Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Rheumatology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

17,680Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 89

$2.56M Total Retail Price of All Prescriptions

Rank: 2 out of 89

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

31% 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

12% of this provider’s 889 patients filled at least one prescription for an antibiotic drug, compared to an average of 8%.

More resources »

Risky Drugs for Seniors

18% of this provider’s 576 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 7%.

More resources »

Opioids

46% of this provider’s 889 patients filled at least one prescription for an opioid, compared to an average of 23%.

More resources »

Brand Name Drugs *

14% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

* This is an estimate, see our methodology.

Prescription Price

$145 was the average price of a prescription from this provider, compared to $241 among peers.

Prescriptions per Patient

20 is the average number of prescriptions (including refills) per patient, compared to an average of 10.


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

$1.32M

2012

$1.85M

2013

$2.19M

2014

$2.56M

2015

Number of Claims

12,846

2012

16,577

2013

18,566

2014

17,680

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
PREDNISONE

Treats inflammation (swelli... +

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

1,807

prescriptions, 10% of all prescriptions

1,267

prescriptions.

428

patients, 48% of all patients

1 2
GABAPENTIN

Treats certain types of sei... +

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

982

prescriptions, 6% of all prescriptions

603

prescriptions.

206

patients, 23% of all patients

2 7
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

806

prescriptions, 5% of all prescriptions

395

prescriptions.

215

patients, 24% of all patients

O 3 5
LEFLUNOMIDE

Treats rheumatoid arthritis... +

Treats rheumatoid arthritis in adults. Source: National Library of Medicine

717

prescriptions, 4% of all prescriptions

514

prescriptions.

132

patients, 15% of all patients

10 4 6
METHOTREXATE

Treats several kinds of can... +

Treats several kinds of cancer, including cancer of the blood, bone, lung, breast, head, or neck. Source: National Library of Medicine

677

prescriptions, 4% of all prescriptions

464

prescriptions.

123

patients, 14% of all patients

5 1
MELOXICAM

Treats symptoms of osteoart... +

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

605

prescriptions, 3% of all prescriptions

384

prescriptions.

133

patients, 15% of all patients

6 8
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

583

prescriptions, 3% of all prescriptions

367

prescriptions.

124

patients, 14% of all patients

7 10
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

570

prescriptions, 3% of all prescriptions

217

prescriptions.

95

patients, 11% of all patients

R 8 28
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

463

prescriptions, 3% of all prescriptions

180

prescriptions.

102

patients, 11% of all patients

O 9 15
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

443

prescriptions, 3% of all prescriptions

283

prescriptions.

97

patients, 11% of all patients

10 40
CLONAZEPAM

Treats seizures, panic diso... +

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

438

prescriptions, 2% of all prescriptions

133

prescriptions.

84

patients, 9% of all patients

11 54
ALPRAZOLAM

Treats anxiety, panic disor... +

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

380

prescriptions, 2% of all prescriptions

154

prescriptions.

70

patients, 8% of all patients

12 22
HYDROXYCHLOROQUINE SULFATE

Hydroxychloroquine is in a ... +

Hydroxychloroquine is in a class of drugs called antimalarials. Source: National Library of Medicine

330

prescriptions, 2% of all prescriptions

245

prescriptions.

79

patients, 9% of all patients

13 3
TRAMADOL HCL

Tramadol is used to relieve... +

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

320

prescriptions, 2% of all prescriptions

205

prescriptions.

88

patients, 10% of all patients

O 14 4
ALLOPURINOL

Treats gout and some kinds ... +

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

314

prescriptions, 2% of all prescriptions

241

prescriptions.

63

patients, 7% of all patients

15 11
TRAZODONE HCL

Trazodone is used to treat ... +

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

301

prescriptions, 2% of all prescriptions

128

prescriptions.

67

patients, 8% of all patients

16 32
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

291

prescriptions, 2% of all prescriptions

147

prescriptions.

65

patients, 7% of all patients

17 55
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

289

prescriptions, 2% of all prescriptions

78

prescriptions.

56

patients, 6% of all patients

18 24
CARISOPRODOL

Treats pain and stiffness o... +

Treats pain and stiffness of muscle spasms. Source: National Library of Medicine

271

prescriptions, 2% of all prescriptions

107

prescriptions.

75

patients, 8% of all patients

R 19 49
SULFASALAZINE

Treats ulcerative colitis. ... +

Treats ulcerative colitis. Source: National Library of Medicine

264

prescriptions, 1% of all prescriptions

173

prescriptions.

69

patients, 8% of all patients

20 31
MORPHINE SULFATE ER

Morphine (extended release)... +

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

251

prescriptions, 1% of all prescriptions

76

prescriptions.

54

patients, 6% of all patients

O 21 34
AZATHIOPRINE

Prevents your body from rej... +

Prevents your body from rejecting a kidney transplant. Source: National Library of Medicine

217

prescriptions, 1% of all prescriptions

126

prescriptions.

