Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Urology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

19,468Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 772

$1.41M Total Retail Price of All Prescriptions

Rank: 3 out of 772

1,813 Patients Receiving at Least One Drug in Part D
88% Patients 65 Years and Older

78% 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 California
lower than average

Antipsychotics

0% of this provider’s 1,588 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

53% of this provider’s 1,813 patients filled at least one prescription for an antibiotic drug, compared to an average of 38%.

More resources »

Risky Drugs for Seniors

21% of this provider’s 1,588 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

12% of this provider’s 1,813 patients filled at least one prescription for an opioid, compared to an average of 10%.

More resources »

Brand Name Drugs

26% of this provider’s prescriptions were for brand-name drugs, compared to an average of 17%.

Prescription Price

$73 was the average price of a prescription from this provider, compared to $97 among peers.

Prescriptions per Patient

11 is the average number of prescriptions (including refills) per patient, compared to an average of 4.


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

$705K

2012

$904K

2013

$1.21M

2014

$1.41M

2015

Number of Claims

12,189

2012

15,308

2013

19,067

2014

19,468

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
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

6,723

prescriptions, 35% of all prescriptions

6,064

prescriptions.

1,008

patients, 56% of all patients

10 1 1
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

3,168

prescriptions, 16% of all prescriptions

2,873

prescriptions.

491

patients, 27% of all patients

10 2 2
JALYN 2,187

prescriptions, 11% of all prescriptions

1,849

prescriptions.

423

patients, 23% of all patients

10 3 19
AVODART

Treats problems with urinat... +

Treats problems with urination caused by an enlarged prostate (benign prostatic hyperplasia or BPH). Source: National Library of Medicine

1,643

prescriptions, 8% of all prescriptions

1,451

prescriptions.

257

patients, 14% of all patients

10 4 7
LEVOFLOXACIN

Levofloxacin is used to tre... +

Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine

1,255

prescriptions, 6% of all prescriptions

1,125

prescriptions.

681

patients, 38% of all patients

A 10 5 16
NITROFURANTOIN MONO-MACRO

Nitrofurantoinis used to tr... +

Nitrofurantoinis used to treat urinary tract infections. Source: National Library of Medicine

690

prescriptions, 4% of all prescriptions

582

prescriptions.

378

patients, 21% of all patients

A R 10 6 18
BICALUTAMIDE

Used together with other me... +

Used together with other medicines (such as a luteinizing hormone-releasing hormone or LHRH analog) to treat prostate cancer. Source: National Library of Medicine

559

prescriptions, 3% of all prescriptions

554

prescriptions.

98

patients, 5% of all patients

10 7 15
VESICARE

Solifenacin is used to trea... +

Solifenacin is used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

453

prescriptions, 2% of all prescriptions

402

prescriptions.

86

patients, 5% of all patients

8 6
AMOXICILLIN-CLAVULANATE POTASS

Treats infections. +

Treats infections. Source: National Library of Medicine

277

prescriptions, 1% of all prescriptions

255

prescriptions.

212

patients, 12% of all patients

A 9 32
DUTASTERIDE 236

prescriptions, 1% of all prescriptions

209

prescriptions.

139

patients, 8% of all patients

10 10 44
MYRBETRIQ

Used to treat overactive bl... +

Used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

193

prescriptions, 1% of all prescriptions

157

prescriptions.

48

patients, 3% of all patients

11 8
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

185

prescriptions, 1% of all prescriptions

154

prescriptions.

153

patients, 8% of all patients

A 12 3
TOVIAZ

Used to treat symptoms of a... +

Used to treat symptoms of an overactive bladder, such as incontinence (loss of bladder control) or a frequent need to urinate. Source: National Library of Medicine

183

prescriptions, 1% of all prescriptions

161

prescriptions.

36

patients, 2% of all patients

13 22
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

180

prescriptions, 1% of all prescriptions

140

prescriptions.

131

patients, 7% of all patients

O 14 33
ALFUZOSIN HCL ER

Alfuzosin is used in men to... +

Alfuzosin is used in men to treat 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

165

prescriptions, 1% of all prescriptions

145

prescriptions.

28

patients, 2% of all patients

15 12
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

158

prescriptions, 1% of all prescriptions

136

prescriptions.

123

patients, 7% of all patients

A 16 10
DUTASTERIDE-TAMSULOSIN 124

prescriptions, 1% of all prescriptions

105

prescriptions.

116

patients, 6% of all patients

10 17 93
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

94

prescriptions.

99

patients, 5% of all patients

O 18 17
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

89

prescriptions, 0% of all prescriptions

43

prescriptions.

12

patients, 1% of all patients

19 114
AMPICILLIN TRIHYDRATE 88

prescriptions, 0% of all prescriptions

75

prescriptions.

75

patients, 4% of all patients

A 20 117
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

88

prescriptions, 0% of all prescriptions

83

prescriptions.

20

patients, 1% of all patients

20 11
TESTOSTERONE CYPIONATE

Used to treat symptoms of l... +

Used to treat symptoms of low testosterone in men who do not produce enough natural testosterone. Source: National Library of Medicine

82

prescriptions, 0% of all prescriptions

64

prescriptions.

33

patients, 2% of all patients

22 46
DIAZEPAM

Treats anxiety, muscle spas... +

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

76

prescriptions, 0% of all prescriptions

71

prescriptions.

69

patients, 4% of all patients

23 121
OXYBUTYNIN CHLORIDE ER

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

75

prescriptions, 0% of all prescriptions

58

prescriptions.

16

patients, 1% of all patients

24 4
FLUCONAZOLE

Prevents and treats certain... +

Prevents and treats certain fungus infections. Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

56

prescriptions.

43

patients, 2% of all patients

25 91
PHENAZOPYRIDINE HCL 57

prescriptions, 0% of all prescriptions

45

prescriptions.

44

patients, 2% of all patients

26 138
BETHANECHOL CHLORIDE

Bethanechol is used to reli... +

Bethanechol is used to relieve difficulties in urinating caused by surgery, drugs, or other factors. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

51

prescriptions.

11

patients, 1% of all patients

27 28
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 May 4, 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.