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 »

7,638Medicare Part D Prescriptions Filled, Including Refills

Rank: 318 out of 1214

$524K Total Retail Price of All Prescriptions

Rank: 288 out of 1214

184 Patients Receiving at Least One Drug in Part D
71% Patients 65 Years and Older

97% 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 Virginia
lower than average

Antipsychotics

11% of this provider’s 131 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

36% of this provider’s 184 patients filled at least one prescription for an antibiotic drug, compared to an average of 26%.

More resources »

Risky Drugs for Seniors

14% of this provider’s 131 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

29% of this provider’s 184 patients filled at least one prescription for an opioid, compared to an average of 17%.

More resources »

Brand Name Drugs

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$69 was the average price of a prescription from this provider, compared to $72 among peers.

Prescriptions per Patient

42 is the average number of prescriptions (including refills) per patient, compared to an average of 17.


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

$603K

2012

$510K

2013

$547K

2014

$524K

2015

Number of Claims

8,811

2012

8,801

2013

7,997

2014

7,638

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

323

prescriptions, 4% of all prescriptions

277

prescriptions.

28

patients, 15% of all patients

1 7
ALBUTEROL SULFATE

Albuterol is used to preven... +

Albuterol is used to prevent and treat wheezing, shortness of breath, coughing, and chest tightness caused by lung diseases such as asthma and chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways). Source: National Library of Medicine

300

prescriptions, 4% of all prescriptions

156

prescriptions.

30

patients, 16% of all patients

2 125
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

270

prescriptions, 4% of all prescriptions

210

prescriptions.

13

patients, 7% of all patients

3 16
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

239

prescriptions, 3% of all prescriptions

206

prescriptions.

35

patients, 19% of all patients

4 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

208

prescriptions, 3% of all prescriptions

177

prescriptions.

31

patients, 17% of all patients

5 1
HEPARIN SODIUM 183

prescriptions, 2% of all prescriptions

114

prescriptions.

21

patients, 11% of all patients

6 287
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

162

prescriptions, 2% of all prescriptions

79

prescriptions.

17

patients, 9% of all patients

7 77
FAMOTIDINE*

Treats ulcers, gastroesopha... +

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

161

prescriptions, 2% of all prescriptions

149

prescriptions.

23

patients, 13% of all patients

8 71
GABAPENTIN

Treats certain types of sei... +

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

157

prescriptions, 2% of all prescriptions

127

prescriptions.

22

patients, 12% of all patients

9 10
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

135

prescriptions, 2% of all prescriptions

101

prescriptions.

25

patients, 14% of all patients

10 11
LISINOPRIL

Treats high blood pressure ... +

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

131

prescriptions, 2% of all prescriptions

103

prescriptions.

23

patients, 13% of all patients

11 4
SANTYL

Used to clean skin ulcers a... +

Used to clean skin ulcers and severe burns. Source: National Library of Medicine

116

prescriptions, 2% of all prescriptions

91

prescriptions.

16

patients, 9% of all patients

12 171
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

105

prescriptions, 1% of all prescriptions

100

prescriptions.

15

patients, 8% of all patients

13 3
TRANSDERM-SCOP 97

prescriptions, 1% of all prescriptions

68

prescriptions.

11

patients, 6% of all patients

14 300
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

89

prescriptions.

19

patients, 10% of all patients

15 50
BACLOFEN

Treats muscle spasms caused... +

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

91

prescriptions, 1% of all prescriptions

41

prescriptions.

11

patients, 6% of all patients

16 83
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

90

prescriptions, 1% of all prescriptions

66

prescriptions.

<11 17 42
SIMVASTATIN

Treats high cholesterol and... +

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

89

prescriptions, 1% of all prescriptions

58

prescriptions.

17

patients, 9% of all patients

18 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

85

prescriptions, 1% of all prescriptions

73

prescriptions.

15

patients, 8% of all patients

19 6
TRAZODONE HCL

Trazodone is used to treat ... +

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

80

prescriptions, 1% of all prescriptions

68

prescriptions.

<11 20 29
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

77

prescriptions, 1% of all prescriptions

72

prescriptions.

11

patients, 6% of all patients

P 21 51
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

76

prescriptions, 1% of all prescriptions

63

prescriptions.

13

patients, 7% of all patients

22 24
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

74

prescriptions, 1% of all prescriptions

69

prescriptions.

12

patients, 7% of all patients

23 35
NOVOLOG FLEXPEN

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

68

prescriptions.

19

patients, 10% of all patients

24 115
KLOR-CON M20

Potassium is essential for ... +

Potassium is essential for the proper functioning of the heart, kidneys, muscles, nerves, and digestive system. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

51

prescriptions.

11

patients, 6% of all patients

25 63
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

70

prescriptions, 1% of all prescriptions

28

prescriptions.

<11 26 12
CLOPIDOGREL

Helps prevent stroke, heart... +

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

68

prescriptions, 1% of all prescriptions

63

prescriptions.

12

patients, 7% of all patients

27 23
NYSTOP

Treats infections caused by... +

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

65

prescriptions, 1% of all prescriptions

60

prescriptions.

12

patients, 7% of all patients

28 180
LEVEMIR FLEXTOUCH

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

59

prescriptions.

11

patients, 6% of all patients

29 81
MELOXICAM

Treats symptoms of osteoart... +

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

64

prescriptions, 1% of all prescriptions

64

prescriptions.

<11 29 43
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

43

prescriptions.

<11 31 87
METOCLOPRAMIDE HCL

Metoclopramide is used to r... +

Metoclopramide is used to relieve heartburn and speed the healing of ulcers and sores in the esophagus (tube that connects the mouth to the stomach) in people who have gastroesophageal reflux disease (GERD; condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus) that did not get better with other treatments. Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

45

prescriptions.

<11 32 181
CITALOPRAM HBR

Citalopram is used to treat... +

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

62

prescriptions, 1% of all prescriptions

62

prescriptions.

<11 32 31
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

61

prescriptions, 1% of all prescriptions

44

prescriptions.

12

patients, 7% of all patients

34 54
ONDANSETRON HCL*

Ondansetron is used to prev... +

Ondansetron is used to prevent nausea and vomiting caused by cancer chemotherapy, radiation therapy, and surgery. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

44

prescriptions.

17

patients, 9% of all patients

35 138
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

58

prescriptions, 1% of all prescriptions

38

prescriptions.

<11 36 49
CARVEDILOL

Treats high blood pressure ... +

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

58

prescriptions, 1% of all prescriptions

53

prescriptions.

11

patients, 6% of all patients

36 21
ENOXAPARIN SODIUM

Used to prevent deep venous... +

Used to prevent deep venous thrombosis, a condition in which harmful blood clots form in the blood vessels of the legs. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

15

prescriptions.

<11 38 246
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

54

prescriptions, 1% of all prescriptions

43

prescriptions.

12

patients, 7% of all patients

39 22
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

53

prescriptions, 1% of all prescriptions

53

prescriptions.

<11 40 8
GLYCOPYRROLATE 52

prescriptions, 1% of all prescriptions

26

prescriptions.

11

patients, 6% of all patients

41 321
CLONAZEPAM

Treats seizures, panic diso... +

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

51

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 42 45
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 March 29, 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.