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 »

11,223Medicare Part D Prescriptions Filled, Including Refills

Rank: 300 out of 1067

$669K Total Retail Price of All Prescriptions

Rank: 279 out of 1067

655 Patients Receiving at Least One Drug in Part D
93% Patients 65 Years and Older

6% 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 Missouri
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

32% of this provider’s 655 patients filled at least one prescription for an antibiotic drug, compared to an average of 27%.

More resources »

Risky Drugs for Seniors

7% of this provider’s 612 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

11% of this provider’s 655 patients filled at least one prescription for an opioid, compared to an average of 21%.

More resources »

Brand Name Drugs

18% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$60 was the average price of a prescription from this provider, compared to $68 among peers.

Prescriptions per Patient

17 is the average number of prescriptions (including refills) per patient, compared to an average of 18.


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

$479K

2012

$627K

2013

$708K

2014

$669K

2015

Number of Claims

8,416

2012

10,417

2013

11,587

2014

11,223

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
LISINOPRIL

Treats high blood pressure ... +

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

525

prescriptions, 5% of all prescriptions

493

prescriptions.

120

patients, 18% of all patients

1 2
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

470

prescriptions, 4% of all prescriptions

431

prescriptions.

104

patients, 16% of all patients

2 1
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

410

prescriptions, 4% of all prescriptions

364

prescriptions.

104

patients, 16% of all patients

3 17
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

396

prescriptions, 4% of all prescriptions

379

prescriptions.

77

patients, 12% of all patients

4 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

370

prescriptions, 3% of all prescriptions

340

prescriptions.

89

patients, 14% of all patients

5 12
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

365

prescriptions, 3% of all prescriptions

354

prescriptions.

85

patients, 13% of all patients

6 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

296

prescriptions, 3% of all prescriptions

282

prescriptions.

62

patients, 9% of all patients

7 5
ALPRAZOLAM

Treats anxiety, panic disor... +

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

271

prescriptions, 2% of all prescriptions

250

prescriptions.

56

patients, 9% of all patients

8 14
FUROSEMIDE

Treats fluid retention (ede... +

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

209

prescriptions, 2% of all prescriptions

204

prescriptions.

46

patients, 7% of all patients

9 7
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

190

prescriptions, 2% of all prescriptions

177

prescriptions.

44

patients, 7% of all patients

10 15
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

185

prescriptions, 2% of all prescriptions

180

prescriptions.

41

patients, 6% of all patients

11 11
TRAZODONE HCL

Trazodone is used to treat ... +

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

181

prescriptions, 2% of all prescriptions

169

prescriptions.

39

patients, 6% of all patients

12 28
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

167

prescriptions, 1% of all prescriptions

149

prescriptions.

42

patients, 6% of all patients

O 13 8
METFORMIN HCL ER

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

159

prescriptions, 1% of all prescriptions

146

prescriptions.

38

patients, 6% of all patients

14 50
ATENOLOL

Treats high blood pressure ... +

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

158

prescriptions, 1% of all prescriptions

158

prescriptions.

34

patients, 5% of all patients

15 24
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

153

prescriptions, 1% of all prescriptions

148

prescriptions.

32

patients, 5% of all patients

16 10
SIMVASTATIN

Treats high cholesterol and... +

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

148

prescriptions, 1% of all prescriptions

143

prescriptions.

40

patients, 6% of all patients

17 6
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

148

prescriptions, 1% of all prescriptions

143

prescriptions.

29

patients, 4% of all patients

17 56
CHLORTHALIDONE

Treats high blood pressure ... +

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

145

prescriptions, 1% of all prescriptions

140

prescriptions.

27

patients, 4% of all patients

19 137
GABAPENTIN

Treats certain types of sei... +

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

143

prescriptions, 1% of all prescriptions

138

prescriptions.

28

patients, 4% of all patients

20 13
ALLOPURINOL

Treats gout and some kinds ... +

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

137

prescriptions, 1% of all prescriptions

137

prescriptions.

26

patients, 4% of all patients

21 29
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

133

prescriptions, 1% of all prescriptions

111

prescriptions.

27

patients, 4% of all patients

22 21
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

133

prescriptions, 1% of all prescriptions

121

prescriptions.

24

patients, 4% of all patients

22 18
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

117

prescriptions, 1% of all prescriptions

104

prescriptions.

