Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Family Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

14,834Medicare Part D Prescriptions Filled, Including Refills

Rank: 188 out of 1528

$530K Total Retail Price of All Prescriptions

Rank: 420 out of 1528

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

28% 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

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

43% of this provider’s 641 patients filled at least one prescription for an antibiotic drug, compared to an average of 30%.

More resources »

Risky Drugs for Seniors

10% of this provider’s 534 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 12%.

More resources »

Opioids

27% of this provider’s 641 patients filled at least one prescription for an opioid, compared to an average of 24%.

More resources »

Brand Name Drugs

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%.

Prescription Price

$36 was the average price of a prescription from this provider, compared to $54 among peers.

Prescriptions per Patient

23 is the average number of prescriptions (including refills) per patient, compared to an average of 19.


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

$510K

2012

$555K

2013

$571K

2014

$530K

2015

Number of Claims

13,551

2012

14,731

2013

14,607

2014

14,834

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
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

747

prescriptions, 5% of all prescriptions

707

prescriptions.

107

patients, 17% of all patients

1 1
FUROSEMIDE

Treats fluid retention (ede... +

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

645

prescriptions, 4% of all prescriptions

563

prescriptions.

95

patients, 15% of all patients

2 8
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

462

prescriptions, 3% of all prescriptions

430

prescriptions.

74

patients, 12% of all patients

3 4
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

386

prescriptions, 3% of all prescriptions

357

prescriptions.

66

patients, 10% of all patients

4 3
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

354

prescriptions, 2% of all prescriptions

349

prescriptions.

61

patients, 10% of all patients

5 6
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

334

prescriptions, 2% of all prescriptions

329

prescriptions.

50

patients, 8% of all patients

6 12
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

331

prescriptions, 2% of all prescriptions

279

prescriptions.

53

patients, 8% of all patients

7 9
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

331

prescriptions, 2% of all prescriptions

302

prescriptions.

51

patients, 8% of all patients

7 11
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

330

prescriptions, 2% of all prescriptions

310

prescriptions.

55

patients, 9% of all patients

9 16
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

308

prescriptions, 2% of all prescriptions

290

prescriptions.

38

patients, 6% of all patients

10 18
LISINOPRIL

Treats high blood pressure ... +

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

298

prescriptions, 2% of all prescriptions

248

prescriptions.

43

patients, 7% of all patients

11 2
SIMVASTATIN

Treats high cholesterol and... +

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

287

prescriptions, 2% of all prescriptions

251

prescriptions.

47

patients, 7% of all patients

12 7
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

275

prescriptions, 2% of all prescriptions

270

prescriptions.

43

patients, 7% of all patients

13 17
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

248

prescriptions, 2% of all prescriptions

215

prescriptions.

103

patients, 16% of all patients

O 14 5
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

234

prescriptions, 2% of all prescriptions

223

prescriptions.

43

patients, 7% of all patients

15 14
ALLOPURINOL

Treats gout and some kinds ... +

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

222

prescriptions, 1% of all prescriptions

203

prescriptions.

32

patients, 5% of all patients

16 36
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

221

prescriptions, 1% of all prescriptions

188

prescriptions.

32

patients, 5% of all patients

17 25
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

216

prescriptions, 1% of all prescriptions

177

prescriptions.

28

patients, 4% of all patients

18 20
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

209

prescriptions, 1% of all prescriptions

204

prescriptions.

37

patients, 6% of all patients

19 22
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

197

prescriptions, 1% of all prescriptions

192

prescriptions.

29

patients, 5% of all patients

20 54
CARVEDILOL

Treats high blood pressure ... +

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

180

prescriptions, 1% of all prescriptions

155

prescriptions.

30

patients, 5% of all patients

21 21
GABAPENTIN

Treats certain types of sei... +

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

172

prescriptions, 1% of all prescriptions

148

prescriptions.

37

patients, 6% of all patients

22 10
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine

164

prescriptions, 1% of all prescriptions

116

prescriptions.

29

patients, 5% of all patients

23 24
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

159

prescriptions, 1% of all prescriptions

154

prescriptions.

25

patients, 4% of all patients

24 27
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

157

prescriptions, 1% of all prescriptions

142

prescriptions.

21

patients, 3% of all patients

25 56
CITALOPRAM HBR

Citalopram is used to treat... +

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

156

prescriptions, 1% of all prescriptions

134

prescriptions.

32

patients, 5% of all patients

26 19
TRAMADOL HCL

Tramadol is used to relieve... +

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

154

prescriptions, 1% of all prescriptions

134

prescriptions.

32

patients, 5% of all patients

O 27 15
ALPRAZOLAM

Treats anxiety, panic disor... +

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

140

prescriptions, 1% of all prescriptions

129

prescriptions.

26

patients, 4% of all patients

28 13
GLIPIZIDE ER

Glipizide is used along wit... +

Glipizide is used along with diet and exercise, and sometimes with other medications, 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

140

prescriptions, 1% of all prescriptions

115

prescriptions.

