Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

General Practice

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

15,728Medicare Part D Prescriptions Filled, Including Refills

Rank: 68 out of 1539

$652K Total Retail Price of All Prescriptions

Rank: 54 out of 1539

560 Patients Receiving at Least One Drug in Part D
83% Patients 65 Years and Older

3% 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 Puerto Rico
lower than average

Antipsychotics

11% of this provider’s 462 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

42% of this provider’s 560 patients filled at least one prescription for an antibiotic drug, compared to an average of 37%.

More resources »

Risky Drugs for Seniors

8% of this provider’s 462 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

15% of this provider’s 560 patients filled at least one prescription for an opioid, compared to an average of 13%.

More resources »

Brand Name Drugs

16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 15%.

Prescription Price

$41 was the average price of a prescription from this provider, compared to $37 among peers.

Prescriptions per Patient

28 is the average number of prescriptions (including refills) per patient, compared to an average of 19.


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

$183K

2012

$305K

2013

$481K

2014

$652K

2015

Number of Claims

4,989

2012

9,335

2013

13,750

2014

15,728

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

975

prescriptions, 6% of all prescriptions

834

prescriptions.

167

patients, 30% of all patients

1 1
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

665

prescriptions, 4% of all prescriptions

571

prescriptions.

114

patients, 20% of all patients

2 9
GABAPENTIN

Treats certain types of sei... +

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

641

prescriptions, 4% of all prescriptions

551

prescriptions.

123

patients, 22% of all patients

3 3
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

521

prescriptions, 3% of all prescriptions

411

prescriptions.

92

patients, 16% of all patients

4 2
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

506

prescriptions, 3% of all prescriptions

426

prescriptions.

76

patients, 14% of all patients

5 6
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

495

prescriptions, 3% of all prescriptions

400

prescriptions.

98

patients, 18% of all patients

6 4
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

481

prescriptions, 3% of all prescriptions

420

prescriptions.

77

patients, 14% of all patients

7 12
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

386

prescriptions, 2% of all prescriptions

314

prescriptions.

75

patients, 13% of all patients

8 10
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

376

prescriptions, 2% of all prescriptions

364

prescriptions.

67

patients, 12% of all patients

9 35
FUROSEMIDE

Treats fluid retention (ede... +

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

323

prescriptions, 2% of all prescriptions

291

prescriptions.

74

patients, 13% of all patients

10 19
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

314

prescriptions, 2% of all prescriptions

266

prescriptions.

58

patients, 10% of all patients

11 7
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

286

prescriptions, 2% of all prescriptions

235

prescriptions.

51

patients, 9% of all patients

12 33
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

272

prescriptions, 2% of all prescriptions

228

prescriptions.

43

patients, 8% of all patients

13 38
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

251

prescriptions, 2% of all prescriptions

186

prescriptions.

70

patients, 13% of all patients

14 5
CLONAZEPAM

Treats seizures, panic diso... +

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

245

prescriptions, 2% of all prescriptions

191

prescriptions.

48

patients, 9% of all patients

15 18
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

233

prescriptions, 1% of all prescriptions

193

prescriptions.

38

patients, 7% of all patients

16 11
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

224

prescriptions, 1% of all prescriptions

211

prescriptions.

46

patients, 8% of all patients

17 41
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

218

prescriptions, 1% of all prescriptions

192

prescriptions.

42

patients, 8% of all patients

18 8
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

216

prescriptions, 1% of all prescriptions

160

prescriptions.

38

patients, 7% of all patients

19 30
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

215

prescriptions, 1% of all prescriptions

177

prescriptions.

35

patients, 6% of all patients

20 22
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

193

prescriptions, 1% of all prescriptions

172

prescriptions.

31

patients, 6% of all patients

21 29
CLOPIDOGREL

Helps prevent stroke, heart... +

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

190

prescriptions, 1% of all prescriptions

185

prescriptions.

38

patients, 7% of all patients

22 21
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

189

prescriptions, 1% of all prescriptions

156

prescriptions.

26

patients, 5% of all patients

23 17
TEMAZEPAM

Treats insomnia (trouble sl... +

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

188

prescriptions, 1% of all prescriptions

166

prescriptions.

43

patients, 8% of all patients

24 31
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

177

prescriptions, 1% of all prescriptions

131

prescriptions.

34

patients, 6% of all patients

25 25
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

176

prescriptions, 1% of all prescriptions

162

prescriptions.

48

patients, 9% of all patients

26 15
NABUMETONE

Treats pain caused by arthr... +

Treats pain caused by arthritis. Source: National Library of Medicine

168

prescriptions, 1% of all prescriptions

136

prescriptions.

68

patients, 12% of all patients

27 27
TRAMADOL HCL

Tramadol is used to relieve... +

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

166

prescriptions, 1% of all prescriptions

129

prescriptions.

57

patients, 10% of all patients

O 28 24
ALPRAZOLAM

Treats anxiety, panic disor... +

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

164

prescriptions, 1% of all prescriptions

136

prescriptions.

26

patients, 5% of all patients

29 28
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

160

prescriptions, 1% of all prescriptions

138

prescriptions.

