Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Gastroenterology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

5,048Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 216

$2.76M Total Retail Price of All Prescriptions

Rank: 10 out of 216

1,061 Patients Receiving at Least One Drug in Part D
78% Patients 65 Years and Older

46% 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 Missouri
lower than average

Antipsychotics

0% of this provider’s 829 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

6% of this provider’s 1,061 patients filled at least one prescription for an antibiotic drug, compared to an average of 7%.

More resources »

Risky Drugs for Seniors

This provider prescribed potentially inappropriate drugs 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 »

Opioids

5% of this provider’s 1,061 patients filled at least one prescription for an opioid, compared to an average of 2%.

More resources »

Brand Name Drugs *

27% of this provider’s prescriptions were for brand-name drugs, compared to an average of 31%.

* This is an estimate, see our methodology.

Prescription Price

$547 was the average price of a prescription from this provider, compared to $487 among peers.

Prescriptions per Patient

5 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

$1.2M

2012

$928K

2013

$4.55M

2014

$2.76M

2015

Number of Claims

4,513

2012

4,673

2013

4,853

2014

5,048

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
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

765

prescriptions, 15% of all prescriptions

590

prescriptions.

178

patients, 17% of all patients

1 1
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

366

prescriptions, 7% of all prescriptions

253

prescriptions.

78

patients, 7% of all patients

2 2
GAVILYTE-G

This is used to cleanse th... +

This is used to cleanse the colon (bowel) before a medical test (eg, colonoscopy). Source: National Library of Medicine

330

prescriptions, 7% of all prescriptions

269

prescriptions.

328

patients, 31% of all patients

3 15
DICYCLOMINE HCL

Dicyclomine is used to trea... +

Dicyclomine is used to treat the symptoms of irritable bowel syndrome. Source: National Library of Medicine

291

prescriptions, 6% of all prescriptions

240

prescriptions.

95

patients, 9% of all patients

4 4
METOCLOPRAMIDE HCL

Metoclopramide is used to r... +

Metoclopramide is used to relieve heartburn and speed the healing of ulcers and sores in the esophagus (tube that connects the mouth to the stomach) in people who have gastroesophageal reflux disease (GERD; condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus) that did not get better with other treatments. Source: National Library of Medicine

279

prescriptions, 6% of all prescriptions

164

prescriptions.

81

patients, 8% of all patients

5 8
DEXILANT

Treats erosive esophagitis,... +

Treats erosive esophagitis, heartburn, gastroesophageal reflux disease (GERD), and other conditions caused by too much stomach acid. Source: National Library of Medicine

150

prescriptions, 3% of all prescriptions

68

prescriptions.

26

patients, 2% of all patients

6 11
COLESTIPOL HCL

Used to lower high choleste... +

Used to lower high cholesterol levels in the blood. Source: National Library of Medicine

132

prescriptions, 3% of all prescriptions

99

prescriptions.

44

patients, 4% of all patients

7 19
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

115

prescriptions, 2% of all prescriptions

76

prescriptions.

23

patients, 2% of all patients

8 9
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

106

prescriptions, 2% of all prescriptions

58

prescriptions.

18

patients, 2% of all patients

9 18
ALPRAZOLAM

Treats anxiety, panic disor... +

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

93

prescriptions, 2% of all prescriptions

29

prescriptions.

14

patients, 1% of all patients

10 48
FAMOTIDINE*

Treats ulcers, gastroesopha... +

Treats ulcers, gastroesophageal reflux disease (GERD), and conditions that cause the stomach to produce too much stomach acid. Source: National Library of Medicine

91

prescriptions, 2% of all prescriptions

68

prescriptions.

20

patients, 2% of all patients

11 28
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

90

prescriptions, 2% of all prescriptions

46

prescriptions.

24

patients, 2% of all patients

12 23
AMITIZA

Treats certain types of lon... +

Treats certain types of long-term constipation by helping you have a bowel movement. Source: National Library of Medicine

81

prescriptions, 2% of all prescriptions

63

prescriptions.

25

patients, 2% of all patients

13 33
BUDESONIDE EC 80

prescriptions, 2% of all prescriptions

58

prescriptions.

22

patients, 2% of all patients

14 36
GLYCOPYRROLATE 75

prescriptions, 1% of all prescriptions

49

prescriptions.

19

patients, 2% of all patients

15 87
TRAMADOL HCL

Tramadol is used to relieve... +

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

74

prescriptions, 1% of all prescriptions

33

prescriptions.

25

patients, 2% of all patients

O 16 51
PEG-3350 AND ELECTROLYTES 71

prescriptions, 1% of all prescriptions

60

prescriptions.

70

patients, 7% of all patients

17 68
ONDANSETRON HCL*

Ondansetron is used to prev... +

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

67

prescriptions, 1% of all prescriptions

19

prescriptions.

19

patients, 2% of all patients

18 37
MERCAPTOPURINE 65

prescriptions, 1% of all prescriptions

60

prescriptions.

11

patients, 1% of all patients

19 53
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

64

prescriptions, 1% of all prescriptions

46

prescriptions.

<11 20 30
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

62

prescriptions, 1% of all prescriptions

15

prescriptions.

<11 21 6
WELCHOL

Used together with diet and... +

Used together with diet and exercise to lower cholesterol levels in the blood and to treat type 2 diabetes. Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

52

prescriptions.

19

patients, 2% of all patients

22 55
XIFAXAN

Treats traveler's diarrhea ... +

Treats traveler's diarrhea and irritable bowel syndrome with diarrhea. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 1% of all patients

A 23 26
PREDNISONE

Treats inflammation (swelli... +

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

52

prescriptions, 1% of all prescriptions

21

prescriptions.

19

patients, 2% of all patients

23 44
HARVONI 50

prescriptions, 1% of all prescriptions

22

prescriptions.

17

patients, 2% of all patients

25 16
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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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 March 21, 2017.
  • 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.