Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nephrology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

13,964Medicare Part D Prescriptions Filled, Including Refills

Rank: 3 out of 44

$618K Total Retail Price of All Prescriptions

Rank: 8 out of 44

409 Patients Receiving at Least One Drug in Part D
82% Patients 65 Years and Older

65% 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 Iowa
lower than average

Antipsychotics

5% of this provider’s 335 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

23% of this provider’s 409 patients filled at least one prescription for an antibiotic drug, compared to an average of 14%.

More resources »

Risky Drugs for Seniors

11% of this provider’s 335 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 5%.

More resources »

Opioids

26% of this provider’s 409 patients filled at least one prescription for an opioid, compared to an average of 8%.

More resources »

Brand Name Drugs

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$44 was the average price of a prescription from this provider, compared to $91 among peers.

Prescriptions per Patient

34 is the average number of prescriptions (including refills) per patient, compared to an average of 11.


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

$531K

2012

$609K

2013

$638K

2014

$618K

2015

Number of Claims

11,416

2012

13,289

2013

14,154

2014

13,964

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
FUROSEMIDE

Treats fluid retention (ede... +

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

695

prescriptions, 5% of all prescriptions

594

prescriptions.

97

patients, 24% of all patients

1 1
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

540

prescriptions, 4% of all prescriptions

405

prescriptions.

86

patients, 21% of all patients

2 8
SIMVASTATIN

Treats high cholesterol and... +

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

490

prescriptions, 4% of all prescriptions

401

prescriptions.

88

patients, 22% of all patients

3 14
LISINOPRIL

Treats high blood pressure ... +

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

402

prescriptions, 3% of all prescriptions

324

prescriptions.

85

patients, 21% of all patients

4 3
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

393

prescriptions, 3% of all prescriptions

233

prescriptions.

69

patients, 17% of all patients

O 5 24
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

384

prescriptions, 3% of all prescriptions

299

prescriptions.

75

patients, 18% of all patients

6 7
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

382

prescriptions, 3% of all prescriptions

345

prescriptions.

33

patients, 8% of all patients

7 21
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

381

prescriptions, 3% of all prescriptions

303

prescriptions.

61

patients, 15% of all patients

8 9
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

367

prescriptions, 3% of all prescriptions

303

prescriptions.

63

patients, 15% of all patients

9 11
NABUMETONE

Treats pain caused by arthr... +

Treats pain caused by arthritis. Source: National Library of Medicine

354

prescriptions, 3% of all prescriptions

252

prescriptions.

65

patients, 16% of all patients

10 55
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

338

prescriptions, 2% of all prescriptions

319

prescriptions.

63

patients, 15% 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

306

prescriptions, 2% of all prescriptions

217

prescriptions.

59

patients, 14% of all patients

12 10
CALCITRIOL

Treats low blood calcium in... +

Treats low blood calcium in kidney dialysis patients and other patients. Source: National Library of Medicine

294

prescriptions, 2% of all prescriptions

269

prescriptions.

48

patients, 12% of all patients

13 5
ATENOLOL

Treats high blood pressure ... +

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

261

prescriptions, 2% of all prescriptions

208

prescriptions.

40

patients, 10% of all patients

14 34
ALLOPURINOL

Treats gout and some kinds ... +

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

252

prescriptions, 2% of all prescriptions

235

prescriptions.

30

patients, 7% of all patients

15 4
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

247

prescriptions, 2% of all prescriptions

206

prescriptions.

50

patients, 12% of all patients

16 6
GABAPENTIN

Treats certain types of sei... +

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

246

prescriptions, 2% of all prescriptions

176

prescriptions.

40

patients, 10% of all patients

17 16
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

238

prescriptions, 2% of all prescriptions

158

prescriptions.

50

patients, 12% of all patients

18 22
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

223

prescriptions, 2% of all prescriptions

159

prescriptions.

35

patients, 9% of all patients

19 73
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

218

prescriptions, 2% of all prescriptions

195

prescriptions.

33

patients, 8% of all patients

20 44
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

194

prescriptions, 1% of all prescriptions

128

prescriptions.

31

patients, 8% of all patients

21 13
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

175

prescriptions, 1% of all prescriptions

159

prescriptions.

31

patients, 8% of all patients

22 19
CLOPIDOGREL

Helps prevent stroke, heart... +

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

174

prescriptions, 1% of all prescriptions

169

prescriptions.

29

patients, 7% of all patients

23 29
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

148

prescriptions, 1% of all prescriptions

120

prescriptions.

21

patients, 5% of all patients

24 71
ALPRAZOLAM

Treats anxiety, panic disor... +

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

135

prescriptions, 1% of all prescriptions

107

prescriptions.

22

patients, 5% of all patients

25 45
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

129

prescriptions, 1% of all prescriptions

101

prescriptions.

22

patients, 5% of all patients

26 43
TRAMADOL HCL

Tramadol is used to relieve... +

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

127

prescriptions, 1% of all prescriptions

104

prescriptions.

