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Prescriber Checkup

At A Glance: This Prescriber in 2011

Internal Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

13,008Medicare Part D Prescriptions Filled, Including Refills

Rank: 34 out of 287

$580K Total Retail Price of All Prescriptions

Rank: 53 out of 287

242 Patients Receiving at Least One Drug in Part D
85%Patients 65 Years and Older
83% 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
Average for
this specialty
in Iowa

Narcotics

49% of this provider’s 242 patients filled at least one prescription for a narcotic painkiller, compared to an average of 18%.

Antipsychotics to Seniors

11% of this provider’s 205 patients 65 and older filled at least one prescription for an antipsychotic, compared to an average of 1%.

Risky Drugs to Seniors

0% of this provider’s 11,145 prescriptions for patients 65 and older were for "potentially dangerous" drugs, compared to an average of 1%.

Brand Name Drugs

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$45 was the average price of a prescription from this provider, compared to $50 among peers.

Prescriptions per Patient

54 is the average number of prescriptions (including refills) per patient, compared to an average of 22.


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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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.

N

A narcotic drug. More » Misuse and abuse of narcotics led to some 16,000 overdose deaths in 2010.

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 Iowa
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Lowers risk of heart attack, stroke, and certain blood vessel problems in people with certain risk factors. This medicine is an HMG-CoA reductase inhibitor, also called a statin. More info »

604 518 1 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. Also helps heal a damaged esophagus, and helps prevent stomach bleeding in patients who have a serious illness. This medicine may be used in combination with antibiotics to treat ulcers. This medicine is a proton pump inhibitor (PPI). More info »

538 464 2 3
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. More info »

519 461 3 66
METOPROLOL TARTRATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. It also is used to prevent angina (chest pain) and to improve survival after a heart attack. Extended-release (long-acting) metoprolol also is used in combination with other medications to treat heart failure. Metoprolol is in a class of medications called beta blockers. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure More info »

443 395 4 7
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). More info »

419 384 5 5
LISINOPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure. A lower blood pressure will reduce the risk of stroke and heart attack. Also used in the first few days after a heart attack to help reduce the risk of death. This medicine is an angiotensin-converting enzyme (ACE) inhibitor. More info »

404 309 6 4
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. More info »

392 320 N 7 8
HYDROMORPHONE HCL

Used to relieve moderate to... +

Used to relieve moderate to severe pain. More info »

360 274 N 8 153
IPRATROPIUM-ALBUTEROL

The combination of albutero... +

The combination of albuterol and ipratropium is used to prevent wheezing, difficulty breathing, chest tightness, and coughing in people with chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to the air sacs in the lungs). Albuterol and ipratropium combination is used by people whose symptoms have not been controlled by a single inhaled medication. Albuterol and ipratropium are in a class of medications called bronchodilators. Albuterol and ipratropium combination works by relaxing and opening the air passages to the lungs to make breathing easier. More info »

314 289 9 106
TRAMADOL HCL

Tramadol is used to relieve... +

Tramadol is used to relieve moderate to moderately severe pain. Tramadol extended-release tablets are only used by people who are expected to need medication to relieve pain around-the-clock for a long time. Tramadol is in a class of medications called opiate agonists. It works by changing the way the body senses pain. More info »

296 283 N 10 19
NOVOLIN N

Treats diabetes mellitus. +

Treats diabetes mellitus. More info »

269 213 11 168
CITALOPRAM HBR

Citalopram is used to treat... +

Citalopram is used to treat depression. Citalopram is in a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs). It is thought to work by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. More info »

264 251 12 17
GABAPENTIN

Treats certain types of sei... +

Treats certain types of seizures. Also treats Restless Legs Syndrome (RLS) and pain caused by shingles (postherpetic neuralgia). More info »

229 194 13 18
ARICEPT

Treats symptoms of Alzheime... +

Treats symptoms of Alzheimer's disease such as confusion or dementia (memory loss and mental changes). More info »