23

patients, 4% of all patients

28 130
CEFUROXIME

Treats infections caused by... +

Treats infections caused by bacteria. Source: National Library of Medicine

135

prescriptions, 1% of all prescriptions

130

prescriptions.

107

patients, 17% of all patients

A 30 160
ATENOLOL

Treats high blood pressure ... +

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

124

prescriptions, 1% of all prescriptions

119

prescriptions.

16

patients, 2% 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

123

prescriptions, 1% of all prescriptions

118

prescriptions.

30

patients, 5% of all patients

32 42
LOVASTATIN

Lowers high cholesterol and... +

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

114

prescriptions, 1% of all prescriptions

101

prescriptions.

18

patients, 3% of all patients

33 30
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

112

prescriptions, 1% of all prescriptions

89

prescriptions.

16

patients, 2% of all patients

34 23
CLOPIDOGREL

Helps prevent stroke, heart... +

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

108

prescriptions, 1% of all prescriptions

82

prescriptions.

15

patients, 2% of all patients

35 28
FENOFIBRATE*

Treats high cholesterol and... +

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

108

prescriptions, 1% of all prescriptions

92

prescriptions.

15

patients, 2% of all patients

35 97
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine

105

prescriptions, 1% of all prescriptions

105

prescriptions.

<11 37 105
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

104

prescriptions, 1% of all prescriptions

104

prescriptions.

12

patients, 2% of all patients

38 99
DILTIAZEM 24HR CD

Diltiazem is used to treat ... +

Diltiazem is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

103

prescriptions.

22

patients, 3% of all patients

39 93
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

100

prescriptions, 1% of all prescriptions

89

prescriptions.

15

patients, 2% of all patients

40 40
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

97

prescriptions, 1% of all prescriptions

97

prescriptions.

12

patients, 2% of all patients

41 78
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

95

prescriptions, 1% of all prescriptions

82

prescriptions.

16

patients, 2% of all patients

R 42 65
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

92

prescriptions, 1% of all prescriptions

78

prescriptions.

13

patients, 2% of all patients

43 59
CLONAZEPAM

Treats seizures, panic diso... +

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

87

prescriptions, 1% of all prescriptions

38

prescriptions.

15

patients, 2% of all patients

44 44
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

87

prescriptions, 1% of all prescriptions

55

prescriptions.

40

patients, 6% of all patients

O 44 37
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

75

prescriptions.

<11 44 49
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

81

prescriptions, 1% of all prescriptions

81

prescriptions.

12

patients, 2% of all patients

47 111
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

77

prescriptions, 1% of all prescriptions

59

prescriptions.

20

patients, 3% of all patients

48 26
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

43

prescriptions.

19

patients, 3% of all patients

48 72
LEVOFLOXACIN

Levofloxacin is used to tre... +

Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine

73

prescriptions, 0% of all prescriptions

68

prescriptions.

65

patients, 10% of all patients

A 50 84
GLIPIZIDE XL

Glipizide is used along wit... +

Glipizide is used along with diet and exercise, and sometimes with other medications, 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

71

prescriptions, 0% of all prescriptions

66

prescriptions.

13

patients, 2% of all patients

51 191
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

71

prescriptions, 0% of all prescriptions

37

prescriptions.

16

patients, 2% of all patients

R 51 38
METFORMIN HCL ER

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

67

prescriptions, 0% of all prescriptions

52

prescriptions.

<11 53 48
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

66

prescriptions, 0% of all prescriptions

55

prescriptions.

21

patients, 3% of all patients

54 29
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

39

prescriptions.

<11 55 35
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

56

prescriptions.

50

patients, 8% of all patients

A 56 80
TRIAMTERENE-HYDROCHLOROTHIAZID

Used to treat high blood pr... +

Used to treat high blood pressure and edema (fluid retention; excess fluid held in body tissues) in patients who have lower amounts of potassium in their bodies or for whom low potassium levels in the body could be dangerous. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

59

prescriptions.

11

patients, 2% of all patients

57 60
TRAZODONE HCL

Trazodone is used to treat ... +

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

57

prescriptions, 0% of all prescriptions

35

prescriptions.

<11 58 31
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

56

prescriptions.

<11 59 81
DIGOXIN

Treats certain heart rhythm... +

Treats certain heart rhythm problems (atrial fibrillation). Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

55

prescriptions.

<11 R 60 127
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. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 60 115
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

49

prescriptions.

12

patients, 2% of all patients

62 68
ENALAPRIL MALEATE

Enalapril is used alone or ... +

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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

11

patients, 2% of all patients

63 101
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

51

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 64 39
ENALAPRIL-HYDROCHLOROTHIAZIDE

The combination of enalapri... +

The combination of enalapril and hydrochlorothiazide is used to treat high blood pressure. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 65 359
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

12

patients, 2% of all patients

65 110
AMIODARONE HCL

Amiodarone is used to treat... +

Amiodarone is used to treat and prevent certain types of serious, life-threatening ventricular arrhythmias (a certain type of abnormal heart rhythm when other medications did not help or could not be tolerated. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 65 179
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 Jan. 12, 2017.
  • 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.