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 »

4,148Medicare Part D Prescriptions Filled, Including Refills

Rank: 209 out of 410

$139K Total Retail Price of All Prescriptions

Rank: 293 out of 410

222 Patients Receiving at Least One Drug in Part D
78% Patients 65 Years and Older

79% 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 Nevada
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

27% of this provider’s 222 patients filled at least one prescription for an antibiotic drug, compared to an average of 26%.

More resources »

Risky Drugs for Seniors

9% of this provider’s 173 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

34% of this provider’s 222 patients filled at least one prescription for an opioid, compared to an average of 20%.

More resources »

Brand Name Drugs

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$34 was the average price of a prescription from this provider, compared to $74 among peers.

Prescriptions per Patient

19 is the average number of prescriptions (including refills) per patient, compared to an average of 14.


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

$49.3K

2012

$74.1K

2013

$87.3K

2014

$139K

2015

Number of Claims

957

2012

1,743

2013

2,749

2014

4,148

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
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

207

prescriptions, 5% of all prescriptions

161

prescriptions.

36

patients, 16% of all patients

1 4
LISINOPRIL

Treats high blood pressure ... +

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

168

prescriptions, 4% of all prescriptions

163

prescriptions.

38

patients, 17% of all patients

2 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

156

prescriptions, 4% of all prescriptions

135

prescriptions.

27

patients, 12% of all patients

3 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

138

prescriptions, 3% of all prescriptions

113

prescriptions.

18

patients, 8% of all patients

4 1
CLOPIDOGREL

Helps prevent stroke, heart... +

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

129

prescriptions, 3% of all prescriptions

88

prescriptions.

22

patients, 10% of all patients

5 23
FUROSEMIDE

Treats fluid retention (ede... +

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

111

prescriptions, 3% of all prescriptions

106

prescriptions.

14

patients, 6% of all patients

6 12
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

110

prescriptions, 3% of all prescriptions

110

prescriptions.

17

patients, 8% of all patients

7 39
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

104

prescriptions, 3% of all prescriptions

51

prescriptions.

15

patients, 7% of all patients

8 112
GABAPENTIN

Treats certain types of sei... +

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

88

prescriptions, 2% of all prescriptions

83

prescriptions.

17

patients, 8% of all patients

9 10
LOVASTATIN

Lowers high cholesterol and... +

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

74

prescriptions, 2% of all prescriptions

74

prescriptions.

<11 10 21
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

73

prescriptions, 2% of all prescriptions

68

prescriptions.

12

patients, 5% of all patients

11 17
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

72

prescriptions, 2% of all prescriptions

72

prescriptions.

<11 12 76
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

72

prescriptions, 2% of all prescriptions

61

prescriptions.

23

patients, 10% of all patients

12 11
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

70

prescriptions, 2% of all prescriptions

65

prescriptions.

12

patients, 5% of all patients

14 81
VANCOMYCIN HCL*

Treats bacterial infections. +

Treats bacterial infections. Source: National Library of Medicine

68

prescriptions, 2% of all prescriptions

63

prescriptions.

<11 A 15 174
TRAZODONE HCL

Trazodone is used to treat ... +

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

61

prescriptions, 1% of all prescriptions

56

prescriptions.

<11 16 31
SIMVASTATIN

Treats high cholesterol and... +

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

59

prescriptions, 1% of all prescriptions

59

prescriptions.

<11 17 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

58

prescriptions, 1% of all prescriptions

53

prescriptions.

19

patients, 9% of all patients

18 6
LEVETIRACETAM

Used to help control certai... +

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

56

prescriptions, 1% of all prescriptions

51

prescriptions.

<11 19 83
SODIUM CHLORIDE* 55

prescriptions, 1% of all prescriptions

50

prescriptions.

13

patients, 6% of all patients

20 154
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

55

prescriptions, 1% of all prescriptions

55

prescriptions.

<11 20 78
MEROPENEM 52

prescriptions, 1% of all prescriptions

52

prescriptions.

<11 A 22 238
RISPERIDONE

Treats schizophrenia and ce... +

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

52

prescriptions, 1% of all prescriptions

18

prescriptions.

<11 P 22 70
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 Sept. 9, 2013.
  • 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.