Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Rheumatology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

10,619Medicare Part D Prescriptions Filled, Including Refills

Rank: 3 out of 166

$1.32M Total Retail Price of All Prescriptions

Rank: 9 out of 166

753 Patients Receiving at Least One Drug in Part D
68% Patients 65 Years and Older

60% 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 Massachusetts
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

9% of this provider’s 753 patients filled at least one prescription for an antibiotic drug, compared to an average of 5%.

More resources »

Risky Drugs for Seniors

10% of this provider’s 514 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 7%.

More resources »

Opioids

27% of this provider’s 753 patients filled at least one prescription for an opioid, compared to an average of 16%.

More resources »

Brand Name Drugs

16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$125 was the average price of a prescription from this provider, compared to $297 among peers.

Prescriptions per Patient

14 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

$552K

2012

$769K

2013

$963K

2014

$1.32M

2015

Number of Claims

8,762

2012

10,336

2013

10,408

2014

10,619

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
HYDROXYCHLOROQUINE SULFATE

Hydroxychloroquine is in a ... +

Hydroxychloroquine is in a class of drugs called antimalarials. Source: National Library of Medicine

649

prescriptions, 6% of all prescriptions

405

prescriptions.

131

patients, 17% of all patients

1 3
PREDNISONE

Treats inflammation (swelli... +

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

643

prescriptions, 6% of all prescriptions

512

prescriptions.

155

patients, 21% of all patients

2 1
GABAPENTIN

Treats certain types of sei... +

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

458

prescriptions, 4% of all prescriptions

192

prescriptions.

80

patients, 11% of all patients

3 4
SIMVASTATIN

Treats high cholesterol and... +

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

404

prescriptions, 4% of all prescriptions

275

prescriptions.

62

patients, 8% of all patients

4 13
METHOTREXATE

Treats several kinds of can... +

Treats several kinds of cancer, including cancer of the blood, bone, lung, breast, head, or neck. Source: National Library of Medicine

259

prescriptions, 2% of all prescriptions

131

prescriptions.

49

patients, 7% of all patients

5 2
LISINOPRIL

Treats high blood pressure ... +

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

252

prescriptions, 2% of all prescriptions

187

prescriptions.

49

patients, 7% of all patients

6 12
TRAMADOL HCL

Tramadol is used to relieve... +

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

251

prescriptions, 2% of all prescriptions

141

prescriptions.

78

patients, 10% of all patients

O 7 5
OXYCODONE HCL

Oxycodone is used to reliev... +

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

228

prescriptions, 2% of all prescriptions

73

prescriptions.

56

patients, 7% of all patients

O 8 24
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

219

prescriptions, 2% of all prescriptions

123

prescriptions.

48

patients, 6% of all patients

9 9
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

199

prescriptions, 2% of all prescriptions

153

prescriptions.

26

patients, 3% of all patients

10 17
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

191

prescriptions, 2% of all prescriptions

145

prescriptions.

33

patients, 4% of all patients

11 29
BACLOFEN

Treats muscle spasms caused... +

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

184

prescriptions, 2% of all prescriptions

99

prescriptions.

65

patients, 9% of all patients

12 64
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

179

prescriptions, 2% of all prescriptions

48

prescriptions.

41

patients, 5% of all patients

13 41
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

177

prescriptions, 2% of all prescriptions

64

prescriptions.

36

patients, 5% of all patients

O 14 16
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

176

prescriptions, 2% of all prescriptions

121

prescriptions.

37

patients, 5% of all patients

15 14
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

166

prescriptions, 2% of all prescriptions

109

prescriptions.

28

patients, 4% of all patients

16 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

158

prescriptions, 1% of all prescriptions

112

prescriptions.

34

patients, 5% of all patients

17 31
MELOXICAM

Treats symptoms of osteoart... +

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

155

prescriptions, 1% of all prescriptions

92

prescriptions.

41

patients, 5% of all patients

18 7
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

154

prescriptions, 1% of all prescriptions

47

prescriptions.

25

patients, 3% of all patients

19 27
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

152

prescriptions, 1% of all prescriptions

87

prescriptions.

35

patients, 5% of all patients

R 20 35
TRAZODONE HCL

Trazodone is used to treat ... +

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

144

prescriptions, 1% of all prescriptions

55

prescriptions.

