Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Physician Assistant

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

12,123Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 407

$781K Total Retail Price of All Prescriptions

Rank: 9 out of 407

346 Patients Receiving at Least One Drug in Part D
67% Patients 65 Years and Older

35% 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 Virginia
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

42% of this provider’s 346 patients filled at least one prescription for an antibiotic drug, compared to an average of 22%.

More resources »

Risky Drugs for Seniors

12% of this provider’s 233 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

38% of this provider’s 346 patients filled at least one prescription for an opioid, compared to an average of 32%.

More resources »

Brand Name Drugs

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 16%.

Prescription Price

$64 was the average price of a prescription from this provider, compared to $115 among peers.

Prescriptions per Patient

35 is the average number of prescriptions (including refills) per patient, compared to an average of 6.


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

$194K

2012

$217K

2013

$572K

2014

$781K

2015

Number of Claims

3,357

2012

3,251

2013

9,857

2014

12,123

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

540

prescriptions, 4% of all prescriptions

477

prescriptions.

79

patients, 23% of all patients

1 8
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

412

prescriptions, 3% of all prescriptions

230

prescriptions.

80

patients, 23% of all patients

O 2 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. Source: National Library of Medicine

377

prescriptions, 3% of all prescriptions

205

prescriptions.

73

patients, 21% of all patients

3 4
LISINOPRIL

Treats high blood pressure ... +

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

331

prescriptions, 3% of all prescriptions

224

prescriptions.

61

patients, 18% of all patients

4 2
GABAPENTIN

Treats certain types of sei... +

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

310

prescriptions, 3% of all prescriptions

165

prescriptions.

62

patients, 18% of all patients

5 5
SIMVASTATIN

Treats high cholesterol and... +

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

297

prescriptions, 2% of all prescriptions

197

prescriptions.

48

patients, 14% of all patients

6 10
ALPRAZOLAM

Treats anxiety, panic disor... +

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

268

prescriptions, 2% of all prescriptions

133

prescriptions.

36

patients, 10% of all patients

7 12
FUROSEMIDE

Treats fluid retention (ede... +

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

250

prescriptions, 2% of all prescriptions

206

prescriptions.

42

patients, 12% of all patients

8 14
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

246

prescriptions, 2% of all prescriptions

182

prescriptions.

55

patients, 16% of all patients

9 6
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

234

prescriptions, 2% of all prescriptions

195

prescriptions.

42

patients, 12% of all patients

10 9
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

212

prescriptions, 2% of all prescriptions

150

prescriptions.

42

patients, 12% of all patients

11 22
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

207

prescriptions, 2% of all prescriptions

175

prescriptions.

38

patients, 11% of all patients

12 17
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

184

prescriptions, 2% of all prescriptions

111

prescriptions.

34

patients, 10% of all patients

13 80
OXYCODONE HCL

Oxycodone is used to reliev... +

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

182

prescriptions, 2% of all prescriptions

78

prescriptions.

27

patients, 8% of all patients

O 14 7
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

171

prescriptions, 1% of all prescriptions

135

prescriptions.

34

patients, 10% of all patients

15 50
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

160

prescriptions, 1% of all prescriptions

127

prescriptions.

31

patients, 9% of all patients

16 20
CRESTOR

Lowers high levels of chole... +

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

156

prescriptions, 1% of all prescriptions

116

prescriptions.

29

patients, 8% of all patients

17 59
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

153

prescriptions, 1% of all prescriptions

87

prescriptions.

52

patients, 15% of all patients

18 49
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

143

prescriptions, 1% of all prescriptions

65

prescriptions.

27

patients, 8% of all patients

19 31
ATENOLOL

Treats high blood pressure ... +

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

140

prescriptions, 1% of all prescriptions

99

prescriptions.

22

patients, 6% of all patients

20 41
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

137

prescriptions, 1% of all prescriptions

81

prescriptions.

40

patients, 12% of all patients

21 36
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

132

prescriptions, 1% of all prescriptions

120

prescriptions.

24

patients, 7% of all patients

22 28
CARVEDILOL

Treats high blood pressure ... +

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

132

prescriptions, 1% of all prescriptions

71

prescriptions.

20

patients, 6% of all patients

22 24
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

130

prescriptions, 1% of all prescriptions

107

prescriptions.

20

patients, 6% of all patients

24 57
ALLOPURINOL

Treats gout and some kinds ... +

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

129

prescriptions, 1% of all prescriptions

109

prescriptions.

19

patients, 5% of all patients

25 71
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

127

prescriptions, 1% of all prescriptions

122

prescriptions.

18

patients, 5% of all patients

26 32
LORAZEPAM

Treats anxiety, anxiety wit... +

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

122

prescriptions, 1% of all prescriptions

92

prescriptions.

