Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Physician Assistant, Medical

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

10,846Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 120

$814K Total Retail Price of All Prescriptions

Rank: 4 out of 120

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

26% 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 Nevada
lower than average

Antipsychotics

2% of this provider’s 693 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

19% of this provider’s 799 patients filled at least one prescription for an antibiotic drug, compared to an average of 23%.

More resources »

Risky Drugs for Seniors

8% of this provider’s 693 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

27% of this provider’s 799 patients filled at least one prescription for an opioid, compared to an average of 27%.

More resources »

Brand Name Drugs

19% of this provider’s prescriptions were for brand-name drugs, compared to an average of 16%.

Prescription Price

$75 was the average price of a prescription from this provider, compared to $93 among peers.

Prescriptions per Patient

14 is the average number of prescriptions (including refills) per patient, compared to an average of 8.


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

$774K

2012

$785K

2013

$803K

2014

$814K

2015

Number of Claims

10,440

2012

10,584

2013

10,716

2014

10,846

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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

403

prescriptions, 4% of all prescriptions

334

prescriptions.

114

patients, 14% of all patients

O 1 1
SIMVASTATIN

Treats high cholesterol and... +

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

331

prescriptions, 3% of all prescriptions

304

prescriptions.

108

patients, 14% of all patients

2 10
ALPRAZOLAM

Treats anxiety, panic disor... +

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

326

prescriptions, 3% of all prescriptions

239

prescriptions.

69

patients, 9% of all patients

3 13
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

312

prescriptions, 3% of all prescriptions

274

prescriptions.

98

patients, 12% of all patients

4 3
GABAPENTIN

Treats certain types of sei... +

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

273

prescriptions, 3% of all prescriptions

217

prescriptions.

87

patients, 11% of all patients

5 4
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

260

prescriptions, 2% of all prescriptions

235

prescriptions.

87

patients, 11% of all patients

6 7
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

236

prescriptions, 2% of all prescriptions

210

prescriptions.

87

patients, 11% of all patients

7 6
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

217

prescriptions, 2% of all prescriptions

197

prescriptions.

66

patients, 8% of all patients

8 11
TRAMADOL HCL

Tramadol is used to relieve... +

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

202

prescriptions, 2% of all prescriptions

157

prescriptions.

62

patients, 8% of all patients

O 9 18
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

190

prescriptions, 2% of all prescriptions

185

prescriptions.

68

patients, 9% of all patients

10 24
OXYCODONE HCL

Oxycodone is used to reliev... +

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

183

prescriptions, 2% of all prescriptions

124

prescriptions.

25

patients, 3% of all patients

O 11 9
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

180

prescriptions, 2% of all prescriptions

161

prescriptions.

63

patients, 8% of all patients

12 5
FUROSEMIDE

Treats fluid retention (ede... +

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

160

prescriptions, 1% of all prescriptions

137

prescriptions.

53

patients, 7% of all patients

13 16
BENAZEPRIL HCL

Benazepril is used alone or... +

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

159

prescriptions, 1% of all prescriptions

139

prescriptions.

48

patients, 6% of all patients

14 84
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

159

prescriptions, 1% of all prescriptions

148

prescriptions.

48

patients, 6% of all patients

14 42
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

137

prescriptions, 1% of all prescriptions

117

prescriptions.

38

patients, 5% of all patients

16 41
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

135

prescriptions, 1% of all prescriptions

103

prescriptions.

45

patients, 6% of all patients

O 17 8
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

133

prescriptions, 1% of all prescriptions

85

prescriptions.

39

patients, 5% of all patients

R 18 25
LISINOPRIL

Treats high blood pressure ... +

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

131

prescriptions, 1% of all prescriptions

119

prescriptions.

50

patients, 6% of all patients

19 2
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

128

prescriptions, 1% of all prescriptions

111

prescriptions.

38

patients, 5% of all patients

20 32
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

122

prescriptions, 1% of all prescriptions

117

prescriptions.

45

patients, 6% of all patients

21 30
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

119

prescriptions, 1% of all prescriptions

114

prescriptions.

44

patients, 6% of all patients

22 14
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

108

prescriptions, 1% of all prescriptions

89

prescriptions.

19

patients, 2% of all patients

23 116
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

106

prescriptions, 1% of all prescriptions

101

prescriptions.

35

patients, 4% of all patients

24 19
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

70

prescriptions.

28

patients, 4% of all patients

25 37
PIOGLITAZONE HCL

Pioglitazone is used to tre... +

Pioglitazone is used 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

99

prescriptions, 1% of all prescriptions

94

prescriptions.

