Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

MICHELLE WOINAROWICZ FNP

At A Glance: This Prescriber in 2015

Nephrology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

13,427Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 93

$551K Total Retail Price of All Prescriptions

Rank: 3 out of 93

353 Patients Receiving at Least One Drug in Part D
88% Patients 65 Years and Older

50% 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 Minnesota
lower than average

Antipsychotics

4% of this provider’s 310 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

32% of this provider’s 353 patients filled at least one prescription for an antibiotic drug, compared to an average of 11%.

More resources »

Risky Drugs for Seniors

19% of this provider’s 310 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 2%.

More resources »

Opioids

20% of this provider’s 353 patients filled at least one prescription for an opioid, compared to an average of 4%.

More resources »

Brand Name Drugs

16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$41 was the average price of a prescription from this provider, compared to $135 among peers.

Prescriptions per Patient

38 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

$505K

2012

$505K

2013

$521K

2014

$551K

2015

Number of Claims

13,469

2012

13,400

2013

13,198

2014

13,427

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
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

782

prescriptions, 6% of all prescriptions

697

prescriptions.

100

patients, 28% of all patients

1 16
FUROSEMIDE

Treats fluid retention (ede... +

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

503

prescriptions, 4% of all prescriptions

491

prescriptions.

64

patients, 18% of all patients

2 2
SIMVASTATIN

Treats high cholesterol and... +

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

498

prescriptions, 4% of all prescriptions

443

prescriptions.

75

patients, 21% of all patients

3 14
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

456

prescriptions, 3% of all prescriptions

429

prescriptions.

57

patients, 16% of all patients

4 30
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

446

prescriptions, 3% of all prescriptions

441

prescriptions.

61

patients, 17% of all patients

5 1
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

415

prescriptions, 3% of all prescriptions

410

prescriptions.

29

patients, 8% of all patients

6 26
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

406

prescriptions, 3% of all prescriptions

321

prescriptions.

46

patients, 13% of all patients

7 13
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

385

prescriptions, 3% of all prescriptions

368

prescriptions.

57

patients, 16% of all patients

8 27
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

345

prescriptions, 3% of all prescriptions

333

prescriptions.

43

patients, 12% of all patients

9 21
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

343

prescriptions, 3% of all prescriptions

317

prescriptions.

58

patients, 16% of all patients

10 11
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

309

prescriptions, 2% of all prescriptions

278

prescriptions.

49

patients, 14% of all patients

11 20
LISINOPRIL

Treats high blood pressure ... +

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

269

prescriptions, 2% of all prescriptions

237

prescriptions.

37

patients, 10% of all patients

12 3
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

245

prescriptions, 2% of all prescriptions

245

prescriptions.

41

patients, 12% of all patients

13 5
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

238

prescriptions, 2% of all prescriptions

233

prescriptions.

34

patients, 10% of all patients

14 7
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

234

prescriptions, 2% of all prescriptions

208

prescriptions.

40

patients, 11% of all patients

15 24
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

229

prescriptions, 2% of all prescriptions

180

prescriptions.

42

patients, 12% of all patients

16 12
CLOPIDOGREL

Helps prevent stroke, heart... +

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

216

prescriptions, 2% of all prescriptions

216

prescriptions.

22

patients, 6% of all patients

17 40
TRAZODONE HCL

Trazodone is used to treat ... +

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

160

prescriptions, 1% of all prescriptions

160

prescriptions.

20

patients, 6% of all patients

18 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

153

prescriptions, 1% of all prescriptions

125

prescriptions.

20

patients, 6% of all patients

19 48
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

145

prescriptions, 1% of all prescriptions

134

prescriptions.

17

patients, 5% of all patients

20 43
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

139

prescriptions, 1% of all prescriptions

139

prescriptions.

22

patients, 6% of all patients

21 32
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

139

prescriptions, 1% of all prescriptions

101

prescriptions.

17

patients, 5% of all patients

21 46
GABAPENTIN

Treats certain types of sei... +

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

135

prescriptions, 1% of all prescriptions

102

prescriptions.

22

patients, 6% of all patients

23 33
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

127

prescriptions, 1% of all prescriptions

127

prescriptions.

22

patients, 6% of all patients

24 54
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

124

prescriptions, 1% of all prescriptions

101

prescriptions.

16

patients, 5% of all patients

25 39
CARVEDILOL

Treats high blood pressure ... +

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

124

prescriptions, 1% of all prescriptions

113

prescriptions.

