Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Family Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

9,744Medicare Part D Prescriptions Filled, Including Refills

Rank: 8 out of 172

$496K Total Retail Price of All Prescriptions

Rank: 17 out of 172

317 Patients Receiving at Least One Drug in Part D
85% Patients 65 Years and Older

72% 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 Wyoming
lower than average

Antipsychotics

7% of this provider’s 269 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.

More resources »

Antibiotics

21% of this provider’s 317 patients filled at least one prescription for an antibiotic drug, compared to an average of 26%.

More resources »

Risky Drugs for Seniors

10% of this provider’s 269 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 12%.

More resources »

Opioids

26% of this provider’s 317 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

26% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$51 was the average price of a prescription from this provider, compared to $60 among peers.

Prescriptions per Patient

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


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

$532K

2012

$520K

2013

$480K

2014

$496K

2015

Number of Claims

10,015

2012

11,783

2013

10,587

2014

9,744

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

607

prescriptions, 6% of all prescriptions

533

prescriptions.

64

patients, 20% of all patients

1 1
LISINOPRIL

Treats high blood pressure ... +

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

504

prescriptions, 5% of all prescriptions

403

prescriptions.

69

patients, 22% of all patients

2 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

385

prescriptions, 4% of all prescriptions

339

prescriptions.

53

patients, 17% of all patients

3 3
FUROSEMIDE

Treats fluid retention (ede... +

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

366

prescriptions, 4% of all prescriptions

298

prescriptions.

40

patients, 13% of all patients

4 5
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

366

prescriptions, 4% of all prescriptions

322

prescriptions.

31

patients, 10% of all patients

4 17
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

285

prescriptions, 3% of all prescriptions

209

prescriptions.

42

patients, 13% of all patients

6 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

275

prescriptions, 3% of all prescriptions

197

prescriptions.

40

patients, 13% of all patients

7 14
GABAPENTIN

Treats certain types of sei... +

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

249

prescriptions, 3% of all prescriptions

177

prescriptions.

40

patients, 13% of all patients

8 13
CITALOPRAM HBR

Citalopram is used to treat... +

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

229

prescriptions, 2% of all prescriptions

213

prescriptions.

33

patients, 10% of all patients

9 18
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

224

prescriptions, 2% of all prescriptions

219

prescriptions.

29

patients, 9% of all patients

10 45
SIMVASTATIN

Treats high cholesterol and... +

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

221

prescriptions, 2% of all prescriptions

188

prescriptions.

39

patients, 12% of all patients

11 4
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

219

prescriptions, 2% of all prescriptions

214

prescriptions.

26

patients, 8% of all patients

12 6
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

179

prescriptions, 2% of all prescriptions

154

prescriptions.

20

patients, 6% of all patients

13 20
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

176

prescriptions, 2% of all prescriptions

133

prescriptions.

43

patients, 14% of all patients

O 14 7
CLOPIDOGREL

Helps prevent stroke, heart... +

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

172

prescriptions, 2% of all prescriptions

120

prescriptions.

19

patients, 6% of all patients

15 29
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

141

prescriptions, 1% of all prescriptions

107

prescriptions.

16

patients, 5% of all patients

16 19
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

121

prescriptions, 1% of all prescriptions

96

prescriptions.

20

patients, 6% of all patients

17 8
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

118

prescriptions, 1% of all prescriptions

113

prescriptions.

14

patients, 4% of all patients

18 31
CLONAZEPAM

Treats seizures, panic diso... +

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

98

prescriptions, 1% of all prescriptions

65

prescriptions.

13

patients, 4% of all patients

19 52
NAMENDA XR

Used to treat the symptoms ... +

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

93

prescriptions, 1% of all prescriptions

93

prescriptions.

<11 20 51
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

93

prescriptions, 1% of all prescriptions

72

prescriptions.

13

patients, 4% of all patients

20 38
TRAZODONE HCL

Trazodone is used to treat ... +

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

92

prescriptions, 1% of all prescriptions

58

prescriptions.

