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Prescriber Checkup

LEO MEDUNA MD

1760 COUNTY ROAD J SAUNDERS MEDICAL CENTER

Wahoo | Nebraska | 68066

(402) 443-4191

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At A Glance: This Prescriber in 2012

Family Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

23,275Medicare Part D Prescriptions Filled, Including Refills

Rank: 3 out of 617

$932K Total Retail Price of All Prescriptions

Rank: 7 out of 617

655 Patients Receiving at Least One Drug in Part D
88%Patients 65 Years and Older
34% 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 avg Average for
this specialty
in Nebraska
Lower avg

Schedule Two
Controlled Substances

5% of this provider’s 655 patients filled at least one prescription for a schedule two drug, compared to an average of 5%.

Schedule Three
Controlled Substances

20% of this provider’s 655 patients filled at least one prescription for a schedule three drug, compared to an average of 11%.

Risky Drugs to Seniors

1% of this provider’s 20,988 prescriptions for patients 65 and older were for "potentially dangerous" drugs, compared to an average of 1%.

Brand Name Drugs

21% of this provider’s prescriptions were for brand-name drugs, compared to an average of 23%.

Prescription Price

$40 was the average price of a prescription from this provider, compared to $49 among peers.

Prescriptions per Patient

36 is the average number of prescriptions (including refills) per patient, compared to an average of 20.


Another View

This chart shows a different comparison of all providers in this specialty based on their mix of drugs and volume. Providers are grouped by similarity; those least like their peers are farthest to the right. Hover over the bars to see names of other prescribers.

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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.

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S2

A schedule two drug. More » Schedule two drugs have a high potential for abuse and severe dependence, according to the Drug Enforcement Administration.

S3

A schedule three drug. More » Schedule three drugs have potential for abuse and dependence, according to the Drug Enforcement Administration.

