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 »

10,114Medicare Part D Prescriptions Filled, Including Refills

Rank: 75 out of 410

$489K Total Retail Price of All Prescriptions

Rank: 112 out of 410

476 Patients Receiving at Least One Drug in Part D
67% Patients 65 Years and Older

50% 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 Nevada
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

21% of this provider’s 476 patients filled at least one prescription for an antibiotic drug, compared to an average of 26%.

More resources »

Risky Drugs for Seniors

6% of this provider’s 320 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

37% of this provider’s 476 patients filled at least one prescription for an opioid, compared to an average of 20%.

More resources »

Brand Name Drugs

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$48 was the average price of a prescription from this provider, compared to $74 among peers.

Prescriptions per Patient

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


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

$122K

2012

$226K

2013

$325K

2014

$489K

2015

Number of Claims

2,635

2012

4,497

2013

7,150

2014

10,114

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

477

prescriptions, 5% of all prescriptions

327

prescriptions.

97

patients, 20% 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

423

prescriptions, 4% of all prescriptions

315

prescriptions.

86

patients, 18% of all patients

2 1
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

419

prescriptions, 4% of all prescriptions

299

prescriptions.

94

patients, 20% of all patients

3 3
SIMVASTATIN

Treats high cholesterol and... +

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

399

prescriptions, 4% of all prescriptions

239

prescriptions.

79

patients, 17% of all patients

4 5
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

350

prescriptions, 3% of all prescriptions

186

prescriptions.

88

patients, 18% of all patients

O 5 8
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

321

prescriptions, 3% of all prescriptions

217

prescriptions.

62

patients, 13% of all patients

6 9
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

295

prescriptions, 3% of all prescriptions

166

prescriptions.

75

patients, 16% of all patients

7 4
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

246

prescriptions, 2% of all prescriptions

173

prescriptions.

60

patients, 13% of all patients

8 7
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

220

prescriptions, 2% of all prescriptions

123

prescriptions.

50

patients, 11% of all patients

9 6
TRAZODONE HCL

Trazodone is used to treat ... +

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

211

prescriptions, 2% of all prescriptions

86

prescriptions.

57

patients, 12% of all patients

10 31
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

192

prescriptions, 2% of all prescriptions

99

prescriptions.

43

patients, 9% of all patients

11 11
GABAPENTIN

Treats certain types of sei... +

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

187

prescriptions, 2% of all prescriptions

76

prescriptions.

49

patients, 10% of all patients

12 10
TRAMADOL HCL

Tramadol is used to relieve... +

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

183

prescriptions, 2% of all prescriptions

105

prescriptions.

43

patients, 9% of all patients

O 13 28
FUROSEMIDE

Treats fluid retention (ede... +

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

176

prescriptions, 2% of all prescriptions

120

prescriptions.

42

patients, 9% of all patients

14 12
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

141

prescriptions, 1% of all prescriptions

53

prescriptions.

44

patients, 9% of all patients

15 35
CLOPIDOGREL

Helps prevent stroke, heart... +

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

136

prescriptions, 1% of all prescriptions

94

prescriptions.

23

patients, 5% of all patients

16 23
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

128

prescriptions, 1% of all prescriptions

77

prescriptions.

30

patients, 6% of all patients

17 15
CARVEDILOL

Treats high blood pressure ... +

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

124

prescriptions, 1% of all prescriptions

85

prescriptions.

28

patients, 6% of all patients

18 20
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

124

prescriptions, 1% of all prescriptions

119

prescriptions.

23

patients, 5% of all patients

18 25
ATENOLOL

Treats high blood pressure ... +

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

111

prescriptions, 1% of all prescriptions

87

prescriptions.

18

patients, 4% of all patients

20 16
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

107

prescriptions, 1% of all prescriptions

80

prescriptions.

47

patients, 10% of all patients

21 24
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

100

prescriptions, 1% of all prescriptions

74

prescriptions.

21

patients, 4% of all patients

22 40
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

99

prescriptions, 1% of all prescriptions

78

prescriptions.

29

patients, 6% of all patients

23 17
ALPRAZOLAM

Treats anxiety, panic disor... +

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

95

prescriptions, 1% of all prescriptions

55

prescriptions.

31

patients, 7% of all patients

24 13
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

94

prescriptions, 1% of all prescriptions

76

prescriptions.

24

patients, 5% of all patients

25 22
DIAZEPAM

Treats anxiety, muscle spas... +

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

88

prescriptions, 1% of all prescriptions

30

prescriptions.

17

patients, 4% of all patients

26 66
ALLOPURINOL

Treats gout and some kinds ... +

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

87

prescriptions, 1% of all prescriptions

70

prescriptions.

14

patients, 3% of all patients

27 27
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

48

prescriptions.

13

patients, 3% of all patients

27 42
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

82

prescriptions, 1% of all prescriptions

50

prescriptions.

15

patients, 3% of all patients

29 50
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

57

prescriptions.

13

patients, 3% of all patients

29 37
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

81

prescriptions, 1% of all prescriptions

31

prescriptions.

16

patients, 3% of all patients

31 33
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

78

prescriptions, 1% of all prescriptions

50

prescriptions.

24

patients, 5% of all patients

32 18
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

40

prescriptions.

33

patients, 7% of all patients

33 65
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

76

prescriptions, 1% of all prescriptions

63

prescriptions.

18

patients, 4% of all patients

O 33 104
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

37

prescriptions.

23

patients, 5% of all patients

35 61
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

73

prescriptions, 1% of all prescriptions

61

prescriptions.

13

patients, 3% of all patients

36 14
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

44

prescriptions.

15

patients, 3% of all patients

36 38
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

69

prescriptions, 1% of all prescriptions

21

prescriptions.

26

patients, 5% of all patients

O 38 36
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

20

prescriptions.

13

patients, 3% of all patients

R 39 30
MELOXICAM

Treats symptoms of osteoart... +

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

67

prescriptions, 1% of all prescriptions

54

prescriptions.

17

patients, 4% of all patients

39 44
LORAZEPAM

Treats anxiety, anxiety wit... +

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

63

prescriptions, 1% of all prescriptions

45

prescriptions.

16

patients, 3% of all patients

41 45
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

62

prescriptions, 1% of all prescriptions

36

prescriptions.

19

patients, 4% of all patients

42 34
AZITHROMYCIN

Treats infections caused by... +

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

62

prescriptions, 1% of all prescriptions

37

prescriptions.

46

patients, 10% of all patients

A 42 43
FENOFIBRATE*

Treats high cholesterol and... +

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

60

prescriptions, 1% of all prescriptions

39

prescriptions.

13

patients, 3% of all patients

44 69
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

24

prescriptions.

22

patients, 5% of all patients

45 55
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

37

prescriptions.

16

patients, 3% of all patients

45 63
LOVASTATIN

Lowers high cholesterol and... +

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

58

prescriptions, 1% of all prescriptions

47

prescriptions.

17

patients, 4% of all patients

47 21
CITALOPRAM HBR

Citalopram is used to treat... +

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

57

prescriptions, 1% of all prescriptions

52

prescriptions.

17

patients, 4% of all patients

48 32
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

57

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 48 122
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

57

prescriptions, 1% of all prescriptions

32

prescriptions.

11

patients, 2% of all patients

48 74
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

23

prescriptions.

<11 51 99
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

55

prescriptions, 1% of all prescriptions

50

prescriptions.

11

patients, 2% of all patients

52 56
VENTOLIN HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

32

prescriptions.

24

patients, 5% of all patients

52 119
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 July 8, 2007.
  • 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.