Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Urology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

2,656Medicare Part D Prescriptions Filled, Including Refills

Rank: 19 out of 243

$285K Total Retail Price of All Prescriptions

Rank: 38 out of 243

605 Patients Receiving at Least One Drug in Part D
91% Patients 65 Years and Older

9% 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 Michigan
lower than average

Antipsychotics

0% of this provider’s 551 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

59% of this provider’s 605 patients filled at least one prescription for an antibiotic drug, compared to an average of 41%.

More resources »

Risky Drugs for Seniors

10% of this provider’s 551 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

4% of this provider’s 605 patients filled at least one prescription for an opioid, compared to an average of 15%.

More resources »

Brand Name Drugs

27% of this provider’s prescriptions were for brand-name drugs, compared to an average of 17%.

Prescription Price

$107 was the average price of a prescription from this provider, compared to $108 among peers.

Prescriptions per Patient

4 is the average number of prescriptions (including refills) per patient, compared to an average of 4.


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

$148K

2012

$191K

2013

$233K

2014

$285K

2015

Number of Claims

1,576

2012

2,073

2013

2,510

2014

2,656

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
TRIMETHOPRIM

Treats urinary tract infect... +

Treats urinary tract infections. Source: National Library of Medicine

292

prescriptions, 11% of all prescriptions

273

prescriptions.

84

patients, 14% of all patients

A 1 14
OXYBUTYNIN CHLORIDE ER

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

219

prescriptions, 8% of all prescriptions

214

prescriptions.

80

patients, 13% of all patients

2 4
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

195

prescriptions, 7% of all prescriptions

158

prescriptions.

55

patients, 9% of all patients

3 1
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

191

prescriptions, 7% of all prescriptions

179

prescriptions.

144

patients, 24% of all patients

A 4 3
METHENAMINE HIPPURATE

Methenamine, an antibiotic,... +

Methenamine, an antibiotic, eliminates bacteria that cause urinary tract infections. Source: National Library of Medicine

172

prescriptions, 6% of all prescriptions

146

prescriptions.

62

patients, 10% of all patients

5 19
MYRBETRIQ

Used to treat overactive bl... +

Used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

141

prescriptions, 5% of all prescriptions

136

prescriptions.

39

patients, 6% of all patients

6 10
CEFUROXIME

Treats infections caused by... +

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

140

prescriptions, 5% of all prescriptions

129

prescriptions.

78

patients, 13% of all patients

A 7 28
VESICARE

Solifenacin is used to trea... +

Solifenacin is used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

100

prescriptions, 4% of all prescriptions

88

prescriptions.

36

patients, 6% of all patients

8 5
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

98

prescriptions, 4% of all prescriptions

93

prescriptions.

60

patients, 10% of all patients

A 9 8
BETHANECHOL CHLORIDE

Bethanechol is used to reli... +

Bethanechol is used to relieve difficulties in urinating caused by surgery, drugs, or other factors. Source: National Library of Medicine

98

prescriptions, 4% of all prescriptions

79

prescriptions.

20

patients, 3% of all patients

9 24
OXYBUTYNIN CHLORIDE

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

98

prescriptions, 4% of all prescriptions

86

prescriptions.

42

patients, 7% of all patients

9 7
NITROFURANTOIN MONO-MACRO

Nitrofurantoinis used to tr... +

Nitrofurantoinis used to treat urinary tract infections. Source: National Library of Medicine

81

prescriptions, 3% of all prescriptions

69

prescriptions.

51

patients, 8% of all patients

A R 12 13
TROSPIUM CHLORIDE ER 72

prescriptions, 3% of all prescriptions

67

prescriptions.

25

patients, 4% of all patients

13 30
TROSPIUM CHLORIDE 70

prescriptions, 3% of all prescriptions

53

prescriptions.

19

patients, 3% of all patients

14 22
TOVIAZ

Used to treat symptoms of a... +

Used to treat symptoms of an overactive bladder, such as incontinence (loss of bladder control) or a frequent need to urinate. Source: National Library of Medicine

62

prescriptions, 2% of all prescriptions

57

prescriptions.

24

patients, 4% of all patients

15 21
AMOXICILLIN-CLAVULANATE POTASS

Treats infections. +

Treats infections. Source: National Library of Medicine

51

prescriptions, 2% of all prescriptions

46

prescriptions.

22

patients, 4% of all patients

A 16 33
FLUCONAZOLE

Prevents and treats certain... +

Prevents and treats certain fungus infections. Source: National Library of Medicine

50

prescriptions, 2% of all prescriptions

45

prescriptions.

31

patients, 5% of all patients

17 34
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 July 28, 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.