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 »

11,299Medicare Part D Prescriptions Filled, Including Refills

Rank: 296 out of 1067

$713K Total Retail Price of All Prescriptions

Rank: 242 out of 1067

668 Patients Receiving at Least One Drug in Part D
96% Patients 65 Years and Older

9% 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 Missouri
lower than average

Antipsychotics

2% of this provider’s 640 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 3%.

More resources »

Antibiotics

44% of this provider’s 668 patients filled at least one prescription for an antibiotic drug, compared to an average of 27%.

More resources »

Risky Drugs for Seniors

9% of this provider’s 640 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

14% of this provider’s 668 patients filled at least one prescription for an opioid, compared to an average of 21%.

More resources »

Brand Name Drugs

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

Prescription Price

$63 was the average price of a prescription from this provider, compared to $68 among peers.

Prescriptions per Patient

17 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

$555K

2012

$654K

2013

$730K

2014

$713K

2015

Number of Claims

9,523

2012

10,863

2013

11,552

2014

11,299

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
SIMVASTATIN

Treats high cholesterol and... +

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

509

prescriptions, 5% of all prescriptions

475

prescriptions.

126

patients, 19% of all patients

1 6
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

414

prescriptions, 4% of all prescriptions

409

prescriptions.

90

patients, 13% of all patients

2 1
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

402

prescriptions, 4% of all prescriptions

397

prescriptions.

95

patients, 14% of all patients

3 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

384

prescriptions, 3% of all prescriptions

379

prescriptions.

92

patients, 14% of all patients

4 3
ATENOLOL

Treats high blood pressure ... +

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

286

prescriptions, 3% of all prescriptions

265

prescriptions.

66

patients, 10% of all patients

5 24
ALPRAZOLAM

Treats anxiety, panic disor... +

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

253

prescriptions, 2% of all prescriptions

227

prescriptions.

61

patients, 9% of all patients

6 14
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

216

prescriptions, 2% of all prescriptions

197

prescriptions.

54

patients, 8% of all patients

7 44
LISINOPRIL

Treats high blood pressure ... +

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

201

prescriptions, 2% of all prescriptions

196

prescriptions.

43

patients, 6% of all patients

8 2
FUROSEMIDE

Treats fluid retention (ede... +

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

188

prescriptions, 2% of all prescriptions

183

prescriptions.

41

patients, 6% of all patients

9 7
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

185

prescriptions, 2% of all prescriptions

180

prescriptions.

39

patients, 6% of all patients

10 11
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

177

prescriptions, 2% of all prescriptions

154

prescriptions.

47

patients, 7% of all patients

O 11 8
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

173

prescriptions, 2% of all prescriptions

168

prescriptions.

42

patients, 6% of all patients

12 9
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

168

prescriptions, 1% of all prescriptions

163

prescriptions.

44

patients, 7% of all patients

13 5
TRAZODONE HCL

Trazodone is used to treat ... +

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

160

prescriptions, 1% of all prescriptions

143

prescriptions.

38

patients, 6% of all patients

14 28
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

142

prescriptions, 1% of all prescriptions

137

prescriptions.

38

patients, 6% of all patients

15 38
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

137

prescriptions, 1% of all prescriptions

137

prescriptions.

29

patients, 4% of all patients

16 25
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

134

prescriptions, 1% of all prescriptions

134

prescriptions.

23

patients, 3% of all patients

17 18
CEFUROXIME

Treats infections caused by... +

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

132

prescriptions, 1% of all prescriptions

127

prescriptions.

88

patients, 13% of all patients

A 18 157
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

130

prescriptions, 1% of all prescriptions

125

prescriptions.

85

patients, 13% of all patients

A 19 69
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

126

prescriptions.

29

patients, 4% of all patients

20 12
METHYLPREDNISOLONE

Treats asthma, allergic rea... +

Treats asthma, allergic reactions, inflammation, flare-ups of ongoing illnesses, and many other medical problems. Source: National Library of Medicine

124

prescriptions, 1% of all prescriptions

119

prescriptions.

96

patients, 14% of all patients

21 94
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

118

prescriptions, 1% of all prescriptions

118

prescriptions.

32

patients, 5% of all patients

22 15
GABAPENTIN

Treats certain types of sei... +

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

116

prescriptions, 1% of all prescriptions

105

prescriptions.

25

patients, 4% of all patients

23 13
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

116

prescriptions, 1% of all prescriptions

111

prescriptions.

29

patients, 4% of all patients

23 71
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

116

prescriptions, 1% of all prescriptions

111

prescriptions.

39

patients, 6% of all patients

23 27
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

112

prescriptions, 1% of all prescriptions

48

prescriptions.

24

patients, 4% of all patients

O 26 45
PREDNISONE

Treats inflammation (swelli... +

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

107

prescriptions, 1% of all prescriptions

102

prescriptions.

67

patients, 10% of all patients

27 40
ALLOPURINOL

Treats gout and some kinds ... +

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

105

prescriptions, 1% of all prescriptions

105

prescriptions.

