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 »

7,759Medicare Part D Prescriptions Filled, Including Refills

Rank: 30 out of 105

$606K Total Retail Price of All Prescriptions

Rank: 25 out of 105

407 Patients Receiving at Least One Drug in Part D
87% Patients 65 Years and Older

29% 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 North Dakota
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

23% of this provider’s 407 patients filled at least one prescription for an antibiotic drug, compared to an average of 20%.

More resources »

Risky Drugs for Seniors

8% of this provider’s 354 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

12% of this provider’s 407 patients filled at least one prescription for an opioid, compared to an average of 13%.

More resources »

Brand Name Drugs

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

Prescription Price

$78 was the average price of a prescription from this provider, compared to $88 among peers.

Prescriptions per Patient

19 is the average number of prescriptions (including refills) per patient, compared to an average of 13.


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

$373K

2012

$443K

2013

$505K

2014

$606K

2015

Number of Claims

5,605

2012

6,231

2013

6,508

2014

7,759

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.

Click to Filter by Category

Clear Filter


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
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

442

prescriptions, 6% of all prescriptions

359

prescriptions.

75

patients, 18% of all patients

1 10
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

417

prescriptions, 5% of all prescriptions

363

prescriptions.

79

patients, 19% of all patients

2 5
LABETALOL HCL

Labetalol is used to treat ... +

Labetalol is used to treat high blood pressure. Source: National Library of Medicine

377

prescriptions, 5% of all prescriptions

335

prescriptions.

61

patients, 15% of all patients

3 76
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

260

prescriptions, 3% of all prescriptions

230

prescriptions.

52

patients, 13% of all patients

4 115
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

241

prescriptions, 3% of all prescriptions

208

prescriptions.

37

patients, 9% of all patients

5 1
SIMVASTATIN

Treats high cholesterol and... +

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

216

prescriptions, 3% of all prescriptions

169

prescriptions.

42

patients, 10% of all patients

6 2
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

204

prescriptions, 3% of all prescriptions

162

prescriptions.

39

patients, 10% of all patients

7 8
BUMETANIDE

Treats fluid retention (ede... +

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

201

prescriptions, 3% of all prescriptions

177

prescriptions.

56

patients, 14% of all patients

8 101
FUROSEMIDE

Treats fluid retention (ede... +

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

178

prescriptions, 2% of all prescriptions

162

prescriptions.

41

patients, 10% of all patients

9 3
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

172

prescriptions, 2% of all prescriptions

157

prescriptions.

38

patients, 9% of all patients

10 40
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

164

prescriptions, 2% of all prescriptions

119

prescriptions.

24

patients, 6% of all patients

11 7
ALLOPURINOL

Treats gout and some kinds ... +

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

155

prescriptions, 2% of all prescriptions

138

prescriptions.

26

patients, 6% of all patients

12 20
HYDRALAZINE HCL

Hydralazine is used to trea... +

Hydralazine is used to treat high blood pressure. Source: National Library of Medicine

149

prescriptions, 2% of all prescriptions

128

prescriptions.

34

patients, 8% of all patients

13 74
CITALOPRAM HBR

Citalopram is used to treat... +

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

131

prescriptions, 2% of all prescriptions

108

prescriptions.

21

patients, 5% of all patients

14 24
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

121

prescriptions, 2% of all prescriptions

116

prescriptions.

25

patients, 6% of all patients

15 14
NOVOLOG FLEXPEN

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

120

prescriptions, 2% of all prescriptions

70

prescriptions.

16

patients, 4% of all patients

16 45
PROSOL 105

prescriptions, 1% of all prescriptions

105

prescriptions.

<11 17 131
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

101

prescriptions, 1% of all prescriptions

79

prescriptions.

21

patients, 5% of all patients

18 12
NIFEDICAL XL

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

99

prescriptions, 1% of all prescriptions

84

prescriptions.

24

patients, 6% of all patients

19 156
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

99

prescriptions, 1% of all prescriptions

94

prescriptions.

