Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Infectious Disease

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

15,017Medicare Part D Prescriptions Filled, Including Refills

Rank: 3 out of 219

$7.5M Total Retail Price of All Prescriptions

Rank: 2 out of 219

294 Patients Receiving at Least One Drug in Part D
26% Patients 65 Years and Older

78% 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 California
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

28% of this provider’s 294 patients filled at least one prescription for an antibiotic drug, compared to an average of 44%.

More resources »

Risky Drugs for Seniors

Comparisons are not shown because this provider has fewer than 100 patients who are 65 and older.

15 of this provider’s 77 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

30% of this provider’s 294 patients filled at least one prescription for an opioid, compared to an average of 13%.

More resources »

Brand Name Drugs

42% of this provider’s prescriptions were for brand-name drugs, compared to an average of 33%.

Prescription Price

$499 was the average price of a prescription from this provider, compared to $497 among peers.

Prescriptions per Patient

51 is the average number of prescriptions (including refills) per patient, compared to an average of 16.


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

$2.95M

2013

$7.92M

2014

$7.5M

2015

Number of Claims

2012

7,775

2013

15,553

2014

15,017

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
NORVIR

Treats human immunodeficien... +

Treats human immunodeficiency virus (HIV) infection. Source: National Library of Medicine

562

prescriptions, 4% of all prescriptions

177

prescriptions.

74

patients, 25% of all patients

1 2
TRUVADA

Treats HIV infection. Also ... +

Treats HIV infection. Source: National Library of Medicine

552

prescriptions, 4% of all prescriptions

120

prescriptions.

76

patients, 26% of all patients

2 1
ISENTRESS

Treats human immunodeficien... +

Treats human immunodeficiency virus (HIV) infection. Source: National Library of Medicine

467

prescriptions, 3% of all prescriptions

159

prescriptions.

59

patients, 20% of all patients

3 6
ACYCLOVIR

Treats herpes labialis (col... +

Treats herpes labialis (cold sores). Source: National Library of Medicine

455

prescriptions, 3% of all prescriptions

136

prescriptions.

63

patients, 21% of all patients

4 14
PREZISTA

Treats human immunodeficien... +

Treats human immunodeficiency virus (HIV) infection. Source: National Library of Medicine

433

prescriptions, 3% of all prescriptions

167

prescriptions.

51

patients, 17% of all patients

5 7
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

403

prescriptions, 3% of all prescriptions

176

prescriptions.

52

patients, 18% of all patients

6 3
TIVICAY 388

prescriptions, 3% of all prescriptions

143

prescriptions.

62

patients, 21% of all patients

10 7 22
TRIUMEQ 311

prescriptions, 2% of all prescriptions

82

prescriptions.

46

patients, 16% of all patients

10 8 23
ANDROGEL

Treats low testosterone lev... +

Treats low testosterone levels when your body does not produce enough natural testosterone. Source: National Library of Medicine

283

prescriptions, 2% of all prescriptions

74

prescriptions.

48

patients, 16% of all patients

10 9 48
INTELENCE 276

prescriptions, 2% of all prescriptions

64

prescriptions.

33

patients, 11% of all patients

10 10 28
LISINOPRIL

Treats high blood pressure ... +

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

257

prescriptions, 2% of all prescriptions

96

prescriptions.

31

patients, 11% of all patients

11 4
FLUCONAZOLE

Prevents and treats certain... +

Prevents and treats certain fungus infections. Source: National Library of Medicine

257

prescriptions, 2% of all prescriptions

25

prescriptions.

37

patients, 13% of all patients

11 34
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

234

prescriptions, 2% of all prescriptions

139

prescriptions.

28

patients, 10% of all patients

13 25
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

227

prescriptions, 2% of all prescriptions

61

prescriptions.

25

patients, 9% of all patients

14 84
TESTOSTERONE CYPIONATE

Used to treat symptoms of l... +

Used to treat symptoms of low testosterone in men who do not produce enough natural testosterone. Source: National Library of Medicine

223

prescriptions, 1% of all prescriptions

51

prescriptions.

38

patients, 13% of all patients

15 54
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

218

prescriptions, 1% of all prescriptions

83

prescriptions.

28

patients, 10% of all patients

16 9
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

214

prescriptions, 1% of all prescriptions

99

prescriptions.

20

patients, 7% of all patients

17 13
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

210

prescriptions, 1% of all prescriptions

48

prescriptions.

52

patients, 18% of all patients

O 18 8
EPZICOM 206

prescriptions, 1% of all prescriptions

53

prescriptions.

34

patients, 12% of all patients

19 16
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

192

prescriptions, 1% of all prescriptions

51

prescriptions.

22

patients, 7% of all patients

20 21
GABAPENTIN

Treats certain types of sei... +

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

173

prescriptions, 1% of all prescriptions

57

prescriptions.

29

patients, 10% of all patients

21 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

168

prescriptions, 1% of all prescriptions

49

prescriptions.

26

patients, 9% of all patients

R 22 27
OMEGA-3 ACID ETHYL ESTERS

Omega-3 fatty acids are use... +

Omega-3 fatty acids are used together with lifestyle changes (diet, weight-loss, exercise) to reduce the amount of triglycerides (a fat-like substance) in the blood in people with very high triglycerides. Source: National Library of Medicine

167

prescriptions, 1% of all prescriptions

40

prescriptions.

