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 »

11,591Medicare Part D Prescriptions Filled, Including Refills

Rank: 69 out of 951

$613K Total Retail Price of All Prescriptions

Rank: 110 out of 951

520 Patients Receiving at Least One Drug in Part D
77% Patients 65 Years and Older

45% 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

3% of this provider’s 402 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

31% of this provider’s 520 patients filled at least one prescription for an antibiotic drug, compared to an average of 20%.

More resources »

Risky Drugs for Seniors

15% of this provider’s 402 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

39% of this provider’s 520 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 19%.

Prescription Price

$53 was the average price of a prescription from this provider, compared to $74 among peers.

Prescriptions per Patient

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


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

$606K

2013

$641K

2014

$613K

2015

Number of Claims

10,262

2012

11,713

2013

11,746

2014

11,591

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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

469

prescriptions, 4% of all prescriptions

283

prescriptions.

88

patients, 17% of all patients

O 1 10
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

392

prescriptions, 3% of all prescriptions

276

prescriptions.

106

patients, 20% of all patients

2 4
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

379

prescriptions, 3% of all prescriptions

328

prescriptions.

86

patients, 17% of all patients

3 5
SIMVASTATIN

Treats high cholesterol and... +

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

354

prescriptions, 3% of all prescriptions

274

prescriptions.

96

patients, 18% of all patients

4 6
ALPRAZOLAM

Treats anxiety, panic disor... +

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

275

prescriptions, 2% of all prescriptions

176

prescriptions.

51

patients, 10% of all patients

5 34
CARVEDILOL

Treats high blood pressure ... +

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

266

prescriptions, 2% of all prescriptions

205

prescriptions.

70

patients, 13% of all patients

6 31
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

257

prescriptions, 2% of all prescriptions

202

prescriptions.

60

patients, 12% of all patients

7 13
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

254

prescriptions, 2% of all prescriptions

182

prescriptions.

57

patients, 11% of all patients

8 1
LISINOPRIL

Treats high blood pressure ... +

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

251

prescriptions, 2% of all prescriptions

181

prescriptions.

69

patients, 13% of all patients

9 2
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

237

prescriptions, 2% of all prescriptions

169

prescriptions.

56

patients, 11% of all patients

10 3
TRAMADOL HCL

Tramadol is used to relieve... +

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

237

prescriptions, 2% of all prescriptions

144

prescriptions.

64

patients, 12% of all patients

O 10 26
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

231

prescriptions, 2% of all prescriptions

197

prescriptions.

64

patients, 12% of all patients

12 8
GABAPENTIN

Treats certain types of sei... +

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

223

prescriptions, 2% of all prescriptions

133

prescriptions.

50

patients, 10% of all patients

13 11
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

212

prescriptions, 2% of all prescriptions

162

prescriptions.

56

patients, 11% of all patients

14 9
FUROSEMIDE

Treats fluid retention (ede... +

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

206

prescriptions, 2% of all prescriptions

167

prescriptions.

63

patients, 12% of all patients

15 7
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

202

prescriptions, 2% of all prescriptions

146

prescriptions.

36

patients, 7% of all patients

O 16 42
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

184

prescriptions, 2% of all prescriptions

143

prescriptions.

57

patients, 11% of all patients

17 20
OXYCODONE HCL

Oxycodone is used to reliev... +

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

179

prescriptions, 2% of all prescriptions

45

prescriptions.

33

patients, 6% of all patients

O 18 24
CLOPIDOGREL

Helps prevent stroke, heart... +

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

178

prescriptions, 2% of all prescriptions

136

prescriptions.

35

patients, 7% of all patients

19 28
TRAZODONE HCL

Trazodone is used to treat ... +

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

168

prescriptions, 1% of all prescriptions

77

prescriptions.

35

patients, 7% of all patients

20 21
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

163

prescriptions, 1% of all prescriptions

119

prescriptions.

38

patients, 7% of all patients

21 22
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

153

prescriptions, 1% of all prescriptions

139

prescriptions.

38

patients, 7% of all patients

22 50
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

150

prescriptions, 1% of all prescriptions

81

prescriptions.

40

patients, 8% of all patients

R 23 36
LORAZEPAM

Treats anxiety, anxiety wit... +

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

140

prescriptions, 1% of all prescriptions

57

prescriptions.

