Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Internal Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

11,593Medicare Part D Prescriptions Filled, Including Refills

Rank: 17 out of 115

$694K Total Retail Price of All Prescriptions

Rank: 23 out of 115

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

31% 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 Montana
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

17% of this provider’s 658 patients filled at least one prescription for an antibiotic drug, compared to an average of 20%.

More resources »

Risky Drugs for Seniors

17% of this provider’s 592 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 12%.

More resources »

Opioids

19% of this provider’s 658 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

20% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$60 was the average price of a prescription from this provider, compared to $80 among peers.

Prescriptions per Patient

18 is the average number of prescriptions (including refills) per patient, compared to an average of 17.


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

$480K

2012

$606K

2013

$717K

2014

$694K

2015

Number of Claims

8,432

2012

10,582

2013

11,510

2014

11,593

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

670

prescriptions, 6% of all prescriptions

611

prescriptions.

158

patients, 24% of all patients

1 1
SIMVASTATIN

Treats high cholesterol and... +

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

527

prescriptions, 5% of all prescriptions

506

prescriptions.

121

patients, 18% 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

393

prescriptions, 3% of all prescriptions

288

prescriptions.

91

patients, 14% of all patients

3 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

363

prescriptions, 3% of all prescriptions

341

prescriptions.

80

patients, 12% of all patients

4 5
LISINOPRIL

Treats high blood pressure ... +

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

363

prescriptions, 3% of all prescriptions

317

prescriptions.

81

patients, 12% of all patients

4 3
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

318

prescriptions, 3% of all prescriptions

294

prescriptions.

75

patients, 11% of all patients

6 8
FUROSEMIDE

Treats fluid retention (ede... +

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

250

prescriptions, 2% of all prescriptions

224

prescriptions.

63

patients, 10% of all patients

7 7
CITALOPRAM HBR

Citalopram is used to treat... +

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

248

prescriptions, 2% of all prescriptions

209

prescriptions.

63

patients, 10% of all patients

8 18
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

244

prescriptions, 2% of all prescriptions

228

prescriptions.

47

patients, 7% of all patients

9 10
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

226

prescriptions, 2% of all prescriptions

197

prescriptions.

58

patients, 9% of all patients

10 9
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

222

prescriptions, 2% of all prescriptions

207

prescriptions.

44

patients, 7% of all patients

11 11
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

221

prescriptions, 2% of all prescriptions

172

prescriptions.

70

patients, 11% of all patients

O 12 12
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

200

prescriptions, 2% of all prescriptions

195

prescriptions.

58

patients, 9% of all patients

13 13
GABAPENTIN

Treats certain types of sei... +

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

185

prescriptions, 2% of all prescriptions

163

prescriptions.

48

patients, 7% of all patients

14 15
METFORMIN HCL ER

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

177

prescriptions, 2% of all prescriptions

148

prescriptions.

43

patients, 7% of all patients

15 49
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

164

prescriptions, 1% of all prescriptions

159

prescriptions.

43

patients, 7% of all patients

16 6
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

152

prescriptions, 1% of all prescriptions

136

prescriptions.

37

patients, 6% of all patients

17 20
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

141

prescriptions, 1% of all prescriptions

136

prescriptions.

36

patients, 5% of all patients

18 16
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

138

prescriptions, 1% of all prescriptions

127

prescriptions.

30

patients, 5% of all patients

19 23
ATENOLOL

Treats high blood pressure ... +

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

137

prescriptions, 1% of all prescriptions

137

prescriptions.

29

patients, 4% of all patients

20 21
TRAZODONE HCL

Trazodone is used to treat ... +

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

132

prescriptions, 1% of all prescriptions

102

prescriptions.

33

patients, 5% of all patients

21 28
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

129

prescriptions, 1% of all prescriptions

107

prescriptions.

32

patients, 5% of all patients

R 22 31
TRIAMTERENE-HYDROCHLOROTHIAZID

Used to treat high blood pr... +

Used to treat high blood pressure and edema (fluid retention; excess fluid held in body tissues) in patients who have lower amounts of potassium in their bodies or for whom low potassium levels in the body could be dangerous. Source: National Library of Medicine

118

prescriptions, 1% of all prescriptions

113

prescriptions.

33

patients, 5% of all patients

23 27
TRAMADOL HCL

Tramadol is used to relieve... +

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

111

prescriptions, 1% of all prescriptions

88

prescriptions.

37

patients, 6% of all patients

O 24 25
LORAZEPAM

Treats anxiety, anxiety wit... +

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

111

prescriptions, 1% of all prescriptions

106

prescriptions.

