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 »

6,557Medicare Part D Prescriptions Filled, Including Refills

Rank: 14 out of 338

$408K Total Retail Price of All Prescriptions

Rank: 40 out of 338

341 Patients Receiving at Least One Drug in Part D
75% Patients 65 Years and Older

47% 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

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

28% of this provider’s 341 patients filled at least one prescription for an antibiotic drug, compared to an average of 16%.

More resources »

Risky Drugs for Seniors

15% of this provider’s 257 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

30% of this provider’s 341 patients filled at least one prescription for an opioid, compared to an average of 21%.

More resources »

Brand Name Drugs

14% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%.

Prescription Price

$62 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

$217K

2012

$260K

2013

$307K

2014

$408K

2015

Number of Claims

4,122

2012

4,986

2013

5,527

2014

6,557

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

336

prescriptions, 5% of all prescriptions

85

prescriptions.

36

patients, 11% of all patients

O 1 11
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

237

prescriptions, 4% of all prescriptions

168

prescriptions.

61

patients, 18% of all patients

2 4
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

222

prescriptions, 3% of all prescriptions

180

prescriptions.

60

patients, 18% of all patients

3 13
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

221

prescriptions, 3% of all prescriptions

96

prescriptions.

42

patients, 12% of all patients

O 4 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

220

prescriptions, 3% of all prescriptions

160

prescriptions.

56

patients, 16% of all patients

5 2
LISINOPRIL

Treats high blood pressure ... +

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

218

prescriptions, 3% of all prescriptions

152

prescriptions.

53

patients, 16% of all patients

6 1
ALPRAZOLAM

Treats anxiety, panic disor... +

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

199

prescriptions, 3% of all prescriptions

97

prescriptions.

31

patients, 9% of all patients

7 36
SIMVASTATIN

Treats high cholesterol and... +

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

178

prescriptions, 3% of all prescriptions

137

prescriptions.

37

patients, 11% of all patients

8 10
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

148

prescriptions, 2% of all prescriptions

99

prescriptions.

31

patients, 9% of all patients

9 12
ATENOLOL

Treats high blood pressure ... +

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

144

prescriptions, 2% of all prescriptions

113

prescriptions.

36

patients, 11% of all patients

10 39
LORAZEPAM

Treats anxiety, anxiety wit... +

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

129

prescriptions, 2% of all prescriptions

91

prescriptions.

27

patients, 8% of all patients

11 19
GABAPENTIN

Treats certain types of sei... +

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

127

prescriptions, 2% of all prescriptions

56

prescriptions.

29

patients, 9% of all patients

12 7
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

125

prescriptions, 2% of all prescriptions

101

prescriptions.

28

patients, 8% of all patients

13 9
CITALOPRAM HBR

Citalopram is used to treat... +

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

123

prescriptions, 2% of all prescriptions

69

prescriptions.

28

patients, 8% of all patients

14 20
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

107

prescriptions, 2% of all prescriptions

89

prescriptions.

25

patients, 7% of all patients

15 6
FUROSEMIDE

Treats fluid retention (ede... +

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

102

prescriptions, 2% of all prescriptions

54

prescriptions.

26

patients, 8% of all patients

16 8
LOVASTATIN

Lowers high cholesterol and... +

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

92

prescriptions, 1% of all prescriptions

77

prescriptions.

20

patients, 6% of all patients

17 43
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

85

prescriptions, 1% of all prescriptions

66

prescriptions.

22

patients, 6% of all patients

18 14
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

76

prescriptions, 1% of all prescriptions

71

prescriptions.

16

patients, 5% of all patients

19 42
TRAMADOL HCL

Tramadol is used to relieve... +

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

75

prescriptions, 1% of all prescriptions

41

prescriptions.

15

patients, 4% of all patients

O 20 23
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

70

prescriptions, 1% of all prescriptions

52

prescriptions.

15

patients, 4% of all patients

21 5
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

66

prescriptions, 1% of all prescriptions

47

prescriptions.

21

patients, 6% of all patients

22 28
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

64

prescriptions, 1% of all prescriptions

31

prescriptions.

24

patients, 7% of all patients

23 32
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

62

prescriptions, 1% of all prescriptions

5

prescriptions.

17

patients, 5% of all patients

R 24 70
DIAZEPAM

Treats anxiety, muscle spas... +

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

59

prescriptions, 1% of all prescriptions

29

prescriptions.

12

patients, 4% of all patients

25 114
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

59

prescriptions, 1% of all prescriptions

30

prescriptions.

14

patients, 4% of all patients

25 57
CLONAZEPAM

Treats seizures, panic diso... +

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

59

prescriptions, 1% of all prescriptions

19

prescriptions.

12

patients, 4% of all patients

25 22
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

33

prescriptions.

15

patients, 4% of all patients

28 21
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

56

prescriptions, 1% of all prescriptions

34

prescriptions.

19

patients, 6% of all patients

29 33
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, 1% of all prescriptions

40

prescriptions.

13

patients, 4% of all patients

29 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

52

prescriptions, 1% of all prescriptions

23

prescriptions.

14

patients, 4% of all patients

R 31 50
NYSTATIN

Treats fungus infections in... +

Treats fungus infections in the mouth, throat, and intestines. Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

33

prescriptions.

17

patients, 5% of all patients

32 156
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

51

prescriptions, 1% of all prescriptions

51

prescriptions.

13

patients, 4% of all patients

32 16
BACLOFEN

Treats muscle spasms caused... +

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

51

prescriptions, 1% of all prescriptions

23

prescriptions.

14

patients, 4% of all patients

32 65
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 Oct. 5, 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.