28

patients, 4% of all patients

28 29
AZITHROMYCIN

Treats infections caused by... +

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

105

prescriptions, 1% of all prescriptions

105

prescriptions.

88

patients, 13% of all patients

A 28 48
CARVEDILOL

Treats high blood pressure ... +

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

103

prescriptions, 1% of all prescriptions

91

prescriptions.

19

patients, 3% of all patients

30 20
CITALOPRAM HBR

Citalopram is used to treat... +

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

102

prescriptions, 1% of all prescriptions

91

prescriptions.

28

patients, 4% of all patients

31 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

101

prescriptions, 1% of all prescriptions

101

prescriptions.

25

patients, 4% of all patients

32 21
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

100

prescriptions, 1% of all prescriptions

88

prescriptions.

23

patients, 3% of all patients

R 33 35
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

96

prescriptions, 1% of all prescriptions

91

prescriptions.

19

patients, 3% of all patients

34 42
TRAMADOL HCL

Tramadol is used to relieve... +

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

87

prescriptions, 1% of all prescriptions

71

prescriptions.

31

patients, 5% of all patients

O 35 16
MELOXICAM

Treats symptoms of osteoart... +

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

87

prescriptions, 1% of all prescriptions

82

prescriptions.

22

patients, 3% of all patients

35 30
CRESTOR

Lowers high levels of chole... +

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

87

prescriptions, 1% of all prescriptions

87

prescriptions.

23

patients, 3% of all patients

35 43
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

85

prescriptions, 1% of all prescriptions

80

prescriptions.

22

patients, 3% of all patients

38 34
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

85

prescriptions, 1% of all prescriptions

70

prescriptions.

16

patients, 2% of all patients

38 56
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

81

prescriptions, 1% of all prescriptions

81

prescriptions.

11

patients, 2% of all patients

40 32
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

81

prescriptions, 1% of all prescriptions

76

prescriptions.

19

patients, 3% of all patients

40 19
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

79

prescriptions, 1% of all prescriptions

74

prescriptions.

19

patients, 3% of all patients

42 10
ZETIA

Lowers cholesterol in your ... +

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

79

prescriptions, 1% of all prescriptions

79

prescriptions.

18

patients, 3% of all patients

42 87
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

78

prescriptions, 1% of all prescriptions

66

prescriptions.

24

patients, 4% of all patients

44 36
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

74

prescriptions, 1% of all prescriptions

69

prescriptions.

14

patients, 2% of all patients

45 46
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

73

prescriptions, 1% of all prescriptions

62

prescriptions.

13

patients, 2% of all patients

46 161
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

72

prescriptions, 1% of all prescriptions

72

prescriptions.

15

patients, 2% of all patients

47 41
CLOPIDOGREL

Helps prevent stroke, heart... +

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

72

prescriptions, 1% of all prescriptions

67

prescriptions.

15

patients, 2% of all patients

47 23
LORAZEPAM

Treats anxiety, anxiety wit... +

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

70

prescriptions, 1% of all prescriptions

65

prescriptions.

20

patients, 3% of all patients

49 37
VALSARTAN-HYDROCHLOROTHIAZIDE

Treats high blood pressure. +

Treats high blood pressure. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

62

prescriptions.

12

patients, 2% of all patients

50 110
CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

63

prescriptions.

13

patients, 2% of all patients

51 104
SUMATRIPTAN SUCCINATE

Sumatriptan is used to trea... +

Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light). Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

58

prescriptions.

<11 51 248
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

62

prescriptions, 1% of all prescriptions

57

prescriptions.

15

patients, 2% of all patients

53 51
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

62

prescriptions, 1% of all prescriptions

62

prescriptions.

15

patients, 2% of all patients

53 49
NADOLOL

Treats high blood pressure ... +

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

59

prescriptions, 1% of all prescriptions

48

prescriptions.

13

patients, 2% of all patients

55 357
CLONAZEPAM

Treats seizures, panic diso... +

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

58

prescriptions, 1% of all prescriptions

47

prescriptions.

13

patients, 2% of all patients

56 57
TEMAZEPAM

Treats insomnia (trouble sl... +

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

58

prescriptions, 1% of all prescriptions

53

prescriptions.

12

patients, 2% of all patients

56 100
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

58

prescriptions, 1% of all prescriptions

53

prescriptions.

16

patients, 2% of all patients

56 60
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

57

prescriptions.

13

patients, 2% of all patients

59 39
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

54

prescriptions, 0% of all prescriptions

49

prescriptions.

11

patients, 2% of all patients

60 50
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

52

prescriptions, 0% of all prescriptions

52

prescriptions.

14

patients, 2% of all patients

61 31
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

52

prescriptions, 0% of all prescriptions

47

prescriptions.

14

patients, 2% of all patients

61 61
SULINDAC

Treats pain caused by arthr... +

Treats pain caused by arthritis, gout, or sore tendons. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

47

prescriptions.

20

patients, 3% of all patients

61 297
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 May 13, 2011.
  • 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.