Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Interventional Pain Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

6,421Medicare Part D Prescriptions Filled, Including Refills

Rank: 5 out of 23

$815K Total Retail Price of All Prescriptions

Rank: 1 out of 23

409 Patients Receiving at Least One Drug in Part D
46% Patients 65 Years and Older

42% 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 South Carolina
lower than average

Antipsychotics

0% of this provider’s 188 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

This provider prescribed antibiotics to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Risky Drugs for Seniors

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

21 of this provider’s 188 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

88% of this provider’s 409 patients filled at least one prescription for an opioid, compared to an average of 79%.

More resources »

Brand Name Drugs

20% of this provider’s prescriptions were for brand-name drugs, compared to an average of 12%.

Prescription Price

$127 was the average price of a prescription from this provider, compared to $80 among peers.

Prescriptions per Patient

16 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$203K

2012

$291K

2013

$586K

2014

$815K

2015

Number of Claims

1,742

2012

2,770

2013

4,978

2014

6,421

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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

653

prescriptions, 10% of all prescriptions

246

prescriptions.

138

patients, 34% of all patients

O 1 1
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

567

prescriptions, 9% of all prescriptions

188

prescriptions.

95

patients, 23% of all patients

O 2 2
MORPHINE SULFATE ER

Morphine (extended release)... +

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

554

prescriptions, 9% of all prescriptions

133

prescriptions.

88

patients, 22% of all patients

O 3 5
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

552

prescriptions, 9% of all prescriptions

218

prescriptions.

76

patients, 19% of all patients

O 4 7
GABAPENTIN

Treats certain types of sei... +

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

393

prescriptions, 6% of all prescriptions

151

prescriptions.

73

patients, 18% of all patients

5 3
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

334

prescriptions, 5% of all prescriptions

86

prescriptions.

69

patients, 17% of all patients

6 6
OPANA ER

Used to relieve moderate to... +

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

260

prescriptions, 4% of all prescriptions

75

prescriptions.

40

patients, 10% of all patients

O 7 19
MELOXICAM

Treats symptoms of osteoart... +

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

218

prescriptions, 3% of all prescriptions

64

prescriptions.

46

patients, 11% of all patients

8 9
METHADONE HCL

Methadone is used to reliev... +

Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. Source: National Library of Medicine

190

prescriptions, 3% of all prescriptions

48

prescriptions.

20

patients, 5% of all patients

O 9 11
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

172

prescriptions, 3% of all prescriptions

24

prescriptions.

29

patients, 7% of all patients

R 10 12
MORPHINE SULFATE

Morphine is used to relieve... +

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

166

prescriptions, 3% of all prescriptions

30

prescriptions.

32

patients, 8% of all patients

O 11 14
OXYCODONE HCL

Oxycodone is used to reliev... +

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

161

prescriptions, 3% of all prescriptions

38

prescriptions.

29

patients, 7% of all patients

O 12 4
OXYMORPHONE HCL 153

prescriptions, 2% of all prescriptions

11

prescriptions.

28

patients, 7% of all patients

O 13 32
TRAMADOL HCL

Tramadol is used to relieve... +

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

136

prescriptions, 2% of all prescriptions

76

prescriptions.

45

patients, 11% of all patients

O 14 8
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

136

prescriptions, 2% of all prescriptions

24

prescriptions.

25

patients, 6% of all patients

14 10
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

133

prescriptions, 2% of all prescriptions

46

prescriptions.

24

patients, 6% of all patients

16 18
HYDROMORPHONE ER 107

prescriptions, 2% of all prescriptions

5

prescriptions.

13

patients, 3% of all patients

O 10 17 36
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

106

prescriptions, 2% of all prescriptions

14

prescriptions.

21

patients, 5% of all patients

R 18 23
BUTRANS 93

prescriptions, 1% of all prescriptions

39

prescriptions.

18

patients, 4% of all patients

O 19 29
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

90

prescriptions, 1% of all prescriptions

5

prescriptions.

19

patients, 5% of all patients

20 38
PROMETHAZINE HCL

Promethazine is used to rel... +

Promethazine is used to relieve the symptoms of allergic reactions such as allergic rhinitis (runny nose and watery eyes caused by allergy to pollen, mold or dust), allergic conjunctivitis (red, watery eyes caused by allergies), allergic skin reactions, and allergic reactions to blood or plasma products. Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

5

prescriptions.

21

patients, 5% of all patients

R 21 39
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

72

prescriptions, 1% of all prescriptions

27

prescriptions.

<11 R 22 21
OXYMORPHONE HCL ER 56

prescriptions, 1% of all prescriptions

5

prescriptions.

14

patients, 3% of all patients

O 23 44
NUCYNTA ER 55

prescriptions, 1% of all prescriptions

5

prescriptions.

16

patients, 4% of all patients

O 24 45
BACLOFEN

Treats muscle spasms caused... +

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

52

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 3% of all patients

25 15
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

51

prescriptions, 1% of all prescriptions

20

prescriptions.

16

patients, 4% of all patients

26 48
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 3% of all patients

27 31
About This Data

Prescribing data from Medicare’s prescription drug benefit, known as Part D, was compiled and released by the Centers for Medicare and Medicaid Services, the federal agency that oversees the program. The data for 2015 includes more than 1.4 billion prescriptions written by nearly 1.4 million doctors, nurses and other providers. This database lists about 447,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. More than three-fourths of these prescriptions went to patients 65 and older; the rest were for disabled patients. Methodology »

Incorrect Info?

If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org.

Caveats
  • No comparisons are shown if there are fewer than 20 prescribers in the state share this specialty.
  • Comparisons do not take into account the medical conditions of patients. Medications for certain conditions do not have generic alternatives, so patients would receive more expensive brand name drugs.
  • This provider's address and specialty information was last updated on Jan. 14, 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.