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 »

6,360Medicare Part D Prescriptions Filled, Including Refills

Rank: 6 out of 161

$433K Total Retail Price of All Prescriptions

Rank: 18 out of 161

293 Patients Receiving at Least One Drug in Part D
77% Patients 65 Years and Older

36% 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 Utah
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

48% of this provider’s 293 patients filled at least one prescription for an antibiotic drug, compared to an average of 21%.

More resources »

Risky Drugs for Seniors

12% of this provider’s 226 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

31% of this provider’s 293 patients filled at least one prescription for an opioid, compared to an average of 24%.

More resources »

Brand Name Drugs

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$68 was the average price of a prescription from this provider, compared to $161 among peers.

Prescriptions per Patient

22 is the average number of prescriptions (including refills) per patient, compared to an average of 10.


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

$218K

2012

$292K

2013

$329K

2014

$433K

2015

Number of Claims

4,060

2012

5,654

2013

6,112

2014

6,360

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

260

prescriptions, 4% of all prescriptions

131

prescriptions.

48

patients, 16% of all patients

O 1 2
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

202

prescriptions, 3% of all prescriptions

160

prescriptions.

59

patients, 20% of all patients

2 3
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

196

prescriptions, 3% of all prescriptions

139

prescriptions.

46

patients, 16% of all patients

3 1
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

162

prescriptions, 3% of all prescriptions

71

prescriptions.

24

patients, 8% of all patients

O 4 11
LISINOPRIL

Treats high blood pressure ... +

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

161

prescriptions, 3% of all prescriptions

140

prescriptions.

42

patients, 14% of all patients

5 4
SIMVASTATIN

Treats high cholesterol and... +

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

160

prescriptions, 3% of all prescriptions

119

prescriptions.

44

patients, 15% of all patients

6 7
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

141

prescriptions, 2% of all prescriptions

116

prescriptions.

37

patients, 13% of all patients

7 15
FUROSEMIDE

Treats fluid retention (ede... +

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

139

prescriptions, 2% of all prescriptions

122

prescriptions.

34

patients, 12% of all patients

8 10
CLONAZEPAM

Treats seizures, panic diso... +

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

121

prescriptions, 2% of all prescriptions

38

prescriptions.

23

patients, 8% of all patients

9 24
GABAPENTIN

Treats certain types of sei... +

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

104

prescriptions, 2% of all prescriptions

57

prescriptions.

23

patients, 8% of all patients

10 5
LORAZEPAM

Treats anxiety, anxiety wit... +

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

103

prescriptions, 2% of all prescriptions

49

prescriptions.

24

patients, 8% of all patients

11 38
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

93

prescriptions, 1% of all prescriptions

93

prescriptions.

29

patients, 10% of all patients

12 9
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

80

prescriptions, 1% of all prescriptions

80

prescriptions.

23

patients, 8% of all patients

13 12
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

58

prescriptions.

17

patients, 6% of all patients

14 100
OXYCODONE HCL

Oxycodone is used to reliev... +

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

78

prescriptions, 1% of all prescriptions

41

prescriptions.

<11 O 14 8
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

77

prescriptions, 1% of all prescriptions

65

prescriptions.

18

patients, 6% of all patients

16 14
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

76

prescriptions, 1% of all prescriptions

76

prescriptions.

13

patients, 4% of all patients

17 45
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

74

prescriptions, 1% of all prescriptions

57

prescriptions.

15

patients, 5% of all patients

18 59
MELOXICAM

Treats symptoms of osteoart... +

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

72

prescriptions, 1% of all prescriptions

67

prescriptions.

18

patients, 6% of all patients

19 37
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

71

prescriptions, 1% of all prescriptions

57

prescriptions.

<11 20 43
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

71

prescriptions, 1% of all prescriptions

60

prescriptions.

21

patients, 7% of all patients

20 22
CITALOPRAM HBR

Citalopram is used to treat... +

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

68

prescriptions, 1% of all prescriptions

31

prescriptions.

12

patients, 4% of all patients

22 25
TRAZODONE HCL

Trazodone is used to treat ... +

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

67

prescriptions, 1% of all prescriptions

36

prescriptions.

20

patients, 7% of all patients

23 13
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

65

prescriptions, 1% of all prescriptions

27

prescriptions.

14

patients, 5% of all patients

24 30
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

59

prescriptions, 1% of all prescriptions

54

prescriptions.

25

patients, 9% of all patients

25 47
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

58

prescriptions, 1% of all prescriptions

42

prescriptions.

16

patients, 5% of all patients

26 21
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

58

prescriptions, 1% of all prescriptions

20

prescriptions.

16

patients, 5% of all patients

R 26 26
ALPRAZOLAM

Treats anxiety, panic disor... +

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

57

prescriptions, 1% of all prescriptions

23

prescriptions.

14

patients, 5% of all patients

28 18
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

55

prescriptions, 1% of all prescriptions

43

prescriptions.

<11 29 27
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

54

prescriptions, 1% of all prescriptions

54

prescriptions.

13

patients, 4% of all patients

30 32
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, 1% of all prescriptions

40

prescriptions.

17

patients, 6% of all patients

30 51
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

51

prescriptions, 1% of all prescriptions

46

prescriptions.

13

patients, 4% of all patients

32 23
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

51

prescriptions, 1% of all prescriptions

46

prescriptions.

33

patients, 11% of all patients

A 32 68
CEFDINIR

Treats certain types of ski... +

Treats certain types of skin infections, throat infections, and lung infections, such as pneumonia, bronchitis, sinusitis, pharyngitis, or tonsillitis. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

33

prescriptions.

39

patients, 13% of all patients

A 34 177
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 July 21, 2016.
  • 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.