30

patients, 6% of all patients

24 29
CITALOPRAM HBR

Citalopram is used to treat... +

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

134

prescriptions, 1% of all prescriptions

99

prescriptions.

31

patients, 6% of all patients

25 18
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

126

prescriptions, 1% of all prescriptions

93

prescriptions.

39

patients, 8% of all patients

26 15
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

125

prescriptions, 1% of all prescriptions

99

prescriptions.

38

patients, 7% of all patients

27 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

114

prescriptions, 1% of all prescriptions

89

prescriptions.

25

patients, 5% of all patients

28 19
FENOFIBRATE*

Treats high cholesterol and... +

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

108

prescriptions, 1% of all prescriptions

53

prescriptions.

25

patients, 5% of all patients

29 87
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

103

prescriptions, 1% of all prescriptions

50

prescriptions.

33

patients, 6% of all patients

30 30
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

97

prescriptions, 1% of all prescriptions

51

prescriptions.

23

patients, 4% of all patients

31 14
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

90

prescriptions, 1% of all prescriptions

31

prescriptions.

21

patients, 4% of all patients

32 147
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

88

prescriptions, 1% of all prescriptions

35

prescriptions.

21

patients, 4% of all patients

33 75
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

85

prescriptions, 1% of all prescriptions

85

prescriptions.

22

patients, 4% of all patients

34 35
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

80

prescriptions, 1% of all prescriptions

66

prescriptions.

21

patients, 4% of all patients

35 16
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

76

prescriptions, 1% of all prescriptions

44

prescriptions.

42

patients, 8% of all patients

36 72
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

75

prescriptions, 1% of all prescriptions

45

prescriptions.

21

patients, 4% of all patients

37 115
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

69

prescriptions.

16

patients, 3% of all patients

38 73
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

71

prescriptions, 1% of all prescriptions

39

prescriptions.

14

patients, 3% of all patients

39 56
AZITHROMYCIN

Treats infections caused by... +

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

70

prescriptions, 1% of all prescriptions

55

prescriptions.

40

patients, 8% of all patients

A 40 66
RISPERIDONE

Treats schizophrenia and ce... +

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

69

prescriptions, 1% of all prescriptions

14

prescriptions.

11

patients, 2% of all patients

P 41 68
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

69

prescriptions, 1% of all prescriptions

64

prescriptions.

20

patients, 4% of all patients

41 61
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

68

prescriptions, 1% of all prescriptions

63

prescriptions.

18

patients, 3% of all patients

43 32
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

Treats symptoms of Parkinson's disease or side effects of other drugs. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 R 44 299
ALLOPURINOL

Treats gout and some kinds ... +

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

62

prescriptions, 1% of all prescriptions

57

prescriptions.

19

patients, 4% of all patients

45 27
PREDNISONE

Treats inflammation (swelli... +

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

61

prescriptions, 1% of all prescriptions

56

prescriptions.

20

patients, 4% of all patients

46 38
BACLOFEN

Treats muscle spasms caused... +

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

60

prescriptions, 1% of all prescriptions

25

prescriptions.

<11 47 65
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

58

prescriptions, 1% of all prescriptions

22

prescriptions.

<11 P 48 46
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

56

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 49 40
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

56

prescriptions, 0% of all prescriptions

37

prescriptions.

13

patients, 3% of all patients

49 48
NAMENDA XR

Used to treat the symptoms ... +

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

56

prescriptions, 0% of all prescriptions

56

prescriptions.

<11 49 78
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

55

prescriptions, 0% of all prescriptions

50

prescriptions.

13

patients, 3% of all patients

52 55
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

50

prescriptions, 0% of all prescriptions

45

prescriptions.

17

patients, 3% of all patients

53 89
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

14

patients, 3% of all patients

53 44
MORPHINE SULFATE ER

Morphine (extended release)... +

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

50

prescriptions, 0% of all prescriptions

27

prescriptions.

12

patients, 2% of all patients

O 53 52
LOVASTATIN

Lowers high cholesterol and... +

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

50

prescriptions, 0% of all prescriptions

34

prescriptions.

<11 53 25
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 June 4, 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.