29

patients, 4% of all patients

24 22
FLUOXETINE HCL

Fluoxetine is used to treat... +

Fluoxetine 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), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Source: National Library of Medicine

110

prescriptions, 1% of all prescriptions

95

prescriptions.

32

patients, 5% of all patients

26 36
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

97

prescriptions, 1% of all prescriptions

92

prescriptions.

36

patients, 5% of all patients

27 30
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

97

prescriptions, 1% of all prescriptions

75

prescriptions.

20

patients, 3% of all patients

27 26
ALLOPURINOL

Treats gout and some kinds ... +

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

91

prescriptions, 1% of all prescriptions

77

prescriptions.

17

patients, 3% of all patients

29 19
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

84

prescriptions, 1% of all prescriptions

70

prescriptions.

17

patients, 3% of all patients

30 51
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

81

prescriptions, 1% of all prescriptions

76

prescriptions.

26

patients, 4% of all patients

31 85
ALPRAZOLAM

Treats anxiety, panic disor... +

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

81

prescriptions, 1% of all prescriptions

67

prescriptions.

19

patients, 3% of all patients

31 45
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

78

prescriptions, 1% of all prescriptions

73

prescriptions.

18

patients, 3% of all patients

33 41
MELOXICAM

Treats symptoms of osteoart... +

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

77

prescriptions, 1% of all prescriptions

72

prescriptions.

20

patients, 3% of all patients

34 37
PAROXETINE HCL

Paroxetine tablets, suspens... +

Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), 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

75

prescriptions, 1% of all prescriptions

70

prescriptions.

16

patients, 2% of all patients

35 55
BENICAR

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

74

prescriptions.

14

patients, 2% of all patients

36 163
CLONIDINE HCL

Clonidine is used alone or ... +

Clonidine is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

57

prescriptions.

14

patients, 2% of all patients

37 74
CLOPIDOGREL

Helps prevent stroke, heart... +

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

70

prescriptions, 1% of all prescriptions

70

prescriptions.

18

patients, 3% of all patients

38 35
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

69

prescriptions, 1% of all prescriptions

37

prescriptions.

12

patients, 2% of all patients

39 91
VALSARTAN

Valsartan is used alone or ... +

Valsartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

64

prescriptions.

16

patients, 2% of all patients

39 89
PREMARIN

Estrogens are female hormon... +

Estrogens are female hormones. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

63

prescriptions.

23

patients, 3% of all patients

R 41 127
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

68

prescriptions, 1% of all prescriptions

63

prescriptions.

17

patients, 3% of all patients

41 44
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

66

prescriptions, 1% of all prescriptions

61

prescriptions.

15

patients, 2% of all patients

43 131
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

65

prescriptions, 1% of all prescriptions

44

prescriptions.

19

patients, 3% of all patients

44 14
CARVEDILOL

Treats high blood pressure ... +

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

62

prescriptions, 1% of all prescriptions

57

prescriptions.

12

patients, 2% of all patients

45 24
IRBESARTAN

Used alone or in combinatio... +

Used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

62

prescriptions.

18

patients, 3% of all patients

45 83
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

60

prescriptions, 1% of all prescriptions

48

prescriptions.

45

patients, 7% of all patients

A 47 80
CLONAZEPAM

Treats seizures, panic diso... +

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

58

prescriptions, 1% of all prescriptions

46

prescriptions.

19

patients, 3% of all patients

48 38
ALENDRONATE SODIUM

Alendronate is used to trea... +

Alendronate is used to treat and prevent osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause (''change of life,'' end of menstrual periods) and to treat osteoporosis in men. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

56

prescriptions.

11

patients, 2% of all patients

49 33
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

56

prescriptions, 0% of all prescriptions

33

prescriptions.

20

patients, 3% of all patients

R 49 100
NIFEDIPINE ER

Used for the treatment of v... +

Used for the treatment of vasospastic angina, chronic stable angina and hypertension. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

55

prescriptions.

12

patients, 2% of all patients

51 189
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

54

prescriptions, 0% of all prescriptions

54

prescriptions.

11

patients, 2% of all patients

52 50
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

54

prescriptions, 0% of all prescriptions

54

prescriptions.

<11 52 42
VENTOLIN HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

35

prescriptions.

20

patients, 3% of all patients

54 117
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

47

prescriptions.

16

patients, 2% of all patients

55 34
GLIPIZIDE XL

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

50

prescriptions, 0% of all prescriptions

45

prescriptions.

14

patients, 2% of all patients

56 137
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 Dec. 1, 2014.
  • 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.