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 »

11,568Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 90

$2.66M Total Retail Price of All Prescriptions

Rank: 2 out of 90

432 Patients Receiving at Least One Drug in Part D
50% Patients 65 Years and Older

70% 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 California
lower than average

Antipsychotics

0% of this provider’s 214 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

14% of this provider’s 214 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 12%.

More resources »

Opioids

88% of this provider’s 432 patients filled at least one prescription for an opioid, compared to an average of 74%.

More resources »

Brand Name Drugs *

33% of this provider’s prescriptions were for brand-name drugs, compared to an average of 15%. This is far more than peers.

* This is an estimate, see our methodology.

Prescription Price

$230 was the average price of a prescription from this provider, compared to $101 among peers.

Prescriptions per Patient

27 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

$354K

2012

$689K

2013

$2.9M

2014

$2.66M

2015

Number of Claims

1,919

2012

2,468

2013

10,265

2014

11,568

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
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

1,003

prescriptions, 9% of all prescriptions

601

prescriptions.

140

patients, 32% of all patients

O 1 6
CELECOXIB

Treats mild to moderate pai... +

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

888

prescriptions, 8% of all prescriptions

422

prescriptions.

172

patients, 40% of all patients

2 20
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

830

prescriptions, 7% of all prescriptions

475

prescriptions.

141

patients, 33% of all patients

O 3 1
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

678

prescriptions, 6% of all prescriptions

215

prescriptions.

92

patients, 21% of all patients

O 4 7
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

599

prescriptions, 5% of all prescriptions

275

prescriptions.

100

patients, 23% of all patients

O 5 3
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

518

prescriptions, 4% of all prescriptions

170

prescriptions.

77

patients, 18% of all patients

O 6 13
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

515

prescriptions, 4% of all prescriptions

207

prescriptions.

87

patients, 20% of all patients

7 11
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

494

prescriptions, 4% of all prescriptions

217

prescriptions.

83

patients, 19% of all patients

8 15
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

446

prescriptions, 4% of all prescriptions

120

prescriptions.

68

patients, 16% of all patients

9 14
BACLOFEN

Treats muscle spasms caused... +

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

431

prescriptions, 4% of all prescriptions

131

prescriptions.

90

patients, 21% of all patients

10 9
GABAPENTIN

Treats certain types of sei... +

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

405

prescriptions, 4% of all prescriptions

142

prescriptions.

77

patients, 18% of all patients

11 2
OXYCODONE HCL

Oxycodone is used to reliev... +

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

346

prescriptions, 3% of all prescriptions

109

prescriptions.

57

patients, 13% of all patients

O 12 4
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

324

prescriptions, 3% of all prescriptions

106

prescriptions.

50

patients, 12% of all patients

R 13 22
MORPHINE SULFATE ER

Morphine (extended release)... +

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

276

prescriptions, 2% of all prescriptions

57

prescriptions.

37

patients, 9% of all patients

O 14 5
OXYCONTIN

Oxycodone is used to reliev... +

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

237

prescriptions, 2% of all prescriptions

79

prescriptions.

33

patients, 8% of all patients

O 15 10
VOLTAREN

Treats pain caused by arthr... +

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

194

prescriptions, 2% of all prescriptions

136

prescriptions.

43

patients, 10% of all patients

16 19
NUCYNTA ER 167

prescriptions, 1% of all prescriptions

62

prescriptions.

28

patients, 6% of all patients

O 17 42
LINZESS

Used in adults to treat irr... +

Used in adults to treat irritable bowel syndrome with constipation (IBS-C; a condition that causes stomach pain or cramps, bloating, and infrequent or difficult passage of stools) and chronic idiopathic constipation (CIC; difficult or infrequent passage of stools that lasts for 3 months or longer and is not caused by a disease or a medication). Source: National Library of Medicine

167

prescriptions, 1% of all prescriptions

51

prescriptions.

33

patients, 8% of all patients

17 49
SUBSYS 130

prescriptions, 1% of all prescriptions

38

prescriptions.

18

patients, 4% of all patients

O 19 52
NUCYNTA 130

prescriptions, 1% of all prescriptions

43

prescriptions.

21

patients, 5% of all patients

O 10 19 52
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

109

prescriptions, 1% of all prescriptions

22

prescriptions.

15

patients, 3% of all patients

R 21 18
LIDOCAINE

Causes numbness or loss of ... +

Causes numbness or loss of feeling in an area of your body. Source: National Library of Medicine

106

prescriptions, 1% of all prescriptions

38

prescriptions.

25

patients, 6% of all patients

22 16
CARISOPRODOL

Treats pain and stiffness o... +

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

103

prescriptions, 1% of all prescriptions

13

prescriptions.

17

patients, 4% of all patients

R 23 12
MORPHINE SULFATE

Morphine is used to relieve... +

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

97

prescriptions, 1% of all prescriptions

32

prescriptions.

15

patients, 3% of all patients

O 24 26
SAVELLA 93

prescriptions, 1% of all prescriptions

5

prescriptions.

12

patients, 3% of all patients

25 60
ONDANSETRON ODT

Used to prevent nausea and ... +

Used to prevent nausea and vomiting caused by cancer chemotherapy, radiation therapy, and surgery. Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

21

prescriptions.

14

patients, 3% of all patients

26 61
TRAZODONE HCL

Trazodone is used to treat ... +

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

83

prescriptions, 1% of all prescriptions

15

prescriptions.

13

patients, 3% of all patients

27 35
FENTORA 81

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 3% of all patients

O 10 28 65
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

25

prescriptions.

<11 29 21
ALPRAZOLAM

Treats anxiety, panic disor... +

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

69

prescriptions, 1% of all prescriptions

31

prescriptions.

<11 30 23
ZALEPLON 64

prescriptions, 1% of all prescriptions

13

prescriptions.

11

patients, 3% of all patients

R 31 70
ZORVOLEX 62

prescriptions, 1% of all prescriptions

25

prescriptions.

11

patients, 3% of all patients

10 32 72
ENDOCET

Treats moderate to moderate... +

Treats moderate to moderately severe pain. Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

28

prescriptions.

<11 O 33 76
CLONAZEPAM

Treats seizures, panic diso... +

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

56

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 34 31
ROPINIROLE HCL

Ropinirole is used alone or... +

Ropinirole 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

53

prescriptions, 0% of all prescriptions

33

prescriptions.

<11 35 56
RELPAX 51

prescriptions, 0% of all prescriptions

13

prescriptions.

<11 10 36 86
TOPIRAMATE

Helps control and prevent c... +

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

51

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 36 36
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 Dec. 4, 2008.
  • 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.