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 »

11,404Medicare Part D Prescriptions Filled, Including Refills

Rank: 19 out of 105

$798K Total Retail Price of All Prescriptions

Rank: 15 out of 105

614 Patients Receiving at Least One Drug in Part D
92% Patients 65 Years and Older

25% 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 Dakota
lower than average

Antipsychotics

2% of this provider’s 565 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.

More resources »

Antibiotics

17% of this provider’s 614 patients filled at least one prescription for an antibiotic drug, compared to an average of 20%.

More resources »

Risky Drugs for Seniors

10% of this provider’s 565 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

16% of this provider’s 614 patients filled at least one prescription for an opioid, compared to an average of 13%.

More resources »

Brand Name Drugs

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$70 was the average price of a prescription from this provider, compared to $88 among peers.

Prescriptions per Patient

19 is the average number of prescriptions (including refills) per patient, compared to an average of 13.


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

2012

2013

$144K

2014

$798K

2015

Number of Claims

2012

2013

1,688

2014

11,404

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

501

prescriptions, 4% of all prescriptions

472

prescriptions.

142

patients, 23% of all patients

1 1
FUROSEMIDE

Treats fluid retention (ede... +

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

408

prescriptions, 4% of all prescriptions

390

prescriptions.

108

patients, 18% of all patients

2 3
SIMVASTATIN

Treats high cholesterol and... +

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

397

prescriptions, 3% of all prescriptions

386

prescriptions.

100

patients, 16% of all patients

3 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

368

prescriptions, 3% of all prescriptions

349

prescriptions.

107

patients, 17% of all patients

4 5
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

326

prescriptions, 3% of all prescriptions

268

prescriptions.

96

patients, 16% of all patients

5 7
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

311

prescriptions, 3% of all prescriptions

296

prescriptions.

85

patients, 14% of all patients

6 11
LISINOPRIL

Treats high blood pressure ... +

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

304

prescriptions, 3% of all prescriptions

278

prescriptions.

82

patients, 13% of all patients

7 4
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

295

prescriptions, 3% of all prescriptions

275

prescriptions.

100

patients, 16% of all patients

8 6
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

278

prescriptions, 2% of all prescriptions

260

prescriptions.

82

patients, 13% of all patients

9 12
TRAMADOL HCL

Tramadol is used to relieve... +

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

214

prescriptions, 2% of all prescriptions

180

prescriptions.

57

patients, 9% of all patients

O 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

201

prescriptions, 2% of all prescriptions

196

prescriptions.

53

patients, 9% of all patients

11 10
LORAZEPAM

Treats anxiety, anxiety wit... +

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

200

prescriptions, 2% of all prescriptions

175

prescriptions.

43

patients, 7% of all patients

12 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

193

prescriptions, 2% of all prescriptions

188

prescriptions.

51

patients, 8% of all patients

13 9
GABAPENTIN

Treats certain types of sei... +

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

190

prescriptions, 2% of all prescriptions

162

prescriptions.

52

patients, 8% of all patients

14 15
ATENOLOL

Treats high blood pressure ... +

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

184

prescriptions, 2% of all prescriptions

159

prescriptions.

47

patients, 8% of all patients

15 18
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

177

prescriptions, 2% of all prescriptions

164

prescriptions.

49

patients, 8% of all patients

16 8
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

165

prescriptions, 1% of all prescriptions

160

prescriptions.

30

patients, 5% of all patients

17 14
ALLOPURINOL

Treats gout and some kinds ... +

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

159

prescriptions, 1% of all prescriptions

154

prescriptions.

47

patients, 8% of all patients

18 20
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

152

prescriptions, 1% of all prescriptions

147

prescriptions.

45

patients, 7% of all patients

19 13
JANTOVEN

Helps to prevent new blood ... +

Helps to prevent new blood clots from forming, and helps to keep existing blood clots from getting worse. Source: National Library of Medicine

135

prescriptions, 1% of all prescriptions

130

prescriptions.

16

patients, 3% of all patients

20 34
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

134

prescriptions, 1% of all prescriptions

108

prescriptions.

27

patients, 4% of all patients

21 16
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

124

prescriptions, 1% of all prescriptions

113

prescriptions.

