Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Physician Assistant

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

10,769Medicare Part D Prescriptions Filled, Including Refills

Rank: 17 out of 1357

$833K Total Retail Price of All Prescriptions

Rank: 38 out of 1357

747 Patients Receiving at Least One Drug in Part D
33% Patients 65 Years and Older

81% 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 North Carolina
lower than average

Antipsychotics

17% of this provider’s 244 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.

More resources »

Antibiotics

8% of this provider’s 747 patients filled at least one prescription for an antibiotic drug, compared to an average of 23%.

More resources »

Risky Drugs for Seniors

18% of this provider’s 244 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

35% of this provider’s 747 patients filled at least one prescription for an opioid, compared to an average of 29%.

More resources »

Brand Name Drugs

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

Prescription Price

$77 was the average price of a prescription from this provider, compared to $94 among peers.

Prescriptions per Patient

14 is the average number of prescriptions (including refills) per patient, compared to an average of 7.


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

$325K

2012

$461K

2013

$672K

2014

$833K

2015

Number of Claims

7,147

2012

9,340

2013

10,765

2014

10,769

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
LORAZEPAM

Treats anxiety, anxiety wit... +

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

410

prescriptions, 4% of all prescriptions

98

prescriptions.

79

patients, 11% of all patients

1 32
CLONAZEPAM

Treats seizures, panic diso... +

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

349

prescriptions, 3% of all prescriptions

71

prescriptions.

61

patients, 8% of all patients

2 24
TRAZODONE HCL

Trazodone is used to treat ... +

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

346

prescriptions, 3% of all prescriptions

84

prescriptions.

80

patients, 11% of all patients

3 29
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

Treats symptoms of Parkinson's disease or side effects of other drugs. Source: National Library of Medicine

257

prescriptions, 2% of all prescriptions

29

prescriptions.

50

patients, 7% of all patients

R 4 74
RISPERIDONE

Treats schizophrenia and ce... +

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

256

prescriptions, 2% of all prescriptions

55

prescriptions.

49

patients, 7% of all patients

P 5 61
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

244

prescriptions, 2% of all prescriptions

144

prescriptions.

42

patients, 6% of all patients

6 4
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

244

prescriptions, 2% of all prescriptions

44

prescriptions.

55

patients, 7% of all patients

P 6 52
ALPRAZOLAM

Treats anxiety, panic disor... +

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

233

prescriptions, 2% of all prescriptions

92

prescriptions.

50

patients, 7% of all patients

8 13
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

214

prescriptions, 2% of all prescriptions

5

prescriptions.

49

patients, 7% of all patients

9 53
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

202

prescriptions, 2% of all prescriptions

38

prescriptions.

41

patients, 5% of all patients

R 10 33
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

201

prescriptions, 2% of all prescriptions

43

prescriptions.

34

patients, 5% of all patients

11 38
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

183

prescriptions, 2% of all prescriptions

41

prescriptions.

47

patients, 6% of all patients

12 62
CITALOPRAM HBR

Citalopram is used to treat... +

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

179

prescriptions, 2% of all prescriptions

35

prescriptions.

41

patients, 5% of all patients

13 37
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

162

prescriptions, 2% of all prescriptions

82

prescriptions.

29

patients, 4% of all patients

14 30
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

152

prescriptions, 1% of all prescriptions

103

prescriptions.

30

patients, 4% of all patients

15 11
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

149

prescriptions, 1% of all prescriptions

56

prescriptions.

38

patients, 5% of all patients

16 2
ABILIFY

Treats schizophrenia, bipol... +

Treats schizophrenia, bipolar disorder, and depression. Source: National Library of Medicine

141

prescriptions, 1% of all prescriptions

13

prescriptions.

34

patients, 5% of all patients

P 17 118
LISINOPRIL

Treats high blood pressure ... +

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

139

prescriptions, 1% of all prescriptions

86

prescriptions.

27

patients, 4% of all patients

18 3
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

139

prescriptions, 1% of all prescriptions

51

prescriptions.

64

patients, 9% of all patients

O 18 1
SIMVASTATIN

Treats high cholesterol and... +

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

139

prescriptions, 1% of all prescriptions

94

prescriptions.

25

patients, 3% of all patients

18 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

137

prescriptions, 1% of all prescriptions

66

prescriptions.

27

patients, 4% of all patients

21 17
HALOPERIDOL*

Treats symptoms of mental a... +

Treats symptoms of mental and emotional disorders. Source: National Library of Medicine

135

prescriptions, 1% of all prescriptions

24

prescriptions.

29

patients, 4% of all patients

P 22 138
LAMOTRIGINE

Treats certain types of sei... +

Treats certain types of seizures and mood disorders. Source: National Library of Medicine

126

prescriptions, 1% of all prescriptions

19

prescriptions.

33

patients, 4% of all patients

23 50
MELOXICAM

Treats symptoms of osteoart... +

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

124

prescriptions, 1% of all prescriptions

49

prescriptions.

41

patients, 5% of all patients

24 22
SEROQUEL XR

Treats schizophrenia and sy... +

Treats schizophrenia and symptoms of bipolar disorder (manic-depressive illness). Source: National Library of Medicine

119

prescriptions, 1% of all prescriptions

17

prescriptions.

