Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nurse Practitioner, Family

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,689Medicare Part D Prescriptions Filled, Including Refills

Rank: 12 out of 285

$449K Total Retail Price of All Prescriptions

Rank: 16 out of 285

305 Patients Receiving at Least One Drug in Part D
79% Patients 65 Years and Older

61% 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 Iowa
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

39% of this provider’s 305 patients filled at least one prescription for an antibiotic drug, compared to an average of 29%.

More resources »

Risky Drugs for Seniors

15% of this provider’s 241 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

29% of this provider’s 305 patients filled at least one prescription for an opioid, compared to an average of 18%.

More resources »

Brand Name Drugs

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

Prescription Price

$58 was the average price of a prescription from this provider, compared to $65 among peers.

Prescriptions per Patient

25 is the average number of prescriptions (including refills) per patient, compared to an average of 11.


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

$59.8K

2012

$238K

2013

$372K

2014

$449K

2015

Number of Claims

1,160

2012

5,008

2013

6,735

2014

7,689

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
FUROSEMIDE

Treats fluid retention (ede... +

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

271

prescriptions, 4% of all prescriptions

195

prescriptions.

56

patients, 18% of all patients

1 7
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

257

prescriptions, 3% of all prescriptions

212

prescriptions.

53

patients, 17% of all patients

2 1
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

231

prescriptions, 3% of all prescriptions

146

prescriptions.

41

patients, 13% of all patients

O 3 8
LISINOPRIL

Treats high blood pressure ... +

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

223

prescriptions, 3% of all prescriptions

185

prescriptions.

53

patients, 17% of all patients

4 3
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

209

prescriptions, 3% of all prescriptions

184

prescriptions.

47

patients, 15% of all patients

5 2
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

203

prescriptions, 3% of all prescriptions

198

prescriptions.

18

patients, 6% of all patients

6 14
TRAMADOL HCL

Tramadol is used to relieve... +

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

202

prescriptions, 3% of all prescriptions

156

prescriptions.

48

patients, 16% of all patients

O 7 16
SIMVASTATIN

Treats high cholesterol and... +

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

189

prescriptions, 2% of all prescriptions

160

prescriptions.

53

patients, 17% of all patients

8 4
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

171

prescriptions, 2% of all prescriptions

148

prescriptions.

20

patients, 7% of all patients

9 67
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

168

prescriptions, 2% of all prescriptions

137

prescriptions.

37

patients, 12% of all patients

10 9
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

149

prescriptions, 2% of all prescriptions

121

prescriptions.

22

patients, 7% of all patients

11 13
GABAPENTIN

Treats certain types of sei... +

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

127

prescriptions, 2% of all prescriptions

74

prescriptions.

28

patients, 9% of all patients

12 12
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

125

prescriptions, 2% of all prescriptions

112

prescriptions.

15

patients, 5% of all patients

13 42
ALPRAZOLAM

Treats anxiety, panic disor... +

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

120

prescriptions, 2% of all prescriptions

84

prescriptions.

28

patients, 9% of all patients

14 26
CITALOPRAM HBR

Citalopram is used to treat... +

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

108

prescriptions, 1% of all prescriptions

93

prescriptions.

15

patients, 5% of all patients

15 20
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

103

prescriptions, 1% of all prescriptions

79

prescriptions.

24

patients, 8% of all patients

16 6
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

88

prescriptions, 1% of all prescriptions

52

prescriptions.

28

patients, 9% of all patients

17 44
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

87

prescriptions, 1% of all prescriptions

82

prescriptions.

28

patients, 9% of all patients

18 11
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

85

prescriptions, 1% of all prescriptions

60

prescriptions.

15

patients, 5% of all patients

R 19 66
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

83

prescriptions, 1% of all prescriptions

78

prescriptions.

<11 20 43
LORAZEPAM

Treats anxiety, anxiety wit... +

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

81

prescriptions, 1% of all prescriptions

67

prescriptions.

15

patients, 5% of all patients

21 23
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

80

prescriptions, 1% of all prescriptions

68

prescriptions.

22

patients, 7% of all patients

22 5
CLOPIDOGREL

Helps prevent stroke, heart... +

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

80

prescriptions, 1% of all prescriptions

80

prescriptions.

17

patients, 6% of all patients

22 19
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

74

prescriptions, 1% of all prescriptions

69

prescriptions.

14

patients, 5% of all patients

O 24 29
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

73

prescriptions, 1% of all prescriptions

20

prescriptions.

18

patients, 6% of all patients

25 41
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

72

prescriptions, 1% of all prescriptions

67

prescriptions.

<11 26 129
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

70

prescriptions, 1% of all prescriptions

53

prescriptions.

14

patients, 5% of all patients

27 10
PREDNISONE

Treats inflammation (swelli... +

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

68

prescriptions, 1% of all prescriptions

63

prescriptions.

26

patients, 9% of all patients

28 22
MELOXICAM

Treats symptoms of osteoart... +

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

67

prescriptions, 1% of all prescriptions

48

prescriptions.

24

patients, 8% of all patients

29 30
BUSPIRONE HCL

Buspirone is used to treat ... +

Buspirone is used to treat anxiety disorders or in the short-term treatment of symptoms of anxiety. Source: National Library of Medicine

66

prescriptions, 1% of all prescriptions

39

prescriptions.

13

patients, 4% of all patients

30 59
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

66

prescriptions, 1% of all prescriptions

43

prescriptions.

16

patients, 5% of all patients

30 27
CARVEDILOL

Treats high blood pressure ... +

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

65

prescriptions, 1% of all prescriptions

60

prescriptions.

<11 32 33
CLONAZEPAM

Treats seizures, panic diso... +

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

62

prescriptions, 1% of all prescriptions

25

prescriptions.

12

patients, 4% of all patients

33 49
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

60

prescriptions, 1% of all prescriptions

41

prescriptions.

<11 34 63
XARELTO

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung). Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

57

prescriptions.

<11 35 136
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

56

prescriptions, 1% of all prescriptions

42

prescriptions.

14

patients, 5% of all patients

36 21
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

54

prescriptions, 1% of all prescriptions

49

prescriptions.

13

patients, 4% of all patients

37 15
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

53

prescriptions, 1% of all prescriptions

29

prescriptions.

16

patients, 5% of all patients

38 28
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

27

prescriptions.

13

patients, 4% of all patients

39 37
DILTIAZEM 24HR CD

Diltiazem is used to treat ... +

Diltiazem is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

50

prescriptions.

<11 40 111
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 c[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 Sept. 19, 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.