21

patients, 3% of all patients

21 43
FUROSEMIDE

Treats fluid retention (ede... +

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

135

prescriptions, 1% of all prescriptions

73

prescriptions.

25

patients, 3% of all patients

22 25
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

126

prescriptions, 1% of all prescriptions

114

prescriptions.

22

patients, 3% of all patients

23 21
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

126

prescriptions, 1% of all prescriptions

86

prescriptions.

16

patients, 2% of all patients

23 20
AZATHIOPRINE

Prevents your body from rej... +

Prevents your body from rejecting a kidney transplant. Source: National Library of Medicine

125

prescriptions, 1% of all prescriptions

90

prescriptions.

19

patients, 3% of all patients

25 56
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

119

prescriptions, 1% of all prescriptions

101

prescriptions.

47

patients, 6% of all patients

26 26
SULFASALAZINE

Treats ulcerative colitis. ... +

Treats ulcerative colitis. Source: National Library of Medicine

118

prescriptions, 1% of all prescriptions

81

prescriptions.

30

patients, 4% of all patients

27 55
ALLOPURINOL

Treats gout and some kinds ... +

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

113

prescriptions, 1% of all prescriptions

94

prescriptions.

26

patients, 3% of all patients

28 6
ATENOLOL

Treats high blood pressure ... +

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

112

prescriptions, 1% of all prescriptions

59

prescriptions.

20

patients, 3% of all patients

29 22
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

48

prescriptions.

17

patients, 2% of all patients

30 94
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

105

prescriptions, 1% of all prescriptions

67

prescriptions.

38

patients, 5% of all patients

O 31 11
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

99

prescriptions, 1% of all prescriptions

58

prescriptions.

27

patients, 4% of all patients

R 32 18
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

97

prescriptions, 1% of all prescriptions

70

prescriptions.

16

patients, 2% of all patients

33 51
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

96

prescriptions, 1% of all prescriptions

52

prescriptions.

16

patients, 2% of all patients

34 73
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

96

prescriptions, 1% of all prescriptions

21

prescriptions.

17

patients, 2% of all patients

34 28
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

77

prescriptions, 1% of all prescriptions

65

prescriptions.

<11 36 38
ULORIC

Used to treat hyperuricemia... +

Used to treat hyperuricemia (high uric acid in the blood) in patients with gout. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

70

prescriptions.

<11 37 60
ENBREL

Treats rheumatoid arthritis... +

Treats rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and plaque psoriasis in adults. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

44

prescriptions.

<11 38 10
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

70

prescriptions, 1% of all prescriptions

14

prescriptions.

16

patients, 2% of all patients

39 66
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

26

prescriptions.

23

patients, 3% of all patients

40 39
CELECOXIB

Treats mild to moderate pai... +

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

68

prescriptions, 1% of all prescriptions

31

prescriptions.

19

patients, 3% of all patients

40 15
NABUMETONE

Treats pain caused by arthr... +

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

68

prescriptions, 1% of all prescriptions

20

prescriptions.

21

patients, 3% of all patients

40 29
OXYCONTIN

Oxycodone is used to reliev... +

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

63

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 O 43 85
LORAZEPAM

Treats anxiety, anxiety wit... +

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

62

prescriptions, 1% of all prescriptions

57

prescriptions.

14

patients, 2% of all patients

44 40
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

58

prescriptions, 1% of all prescriptions

13

prescriptions.

<11 R 45 62
METHOCARBAMOL

Treats muscle pain and spas... +

Treats muscle pain and spasms. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

0

prescriptions.

19

patients, 3% of all patients

R 46 96
MYCOPHENOLATE MOFETIL

Used with other medications... +

Used with other medications to help prevent transplant organ rejection (attack of the transplanted organ by the immune system of the person receiving the organ) in people who have received organ transplants. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 46 69
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

55

prescriptions, 1% of all prescriptions

38

prescriptions.

<11 46 53
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

55

prescriptions, 1% of all prescriptions

42

prescriptions.

<11 46 63
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

53

prescriptions, 0% of all prescriptions

13

prescriptions.

<11 50 128
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 July 8, 2007.
  • 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.