214 198 14 147
KLOR-CON 10

Potassium is essential for ... +

Potassium is essential for the proper functioning of the heart, kidneys, muscles, nerves, and digestive system. Usually the food you eat supplies all of the potassium you need. However, certain diseases (e.g., kidney disease and gastrointestinal disease with vomiting and diarrhea) and drugs, especially diuretics ('water pills'), remove potassium from the body. Potassium supplements are taken to replace potassium losses and prevent potassium deficiency. More info »

200 194 15 63
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. This medicine is a muscle relaxer. More info »

200 143 15 135
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). Amlodipine is in a class of medications called calcium channel blockers. It lowers blood pressure by relaxing the blood vessels so the heart does not have to pump as hard. It controls chest pain by increasing the supply of blood to the heart. If taken regularly, amlodipine controls chest pain, but it does not stop chest pain once it starts. Your doctor may prescribe a different medication to take when you have chest pain. More info »

200 158 15 6
FINASTERIDE

Treats an enlarged prostate... +

Treats an enlarged prostate (benign prostatic hyperplasia or BPH) in men and causes hair growth in male pattern baldness. It may be used alone or in combination with other medicines such as an alpha-blocker (doxazosin, Cardura? to treat BPH. This medicine is a 5-alpha-reductase inhibitor. More info »

196 172 18 90
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Insulin is a hormone that helps get sugar from the blood to the muscles, where it is used for energy. This type of insulin usually works longer than regular insulin. More info »

194 172 19 29
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. Tamsulosin is in a class of medications called alpha blockers. It works by relaxing the muscles in the prostate and bladder so that urine can flow easily. More info »

176 163 20 26
ALBUTEROL SULFATE

Albuterol is used to preven... +

Albuterol is used to prevent and treat wheezing, shortness of breath, coughing, and chest tightness caused by lung diseases such as asthma and chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways). Albuterol inhalation aerosol is also used to prevent breathing difficulties during exercise. Albuterol is in a class of medications called bronchodilators. It works by relaxing and opening air passages to the lungs to make breathing easier. More info »

155 150 21 126
TERAZOSIN HCL

Terazosin is used in men to... +

Terazosin 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. It also is used alone or in combination with other medications to treat high blood pressure. Terazosin is in a class of medications called alpha-blockers. It relieves the symptoms of BPH by relaxing the muscles of the bladder and prostate. It lowers blood pressure by relaxing the blood vessels so that blood can flow more easily through the body. More info »

144 144 22 82
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. More info »

142 112 23 53
PROCRIT

Treats anemia by helping th... +

Treats anemia by helping the body produce more red blood cells. More info »

137 137 24 244
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). Metformin is in a class of drugs called biguanides. Metformin helps to control the amount of glucose (sugar) in your blood. It decreases the amount of glucose you absorb from your food and the amount of glucose made by your liver. Metformin also increases your body's response to insulin, a natural substance that controls the amount of glucose in the blood. Metformin is not 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). More info »

137 97 24 13
LIDODERM

Treats nerve pain that is c... +

Treats nerve pain that is caused by herpes zoster, or "shingles." More info »

135 97 26 158
FENTANYL

Treats severe, ongoing pain... +

Treats severe, ongoing pain (during and after surgery, cancer pain) that cannot be controlled with other medicines. This medicine is a narcotic pain reliever. More info »

135 123 N 26 64
ALENDRONATE SODIUM

Alendronate is used to trea... +

Alendronate is used to treat and prevent osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause (''change of life,'' end of menstrual periods) and to treat osteoporosis in men. Alendronate is also used to treat osteoporosis in men and women who are taking corticosteroids (a type of medication that may cause osteoporosis in some patients). Alendronate is also used to treat Paget's disease of bone (a condition in which the bones are soft and weak and may be deformed, painful, or easily broken). Alendronate is in a class of medications called bisphosphonates. It works by preventing bone breakdown and increasing bone density (thickness). More info »

131 109 28 16
SODIUM CHLORIDE

Used to dilute asthma medic... +

Used to dilute asthma medicine for nebulization. More info »

128 68 29 175
NOVOLIN R

Treats diabetes mellitus. +

Treats diabetes mellitus. More info »

