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 »

8,752Medicare Part D Prescriptions Filled, Including Refills

Rank: 5 out of 228

$381K Total Retail Price of All Prescriptions

Rank: 11 out of 228

440 Patients Receiving at Least One Drug in Part D
90% Patients 65 Years and Older

26% 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 Nebraska
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 440 patients filled at least one prescription for an antibiotic drug, compared to an average of 30%.

More resources »

Risky Drugs for Seniors

13% of this provider’s 395 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

25% of this provider’s 440 patients filled at least one prescription for an opioid, compared to an average of 21%.

More resources »

Brand Name Drugs

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

Prescription Price

$44 was the average price of a prescription from this provider, compared to $71 among peers.

Prescriptions per Patient

20 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

$118K

2012

$164K

2013

$206K

2014

$381K

2015

Number of Claims

2,873

2012

4,100

2013

4,994

2014

8,752

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
SIMVASTATIN

Treats high cholesterol and... +

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

324

prescriptions, 4% of all prescriptions

296

prescriptions.

70

patients, 16% of all patients

1 5
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

307

prescriptions, 4% of all prescriptions

302

prescriptions.

56

patients, 13% of all patients

2 6
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

288

prescriptions, 3% of all prescriptions

247

prescriptions.

57

patients, 13% of all patients

3 2
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

218

prescriptions, 2% of all prescriptions

190

prescriptions.

41

patients, 9% of all patients

4 1
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

208

prescriptions, 2% of all prescriptions

203

prescriptions.

30

patients, 7% of all patients

5 10
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

206

prescriptions, 2% of all prescriptions

187

prescriptions.

45

patients, 10% of all patients

6 9
LISINOPRIL

Treats high blood pressure ... +

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

204

prescriptions, 2% of all prescriptions

185

prescriptions.

47

patients, 11% of all patients

7 4
FUROSEMIDE

Treats fluid retention (ede... +

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

202

prescriptions, 2% of all prescriptions

172

prescriptions.

41

patients, 9% of all patients

8 8
TRAMADOL HCL

Tramadol is used to relieve... +

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

193

prescriptions, 2% of all prescriptions

171

prescriptions.

56

patients, 13% of all patients

O 9 11
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

186

prescriptions, 2% of all prescriptions

166

prescriptions.

33

patients, 8% of all patients

10 7
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

185

prescriptions, 2% of all prescriptions

116

prescriptions.

37

patients, 8% of all patients

O 11 3
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

179

prescriptions, 2% of all prescriptions

174

prescriptions.

37

patients, 8% of all patients

12 13
GABAPENTIN

Treats certain types of sei... +

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

158

prescriptions, 2% of all prescriptions

138

prescriptions.

26

patients, 6% of all patients

13 15
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

157

prescriptions, 2% of all prescriptions

152

prescriptions.

29

patients, 7% of all patients

14 12
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

152

prescriptions, 2% of all prescriptions

131

prescriptions.

28

patients, 6% of all patients

15 14
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

141

prescriptions, 2% of all prescriptions

120

prescriptions.

26

patients, 6% of all patients

16 32
CITALOPRAM HBR

Citalopram is used to treat... +

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

134

prescriptions, 2% of all prescriptions

129

prescriptions.

26

patients, 6% of all patients

17 26
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

119

prescriptions, 1% of all prescriptions

114

prescriptions.

20

patients, 5% of all patients

O 18 47
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

117

prescriptions, 1% of all prescriptions

95

prescriptions.

25

patients, 6% of all patients

19 16
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

113

prescriptions, 1% of all prescriptions

108

prescriptions.

23

patients, 5% of all patients

20 18
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

107

prescriptions, 1% of all prescriptions

82

prescriptions.

18

patients, 4% of all patients

O 21 33
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

102

prescriptions, 1% of all prescriptions

97

prescriptions.

19

patients, 4% of all patients

22 119
CARVEDILOL

Treats high blood pressure ... +

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

101

prescriptions, 1% of all prescriptions

96

prescriptions.

17

patients, 4% of all patients

23 23
ALLOPURINOL

Treats gout and some kinds ... +

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

97

prescriptions, 1% of all prescriptions

63

prescriptions.

13

patients, 3% of all patients

24 29
AZITHROMYCIN

Treats infections caused by... +

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

95

prescriptions, 1% of all prescriptions

90

prescriptions.

75

patients, 17% of all patients

A 25 54
ALPRAZOLAM

Treats anxiety, panic disor... +

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

90

prescriptions, 1% of all prescriptions

76

prescriptions.

20

patients, 5% of all patients

26 20
MELOXICAM

Treats symptoms of osteoart... +

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

88

prescriptions, 1% of all prescriptions

83

prescriptions.

30

patients, 7% of all patients

27 17
ATENOLOL

Treats high blood pressure ... +

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

88

prescriptions, 1% of all prescriptions

88

prescriptions.

15

patients, 3% of all patients

27 31
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

81

prescriptions, 1% of all prescriptions

56

prescriptions.

<11 29 35
GLIPIZIDE ER

Glipizide is used along wit... +

Glipizide is used along with diet and exercise, and sometimes with other medications, 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

79

prescriptions, 1% of all prescriptions

74

prescriptions.

18

patients, 4% of all patients

30 99
CEPHALEXIN

Treats bacterial infections... +

Treats bacterial infections. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

63

prescriptions.

39

patients, 9% of all patients

A 31 62
VALSARTAN-HYDROCHLOROTHIAZIDE

Treats high blood pressure. +

Treats high blood pressure. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

62

prescriptions.

12

patients, 3% of all patients

32 162
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

65

prescriptions.

11

patients, 3% of all patients

33 81
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

<11 34 45
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

54

prescriptions.

43

patients, 10% of all patients

A 35 70
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

59

prescriptions, 1% of all prescriptions

54

prescriptions.

12

patients, 3% of all patients

35 19
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

58

prescriptions, 1% of all prescriptions

58

prescriptions.

18

patients, 4% of all patients

R 37 54
TORSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) caused by congestive heart failure, kidney disease, or liver disease. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

51

prescriptions.

17

patients, 4% of all patients

38 92
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, 1% of all prescriptions

56

prescriptions.

<11 38 22
CLOPIDOGREL

Helps prevent stroke, heart... +

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

55

prescriptions, 1% of all prescriptions

39

prescriptions.

<11 40 42
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

54

prescriptions, 1% of all prescriptions

54

prescriptions.

<11 41 25
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

54

prescriptions, 1% of all prescriptions

49

prescriptions.

<11 41 60
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

52

prescriptions, 1% of all prescriptions

52

prescriptions.

<11 43 21
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

51

prescriptions, 1% of all prescriptions

51

prescriptions.

<11 44 27
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

50

prescriptions, 1% of all prescriptions

36

prescriptions.

18

patients, 4% of all patients

45 83
LORAZEPAM

Treats anxiety, anxiety wit... +

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

50

prescriptions, 1% of all prescriptions

38

prescriptions.

12

patients, 3% of all patients

45 33
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. 7, 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.