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Prescriber Checkup

LORNA BIRCH M.D.

425 CUMBERLAND STREET, SUITE 110

Chattanooga | Tennessee | 37404

(423) 698-0802

Incorrect Info?
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At A Glance: This Prescriber in 2012

Geriatric Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

19,030Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 21

$1,923 Total Retail Price of All Prescriptions

Rank: 20 out of 21

229 Patients Receiving at Least One Drug in Part D
90%Patients 65 Years and Older
100% 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 avg Average for
this specialty
in Tennessee
Lower avg

Schedule Two
Controlled Substances

23% of this provider’s 229 patients filled at least one prescription for a schedule two drug, compared to an average of 8%.

Schedule Three
Controlled Substances

25% of this provider’s 229 patients filled at least one prescription for a schedule three drug, compared to an average of 16%.

Risky Drugs to Seniors

1% of this provider’s 16,698 prescriptions for patients 65 and older were for "potentially dangerous" drugs, compared to an average of 1%.

Brand Name Drugs

21% of this provider’s prescriptions were for brand-name drugs, compared to an average of 24%.

Prescription Price

$0 was the average price of a prescription from this provider, compared to $45 among peers.

Prescriptions per Patient

83 is the average number of prescriptions (including refills) per patient, compared to an average of 27.


Another View

This chart shows a different comparison of all providers in this specialty based on their mix of drugs and volume. Providers are grouped by similarity; those least like their peers are farthest to the right. Hover over the bars to see names of other prescribers.

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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.

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S2

A schedule two drug. More » Schedule two drugs have a high potential for abuse and severe dependence, according to the Drug Enforcement Administration.

S3

A schedule three drug. More » Schedule three drugs have potential for abuse and dependence, according to the Drug Enforcement Administration.

A

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
Including Refills
Prescriptions
to 65+
Category For this Prescriber For All Prescribers in
This Specialty in Tennessee
SIMVASTATIN 680 585 1 2
CALCIUM 600 + VIT D 589 518 10 2 63
ASPIRIN EC 561 491 3 66
LISINOPRIL 440 402 4 5
HYDROCODONE-ACETAMINOPHEN 434 413 S3 5 1
AMLODIPINE BESYLATE 424 378 6 6
FUROSEMIDE 405 340 7 4
METOPROLOL TARTRATE 362 362 8 8
OMEPRAZOLE 303 268 9 7
LEVOTHYROXINE SODIUM 302 258 10 3
PAIN RELIEF 282 249 10 11 94
POTASSIUM CHLORIDE 270 217 12 11
GABAPENTIN 258 212 13 10
POLYETHYLENE GLYCOL 3350 242 205 14 28
CARVEDILOL 216 169 15 17
LORAZEPAM 211 197 16 95
ESSENTIAL ONE DAILY 193 176 10 17 120
OXYCODONE-ACETAMINOPHEN 191 160 S2 18 40
DOCUSATE SODIUM 191 158 18 123
CLOPIDOGREL 189 175 20 23
LEVETIRACETAM 178 129 21 37
CITALOPRAM HBR 174 168 22 9
DIOVAN 174 174 22 45
ALENDRONATE SODIUM 169 147 24 54
ISOSORBIDE MONONITRATE ER 164 146 25 42
TRAZODONE HCL 162 158 26 19
FOLIC ACID 160 132 27 141
KLOR-CON 10 159 123 28 72
FERROUS SULFATE 155 119 29 110
SENNA 154 128 30 145
WARFARIN SODIUM 153 126 31 14
QUETIAPINE FUMARATE 152 150 32 38
PANTOPRAZOLE SODIUM 147 142 33 52
PLAVIX 146 135 34 39
NAMENDA 142 140 35 18
HYDROCHLOROTHIAZIDE 139 138 36 15
TRIAMTERENE-HCTZ 137 108 37 64
ASPIRIN 131 128 38 126
MIRTAZAPINE 131 118 38 16
ZOSTAVAX 123 112 40 153
VITAMIN B-12 119 101 41 156
LIDODERM 118 112 42 157
LORATADINE 117 109 43 158
LANTUS SOLOSTAR 114 111 44 56
METFORMIN HCL 112 112 45 12
OYSTER SHELL CALCIUM W-VIT D 111 92 46 161
TAMSULOSIN HCL 110 102 47 24
VITAMIN C 107 92 10 48 165
MULTIVITAMINS 103 96 49 168
SPIRONOLACTONE 101 57 50 60
MONOJECT INSULIN SYRINGE 95 72 51 173
FLUTICASONE PROPIONATE 94 77 52 48
SPIRIVA 91 74 53 51
DONEPEZIL HCL 90 77 54 13
BUMETANIDE 90 73 54 103
DIVALPROEX SODIUM 83 75 56 34
ESCITALOPRAM OXALATE 83 67 56 74
PREDNISONE 82 79 58 50
CYMBALTA 81 70 59 20
RANITIDINE HCL 81 80 59 32
PHENYTOIN SODIUM EXTENDED 80 74 61 70
SEROQUEL 78 78 62 80
CYANOCOBALAMIN INJECTION 77 69 63 179
NOVOLOG 77 64 63 142
MAPAP 76 73 65 137
ATORVASTATIN CALCIUM 72 53 66 27
GENERLAC 71 68 67 183
FERREX 150 71 71 10 67 183
AZITHROMYCIN 68 60 69 73
PROMETHAZINE HCL 68 61 R 69 65
OXYCONTIN 67 67 S2 71 189
OXYCODONE HCL 67 30 S2 71 82
RISPERIDONE 66 66 73 21
GLIPIZIDE 63 63 74 41
PROAIR HFA 62 41 75 62
EXELON 62 57 75 77
HYDRALAZINE HCL 61 55 77 47
LOSARTAN POTASSIUM 61 56 77 35
CARBIDOPA-LEVODOPA 61 61 77 71
BACLOFEN 58 42 80 87
VITAMIN D 57 50 81 204
METOPROLOL SUCCINATE 57 57 81 36
GUAIFENESIN 56 45 10 83 207
TRAMADOL HCL 55 43 84 31
LANTUS 53 53 85 26
FENTANYL 53 42 S2 85 76
CLONAZEPAM 53 53 85 218
VOLTAREN 51 40 88 225
LIDOCAINE-PRILOCAINE 51 49 88 225
ATENOLOL 50 50 90 25
About This Data

ProPublica obtained prescribing data from Medicare’s prescription drug benefit, known as Part D, under the Freedom of Information Act. The data for 2012 includes more than 1.2 billion prescriptions written by nearly 1.5 million doctors, nurses and other providers. This database lists about 382,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. Almost three-fourths 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 drugs@propublica.org and we will update your information. If you have other questions about this data, send a note to drugs@propublica.org.

Caveats
  • No comparisons are shown if 10 or fewer prescribers in the state share this specialty.
  • The list of top drugs includes only those for which this provider wrote 50 or more prescriptions, but all prescriptions are counted in the summary totals at the top.
  • The calculation of “Risky Drugs to Seniors” does not include drugs for which a provider wrote 11 or fewer prescriptions because Medicare redacted the information to protect patient privacy.
  • 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.