Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Geriatric Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,060Medicare Part D Prescriptions Filled, Including Refills

Rank: 30 out of 51

$347K Total Retail Price of All Prescriptions

Rank: 30 out of 51

307 Patients Receiving at Least One Drug in Part D
93% Patients 65 Years and Older

60% 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

8% of this provider’s 287 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 8%.

More resources »

Antibiotics

21% of this provider’s 307 patients filled at least one prescription for an antibiotic drug, compared to an average of 27%.

More resources »

Risky Drugs for Seniors

9% of this provider’s 287 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

42% of this provider’s 307 patients filled at least one prescription for an opioid, compared to an average of 26%.

More resources »

Brand Name Drugs

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$49 was the average price of a prescription from this provider, compared to $58 among peers.

Prescriptions per Patient

23 is the average number of prescriptions (including refills) per patient, compared to an average of 24.


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

2012

2013

$243K

2014

$347K

2015

Number of Claims

2012

2013

4,300

2014

7,060

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

396

prescriptions, 6% of all prescriptions

396

prescriptions.

51

patients, 17% of all patients

1 1
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

292

prescriptions, 4% of all prescriptions

287

prescriptions.

44

patients, 14% of all patients

2 9
FUROSEMIDE

Treats fluid retention (ede... +

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

244

prescriptions, 3% of all prescriptions

244

prescriptions.

41

patients, 13% of all patients

3 2
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

236

prescriptions, 3% of all prescriptions

231

prescriptions.

40

patients, 13% of all patients

4 24
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

235

prescriptions, 3% of all prescriptions

235

prescriptions.

34

patients, 11% of all patients

5 17
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

183

prescriptions, 3% of all prescriptions

172

prescriptions.

37

patients, 12% of all patients

6 4
LISINOPRIL

Treats high blood pressure ... +

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

178

prescriptions, 3% of all prescriptions

157

prescriptions.

36

patients, 12% of all patients

7 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

158

prescriptions, 2% of all prescriptions

153

prescriptions.

31

patients, 10% of all patients

8 6
GABAPENTIN

Treats certain types of sei... +

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

156

prescriptions, 2% of all prescriptions

135

prescriptions.

30

patients, 10% of all patients

9 12
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

154

prescriptions, 2% of all prescriptions

154

prescriptions.

30

patients, 10% of all patients

10 29
TRAZODONE HCL

Trazodone is used to treat ... +

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

152

prescriptions, 2% of all prescriptions

137

prescriptions.

26

patients, 8% of all patients

11 15
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

127

prescriptions, 2% of all prescriptions

122

prescriptions.

50

patients, 16% of all patients

O 12 10
CITALOPRAM HBR

Citalopram is used to treat... +

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

124

prescriptions, 2% of all prescriptions

124

prescriptions.

25

patients, 8% of all patients

13 18
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

124

prescriptions, 2% of all prescriptions

109

prescriptions.

15

patients, 5% of all patients

13 14
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

117

prescriptions, 2% of all prescriptions

112

prescriptions.

32

patients, 10% of all patients

15 5
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

115

prescriptions, 2% of all prescriptions

115

prescriptions.

15

patients, 5% of all patients

16 11
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

105

prescriptions, 1% of all prescriptions

105

prescriptions.

14

patients, 5% of all patients

P 17 40
TRAMADOL HCL

Tramadol is used to relieve... +

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

102

prescriptions, 1% of all prescriptions

102

prescriptions.

31

patients, 10% of all patients

O 18 16
QUETIAPINE FUMARATE

Quetiapine is used to treat... +

Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

94

prescriptions.

<11 P 19 33
OXYCONTIN

Oxycodone is used to reliev... +

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

91

prescriptions, 1% of all prescriptions

86

prescriptions.

11

patients, 4% of all patients

O 20 155
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

89

prescriptions.

14

patients, 5% of all patients

21 46
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

79

prescriptions, 1% of all prescriptions

79

prescriptions.

<11 22 32
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

78

prescriptions, 1% of all prescriptions

78

prescriptions.

17

patients, 6% of all patients

23 22
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

76

prescriptions, 1% of all prescriptions

76

prescriptions.

12

patients, 4% of all patients

24 39
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

74

prescriptions, 1% of all prescriptions

63

prescriptions.

18

patients, 6% of all patients

25 7
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

72

prescriptions.

<11 26 20
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

65

prescriptions, 1% of all prescriptions

65

prescriptions.

15

patients, 5% of all patients

27 70
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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

12

patients, 4% of all patients

28 23
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

62

prescriptions, 1% of all prescriptions

62

prescriptions.

<11 29 27
CARVEDILOL

Treats high blood pressure ... +

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

59

prescriptions, 1% of all prescriptions

59

prescriptions.

14

patients, 5% of all patients

30 20
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

59

prescriptions, 1% of all prescriptions

54

prescriptions.

11

patients, 4% of all patients

30 58
BACLOFEN

Treats muscle spasms caused... +

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

55

prescriptions, 1% of all prescriptions

55

prescriptions.

<11 32 66
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. 3, 2013.
  • 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.