A

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
Including Refills
Prescriptions
to 65+
Category For this Prescriber For All Prescribers in
This Specialty in Nebraska
OMEPRAZOLE 1,164 1,044 1 3
HYDROCODONE-ACETAMINOPHEN 920 844 S3 2 8
LEVOTHYROXINE SODIUM 781 711 3 1
POTASSIUM CHLORIDE 766 692 4 10
LISINOPRIL 754 724 5 5
AMLODIPINE BESYLATE 712 683 6 6
FUROSEMIDE 687 616 7 4
PRAVASTATIN SODIUM 667 603 8 21
WARFARIN SODIUM 646 597 9 7
SIMVASTATIN 488 406 10 2
METFORMIN HCL 476 429 11 9
ATENOLOL 391 380 12 17
CITALOPRAM HBR 368 320 13 18
MELOXICAM 361 339 14 24
CARVEDILOL 357 296 15 19
METOPROLOL SUCCINATE 347 341 16 12
LOSARTAN POTASSIUM 329 311 17 22
HYDROCHLOROTHIAZIDE 307 274 18 13
ATORVASTATIN CALCIUM 295 263 19 14
POLYETHYLENE GLYCOL 3350 281 235 20 32
GABAPENTIN 281 265 20 16
METOPROLOL TARTRATE 273 271 22 11
FOSINOPRIL SODIUM 247 235 23 185
FENOFIBRATE 246 208 24 58
TRAMADOL HCL 233 196 25 15
DONEPEZIL HCL 229 229 26 30
TAMSULOSIN HCL 201 185 27 26
CRESTOR 162 138 28 28
GLIMEPIRIDE 162 151 28 33
ALENDRONATE SODIUM 158 142 30 25
CEFDINIR 149 132 31 169
ZOLPIDEM TARTRATE 139 139 32 23
ENALAPRIL MALEATE 138 136 33 34
VERAPAMIL ER 131 119 34 90
LEVOFLOXACIN 131 119 34 89
ROPINIROLE HCL 125 118 36 66
PANTOPRAZOLE SODIUM 123 111 37 37
NORTRIPTYLINE HCL 119 110 38 191
TRAZODONE HCL 114 103 39 51
DIGOXIN 112 112 40 48
LISINOPRIL-HYDROCHLOROTHIAZIDE 110 110 41 29
ALLOPURINOL 110 110 41 27
JANUVIA 107 80 43 107
CLONIDINE HCL 101 101 44 55
ISOSORBIDE MONONITRATE ER 100 89 45 52
SPIRONOLACTONE 100 74 45 42
CLOPIDOGREL 98 86 47 53
GLIPIZIDE 97 97 48 82
PREDNISONE 97 96 48 31
ZETIA 96 96 50 77
RISPERIDONE 95 95 51 71
SUCRALFATE 94 49 52 143
TRIAMTERENE-HCTZ 91 91 53 47
TRIAMCINOLONE ACETONIDE 90 82 54 102
PAROXETINE HCL 90 65 54 62
BENAZEPRIL HCL 89 89 56 44
FLUTICASONE PROPIONATE 88 83 57 36
HYDRALAZINE HCL 88 75 57 164
EVISTA 87 87 59 119
VENLAFAXINE HCL ER 85 83 60 76
SERTRALINE HCL 85 84 60 20
ACTOS 84 65 62 85
CEPHALEXIN 83 82 63 68
RANITIDINE HCL 82 57 64 40
CIPROFLOXACIN HCL 81 78 65 60
FINASTERIDE 80 73 66 104
AMOXICILLIN 79 68 67 135
DILTIAZEM ER 79 68 67 81
ACETAMINOPHEN-CODEINE 79 75 S3 67 138
LIPITOR 79 59 67 118
GLYBURIDE 78 63 R 71 84
NAMENDA 78 77 71 35
PLAVIX 75 67 73 86
OXYCONTIN 73 41 S2 74 133
AMITRIPTYLINE HCL 72 61 R 75 56
DOXYCYCLINE HYCLATE 69 65 76 113
RAMIPRIL 69 69 76 67
MOEXIPRIL HCL 65 53 10 78 247
COMBIVENT 64 62 79 187
ATENOLOL-CHLORTHALIDONE 63 63 80 142
BISOPROLOL FUMARATE 62 62 81 100
SYMBICORT 61 58 82 141
ESCITALOPRAM OXALATE 60 54 83 65
CARBIDOPA-LEVODOPA 59 59 84 69
CLOTRIMAZOLE-BETAMETHASONE 58 52 85 175
TERAZOSIN HCL 57 57 86 96
DETROL LA 56 56 87 127
DIOVAN 56 40 87 41
MUPIROCIN 56 43 87 176
TOPIRAMATE 54 28 90 149
DOXAZOSIN MESYLATE 54 54 90 79
ADVAIR DISKUS 54 29 90 38
NEXIUM 54 44 90 43
BUMETANIDE 51 50 94 124
LANTUS 51 36 94 39
SULFAMETHOXAZOLE-TRIMETHOPRIM 51 46 94 91
CEFUROXIME 50 45 97 165
LEVOXYL 50 50 97 209
About This Data

ProPublica obtained prescribing data from Medicare’s prescription drug benefit, known as Part D, under the Freedom of Information Act. The data for 2012 includes more than 1.2 billion prescriptions written by nearly 1.5 million doctors, nurses and other providers. This database lists about 382,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. Almost three-fourths 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 drugs@propublica.org and we will update your information. If you have other questions about this data, send a note to drugs@propublica.org.

Caveats
  • No comparisons are shown if 10 or fewer prescribers in the state share this specialty.
  • The list of top drugs includes only those for which this provider wrote 50 or more prescriptions, but all prescriptions are counted in the summary totals at the top.
  • The calculation of “Risky Drugs to Seniors” does not include drugs for which a provider wrote 11 or fewer prescriptions because Medicare redacted the information to protect patient privacy.
  • 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. 27, 2011.
  • Comparisons are based on each provider’s current address, not necessarily where he or she worked during the time period covered in this database.