15

patients, 5% of all patients

22 28
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

61

prescriptions.

11

patients, 3% of all patients

22 54
TRAMADOL HCL

Tramadol is used to relieve... +

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

90

prescriptions, 1% of all prescriptions

72

prescriptions.

16

patients, 5% of all patients

O 24 21
PREDNISONE

Treats inflammation (swelli... +

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

90

prescriptions, 1% of all prescriptions

74

prescriptions.

20

patients, 6% of all patients

24 32
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

88

prescriptions, 1% of all prescriptions

74

prescriptions.

17

patients, 5% of all patients

26 11
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

86

prescriptions, 1% of all prescriptions

86

prescriptions.

17

patients, 5% of all patients

27 15
CARBIDOPA-LEVODOPA

The combination of levodopa... +

The combination of levodopa and carbidopa is used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

83

prescriptions.

<11 28 120
CARVEDILOL

Treats high blood pressure ... +

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

82

prescriptions, 1% of all prescriptions

77

prescriptions.

<11 29 33
LORAZEPAM

Treats anxiety, anxiety wit... +

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

81

prescriptions, 1% of all prescriptions

67

prescriptions.

19

patients, 6% of all patients

30 26
ALLOPURINOL

Treats gout and some kinds ... +

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

77

prescriptions, 1% of all prescriptions

65

prescriptions.

<11 31 23
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

77

prescriptions, 1% of all prescriptions

64

prescriptions.

<11 31 74
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

76

prescriptions, 1% of all prescriptions

76

prescriptions.

<11 33 10
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

73

prescriptions, 1% of all prescriptions

57

prescriptions.

16

patients, 5% of all patients

P 34 44
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

69

prescriptions, 1% of all prescriptions

32

prescriptions.

16

patients, 5% of all patients

35 43
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

50

prescriptions.

15

patients, 5% of all patients

35 69
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

65

prescriptions, 1% of all prescriptions

50

prescriptions.

11

patients, 3% of all patients

37 48
ALBUTEROL SULFATE

Albuterol is used to preven... +

Albuterol is used to prevent and treat wheezing, shortness of breath, coughing, and chest tightness caused by lung diseases such as asthma and chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways). Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

56

prescriptions.

<11 38 155
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

60

prescriptions, 1% of all prescriptions

44

prescriptions.

<11 39 60
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

58

prescriptions, 1% of all prescriptions

37

prescriptions.

<11 40 25
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

57

prescriptions, 1% of all prescriptions

45

prescriptions.

<11 41 70
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

51

prescriptions.

<11 42 42
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

56

prescriptions, 1% of all prescriptions

44

prescriptions.

16

patients, 5% of all patients

42 36
AUTOSHIELD DUO PEN NEEDLE 54

prescriptions, 1% of all prescriptions

39

prescriptions.

<11 44 130
DEXILANT

Treats erosive esophagitis,... +

Treats erosive esophagitis, heartburn, gastroesophageal reflux disease (GERD), and other conditions caused by too much stomach acid. Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 44 72
BACLOFEN

Treats muscle spasms caused... +

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

53

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 46 81
IPRATROPIUM-ALBUTEROL

The combination of albutero... +

The combination of albuterol and ipratropium is used to prevent wheezing, difficulty breathing, chest tightness, and coughing in people with chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to the air sacs in the lungs). Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

48

prescriptions.

17

patients, 5% of all patients

46 91
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

52

prescriptions, 1% of all prescriptions

52

prescriptions.

<11 48 16
MELOXICAM

Treats symptoms of osteoart... +

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

51

prescriptions, 1% of all prescriptions

46

prescriptions.

<11 49 27
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

51

prescriptions, 1% of all prescriptions

11

prescriptions.

<11 R 49 68
LAMOTRIGINE

Treats certain types of sei... +

Treats certain types of seizures and mood disorders. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

16

prescriptions.

<11 51 117
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

50

prescriptions, 1% of all prescriptions

39

prescriptions.

<11 51 82
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. 31, 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.