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 »

12,228Medicare Part D Prescriptions Filled, Including Refills

Rank: 57 out of 951

$812K Total Retail Price of All Prescriptions

Rank: 47 out of 951

601 Patients Receiving at Least One Drug in Part D
88% Patients 65 Years and Older

51% 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 531 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

26% of this provider’s 601 patients filled at least one prescription for an antibiotic drug, compared to an average of 20%.

More resources »

Risky Drugs for Seniors

13% of this provider’s 531 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

30% of this provider’s 601 patients filled at least one prescription for an opioid, compared to an average of 18%.

More resources »

Brand Name Drugs

21% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$66 was the average price of a prescription from this provider, compared to $74 among peers.

Prescriptions per Patient

20 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

$758K

2012

$749K

2013

$798K

2014

$812K

2015

Number of Claims

12,822

2012

12,805

2013

12,236

2014

12,228

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
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

534

prescriptions, 4% of all prescriptions

471

prescriptions.

131

patients, 22% of all patients

1 3
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

431

prescriptions, 4% of all prescriptions

353

prescriptions.

97

patients, 16% of all patients

2 1
FUROSEMIDE

Treats fluid retention (ede... +

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

355

prescriptions, 3% of all prescriptions

311

prescriptions.

81

patients, 13% of all patients

3 7
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

351

prescriptions, 3% of all prescriptions

334

prescriptions.

87

patients, 14% of all patients

4 5
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

335

prescriptions, 3% of all prescriptions

318

prescriptions.

84

patients, 14% of all patients

5 15
SIMVASTATIN

Treats high cholesterol and... +

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

330

prescriptions, 3% of all prescriptions

296

prescriptions.

96

patients, 16% of all patients

6 6
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

296

prescriptions, 2% of all prescriptions

277

prescriptions.

90

patients, 15% of all patients

O 7 10
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

285

prescriptions, 2% of all prescriptions

261

prescriptions.

49

patients, 8% of all patients

8 14
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

258

prescriptions, 2% of all prescriptions

236

prescriptions.

69

patients, 11% of all patients

9 8
CITALOPRAM HBR

Citalopram is used to treat... +

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

246

prescriptions, 2% of all prescriptions

200

prescriptions.

62

patients, 10% of all patients

10 18
LISINOPRIL

Treats high blood pressure ... +

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

237

prescriptions, 2% of all prescriptions

212

prescriptions.

68

patients, 11% of all patients

11 2
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

234

prescriptions, 2% of all prescriptions

167

prescriptions.

67

patients, 11% of all patients

12 4
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

224

prescriptions, 2% of all prescriptions

203

prescriptions.

49

patients, 8% of all patients

13 16
GABAPENTIN

Treats certain types of sei... +

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

185

prescriptions, 2% of all prescriptions

137

prescriptions.

42

patients, 7% of all patients

14 11
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

182

prescriptions, 1% of all prescriptions

166

prescriptions.

54

patients, 9% of all patients

15 12
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. Source: National Library of Medicine

165

prescriptions, 1% of all prescriptions

160

prescriptions.

40

patients, 7% of all patients

16 35
LORAZEPAM

Treats anxiety, anxiety wit... +

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

164

prescriptions, 1% of all prescriptions

153

prescriptions.

38

patients, 6% of all patients

17 29
OXYCODONE HCL

Oxycodone is used to reliev... +

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

158

prescriptions, 1% of all prescriptions

136

prescriptions.

44

patients, 7% of all patients

O 18 24
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

155

prescriptions, 1% of all prescriptions

142

prescriptions.

49

patients, 8% of all patients

19 13
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

144

prescriptions, 1% of all prescriptions

123

prescriptions.

27

patients, 4% of all patients

20 48
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

127

prescriptions, 1% of all prescriptions

92

prescriptions.

30

patients, 5% of all patients

O 21 42
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

112

prescriptions, 1% of all prescriptions

107

prescriptions.

31

patients, 5% of all patients

22 9
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

110

prescriptions, 1% of all prescriptions

98

prescriptions.

27

patients, 4% of all patients

23 19
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

110

prescriptions, 1% of all prescriptions

91

prescriptions.

30

patients, 5% of all patients

23 30
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

106

prescriptions, 1% of all prescriptions

101

prescriptions.