53

patients, 6% of all patients

22 19
FUROSEMIDE

Treats fluid retention (ede... +

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

201

prescriptions, 1% of all prescriptions

125

prescriptions.

44

patients, 5% of all patients

23 27
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

192

prescriptions, 1% of all prescriptions

117

prescriptions.

38

patients, 4% of all patients

24 12
OXYCODONE HCL

Oxycodone is used to reliev... +

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

184

prescriptions, 1% of all prescriptions

65

prescriptions.

47

patients, 5% of all patients

O 25 30
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

183

prescriptions, 1% of all prescriptions

45

prescriptions.

48

patients, 5% of all patients

R 26 23
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

164

prescriptions, 1% of all prescriptions

69

prescriptions.

34

patients, 4% of all patients

O 27 38
OXYCONTIN

Oxycodone is used to reliev... +

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

162

prescriptions, 1% of all prescriptions

37

prescriptions.

32

patients, 4% of all patients

O 28 58
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

159

prescriptions, 1% of all prescriptions

121

prescriptions.

29

patients, 3% of all patients

29 9
MYCOPHENOLATE MOFETIL

Used with other medications... +

Used with other medications to help prevent transplant organ rejection (attack of the transplanted organ by the immune system of the person receiving the organ) in people who have received organ transplants. Source: National Library of Medicine

147

prescriptions, 1% of all prescriptions

76

prescriptions.

30

patients, 3% of all patients

30 64
SIMVASTATIN

Treats high cholesterol and... +

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

143

prescriptions, 1% of all prescriptions

95

prescriptions.

33

patients, 4% of all patients

31 20
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

142

prescriptions, 1% of all prescriptions

43

prescriptions.

29

patients, 3% of all patients

32 52
LISINOPRIL

Treats high blood pressure ... +

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

139

prescriptions, 1% of all prescriptions

86

prescriptions.

30

patients, 3% of all patients

33 17
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

138

prescriptions, 1% of all prescriptions

43

prescriptions.

35

patients, 4% of all patients

34 33
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

135

prescriptions, 1% of all prescriptions

92

prescriptions.

33

patients, 4% of all patients

35 25
ENBREL

Treats rheumatoid arthritis... +

Treats rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and plaque psoriasis in adults. Source: National Library of Medicine

132

prescriptions, 1% of all prescriptions

39

prescriptions.

18

patients, 2% of all patients

36 13
CITALOPRAM HBR

Citalopram is used to treat... +

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

123

prescriptions, 1% of all prescriptions

69

prescriptions.

23

patients, 3% of all patients

37 48
HUMIRA PEN

Treats the symptoms and pre... +

Treats the symptoms and prevent the progression of active rheumatoid arthritis and ankylosing spondylitis. Source: National Library of Medicine

120

prescriptions, 1% of all prescriptions

55

prescriptions.

18

patients, 2% of all patients

38 26
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

118

prescriptions, 1% of all prescriptions

35

prescriptions.

28

patients, 3% of all patients

P 39 76
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

117

prescriptions, 1% of all prescriptions

55

prescriptions.

25

patients, 3% of all patients

40 85
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

115

prescriptions, 1% of all prescriptions

58

prescriptions.

28

patients, 3% of all patients

41 37
CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

101

prescriptions, 1% of all prescriptions

60

prescriptions.

29

patients, 3% of all patients

42 21
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

95

prescriptions, 1% of all prescriptions

30

prescriptions.

14

patients, 2% of all patients

43 57
LORAZEPAM

Treats anxiety, anxiety wit... +

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

87

prescriptions, 0% of all prescriptions

54

prescriptions.

17

patients, 2% of all patients

44 65
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

87

prescriptions, 0% of all prescriptions

56

prescriptions.

17

patients, 2% of all patients

44 47
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

85

prescriptions, 0% of all prescriptions

52

prescriptions.

19

patients, 2% of all patients

46 14
NEXIUM

Treats heartburn, gastroeso... +

Treats heartburn, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid. Source: National Library of Medicine

82

prescriptions, 0% of all prescriptions

42

prescriptions.

17

patients, 2% of all patients

47 68
ULORIC

Used to treat hyperuricemia... +

Used to treat hyperuricemia (high uric acid in the blood) in patients with gout. Source: National Library of Medicine

81

prescriptions, 0% of all prescriptions

56

prescriptions.

17

patients, 2% of all patients

48 106
SAVELLA 59

prescriptions, 0% of all prescriptions

16

prescriptions.

11

patients, 1% of all patients

49 72
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

52

prescriptions, 0% of all prescriptions

15

prescriptions.

<11 50 95
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

51

prescriptions, 0% of all prescriptions

31

prescriptions.

16

patients, 2% of all patients

51 39
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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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 Oct. 26, 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.
  • 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.