124 107 30 202
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. More info »

123 123 31 39
CARBIDOPA-LEVODOPA

The combination of levodopa... +

The combination of levodopa and carbidopa is used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Parkinson's symptoms, including tremors (shaking), stiffness, and slowness of movement, are caused by a lack of dopamine, a natural substance usually found in the brain. Levodopa is in a class of medications called central nervous system agents. It works by being converted to dopamine in the brain. Carbidopa is in a class of medications called decarboxylase inhibitors. It works by preventing levodopa from being broken down before it reaches the brain. This allows for a lower dose of levodopa, which causes less nausea and vomiting. More info »

114 112 32 70
TRIAMCINOLONE ACETONIDE

Triamcinolone is used to tr... +

Triamcinolone is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions. It is also used to relieve the discomfort of mouth sores. More info »

107 96 33 136
MIRTAZAPINE

Treats depression. +

Treats depression. More info »

105 97 34 61
CHLORHEXIDINE GLUCONATE

Treats gingivitis (swelling... +

Treats gingivitis (swelling of the gums) and other problems of the mouth and gums. Also treats adult periodontitis (a disease of the teeth and gums. More info »

105 72 34 175
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). Donepezil is in a class of medications called cholinesterase inhibitors. It improves mental function (such as memory, attention, social interaction, reasoning and language abilities, and ability to perform activities of daily living) by increasing the amount of a certain naturally occurring substance in the brain. Donepezil may improve the ability to think and remember or slow the loss of these abilities in people who have AD. However, donepezil will not cure AD or prevent the loss of mental abilities at some time in the future. More info »

105 98 34 30
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. Over-the-counter ranitidine is used to prevent and treat symptoms of heartburn associated with acid indigestion and sour stomach. Ranitidine is in a class of medications called H2 blockers. It decreases the amount of acid made in the stomach. More info »

104 79 37 32
TRAZODONE HCL

Trazodone is used to treat ... +

Trazodone is used to treat depression. Trazodone is in a class of medications called serotonin modulators. It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. More info »

102 76 38 43
OXYBUTYNIN CHLORIDE

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Oxybutynin is in a class of medications called anticholinergics. It works by relaxing the bladder muscles to prevent urgent, frequent, or uncontrolled urination. More info »

101 101 39 72
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. It is prescribed for people with certain types of irregular heartbeat, people with prosthetic (replacement or mechanical) heart valves, and people who have suffered a heart attack. Warfarin is also used to treat or prevent venous thrombosis (swelling and blood clot in a vein) and pulmonary embolism (a blood clot in the lung). Warfarin is in a class of medications called anticoagulants ('blood thinners'). It works by decreasing the clotting ability of the blood. More info »

97 76 40 9
SEROQUEL

Treats schizophrenia and sy... +

Treats schizophrenia and symptoms of bipolar disorder (manic-depressive illness). Used together with other medicines to treat major depressive disorder (MDD). More info »

87 60 A 41 76
AGGRENOX

Used to prevent strokes in ... +

Used to prevent strokes in patients with blood flow disorders or a history of blood clots. More info »

85 75 42 129
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). It is also used to relieve the symptoms of premenstrual dysphoric disorder, including mood swings, irritability, bloating, and breast tenderness. Sertraline is in a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs). It works by increasing the amounts of serotonin, a natural substance in the brain that helps maintain mental balance. More info »

82 80 43 28
HYDROCHLOROTHIAZIDE

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). This medicine is a diuretic (water pill). More info »

74 51 44 12
ZOLPIDEM TARTRATE

Zolpidem is used to treat i... +

Zolpidem is used to treat insomnia (difficulty falling asleep or staying asleep). Zolpidem belongs to a class of medications called sedative-hypnotics. It works by slowing activity in the brain to allow sleep. More info »

73 49 45 22
METOLAZONE

Treats high blood pressure ... +

Treats high blood pressure and fluid retention (edema). This medicine is a diuretic ("water pill"). More info »

73 70 45 164
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Also used to decrease some symptoms of cancer. This medicine is a steroid. More info »

