Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nephrology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

14,889Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 44

$1.3M Total Retail Price of All Prescriptions

Rank: 2 out of 44

598 Patients Receiving at Least One Drug in Part D
83% Patients 65 Years and Older

35% 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 Iowa
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

9% of this provider’s 598 patients filled at least one prescription for an antibiotic drug, compared to an average of 14%.

More resources »

Risky Drugs for Seniors

7% of this provider’s 494 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 5%.

More resources »

Opioids

14% of this provider’s 598 patients filled at least one prescription for an opioid, compared to an average of 8%.

More resources »

Brand Name Drugs

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

Prescription Price

$87 was the average price of a prescription from this provider, compared to $91 among peers.

Prescriptions per Patient

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


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

$890K

2012

$908K

2013

$1.04M

2014

$1.3M

2015

Number of Claims

14,001

2012

14,229

2013

13,389

2014

14,889

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
ALLOPURINOL

Treats gout and some kinds ... +

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

831

prescriptions, 6% of all prescriptions

698

prescriptions.

153

patients, 26% of all patients

1 4
FUROSEMIDE

Treats fluid retention (ede... +

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

756

prescriptions, 5% of all prescriptions

619

prescriptions.

161

patients, 27% of all patients

2 1
LISINOPRIL

Treats high blood pressure ... +

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

656

prescriptions, 4% of all prescriptions

547

prescriptions.

128

patients, 21% of all patients

3 3
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

566

prescriptions, 4% of all prescriptions

400

prescriptions.

106

patients, 18% of all patients

4 7
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

494

prescriptions, 3% of all prescriptions

411

prescriptions.

95

patients, 16% of all patients

5 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

493

prescriptions, 3% of all prescriptions

435

prescriptions.

94

patients, 16% of all patients

6 6
CARVEDILOL

Treats high blood pressure ... +

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

460

prescriptions, 3% of all prescriptions

403

prescriptions.

84

patients, 14% of all patients

7 12
SIMVASTATIN

Treats high cholesterol and... +

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

423

prescriptions, 3% of all prescriptions

341

prescriptions.

76

patients, 13% of all patients

8 14
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, 3% of all prescriptions

371

prescriptions.

86

patients, 14% of all patients

9 2
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

410

prescriptions, 3% of all prescriptions

360

prescriptions.

77

patients, 13% of all patients

10 22
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

397

prescriptions, 3% of all prescriptions

323

prescriptions.

76

patients, 13% of all patients

11 9
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

288

prescriptions, 2% of all prescriptions

262

prescriptions.

55

patients, 9% of all patients

12 43
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

267

prescriptions, 2% of all prescriptions

200

prescriptions.

48

patients, 8% of all patients

13 13
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

251

prescriptions, 2% of all prescriptions

191

prescriptions.

47

patients, 8% of all patients

14 10
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

246

prescriptions, 2% of all prescriptions

171

prescriptions.

49

patients, 8% of all patients

15 11
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

229

prescriptions, 2% of all prescriptions

167

prescriptions.

37

patients, 6% of all patients

16 42
GABAPENTIN

Treats certain types of sei... +

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

218

prescriptions, 1% of all prescriptions

139

prescriptions.

40

patients, 7% of all patients

17 16
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

215

prescriptions, 1% of all prescriptions

171

prescriptions.

34

patients, 6% of all patients

18 32
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

201

prescriptions, 1% of all prescriptions

172

prescriptions.

44

patients, 7% of all patients

19 36
TRAMADOL HCL

Tramadol is used to relieve... +

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

200

prescriptions, 1% of all prescriptions

172

prescriptions.

39

patients, 7% of all patients

O 20 23
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

193

prescriptions, 1% of all prescriptions

131

prescriptions.

46

patients, 8% of all patients

21 46
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

183

prescriptions, 1% of all prescriptions

157

prescriptions.

29

patients, 5% of all patients

22 21
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

165

prescriptions, 1% of all prescriptions

126

prescriptions.

30

patients, 5% of all patients

23 35
CLOPIDOGREL

Helps prevent stroke, heart... +

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

148

prescriptions, 1% of all prescriptions

122

prescriptions.

27

patients, 5% of all patients

24 29
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

130

prescriptions, 1% of all prescriptions

84

prescriptions.

38

patients, 6% of all patients

O 25 24
RENVELA

Lowers the amount of phosph... +

Lowers the amount of phosphorus in blood of patients receiving kidney dialysis. Source: National Library of Medicine

127

prescriptions, 1% of all prescriptions

49

prescriptions.

33

patients, 6% of all patients

26 17
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

120

prescriptions, 1% of all prescriptions

115

prescriptions.

24

patients, 4% of all patients

27 37
FENOFIBRATE*

Treats high cholesterol and... +

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

118

prescriptions, 1% of all prescriptions

79

prescriptions.

17

patients, 3% of all patients

28 98
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

116

prescriptions, 1% of all prescriptions

101

prescriptions.

37

patients, 6% of all patients

29 49
BENAZEPRIL HCL

Benazepril is used alone or... +

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

114

prescriptions, 1% of all prescriptions

109

prescriptions.

18

patients, 3% of all patients

30 74
GEMFIBROZIL

Lowers high triglyceride an... +

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

108

prescriptions, 1% of all prescriptions

86

prescriptions.

21

patients, 4% of all patients

31 66
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

105

prescriptions, 1% of all prescriptions

92

prescriptions.

22

patients, 4% of all patients

32 48
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

102

prescriptions, 1% of all prescriptions

89

prescriptions.

