patients, 2% of all patients

58 38
MELOXICAM

Treats symptoms of osteoart... +

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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

16

patients, 2% of all patients

59 44
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

52

prescriptions.

<11 60 42
RAMIPRIL

Treats high blood pressure ... +

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

52

prescriptions, 0% of all prescriptions

52

prescriptions.

11

patients, 1% of all patients

60 133
NEXIUM

Treats heartburn, gastroeso... +

Treats heartburn, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

47

prescriptions.

13

patients, 1% of all patients

60 136
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

51

prescriptions, 0% of all prescriptions

51

prescriptions.

<11 63 41
BENICAR

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

51

prescriptions.

11

patients, 1% of all patients

63 128
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 Sept. 18, 2014.
  • 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.