34

patients, 6% of all patients

30 20
DICLOFENAC POTASSIUM

Diclofenac is a nonsteroida... +

Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild-to-moderate pain, and helps to relieve symptoms of arthritis (eg, osteoarthritis or rheumatoid arthritis), such as inflammation, swelling, stiffness, and joint pain. Source: National Library of Medicine

160

prescriptions, 1% of all prescriptions

134

prescriptions.

47

patients, 8% of all patients

30 23
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

157

prescriptions, 1% of all prescriptions

152

prescriptions.

29

patients, 5% of all patients

32 13
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

154

prescriptions, 1% of all prescriptions

115

prescriptions.

30

patients, 5% of all patients

P 33 58
AZITHROMYCIN

Treats infections caused by... +

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

149

prescriptions, 1% of all prescriptions

120

prescriptions.

121

patients, 22% of all patients

A 34 37
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

147

prescriptions, 1% of all prescriptions

100

prescriptions.

31

patients, 6% of all patients

35 26
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

129

prescriptions, 1% of all prescriptions

108

prescriptions.

58

patients, 10% of all patients

36 135
LISINOPRIL

Treats high blood pressure ... +

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

122

prescriptions, 1% of all prescriptions

107

prescriptions.

24

patients, 4% of all patients

37 14
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

120

prescriptions, 1% of all prescriptions

102

prescriptions.

102

patients, 18% of all patients

A 38 45
LORAZEPAM

Treats anxiety, anxiety wit... +

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

114

prescriptions, 1% of all prescriptions

96

prescriptions.

27

patients, 5% of all patients

39 50
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

99

prescriptions, 1% of all prescriptions

94

prescriptions.

20

patients, 4% of all patients

40 40
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

94

prescriptions, 1% of all prescriptions

89

prescriptions.

14

patients, 3% of all patients

41 34
ATENOLOL

Treats high blood pressure ... +

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

90

prescriptions, 1% of all prescriptions

85

prescriptions.

17

patients, 3% of all patients

42 16
MECLIZINE HCL

Meclizine is used to preven... +

Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

82

prescriptions.

25

patients, 4% of all patients

43 48
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

85

prescriptions, 1% of all prescriptions

55

prescriptions.

15

patients, 3% of all patients

44 70
TRAZODONE HCL

Trazodone is used to treat ... +

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

80

prescriptions, 1% of all prescriptions

54

prescriptions.

17

patients, 3% of all patients

45 74
GEMFIBROZIL

Lowers high triglyceride an... +

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

79

prescriptions, 1% of all prescriptions

54

prescriptions.

18

patients, 3% of all patients

46 51
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

75

prescriptions, 0% of all prescriptions

70

prescriptions.

19

patients, 3% of all patients

47 102
LEVETIRACETAM

Used to help control certai... +

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

73

prescriptions, 0% of all prescriptions

68

prescriptions.

12

patients, 2% of all patients

48 127
RISPERIDONE

Treats schizophrenia and ce... +

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

72

prescriptions, 0% of all prescriptions

67

prescriptions.

18

patients, 3% of all patients

P 49 72
IRBESARTAN

Used alone or in combinatio... +

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

71

prescriptions, 0% of all prescriptions

52

prescriptions.

15

patients, 3% of all patients

50 36
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

69

prescriptions, 0% of all prescriptions

58

prescriptions.

11

patients, 2% of all patients

51 119
HUMULIN N

Treats diabetes mellitus. +

Treats diabetes mellitus. Source: National Library of Medicine

66

prescriptions, 0% of all prescriptions

61

prescriptions.

<11 52 57
VERAPAMIL ER

Verapamil is used to treat ... +

Verapamil is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine

66

prescriptions, 0% of all prescriptions

47

prescriptions.

<11 52 53
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

62

prescriptions, 0% of all prescriptions

18

prescriptions.

12

patients, 2% of all patients

54 139
CARVEDILOL

Treats high blood pressure ... +

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

62

prescriptions, 0% of all prescriptions

62

prescriptions.

13

patients, 2% of all patients

54 32
CLOTRIMAZOLE-BETAMETHASONE

This combination medication... +

This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch. Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

44

prescriptions.

34

patients, 6% of all patients

54 39
HUMULIN 70-30

Insulin injection is used t... +

Insulin injection is used to control blood sugar in people who have type 1 diabetes (condition in which the body does not make insulin and therefore cannot control the amount of sugar in the blood) or in people who have type 2 diabetes (condition in which the blood sugar is too high because the body does not produce or use insulin normally) that cannot be controlled with oral medications alone. Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

49

prescriptions.

<11 57 47
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

60

prescriptions, 0% of all prescriptions

55

prescriptions.

42

patients, 8% of all patients

58 62
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

59

prescriptions, 0% of all prescriptions

54

prescriptions.

<11 59 124
DEXAMETHASONE

Treats inflammation and man... +

Treats inflammation and many other medical problems. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

54

prescriptions.

36

patients, 6% of all patients

59 55
SILVER SULFADIAZINE

Treats skin infections in p... +

Treats skin infections in patients with severe burns. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

51

prescriptions.

25

patients, 4% of all patients

61 112
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

51

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 62 64
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

51

prescriptions, 0% of all prescriptions

21

prescriptions.

<11 O 62 56
LANSOPRAZOLE

Treats stomach ulcers, gast... +

Treats stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 62 67
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 22, 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.