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 »

11,800Medicare Part D Prescriptions Filled, Including Refills

Rank: 64 out of 951

$617K Total Retail Price of All Prescriptions

Rank: 108 out of 951

698 Patients Receiving at Least One Drug in Part D
82% Patients 65 Years and Older

53% 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 Washington
lower than average

Antipsychotics

5% of this provider’s 572 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

13% of this provider’s 698 patients filled at least one prescription for an antibiotic drug, compared to an average of 20%.

More resources »

Risky Drugs for Seniors

11% of this provider’s 572 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

31% of this provider’s 698 patients filled at least one prescription for an opioid, compared to an average of 18%.

More resources »

Brand Name Drugs

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

Prescription Price

$52 was the average price of a prescription from this provider, compared to $74 among peers.

Prescriptions per Patient

17 is the average number of prescriptions (including refills) per patient, compared to an average of 15.


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

$416K

2012

$470K

2013

$502K

2014

$617K

2015

Number of Claims

8,577

2012

9,633

2013

10,490

2014

11,800

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.

Click to Filter by Category

Clear Filter


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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

532

prescriptions, 5% of all prescriptions

374

prescriptions.

109

patients, 16% of all patients

O 1 10
FUROSEMIDE

Treats fluid retention (ede... +

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

456

prescriptions, 4% of all prescriptions

388

prescriptions.

82

patients, 12% of all patients

2 7
LISINOPRIL

Treats high blood pressure ... +

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

366

prescriptions, 3% of all prescriptions

284

prescriptions.

87

patients, 12% of all patients

3 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

362

prescriptions, 3% of all prescriptions

325

prescriptions.

82

patients, 12% of all patients

4 1
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

314

prescriptions, 3% of all prescriptions

228

prescriptions.

69

patients, 10% of all patients

5 4
GABAPENTIN

Treats certain types of sei... +

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

304

prescriptions, 3% of all prescriptions

260

prescriptions.

59

patients, 8% of all patients

6 11
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

260

prescriptions, 2% of all prescriptions

211

prescriptions.

56

patients, 8% of all patients

7 9
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

258

prescriptions, 2% of all prescriptions

243

prescriptions.

52

patients, 7% of all patients

8 14
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

243

prescriptions, 2% of all prescriptions

200

prescriptions.

57

patients, 8% of all patients

9 3
SIMVASTATIN

Treats high cholesterol and... +

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

243

prescriptions, 2% of all prescriptions

181

prescriptions.

64

patients, 9% of all patients

9 6
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

230

prescriptions, 2% of all prescriptions

225

prescriptions.

54

patients, 8% of all patients

11 5
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

221

prescriptions, 2% of all prescriptions

198

prescriptions.

56

patients, 8% of all patients

12 8
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

211

prescriptions, 2% of all prescriptions

206

prescriptions.

57

patients, 8% of all patients

13 13
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

203

prescriptions, 2% of all prescriptions

174

prescriptions.

45

patients, 6% of all patients

14 15
ATENOLOL

Treats high blood pressure ... +

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

184

prescriptions, 2% of all prescriptions

179

prescriptions.

41

patients, 6% of all patients

15 17
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

183

prescriptions, 2% of all prescriptions

161

prescriptions.

39

patients, 6% of all patients

16 19
OXYCODONE HCL

Oxycodone is used to reliev... +

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

181

prescriptions, 2% of all prescriptions

92

prescriptions.

38

patients, 5% of all patients

O 17 24
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

170

prescriptions, 1% of all prescriptions

133

prescriptions.

35

patients, 5% of all patients

18 22
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

169

prescriptions, 1% of all prescriptions

112

prescriptions.

37

patients, 5% of all patients

19 40
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

166

prescriptions, 1% of all prescriptions

135

prescriptions.

44

patients, 6% of all patients

20 12
TRAZODONE HCL

Trazodone is used to treat ... +

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

156

prescriptions, 1% of all prescriptions

98

prescriptions.

33

patients, 5% of all patients

21 21
CITALOPRAM HBR

Citalopram is used to treat... +

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

150

prescriptions, 1% of all prescriptions

111

prescriptions.

29

patients, 4% of all patients

22 18
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

134

prescriptions, 1% of all prescriptions

70

prescriptions.

32

patients, 5% of all patients

O 23 42
ALLOPURINOL

Treats gout and some kinds ... +

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

121

prescriptions, 1% of all prescriptions

116

prescriptions.