22

patients, 4% of all patients

25 37
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

105

prescriptions, 1% of all prescriptions

71

prescriptions.

25

patients, 4% of all patients

26 22
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

99

prescriptions.

27

patients, 4% of all patients

27 28
PREDNISONE

Treats inflammation (swelli... +

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

99

prescriptions, 1% of all prescriptions

94

prescriptions.

64

patients, 11% of all patients

28 38
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

98

prescriptions, 1% of all prescriptions

57

prescriptions.

44

patients, 7% of all patients

29 33
TRAZODONE HCL

Trazodone is used to treat ... +

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

98

prescriptions, 1% of all prescriptions

77

prescriptions.

25

patients, 4% of all patients

29 21
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

96

prescriptions, 1% of all prescriptions

96

prescriptions.

25

patients, 4% of all patients

31 55
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

56

prescriptions.

13

patients, 2% of all patients

P 32 68
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

74

prescriptions.

16

patients, 3% of all patients

33 73
ALLOPURINOL

Treats gout and some kinds ... +

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

91

prescriptions, 1% of all prescriptions

86

prescriptions.

29

patients, 5% of all patients

33 27
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

85

prescriptions.

25

patients, 4% of all patients

35 20
KLOR-CON M20

Potassium is essential for ... +

Potassium is essential for the proper functioning of the heart, kidneys, muscles, nerves, and digestive system. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

68

prescriptions.

24

patients, 4% of all patients

36 130
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

85

prescriptions, 1% of all prescriptions

49

prescriptions.

31

patients, 5% of all patients

R 37 36
CARVEDILOL

Treats high blood pressure ... +

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

81

prescriptions, 1% of all prescriptions

76

prescriptions.

26

patients, 4% of all patients

38 31
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

74

prescriptions, 1% of all prescriptions

69

prescriptions.

22

patients, 4% of all patients

39 61
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

74

prescriptions, 1% of all prescriptions

58

prescriptions.

32

patients, 5% of all patients

39 57
TRAMADOL HCL

Tramadol is used to relieve... +

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

74

prescriptions, 1% of all prescriptions

52

prescriptions.

25

patients, 4% of all patients

O 39 26
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

73

prescriptions, 1% of all prescriptions

58

prescriptions.

29

patients, 5% of all patients

42 32
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

72

prescriptions, 1% of all prescriptions

67

prescriptions.

19

patients, 3% of all patients

43 58
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

65

prescriptions.

28

patients, 5% of all patients

44 59
CEPHALEXIN

Treats bacterial infections... +

Treats bacterial infections. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

64

prescriptions.

35

patients, 6% of all patients

A 45 107
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

67

prescriptions, 1% of all prescriptions

42

prescriptions.

27

patients, 4% of all patients

46 23
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

59

prescriptions.

19

patients, 3% of all patients

47 44
MORPHINE SULFATE ER

Morphine (extended release)... +

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

63

prescriptions, 1% of all prescriptions

51

prescriptions.

13

patients, 2% of all patients

O 48 52
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

58

prescriptions.

16

patients, 3% of all patients

48 41
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 50 77
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

57

prescriptions.

16

patients, 3% of all patients

51 78
SYMBICORT

This is a combination of bu... +

This is a combination of budesonide and formoterol used to help control the symptoms of asthma and improve lung function. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

38

prescriptions.

15

patients, 2% of all patients

51 125
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

55

prescriptions, 0% of all prescriptions

55

prescriptions.

<11 O 53 96
ONDANSETRON HCL*

Ondansetron is used to prev... +

Ondansetron is used to prevent nausea and vomiting caused by cancer chemotherapy, radiation therapy, and surgery. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

49

prescriptions.

14

patients, 2% of all patients

54 133
ALPRAZOLAM

Treats anxiety, panic disor... +

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

53

prescriptions, 0% of all prescriptions

36

prescriptions.

14

patients, 2% of all patients

55 34
ESCITALOPRAM OXALATE

Escitalopram is used to tre... +

Escitalopram is used to treat depression and generalized anxiety disorder (excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

33

prescriptions.

14

patients, 2% of all patients

56 56
BACLOFEN

Treats muscle spasms caused... +

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

50

prescriptions, 0% of all prescriptions

15

prescriptions.

<11 56 65
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 Aug. 11, 2011.
  • 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.