28

patients, 4% of all patients

24 38
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

114

prescriptions, 1% of all prescriptions

114

prescriptions.

23

patients, 4% of all patients

25 53
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

113

prescriptions, 1% of all prescriptions

108

prescriptions.

22

patients, 3% of all patients

26 44
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

112

prescriptions, 1% of all prescriptions

93

prescriptions.

31

patients, 5% of all patients

27 27
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

110

prescriptions, 1% of all prescriptions

105

prescriptions.

29

patients, 4% of all patients

28 9
IRBESARTAN

Used alone or in combinatio... +

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

108

prescriptions, 1% of all prescriptions

108

prescriptions.

23

patients, 4% of all patients

29 125
PREDNISONE

Treats inflammation (swelli... +

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

106

prescriptions, 1% of all prescriptions

101

prescriptions.

50

patients, 8% of all patients

30 40
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

106

prescriptions, 1% of all prescriptions

90

prescriptions.

25

patients, 4% of all patients

30 34
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

102

prescriptions, 1% of all prescriptions

85

prescriptions.

19

patients, 3% of all patients

32 63
INDAPAMIDE

Treats high blood pressure ... +

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

91

prescriptions, 1% of all prescriptions

86

prescriptions.

20

patients, 3% of all patients

33 193
AZITHROMYCIN

Treats infections caused by... +

Treats infections caused by certain bacteria. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

84

prescriptions.

73

patients, 11% of all patients

A 34 48
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.

11

patients, 2% of all patients

35 37
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

67

prescriptions.

20

patients, 3% of all patients

36 83
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

77

prescriptions, 1% of all prescriptions

72

prescriptions.

21

patients, 3% of all patients

37 19
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

74

prescriptions.

23

patients, 4% of all patients

38 39
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

72

prescriptions, 1% of all prescriptions

67

prescriptions.

30

patients, 5% of all patients

39 36
CITALOPRAM HBR

Citalopram is used to treat... +

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

71

prescriptions, 1% of all prescriptions

56

prescriptions.

14

patients, 2% of all patients

40 22
TRAMADOL HCL

Tramadol is used to relieve... +

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

70

prescriptions, 1% of all prescriptions

65

prescriptions.

20

patients, 3% of all patients

O 41 16
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

67

prescriptions, 1% of all prescriptions

42

prescriptions.

17

patients, 3% of all patients

R 42 35
METHYLPREDNISOLONE

Treats asthma, allergic rea... +

Treats asthma, allergic reactions, inflammation, flare-ups of ongoing illnesses, and many other medical problems. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

62

prescriptions.

53

patients, 8% of all patients

42 94
CARVEDILOL

Treats high blood pressure ... +

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

66

prescriptions, 1% of all prescriptions

61

prescriptions.

16

patients, 2% of all patients

44 20
LABETALOL HCL

Labetalol is used to treat ... +

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

65

prescriptions, 1% of all prescriptions

65

prescriptions.

12

patients, 2% of all patients

45 185
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

59

prescriptions.

<11 46 105
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

64

prescriptions, 1% of all prescriptions

41

prescriptions.

<11 46 77
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

63

prescriptions.

15

patients, 2% of all patients

48 67
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

57

prescriptions, 1% of all prescriptions

52

prescriptions.

18

patients, 3% of all patients

49 26
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, 1% of all prescriptions

41

prescriptions.

14

patients, 2% of all patients

49 42
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

56

prescriptions, 0% of all prescriptions

38

prescriptions.

12

patients, 2% of all patients

O 51 45
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

56

prescriptions, 0% of all prescriptions

44

prescriptions.

12

patients, 2% of all patients

51 58
CRESTOR

Lowers high levels of chole... +

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

56

prescriptions, 0% of all prescriptions

51

prescriptions.

15

patients, 2% of all patients

51 43
BENICAR

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

55

prescriptions.

13

patients, 2% of all patients

54 143
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

41

prescriptions.

<11 55 47
PIOGLITAZONE HCL

Pioglitazone is used to tre... +

Pioglitazone is used 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

53

prescriptions, 0% of all prescriptions

53

prescriptions.

11

patients, 2% of all patients

56 113
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

50

prescriptions, 0% of all prescriptions

45

prescriptions.

12

patients, 2% of all patients

57 49
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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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 Oct. 26, 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.
  • 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.