24

patients, 3% of all patients

24 27
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

116

prescriptions, 1% of all prescriptions

89

prescriptions.

24

patients, 3% of all patients

25 16
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

113

prescriptions, 1% of all prescriptions

71

prescriptions.

30

patients, 4% of all patients

26 33
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

113

prescriptions, 1% of all prescriptions

83

prescriptions.

21

patients, 3% of all patients

26 44
LORAZEPAM

Treats anxiety, anxiety wit... +

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

113

prescriptions, 1% of all prescriptions

73

prescriptions.

32

patients, 5% of all patients

26 29
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

106

prescriptions, 1% of all prescriptions

74

prescriptions.

19

patients, 3% of all patients

O 29 52
CLOPIDOGREL

Helps prevent stroke, heart... +

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

104

prescriptions, 1% of all prescriptions

104

prescriptions.

31

patients, 4% of all patients

30 28
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

100

prescriptions, 1% of all prescriptions

100

prescriptions.

20

patients, 3% of all patients

31 32
PREDNISONE

Treats inflammation (swelli... +

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

96

prescriptions, 1% of all prescriptions

91

prescriptions.

36

patients, 5% of all patients

32 38
DONEPEZIL HCL

Donepezil is used to treat ... +

Donepezil is used to treat dementia (a brain disorder that affects the ability to remember, think clearly, communicate, and perform daily activities and may cause changes in mood and personality) associated with Alzheimer's disease (AD; a brain disease that slowly destroys the memory and the ability to think, learn, communicate and handle daily activities). Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

95

prescriptions.

15

patients, 2% of all patients

33 37
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

93

prescriptions, 1% of all prescriptions

70

prescriptions.

17

patients, 2% of all patients

34 50
CARVEDILOL

Treats high blood pressure ... +

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

92

prescriptions, 1% of all prescriptions

69

prescriptions.

31

patients, 4% of all patients

35 31
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

90

prescriptions, 1% of all prescriptions

64

prescriptions.

26

patients, 4% of all patients

36 20
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

76

prescriptions.

23

patients, 3% of all patients

37 30
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

87

prescriptions, 1% of all prescriptions

68

prescriptions.

18

patients, 3% of all patients

38 57
FENTANYL

Treats severe, ongoing pain... +

Treats severe, ongoing pain (during and after surgery, cancer pain) that cannot be controlled with other medicines. Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

61

prescriptions.

14

patients, 2% of all patients

O 39 70
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

81

prescriptions, 1% of all prescriptions

52

prescriptions.

39

patients, 6% of all patients

40 23
QUETIAPINE FUMARATE

Quetiapine is used to treat... +

Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

80

prescriptions, 1% of all prescriptions

49

prescriptions.

20

patients, 3% of all patients

P 41 46
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

79

prescriptions, 1% of all prescriptions

46

prescriptions.

20

patients, 3% of all patients

42 60
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

77

prescriptions, 1% of all prescriptions

72

prescriptions.

16

patients, 2% of all patients

43 43
LOVASTATIN

Lowers high cholesterol and... +

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

76

prescriptions, 1% of all prescriptions

59

prescriptions.

16

patients, 2% of all patients

44 25
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

70

prescriptions, 1% of all prescriptions

16

prescriptions.

12

patients, 2% of all patients

45 48
ALPRAZOLAM

Treats anxiety, panic disor... +

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

68

prescriptions, 1% of all prescriptions

44

prescriptions.

19

patients, 3% of all patients

46 34
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

62

prescriptions, 1% of all prescriptions

5

prescriptions.

13

patients, 2% of all patients

47 80
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

58

prescriptions, 0% of all prescriptions

17

prescriptions.

15

patients, 2% of all patients

R 48 36
LIDOCAINE

Causes numbness or loss of ... +

Causes numbness or loss of feeling in an area of your body. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

52

prescriptions.

<11 49 135
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

56

prescriptions, 0% of all prescriptions

51

prescriptions.

15

patients, 2% of all patients

O 50 96
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

17

prescriptions.

11

patients, 2% of all patients

51 65
LAMOTRIGINE

Treats certain types of sei... +

Treats certain types of seizures and mood disorders. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

20

prescriptions.

11

patients, 2% of all patients

52 144
JANTOVEN

Helps to prevent new blood ... +

Helps to prevent new blood clots from forming, and helps to keep existing blood clots from getting worse. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 53 106
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. 9, 2010.
  • 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.