25

patients, 7% of all patients

27 18
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

117

prescriptions, 1% of all prescriptions

85

prescriptions.

19

patients, 5% of all patients

28 69
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

111

prescriptions, 1% of all prescriptions

86

prescriptions.

19

patients, 5% of all patients

29 29
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

107

prescriptions, 1% of all prescriptions

63

prescriptions.

21

patients, 6% of all patients

30 19
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

107

prescriptions, 1% of all prescriptions

86

prescriptions.

27

patients, 8% of all patients

30 48
CITALOPRAM HBR

Citalopram is used to treat... +

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

106

prescriptions, 1% of all prescriptions

50

prescriptions.

15

patients, 4% of all patients

32 51
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

103

prescriptions, 1% of all prescriptions

85

prescriptions.

16

patients, 5% of all patients

33 25
CLOPIDOGREL

Helps prevent stroke, heart... +

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

99

prescriptions, 1% of all prescriptions

94

prescriptions.

15

patients, 4% of all patients

34 27
CLONAZEPAM

Treats seizures, panic diso... +

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

95

prescriptions, 1% of all prescriptions

39

prescriptions.

15

patients, 4% of all patients

35 16
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

91

prescriptions, 1% of all prescriptions

64

prescriptions.

17

patients, 5% of all patients

36 47
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

91

prescriptions, 1% of all prescriptions

46

prescriptions.

19

patients, 5% of all patients

36 92
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

90

prescriptions, 1% of all prescriptions

53

prescriptions.

21

patients, 6% of all patients

38 15
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

58

prescriptions.

14

patients, 4% of all patients

39 96
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

76

prescriptions, 1% of all prescriptions

37

prescriptions.

12

patients, 3% of all patients

R 40 67
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

74

prescriptions, 1% of all prescriptions

35

prescriptions.

18

patients, 5% of all patients

41 33
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

72

prescriptions, 1% of all prescriptions

25

prescriptions.

<11 42 42
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

71

prescriptions, 1% of all prescriptions

66

prescriptions.

11

patients, 3% of all patients

43 53
MELOXICAM

Treats symptoms of osteoart... +

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

69

prescriptions, 1% of all prescriptions

28

prescriptions.

14

patients, 4% of all patients

44 34
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

69

prescriptions, 1% of all prescriptions

51

prescriptions.

15

patients, 4% of all patients

44 66
LANSOPRAZOLE

Treats stomach ulcers, gast... +

Treats stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

43

prescriptions.

13

patients, 4% of all patients

46 167
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

67

prescriptions, 1% of all prescriptions

48

prescriptions.

14

patients, 4% of all patients

47 11
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

64

prescriptions, 1% of all prescriptions

30

prescriptions.

17

patients, 5% of all patients

48 43
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

63

prescriptions, 1% of all prescriptions

43

prescriptions.

13

patients, 4% of all patients

49 39
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

61

prescriptions, 1% of all prescriptions

30

prescriptions.

<11 50 218
LEVOCETIRIZINE DIHYDROCHLORIDE

Levocetirizine is an antihi... +

Levocetirizine is an antihistamine used to relieve the symptoms of hay fever and hives of the skin. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

40

prescriptions.

15

patients, 4% of all patients

51 161
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

59

prescriptions, 0% of all prescriptions

35

prescriptions.

12

patients, 3% of all patients

52 60
ESOMEPRAZOLE MAGNESIUM

Treats gastroesophageal ref... +

Treats gastroesophageal reflux disease (GERD) and a damaged esophagus. Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

53

prescriptions.

<11 53 225
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

51

prescriptions.

11

patients, 3% of all patients

54 104
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

25

prescriptions.

<11 54 39
NYSTATIN

Treats fungus infections in... +

Treats fungus infections in the mouth, throat, and intestines. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

33

prescriptions.

27

patients, 8% of all patients

56 168
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

53

prescriptions, 0% of all prescriptions

30

prescriptions.

<11 O 57 3
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

52

prescriptions, 0% of all prescriptions

35

prescriptions.

<11 58 123
AZITHROMYCIN

Treats infections caused by... +

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

52

prescriptions, 0% of all prescriptions

35

prescriptions.

44

patients, 13% of all patients

A 58 37
AMITIZA

Treats certain types of lon... +

Treats certain types of long-term constipation by helping you have a bowel movement. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

47

prescriptions.

<11 58 162
TRAMADOL HCL

Tramadol is used to relieve... +

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

52

prescriptions, 0% of all prescriptions

11

prescriptions.

18

patients, 5% of all patients

O 58 13
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 Feb. 3, 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.