33

patients, 5% of all patients

22 21
CLOPIDOGREL

Helps prevent stroke, heart... +

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

121

prescriptions, 1% of all prescriptions

121

prescriptions.

32

patients, 5% of all patients

23 17
CRESTOR

Lowers high levels of chole... +

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

120

prescriptions, 1% of all prescriptions

115

prescriptions.

35

patients, 6% of all patients

24 26
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

101

prescriptions, 1% of all prescriptions

96

prescriptions.

32

patients, 5% of all patients

25 23
LOVASTATIN

Lowers high cholesterol and... +

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

94

prescriptions, 1% of all prescriptions

89

prescriptions.

29

patients, 5% of all patients

26 78
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

87

prescriptions.

25

patients, 4% of all patients

27 40
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

91

prescriptions, 1% of all prescriptions

86

prescriptions.

29

patients, 5% of all patients

28 35
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

70

prescriptions.

23

patients, 4% of all patients

29 29
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

87

prescriptions, 1% of all prescriptions

57

prescriptions.

23

patients, 4% of all patients

R 30 51
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

86

prescriptions, 1% of all prescriptions

86

prescriptions.

20

patients, 3% of all patients

31 28
LEVEMIR FLEXTOUCH

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

69

prescriptions.

18

patients, 3% of all patients

31 84
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

57

prescriptions.

33

patients, 5% of all patients

33 63
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

79

prescriptions.

12

patients, 2% of all patients

34 33
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

79

prescriptions, 1% of all prescriptions

79

prescriptions.

23

patients, 4% of all patients

34 52
CITALOPRAM HBR

Citalopram is used to treat... +

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

78

prescriptions, 1% of all prescriptions

63

prescriptions.

17

patients, 3% of all patients

36 24
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

78

prescriptions, 1% of all prescriptions

60

prescriptions.

32

patients, 5% of all patients

36 53
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

75

prescriptions, 1% of all prescriptions

75

prescriptions.

19

patients, 3% of all patients

38 36
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

73

prescriptions, 1% of all prescriptions

50

prescriptions.

15

patients, 2% of all patients

39 82
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

73

prescriptions, 1% of all prescriptions

58

prescriptions.

32

patients, 5% of all patients

O 39 25
PREDNISONE

Treats inflammation (swelli... +

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

72

prescriptions, 1% of all prescriptions

67

prescriptions.

19

patients, 3% of all patients

41 31
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

71

prescriptions, 1% of all prescriptions

66

prescriptions.

17

patients, 3% of all patients

R 42 86
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

71

prescriptions, 1% of all prescriptions

57

prescriptions.

16

patients, 3% of all patients

42 58
CARVEDILOL

Treats high blood pressure ... +

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

70

prescriptions, 1% of all prescriptions

65

prescriptions.

23

patients, 4% of all patients

44 22
XARELTO

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung). Source: National Library of Medicine

66

prescriptions, 1% of all prescriptions

61

prescriptions.

12

patients, 2% of all patients

45 96
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

Treats stuffy nose caused by hay fever and other allergies. Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

49

prescriptions.

21

patients, 3% of all patients

46 37
GLIPIZIDE XL

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

60

prescriptions, 1% of all prescriptions

55

prescriptions.

15

patients, 2% of all patients

47 106
NOVOLOG FLEXPEN

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

40

prescriptions.

18

patients, 3% of all patients

48 45
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

58

prescriptions, 1% of all prescriptions

58

prescriptions.

14

patients, 2% of all patients

49 57
KLOR-CON M20

Potassium is essential for ... +

Potassium is essential for the proper functioning of the heart, kidneys, muscles, nerves, and digestive system. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

51

prescriptions.

16

patients, 3% of all patients

50 87
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

55

prescriptions, 0% of all prescriptions

50

prescriptions.

16

patients, 3% of all patients

51 27
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

47

prescriptions.

11

patients, 2% of all patients

52 46
CLONAZEPAM

Treats seizures, panic diso... +

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

52

prescriptions, 0% of all prescriptions

41

prescriptions.

11

patients, 2% of all patients

52 77
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

12

prescriptions.

11

patients, 2% of all patients

O 54 110
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 Jan. 7, 2015.
  • 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.