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 »

13,195Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 65

$2.52M Total Retail Price of All Prescriptions

Rank: 1 out of 65

574 Patients Receiving at Least One Drug in Part D
64% Patients 65 Years and Older

58% 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 Louisiana
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

16% of this provider’s 574 patients filled at least one prescription for an antibiotic drug, compared to an average of 4%.

More resources »

Risky Drugs for Seniors

22% of this provider’s 365 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

59% of this provider’s 574 patients filled at least one prescription for an opioid, compared to an average of 25%.

More resources »

Brand Name Drugs *

18% 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

$191 was the average price of a prescription from this provider, compared to $227 among peers.

Prescriptions per Patient

23 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

$1.7M

2012

$2.48M

2013

$2.48M

2014

$2.52M

2015

Number of Claims

12,886

2012

13,282

2013

13,306

2014

13,195

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

1,380

prescriptions, 10% of all prescriptions

758

prescriptions.

206

patients, 36% of all patients

O 1 4
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

689

prescriptions, 5% of all prescriptions

352

prescriptions.

88

patients, 15% of all patients

O 2 17
ALPRAZOLAM

Treats anxiety, panic disor... +

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

585

prescriptions, 4% of all prescriptions

241

prescriptions.

94

patients, 16% of all patients

3 16
PREDNISONE

Treats inflammation (swelli... +

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

524

prescriptions, 4% of all prescriptions

370

prescriptions.

125

patients, 22% of all patients

4 1
GABAPENTIN

Treats certain types of sei... +

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

486

prescriptions, 4% of all prescriptions

292

prescriptions.

90

patients, 16% of all patients

5 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

459

prescriptions, 3% of all prescriptions

307

prescriptions.

89

patients, 16% of all patients

6 2
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

391

prescriptions, 3% of all prescriptions

181

prescriptions.

65

patients, 11% of all patients

7 8
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

270

prescriptions, 2% of all prescriptions

102

prescriptions.

45

patients, 8% of all patients

R 8 20
CARISOPRODOL

Treats pain and stiffness o... +

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

250

prescriptions, 2% of all prescriptions

104

prescriptions.

40

patients, 7% of all patients

R 9 34
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

246

prescriptions, 2% of all prescriptions

118

prescriptions.

25

patients, 4% of all patients

O 10 60
BACLOFEN

Treats muscle spasms caused... +

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

233

prescriptions, 2% of all prescriptions

118

prescriptions.

65

patients, 11% of all patients

11 36
LEFLUNOMIDE

Treats rheumatoid arthritis... +

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

229

prescriptions, 2% of all prescriptions

181

prescriptions.

46

patients, 8% of all patients

12 9
MELOXICAM

Treats symptoms of osteoart... +

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

219

prescriptions, 2% of all prescriptions

139

prescriptions.

45

patients, 8% of all patients

13 7
HYDROXYCHLOROQUINE SULFATE

Hydroxychloroquine is in a ... +

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

207

prescriptions, 2% of all prescriptions

104

prescriptions.

44

patients, 8% of all patients

14 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

181

prescriptions, 1% of all prescriptions

82

prescriptions.

42

patients, 7% of all patients

15 12
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

181

prescriptions, 1% of all prescriptions

52

prescriptions.

36

patients, 6% of all patients

R 15 18
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

181

prescriptions, 1% of all prescriptions

116

prescriptions.

34

patients, 6% of all patients

15 25
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

178

prescriptions, 1% of all prescriptions

86

prescriptions.

36

patients, 6% of all patients

18 13
AZATHIOPRINE

Prevents your body from rej... +

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

166

prescriptions, 1% of all prescriptions

76

prescriptions.

31

patients, 5% of all patients

19 31
SULINDAC

Treats pain caused by arthr... +

Treats pain caused by arthritis, gout, or sore tendons. Source: National Library of Medicine

165

prescriptions, 1% of all prescriptions

141

prescriptions.

33

patients, 6% of all patients

20 54
CELECOXIB

Treats mild to moderate pai... +

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

161

prescriptions, 1% of all prescriptions

105

prescriptions.

32

patients, 6% of all patients

21 15
TRAMADOL HCL

Tramadol is used to relieve... +

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

133

prescriptions, 1% of all prescriptions

102

prescriptions.

44

patients, 8% of all patients

O 22 5
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

131

prescriptions, 1% of all prescriptions

69

prescriptions.

31

patients, 5% of all patients

23 49
OXYCONTIN

Oxycodone is used to reliev... +

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

127

prescriptions, 1% of all prescriptions

91

prescriptions.