14

patients, 4% of all patients

25 8
ATENOLOL

Treats high blood pressure ... +

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

124

prescriptions, 1% of all prescriptions

124

prescriptions.

16

patients, 5% of all patients

25 25
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

118

prescriptions, 1% of all prescriptions

103

prescriptions.

36

patients, 10% of all patients

A 28 58
TRAMADOL HCL

Tramadol is used to relieve... +

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

118

prescriptions, 1% of all prescriptions

88

prescriptions.

26

patients, 7% of all patients

O 28 36
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

117

prescriptions, 1% of all prescriptions

117

prescriptions.

12

patients, 3% of all patients

30 15
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

111

prescriptions, 1% of all prescriptions

111

prescriptions.

13

patients, 4% of all patients

31 60
MELOXICAM

Treats symptoms of osteoart... +

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

108

prescriptions, 1% of all prescriptions

92

prescriptions.

21

patients, 6% of all patients

32 64
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

63

prescriptions.

15

patients, 4% of all patients

O 33 42
FENTANYL

Treats severe, ongoing pain... +

Treats severe, ongoing pain (during and after surgery, cancer pain) that cannot be controlled with other medicines. Source: National Library of Medicine

100

prescriptions, 1% of all prescriptions

89

prescriptions.

15

patients, 4% of all patients

O 34 67
GLIPIZIDE ER

Glipizide is used along wit... +

Glipizide is used along with diet and exercise, and sometimes with other medications, 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

98

prescriptions, 1% of all prescriptions

87

prescriptions.

18

patients, 5% of all patients

35 69
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

97

prescriptions, 1% of all prescriptions

85

prescriptions.

11

patients, 3% of all patients

36 34
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

78

prescriptions.

13

patients, 4% of all patients

37 70
DIGOXIN

Treats certain heart rhythm... +

Treats certain heart rhythm problems (atrial fibrillation). Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

89

prescriptions.

11

patients, 3% of all patients

R 37 70
LORAZEPAM

Treats anxiety, anxiety wit... +

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

83

prescriptions, 1% of all prescriptions

78

prescriptions.

19

patients, 5% of all patients

39 45
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

82

prescriptions.

<11 40 77
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

79

prescriptions, 1% of all prescriptions

74

prescriptions.

14

patients, 4% of all patients

41 53
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

76

prescriptions, 1% of all prescriptions

76

prescriptions.

<11 42 79
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

52

prescriptions.

11

patients, 3% of all patients

43 54
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

75

prescriptions, 1% of all prescriptions

70

prescriptions.

<11 43 80
CRESTOR

Lowers high levels of chole... +

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

69

prescriptions, 1% of all prescriptions

58

prescriptions.

11

patients, 3% of all patients

45 82
NAMENDA XR

Used to treat the symptoms ... +

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

66

prescriptions, 0% of all prescriptions

66

prescriptions.

<11 46 83
DILT-XR

Treats high blood pressure,... +

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

62

prescriptions, 0% of all prescriptions

62

prescriptions.

<11 47 41
ALLOPURINOL

Treats gout and some kinds ... +

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

61

prescriptions, 0% of all prescriptions

56

prescriptions.

<11 48 19
CELECOXIB

Treats mild to moderate pai... +

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

61

prescriptions, 0% of all prescriptions

56

prescriptions.

<11 48 90
ZETIA

Lowers cholesterol in your ... +

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

61

prescriptions, 0% of all prescriptions

56

prescriptions.

<11 48 90
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

60

prescriptions, 0% of all prescriptions

47

prescriptions.

11

patients, 3% of all patients

51 93
OXYBUTYNIN CHLORIDE

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

54

prescriptions.

<11 52 94
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

58

prescriptions, 0% of all prescriptions

53

prescriptions.

<11 53 62
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

57

prescriptions, 0% of all prescriptions

57

prescriptions.

<11 54 47
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

56

prescriptions.

11

patients, 3% of all patients

55 35
NITROFURANTOIN

Treats or prevents urinary ... +

Treats or prevents urinary tract infections caused by bacteria. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

51

prescriptions.

<11 A R 55 98
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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

<11 57 104
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

52

prescriptions, 0% of all prescriptions

52

prescriptions.

<11 58 50
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

50

prescriptions, 0% of all prescriptions

45

prescriptions.

12

patients, 3% of all patients

O 59 107
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 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.