19

patients, 5% of all patients

19 27
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

99

prescriptions, 1% of all prescriptions

81

prescriptions.

25

patients, 6% of all patients

19 9
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

98

prescriptions, 1% of all prescriptions

75

prescriptions.

32

patients, 8% of all patients

22 11
LISINOPRIL

Treats high blood pressure ... +

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

96

prescriptions, 1% of all prescriptions

91

prescriptions.

24

patients, 6% of all patients

23 4
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

91

prescriptions, 1% of all prescriptions

86

prescriptions.

32

patients, 8% of all patients

24 6
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

91

prescriptions.

22

patients, 5% of all patients

24 32
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

78

prescriptions.

19

patients, 5% of all patients

26 57
PREDNISONE

Treats inflammation (swelli... +

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

81

prescriptions, 1% of all prescriptions

50

prescriptions.

24

patients, 6% of all patients

27 31
AZITHROMYCIN

Treats infections caused by... +

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

81

prescriptions, 1% of all prescriptions

70

prescriptions.

54

patients, 13% of all patients

A 27 61
TRAMADOL HCL

Tramadol is used to relieve... +

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

79

prescriptions, 1% of all prescriptions

74

prescriptions.

21

patients, 5% of all patients

O 29 19
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

47

prescriptions.

14

patients, 3% of all patients

29 29
FLUDROCORTISONE ACETATE

Replaces certain hormones w... +

Replaces certain hormones when the body does not make enough, such as in Addison's disease. Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

28

prescriptions.

16

patients, 4% of all patients

31 167
CLOPIDOGREL

Helps prevent stroke, heart... +

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

76

prescriptions, 1% of all prescriptions

76

prescriptions.

17

patients, 4% of all patients

32 17
MIDODRINE HCL

Midodrine hydrochloride tab... +

Midodrine hydrochloride tablets are indicated for the treatment of symptomatic orthostatic hypotension. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

40

prescriptions.

11

patients, 3% of all patients

33 171
RENVELA

Lowers the amount of phosph... +

Lowers the amount of phosphorus in blood of patients receiving kidney dialysis. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

42

prescriptions.

13

patients, 3% of all patients

34 173
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

68

prescriptions, 1% of all prescriptions

43

prescriptions.

14

patients, 3% of all patients

35 21
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

66

prescriptions, 1% of all prescriptions

48

prescriptions.

32

patients, 8% of all patients

A 36 67
ALPRAZOLAM

Treats anxiety, panic disor... +

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

66

prescriptions, 1% of all prescriptions

50

prescriptions.

16

patients, 4% of all patients

36 48
CALCITRIOL

Treats low blood calcium in... +

Treats low blood calcium in kidney dialysis patients and other patients. Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

57

prescriptions.

22

patients, 5% of all patients

38 147
ENALAPRIL MALEATE

Enalapril is used alone or ... +

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

61

prescriptions, 1% of all prescriptions

56

prescriptions.

15

patients, 4% of all patients

39 64
LORAZEPAM

Treats anxiety, anxiety wit... +

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

60

prescriptions, 1% of all prescriptions

47

prescriptions.

18

patients, 4% of all patients

40 30
CARVEDILOL

Treats high blood pressure ... +

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

57

prescriptions, 1% of all prescriptions

52

prescriptions.

12

patients, 3% of all patients

41 22
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

56

prescriptions, 1% of all prescriptions

51

prescriptions.

11

patients, 3% of all patients

42 93
BYSTOLIC

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

49

prescriptions.

<11 43 99
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, 1% of all prescriptions

54

prescriptions.

<11 43 28
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

52

prescriptions, 1% of all prescriptions

28

prescriptions.

13

patients, 3% of all patients

45 13
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

50

prescriptions, 1% of all prescriptions

45

prescriptions.

11

patients, 3% of all patients

46 16
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

50

prescriptions, 1% of all prescriptions

26

prescriptions.

11

patients, 3% of all patients

46 49
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 1, 2010.
  • 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.