Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Pulmonary Disease

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

3,972Medicare Part D Prescriptions Filled, Including Refills

Rank: 14 out of 149

$8.84M Total Retail Price of All Prescriptions

Rank: 1 out of 149

198 Patients Receiving at Least One Drug in Part D
54% 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 Missouri
lower than average

Antipsychotics

0% of this provider’s 107 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

15% of this provider’s 198 patients filled at least one prescription for an antibiotic drug, compared to an average of 28%.

More resources »

Risky Drugs for Seniors

This provider prescribed potentially inappropriate drugs 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 »

Opioids

7% of this provider’s 198 patients filled at least one prescription for an opioid, compared to an average of 3%.

More resources »

Brand Name Drugs

53% of this provider’s prescriptions were for brand-name drugs, compared to an average of 54%.

Prescription Price

$2226 was the average price of a prescription from this provider, compared to $311 among peers.

Prescriptions per Patient

20 is the average number of prescriptions (including refills) per patient, compared to an average of 8.


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

$3.58M

2012

$4.66M

2013

$6.1M

2014

$8.84M

2015

Number of Claims

2,288

2012

2,716

2013

3,098

2014

3,972

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
ADCIRCA 695

prescriptions, 17% of all prescriptions

286

prescriptions.

78

patients, 39% of all patients

10 1 36
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

333

prescriptions, 8% of all prescriptions

165

prescriptions.

53

patients, 27% of all patients

2 55
LETAIRIS 312

prescriptions, 8% of all prescriptions

90

prescriptions.

34

patients, 17% of all patients

10 3 56
FUROSEMIDE

Treats fluid retention (ede... +

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

265

prescriptions, 7% of all prescriptions

138

prescriptions.

51

patients, 26% of all patients

4 9
OPSUMIT 232

prescriptions, 6% of all prescriptions

150

prescriptions.

26

patients, 13% of all patients

10 5 76
SILDENAFIL 224

prescriptions, 6% of all prescriptions

143

prescriptions.

35

patients, 18% of all patients

6 73
TRACLEER 145

prescriptions, 4% of all prescriptions

70

prescriptions.

19

patients, 10% of all patients

7 97
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

134

prescriptions, 3% of all prescriptions

47

prescriptions.

27

patients, 14% of all patients

8 14
ADEMPAS 133

prescriptions, 3% of all prescriptions

57

prescriptions.

17

patients, 9% of all patients

10 9 101
GABAPENTIN

Treats certain types of sei... +

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

101

prescriptions, 3% of all prescriptions

31

prescriptions.

18

patients, 9% of all patients

10 31
BUMETANIDE

Treats fluid retention (ede... +

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

84

prescriptions, 2% of all prescriptions

46

prescriptions.

16

patients, 8% of all patients

11 97
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

83

prescriptions, 2% of all prescriptions

53

prescriptions.

13

patients, 7% of all patients

12 1
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, 2% of all prescriptions

35

prescriptions.

19

patients, 10% of all patients

13 3
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

64

prescriptions, 2% of all prescriptions

12

prescriptions.

<11 14 27
PREDNISONE

Treats inflammation (swelli... +

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

59

prescriptions, 1% of all prescriptions

36

prescriptions.

14

patients, 7% of all patients

15 2
TORSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) caused by congestive heart failure, kidney disease, or liver disease. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

21

prescriptions.

<11 16 153
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 Nov. 14, 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.