34

patients, 8% of all patients

O 27 23
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

120

prescriptions, 1% of all prescriptions

103

prescriptions.

14

patients, 3% of all patients

28 54
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

104

prescriptions, 1% of all prescriptions

60

prescriptions.

31

patients, 8% of all patients

29 81
FAMOTIDINE*

Treats ulcers, gastroesopha... +

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

98

prescriptions, 1% of all prescriptions

73

prescriptions.

15

patients, 4% of all patients

30 53
LORAZEPAM

Treats anxiety, anxiety wit... +

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

96

prescriptions, 1% of all prescriptions

61

prescriptions.

22

patients, 5% of all patients

31 67
GEMFIBROZIL

Lowers high triglyceride an... +

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

91

prescriptions, 1% of all prescriptions

30

prescriptions.

11

patients, 3% of all patients

32 66
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

90

prescriptions, 1% of all prescriptions

71

prescriptions.

16

patients, 4% of all patients

33 32
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

83

prescriptions, 1% of all prescriptions

60

prescriptions.

17

patients, 4% of all patients

34 87
CARVEDILOL

Treats high blood pressure ... +

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

83

prescriptions, 1% of all prescriptions

39

prescriptions.

12

patients, 3% of all patients

34 12
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

80

prescriptions, 1% of all prescriptions

69

prescriptions.

15

patients, 4% of all patients

A 36 110
PAROXETINE HCL

Paroxetine tablets, suspens... +

Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), 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

78

prescriptions, 1% of all prescriptions

63

prescriptions.

11

patients, 3% of all patients

37 112
TOLTERODINE TARTRATE ER

Tolterodine is used treat o... +

Tolterodine is used treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination) to relieve urinary difficulties, including frequent urination and inability to control urination. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

64

prescriptions.

<11 38 113
LEVEMIR FLEXTOUCH

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

46

prescriptions.

16

patients, 4% of all patients

38 48
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

75

prescriptions, 1% of all prescriptions

46

prescriptions.

14

patients, 3% of all patients

P 40 94
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

72

prescriptions, 1% of all prescriptions

52

prescriptions.

12

patients, 3% of all patients

41 79
PREDNISONE

Treats inflammation (swelli... +

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

71

prescriptions, 1% of all prescriptions

58

prescriptions.

13

patients, 3% of all patients

42 15
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

71

prescriptions, 1% of all prescriptions

59

prescriptions.

<11 42 51
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

70

prescriptions, 1% of all prescriptions

70

prescriptions.

<11 44 37
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

69

prescriptions, 0% of all prescriptions

58

prescriptions.

43

patients, 11% of all patients

A 45 58
NOVOLOG FLEXPEN

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

29

prescriptions.

19

patients, 5% of all patients

46 46
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

60

prescriptions.

<11 46 120
LEVEMIR

Helps control blood sugar l... +

Helps control blood sugar levels. Source: National Library of Medicine

64

prescriptions, 0% of all prescriptions

59

prescriptions.

12

patients, 3% of all patients

48 95
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

58

prescriptions.

12

patients, 3% of all patients

49 77
DIGOXIN

Treats certain heart rhythm... +

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

63

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 R 49 123
OXYCODONE HCL

Oxycodone is used to reliev... +

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

62

prescriptions, 0% of all prescriptions

19

prescriptions.

<11 O 51 127
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

61

prescriptions, 0% of all prescriptions

56

prescriptions.

<11 52 96
TRAZODONE HCL

Trazodone is used to treat ... +

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

59

prescriptions, 0% of all prescriptions

37

prescriptions.

13

patients, 3% of all patients

53 83
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

51

prescriptions.

11

patients, 3% of all patients

54 42
NOVOLOG

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

50

prescriptions.

11

patients, 3% of all patients

55 60
PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole 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

55

prescriptions, 0% of all prescriptions

26

prescriptions.

<11 55 134
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

54

prescriptions, 0% of all prescriptions

49

prescriptions.

12

patients, 3% of all patients

57 101
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

54

prescriptions, 0% of all prescriptions

49

prescriptions.

<11 57 52
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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

<11 59 100
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

27

prescriptions.

<11 59 88
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

52

prescriptions, 0% of all prescriptions

47

prescriptions.

11

patients, 3% of all patients

61 86
MELOXICAM

Treats symptoms of osteoart... +

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

52

prescriptions, 0% of all prescriptions

47

prescriptions.

12

patients, 3% of all patients

61 137
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

51

prescriptions, 0% of all prescriptions

35

prescriptions.

14

patients, 3% of all patients

63 47
MIDODRINE HCL

Midodrine hydrochloride tab... +

Midodrine hydrochloride tablets are indicated for the treatment of symptomatic orthostatic hypotension. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 63 33
RENVELA

Lowers the amount of phosph... +

Lowers the amount of phosphorus in blood of patients receiving kidney dialysis. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 63 17
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?

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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 March 15, 2013.
  • 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.