16

patients, 3% of all patients

33 8
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

97

prescriptions, 1% of all prescriptions

92

prescriptions.

19

patients, 3% of all patients

34 25
NOVOLOG

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

48

prescriptions.

19

patients, 3% of all patients

35 60
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

92

prescriptions, 1% of all prescriptions

40

prescriptions.

12

patients, 2% of all patients

36 69
PREDNISONE

Treats inflammation (swelli... +

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

87

prescriptions, 1% of all prescriptions

76

prescriptions.

21

patients, 4% of all patients

37 15
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

83

prescriptions, 1% of all prescriptions

78

prescriptions.

20

patients, 3% of all patients

38 27
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

83

prescriptions, 1% of all prescriptions

78

prescriptions.

13

patients, 2% of all patients

38 18
VALSARTAN

Valsartan is used alone or ... +

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

80

prescriptions, 1% of all prescriptions

75

prescriptions.

15

patients, 3% of all patients

40 63
CALCITRIOL

Treats low blood calcium in... +

Treats low blood calcium in kidney dialysis patients and other patients. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

74

prescriptions.

15

patients, 3% of all patients

41 5
ROPINIROLE HCL

Ropinirole is used alone or... +

Ropinirole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

74

prescriptions.

15

patients, 3% of all patients

41 84
INSULIN SYRINGE*

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

41

prescriptions.

23

patients, 4% of all patients

43 114
CRESTOR

Lowers high levels of chole... +

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

74

prescriptions, 0% of all prescriptions

53

prescriptions.

12

patients, 2% of all patients

44 64
FAMOTIDINE*

Treats ulcers, gastroesopha... +

Treats ulcers, gastroesophageal reflux disease (GERD), and conditions that cause the stomach to produce too much stomach acid. Source: National Library of Medicine

70

prescriptions, 0% of all prescriptions

52

prescriptions.

<11 45 53
BUMETANIDE

Treats fluid retention (ede... +

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

69

prescriptions, 0% of all prescriptions

69

prescriptions.

13

patients, 2% of all patients

46 30
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

69

prescriptions, 0% of all prescriptions

54

prescriptions.

15

patients, 3% of all patients

46 40
VICTOZA 3-PAK

Used to treat a type of dia... +

Used to treat a type of diabetes mellitus (sugar diabetes) called type 2 diabetes. Source: National Library of Medicine

69

prescriptions, 0% of all prescriptions

38

prescriptions.

15

patients, 3% of all patients

46 118
METOLAZONE

Treats high blood pressure ... +

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

69

prescriptions, 0% of all prescriptions

39

prescriptions.

17

patients, 3% of all patients

46 39
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

67

prescriptions, 0% of all prescriptions

56

prescriptions.

14

patients, 2% of all patients

R 50 68
CITALOPRAM HBR

Citalopram is used to treat... +

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

67

prescriptions, 0% of all prescriptions

41

prescriptions.

18

patients, 3% of all patients

50 76
RAMIPRIL

Treats high blood pressure ... +

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

65

prescriptions, 0% of all prescriptions

60

prescriptions.

14

patients, 2% of all patients

52 120
HUMALOG KWIKPEN U-100

Treats diabetes mellitus. +

Treats diabetes mellitus. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

50

prescriptions.

18

patients, 3% of all patients

53 123
CALCIUM ACETATE

Used to treat hyperphosphat... +

Used to treat hyperphosphatemia (too much phosphate in the blood) in patients with end stage kidney disease who are on dialysis. Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

48

prescriptions.

17

patients, 3% of all patients

54 28
ULORIC

Used to treat hyperuricemia... +

Used to treat hyperuricemia (high uric acid in the blood) in patients with gout. Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

62

prescriptions.

11

patients, 2% of all patients

54 57
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

61

prescriptions, 0% of all prescriptions

61

prescriptions.

14

patients, 2% of all patients

56 101
MIDODRINE HCL

Midodrine hydrochloride tab... +

Midodrine hydrochloride tablets are indicated for the treatment of symptomatic orthostatic hypotension. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

47

prescriptions.

15

patients, 3% of all patients

57 33
NOVOLIN 70-30

Insulin injection is used t... +

Insulin injection is used to control blood sugar in people who have type 1 diabetes (condition in which the body does not make insulin and therefore cannot control the amount of sugar in the blood) or in people who have type 2 diabetes (condition in which the blood sugar is too high because the body does not produce or use insulin normally) that cannot be controlled with oral medications alone. Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

58

prescriptions.

<11 58 131
CLONAZEPAM

Treats seizures, panic diso... +

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

58

prescriptions, 0% of all prescriptions

46

prescriptions.

12

patients, 2% of all patients

58 103
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, 0% of all prescriptions

52

prescriptions.

13

patients, 2% of all patients

60 47
DOXAZOSIN MESYLATE

Doxazosin (Cardura, Cardura... +

Doxazosin (Cardura, Cardura XL) 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

55

prescriptions, 0% of all prescriptions

55

prescriptions.

<11 61 26
ALPRAZOLAM

Treats anxiety, panic disor... +

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

55

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 61 45
LORAZEPAM

Treats anxiety, anxiety wit... +

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

50

prescriptions, 0% of all prescriptions

39

prescriptions.

14

patients, 2% of all patients

63 67
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

50

prescriptions, 0% of all prescriptions

32

prescriptions.

<11 63 140
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?

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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 Dec. 22, 2016.
  • 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.