22

patients, 3% of all patients

26 97
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

97

prescriptions, 1% of all prescriptions

92

prescriptions.

29

patients, 4% of all patients

27 26
LORAZEPAM

Treats anxiety, anxiety wit... +

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

97

prescriptions, 1% of all prescriptions

64

prescriptions.

20

patients, 3% of all patients

27 63
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

95

prescriptions, 1% of all prescriptions

90

prescriptions.

31

patients, 4% of all patients

29 50
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

41

prescriptions.

16

patients, 2% of all patients

O 30 12
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

90

prescriptions, 1% of all prescriptions

66

prescriptions.

28

patients, 4% of all patients

31 71
LOVASTATIN

Lowers high cholesterol and... +

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

88

prescriptions, 1% of all prescriptions

83

prescriptions.

31

patients, 4% of all patients

32 43
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

86

prescriptions, 1% of all prescriptions

63

prescriptions.

24

patients, 3% of all patients

33 34
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

45

prescriptions.

29

patients, 4% of all patients

34 21
VALSARTAN-HYDROCHLOROTHIAZIDE

Treats high blood pressure. +

Treats high blood pressure. Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

76

prescriptions.

24

patients, 3% of all patients

35 127
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

80

prescriptions, 1% of all prescriptions

75

prescriptions.

26

patients, 3% of all patients

36 15
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

78

prescriptions, 1% of all prescriptions

78

prescriptions.

23

patients, 3% of all patients

37 35
TRAZODONE HCL

Trazodone is used to treat ... +

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

76

prescriptions, 1% of all prescriptions

58

prescriptions.

34

patients, 4% of all patients

38 31
CILOSTAZOL

Treats a circulation proble... +

Treats a circulation problem in which too little blood flows into your leg muscles (intermittent claudication). Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

68

prescriptions.

19

patients, 2% of all patients

39 133
CLOPIDOGREL

Helps prevent stroke, heart... +

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

72

prescriptions, 1% of all prescriptions

67

prescriptions.

23

patients, 3% of all patients

40 38
PREDNISONE

Treats inflammation (swelli... +

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

71

prescriptions, 1% of all prescriptions

66

prescriptions.

61

patients, 8% of all patients

41 22
CARVEDILOL

Treats high blood pressure ... +

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

71

prescriptions, 1% of all prescriptions

51

prescriptions.

26

patients, 3% of all patients

41 27
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

63

prescriptions.

21

patients, 3% of all patients

43 140
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

68

prescriptions, 1% of all prescriptions

68

prescriptions.

25

patients, 3% of all patients

43 23
CITALOPRAM HBR

Citalopram is used to treat... +

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

68

prescriptions, 1% of all prescriptions

55

prescriptions.

23

patients, 3% of all patients

43 39
ALLOPURINOL

Treats gout and some kinds ... +

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

66

prescriptions, 1% of all prescriptions

61

prescriptions.

21

patients, 3% of all patients

46 76
RALOXIFENE HCL

Raloxifene is used to preve... +

Raloxifene is used to prevent and treat osteoporosis (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). Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

60

prescriptions.

11

patients, 1% of all patients

47 144
BENAZEPRIL-HYDROCHLOROTHIAZIDE

The combination of benazepr... +

The combination of benazepril and hydrochlorothiazide is used to treat high blood pressure. Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

62

prescriptions.

14

patients, 2% of all patients

48 149
GEMFIBROZIL

Lowers high triglyceride an... +

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

62

prescriptions, 1% of all prescriptions

62

prescriptions.

19

patients, 2% of all patients

48 113
ATENOLOL

Treats high blood pressure ... +

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

59

prescriptions, 1% of all prescriptions

59

prescriptions.

20

patients, 3% of all patients

50 44
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

56

prescriptions, 1% of all prescriptions

51

prescriptions.

16

patients, 2% of all patients

51 53
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

42

prescriptions.

<11 52 54
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

54

prescriptions, 0% of all prescriptions

40

prescriptions.

31

patients, 4% of all patients

53 28
VESICARE

Solifenacin is used to trea... +

Solifenacin is used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

41

prescriptions.

12

patients, 2% of all patients

54 94
AZITHROMYCIN

Treats infections caused by... +

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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

45

patients, 6% of all patients

A 54 45
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

47

prescriptions.

23

patients, 3% of all patients

56 40
ZETIA

Lowers cholesterol in your ... +

Lowers cholesterol in your blood. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

30

prescriptions.

<11 57 159
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, 0% of all prescriptions

51

prescriptions.

18

patients, 2% of all patients

57 65
BYSTOLIC

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 59 162
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 June 8, 2012.
  • 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.