23

patients, 3% of all patients

P 25 114
OXYCODONE HCL

Oxycodone is used to reliev... +

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

119

prescriptions, 1% of all prescriptions

27

prescriptions.

58

patients, 8% of all patients

O 25 9
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

115

prescriptions, 1% of all prescriptions

26

prescriptions.

23

patients, 3% of all patients

27 55
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

114

prescriptions, 1% of all prescriptions

24

prescriptions.

20

patients, 3% of all patients

28 34
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

112

prescriptions, 1% of all prescriptions

18

prescriptions.

19

patients, 3% of all patients

R 29 79
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

108

prescriptions, 1% of all prescriptions

29

prescriptions.

30

patients, 4% of all patients

30 67
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

102

prescriptions, 1% of all prescriptions

52

prescriptions.

21

patients, 3% of all patients

31 7
GABAPENTIN

Treats certain types of sei... +

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

101

prescriptions, 1% of all prescriptions

28

prescriptions.

38

patients, 5% of all patients

32 6
FUROSEMIDE

Treats fluid retention (ede... +

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

101

prescriptions, 1% of all prescriptions

63

prescriptions.

25

patients, 3% of all patients

32 12
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

96

prescriptions, 1% of all prescriptions

54

prescriptions.

22

patients, 3% of all patients

34 16
OLANZAPINE

Treats psychotic mental dis... +

Treats psychotic mental disorders, such as schizophrenia or bipolar disorder (manic-depressive illness). Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

48

prescriptions.

17

patients, 2% of all patients

P 35 87
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

94

prescriptions, 1% of all prescriptions

30

prescriptions.

53

patients, 7% of all patients

O 36 5
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

91

prescriptions, 1% of all prescriptions

25

prescriptions.

17

patients, 2% of all patients

37 97
TRAMADOL HCL

Tramadol is used to relieve... +

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

90

prescriptions, 1% of all prescriptions

64

prescriptions.

39

patients, 5% of all patients

O 38 14
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

25

prescriptions.

18

patients, 2% of all patients

39 98
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

87

prescriptions, 1% of all prescriptions

47

prescriptions.

17

patients, 2% of all patients

40 25
CLOPIDOGREL

Helps prevent stroke, heart... +

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

82

prescriptions, 1% of all prescriptions

53

prescriptions.

13

patients, 2% of all patients

41 27
TRIAMTERENE-HYDROCHLOROTHIAZID

Used to treat high blood pr... +

Used to treat high blood pressure and edema (fluid retention; excess fluid held in body tissues) in patients who have lower amounts of potassium in their bodies or for whom low potassium levels in the body could be dangerous. Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

51

prescriptions.

16

patients, 2% of all patients

41 117
LITHIUM CARBONATE

Lithium is used to treat an... +

Lithium is used to treat and prevent episodes of mania (frenzied, abnormally excited mood) in people with bipolar disorder (manic-depressive disorder; a disease that causes episodes of depression, episodes of mania, and other abnormal moods). Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

5

prescriptions.

13

patients, 2% of all patients

43 184
ATENOLOL

Treats high blood pressure ... +

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

78

prescriptions, 1% of all prescriptions

62

prescriptions.

13

patients, 2% of all patients

43 46
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

75

prescriptions, 1% of all prescriptions

47

prescriptions.

15

patients, 2% of all patients

45 8
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

Treats schizophrenia, bipolar disorder, and depression. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

12

prescriptions.

21

patients, 3% of all patients

P 46 154
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

69

prescriptions, 1% of all prescriptions

26

prescriptions.

15

patients, 2% of all patients

47 81
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

68

prescriptions, 1% of all prescriptions

12

prescriptions.

30

patients, 4% of all patients

R 48 44
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

65

prescriptions, 1% of all prescriptions

23

prescriptions.

33

patients, 4% of all patients

O 49 36
AMLODIPINE BESYLATE-BENAZEPRIL

The combination of amlodipi... +

The combination of amlodipine and benazepril is used to treat high blood pressure. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

45

prescriptions.

15

patients, 2% of all patients

50 136
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

64

prescriptions, 1% of all prescriptions

38

prescriptions.

<11 50 21
FLUPHENAZINE HCL

Fluphenazine is an antipsyc... +

Fluphenazine is an antipsychotic medication used to treat schizophrenia and psychotic symptoms such as hallucinations, delusions, and hostility. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 1% of all patients

P 52 358
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

61

prescriptions, 1% of all prescriptions

20

prescriptions.

34

patients, 5% of all patients

53 90
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

61

prescriptions, 1% of all prescriptions

29

prescriptions.

11

patients, 1% of all patients

53 20
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

48

prescriptions.

<11 55 60
BENAZEPRIL HCL

Benazepril is used alone or... +

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

58

prescriptions, 1% of all prescriptions

29

prescriptions.

<11 56 111
NEXIUM

Treats heartburn, gastroeso... +

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

56

prescriptions, 1% of all prescriptions

35

prescriptions.

15

patients, 2% of all patients

57 47
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

51

prescriptions, 0% of all prescriptions

32

prescriptions.

<11 58 18
INVEGA SUSTENNA

Used to treat the symptoms ... +

Used to treat the symptoms of schizophrenia. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 P 59 312
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 Nov. 18, 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.