20

patients, 3% of all patients

O 24 57
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

122

prescriptions, 1% of all prescriptions

41

prescriptions.

22

patients, 4% of all patients

25 14
MORPHINE SULFATE ER

Morphine (extended release)... +

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

120

prescriptions, 1% of all prescriptions

53

prescriptions.

14

patients, 2% of all patients

O 26 59
CLONAZEPAM

Treats seizures, panic diso... +

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

119

prescriptions, 1% of all prescriptions

40

prescriptions.

26

patients, 5% of all patients

27 30
FUROSEMIDE

Treats fluid retention (ede... +

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

116

prescriptions, 1% of all prescriptions

56

prescriptions.

36

patients, 6% of all patients

28 55
TEMAZEPAM

Treats insomnia (trouble sl... +

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

112

prescriptions, 1% of all prescriptions

50

prescriptions.

25

patients, 4% of all patients

29 58
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

95

prescriptions, 1% of all prescriptions

39

prescriptions.

22

patients, 4% of all patients

30 48
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

95

prescriptions, 1% of all prescriptions

74

prescriptions.

15

patients, 3% of all patients

R 30 22
COLCRYS

Used to prevent gout attack... +

Used to prevent gout attacks (sudden, severe pain in one or more joints caused by abnormally high levels of a substance called uric acid in the blood) in adults, and to relieve the pain of gout attacks when they occur. Source: National Library of Medicine

88

prescriptions, 1% of all prescriptions

75

prescriptions.

18

patients, 3% of all patients

32 40
ALLOPURINOL

Treats gout and some kinds ... +

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

88

prescriptions, 1% of all prescriptions

57

prescriptions.

15

patients, 3% of all patients

32 10
COLCHICINE

Prevent or treat attacks of... +

Prevent or treat attacks of gout. Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

65

prescriptions.

22

patients, 4% of all patients

34 29
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

81

prescriptions, 1% of all prescriptions

47

prescriptions.

13

patients, 2% of all patients

35 51
OXYCODONE HCL

Oxycodone is used to reliev... +

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

78

prescriptions, 1% of all prescriptions

41

prescriptions.

13

patients, 2% of all patients

O 36 66
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

78

prescriptions, 1% of all prescriptions

39

prescriptions.

15

patients, 3% of all patients

36 90
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

78

prescriptions, 1% of all prescriptions

29

prescriptions.

16

patients, 3% of all patients

36 64
DOXEPIN HCL

Doxepin is used to treat de... +

Doxepin is used to treat depression and anxiety. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

25

prescriptions.

14

patients, 2% of all patients

R 39 91
VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

58

prescriptions.

33

patients, 6% of all patients

39 33
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

75

prescriptions, 1% of all prescriptions

45

prescriptions.

14

patients, 2% of all patients

41 72
METHYLPREDNISOLONE

Treats asthma, allergic rea... +

Treats asthma, allergic reactions, inflammation, flare-ups of ongoing illnesses, and many other medical problems. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

39

prescriptions.

60

patients, 10% of all patients

42 35
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

24

prescriptions.

11

patients, 2% of all patients

43 93
TRIAZOLAM 71

prescriptions, 1% of all prescriptions

25

prescriptions.

11

patients, 2% of all patients

44 94
ESZOPICLONE

Eszopiclone is used to trea... +

Eszopiclone is used to treat insomnia (difficulty falling asleep or staying asleep). Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

63

prescriptions.

16

patients, 3% of all patients

R 45 77
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

68

prescriptions, 1% of all prescriptions

50

prescriptions.

15

patients, 3% of all patients

45 27
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

64

prescriptions, 0% of all prescriptions

32

prescriptions.

12

patients, 2% of all patients

47 50
TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

44

prescriptions.

15

patients, 3% of all patients

48 65
ENBREL

Treats rheumatoid arthritis... +

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

61

prescriptions, 0% of all prescriptions

43

prescriptions.

11

patients, 2% of all patients

49 19
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

60

prescriptions, 0% of all prescriptions

29

prescriptions.

12

patients, 2% of all patients

50 45
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

56

prescriptions, 0% of all prescriptions

28

prescriptions.

<11 51 75
LISINOPRIL

Treats high blood pressure ... +

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

54

prescriptions, 0% of all prescriptions

43

prescriptions.

<11 52 68
NABUMETONE

Treats pain caused by arthr... +

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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

<11 53 28
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

53

prescriptions, 0% of all prescriptions

25

prescriptions.

27

patients, 5% of all patients

A 53 82
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, 0% of all prescriptions

25

prescriptions.

<11 55 103
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 Oct. 10, 2015.
  • 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.