70 56 47 27
CLONIDINE HCL

Clonidine is used alone or ... +

Clonidine is used alone or in combination with other medications to treat high blood pressure. Clonidine is in a class of medications called centrally acting alpha-agonist hypotensive agents. It works by decreasing your heart rate and relaxing the blood vessels so that blood can flow more easily through the body. More info »

65 50 48 73
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). This medicine is a bronchodilator. More info »

64 64 49 52
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). May also lower the risk of repeated heart attacks. More info »

63 63 50 10
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Helps keep atherosclerosis (hardening of the arteries) from getting worse. Lowers the risk of stroke and heart attack in people who have certain risk factors. This medicine is an HMG-CoA inhibitor, also called a statin. More info »

62 59 51 33
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. More info »

59 59 N 52 106
NOVOLOG

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Insulin is a hormone that helps get sugar from the blood to the muscles, where it is used for energy. This type of insulin is similar to regular insulin, but acts in the body more quickly. More info »

59 47 52 71
FLUOCINONIDE

Treats many skin disorders.... +

Treats many skin disorders. Also relieves pain, itching, and swelling caused by skin diseases. This medicine is a corticosteroid. More info »

57 57 54 313
BUSPIRONE HCL

Buspirone is used to treat ... +

Buspirone is used to treat anxiety disorders or in the short-term treatment of symptoms of anxiety. More info »

56 39 55 154
VALPROIC ACID

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Also used to treat mood disorders and prevent migraine headaches. This medicine is an anticonvulsant. More info »

53 53 56 198
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Also treats problems caused by liver disease. More info »

53 48 56 109
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

Treats stuffy nose caused by hay fever and other allergies. This medicine is a corticosteroid. More info »

53 53 56 51
DILTIAZEM ER

Diltiazem is used to treat ... +

Diltiazem is used to treat high blood pressure and to control angina (chest pain). Diltiazem is in a class of medications called calcium-channel blockers. It works by relaxing the blood vessels so the heart does not have to pump as hard. It also increases the supply of blood and oxygen to the heart. More info »

53 48 56 93
FLUNISOLIDE 52 52 60 231
HYDRALAZINE HCL

Hydralazine is used to trea... +

Hydralazine is used to treat high blood pressure. It works by relaxing the blood vessels so that blood can flow more easily through the body. More info »

52 50 60 102
ISOSORBIDE MONONITRATE ER 51 51 62 36
WATER 51 34 62 325
CLOBETASOL PROPIONATE

Treats psoriasis, skin irri... +

Treats psoriasis, skin irritation, allergic reactions, and other types of skin problems. This medicine belongs to a class of drugs called corticosteroids. More info »

51 43 62 213
METHADONE HCL

Methadone is used to reliev... +

Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. It also is used to prevent withdrawal symptoms in patients who were addicted to opiate drugs and are enrolled in treatment programs in order to stop taking or continue not taking the drugs. Methadone is in a class of medications called opiate (narcotic) analgesics. Methadone works to treat pain by changing the way the brain and nervous system respond to pain. It also works as a substitute for opiate drugs of abuse by producing similar effects and preventing withdrawal symptoms in people who have stopped using these drugs. More info »

50 46 N 65 207
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. Ropinirole is also used to treat restless legs syndrome (RLS or Ekbom syndrome; a condition that causes discomfort in the legs and a strong urge to move the legs, especially at night and when sitting or lying down). Ropinirole is in a class of medications called dopamine agonists. It works by acting in place of dopamine, a natural substance in the brain that is needed to control movement. More info »

50 50 65 84
LIPITOR

Lowers high cholesterol and... +

Lowers high cholesterol and triglyceride levels in the blood. Lowers the risk of chest pain, stroke, heart attack, or certain heart and blood vessel problems in people who have certain risk factors. This medicine is an HMG-CoA inhibitor, also called a statin. More info »

50 50 65 15
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 2011 includes nearly 1.2 billion prescriptions written by 1.6 million doctors, nurses and other providers. This database lists about 364,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. About three-fourths went to patients 65 and older; the rest were for disabled patients. Methodology »

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.
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.