27

patients, 9% of all patients

23 92
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

166

prescriptions, 1% of all prescriptions

20

prescriptions.

18

patients, 6% of all patients

24 47
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

155

prescriptions, 1% of all prescriptions

91

prescriptions.

17

patients, 6% of all patients

25 44
VALACYCLOVIR

Treats herpes virus infecti... +

Treats herpes virus infections, including shingles (herpes zoster), cold sores (herpes labialis), and genital herpes (herpes simplex) in adults. Source: National Library of Medicine

153

prescriptions, 1% of all prescriptions

36

prescriptions.

18

patients, 6% of all patients

26 43
ATRIPLA

Treats human immunodeficien... +

Treats human immunodeficiency virus (HIV) infection. Source: National Library of Medicine

153

prescriptions, 1% of all prescriptions

35

prescriptions.

24

patients, 8% of all patients

26 20
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

150

prescriptions, 1% of all prescriptions

64

prescriptions.

18

patients, 6% of all patients

28 46
REYATAZ 146

prescriptions, 1% of all prescriptions

19

prescriptions.

25

patients, 9% of all patients

29 17
VIREAD 144

prescriptions, 1% of all prescriptions

33

prescriptions.

17

patients, 6% of all patients

30 57
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

132

prescriptions, 1% of all prescriptions

18

prescriptions.

20

patients, 7% of all patients

31 10
FENOFIBRATE*

Treats high cholesterol and... +

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

126

prescriptions, 1% of all prescriptions

22

prescriptions.

17

patients, 6% of all patients

32 133
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

125

prescriptions, 1% of all prescriptions

43

prescriptions.

15

patients, 5% of all patients

33 15
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

122

prescriptions, 1% of all prescriptions

33

prescriptions.

14

patients, 5% of all patients

34 66
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

121

prescriptions, 1% of all prescriptions

52

prescriptions.

15

patients, 5% of all patients

35 38
CLOPIDOGREL

Helps prevent stroke, heart... +

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

120

prescriptions, 1% of all prescriptions

51

prescriptions.

13

patients, 4% of all patients

36 40
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

115

prescriptions, 1% of all prescriptions

67

prescriptions.

17

patients, 6% of all patients

37 37
VASCEPA 107

prescriptions, 1% of all prescriptions

31

prescriptions.

30

patients, 10% of all patients

38 185
ALPRAZOLAM

Treats anxiety, panic disor... +

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

105

prescriptions, 1% of all prescriptions

19

prescriptions.

17

patients, 6% of all patients

39 42
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

104

prescriptions, 1% of all prescriptions

33

prescriptions.

11

patients, 4% of all patients

40 70
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

103

prescriptions, 1% of all prescriptions

33

prescriptions.

13

patients, 4% of all patients

41 5
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

101

prescriptions, 1% of all prescriptions

20

prescriptions.

25

patients, 9% of all patients

42 30
FENOFIBRATE*

Treats high cholesterol and... +

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

95

prescriptions, 1% of all prescriptions

25

prescriptions.

14

patients, 5% of all patients

43 106
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

95

prescriptions, 1% of all prescriptions

5

prescriptions.

17

patients, 6% of all patients

A 43 35
FULYZAQ 91

prescriptions, 1% of all prescriptions

44

prescriptions.

<11 10 45 192
LORAZEPAM

Treats anxiety, anxiety wit... +

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

91

prescriptions, 1% of all prescriptions

37

prescriptions.

16

patients, 5% of all patients

45 31
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

87

prescriptions, 1% of all prescriptions

23

prescriptions.

11

patients, 4% of all patients

47 56
DIPHENOXYLATE-ATROPINE

Treats diarrhea. +

Treats diarrhea. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

43

prescriptions.

18

patients, 6% of all patients

48 114
ATENOLOL

Treats high blood pressure ... +

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

84

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 49 24
CARVEDILOL

Treats high blood pressure ... +

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

80

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 4% of all patients

50 39
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

79

prescriptions, 1% of all prescriptions

16

prescriptions.

27

patients, 9% of all patients

51 29
TRAZODONE HCL

Trazodone is used to treat ... +

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

78

prescriptions, 1% of all prescriptions

32

prescriptions.

12

patients, 4% of all patients

52 45
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

76

prescriptions, 1% of all prescriptions

34

prescriptions.

14

patients, 5% of all patients

53 18
NEVIRAPINE ER 74

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 54 65
LAMIVUDINE 72

prescriptions, 0% of all prescriptions

51

prescriptions.

<11 55 71
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine

70

prescriptions, 0% of all prescriptions

30

prescriptions.

<11 56 117
DRONABINOL 67

prescriptions, 0% of all prescriptions

23

prescriptions.

13

patients, 4% of all patients

57 95
EDURANT 66

prescriptions, 0% of all prescriptions

23

prescriptions.

<11 58 111
PREZCOBIX 66

prescriptions, 0% of all prescriptions

18

prescriptions.

12

patients, 4% of all patients

58 107
DIAZEPAM

Treats anxiety, muscle spas... +

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

63

prescriptions, 0% of all prescriptions

12

prescriptions.

<11 60 83
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

62

prescriptions, 0% of all prescriptions

5

prescriptions.

11

patients, 4% of all patients

O 61 128
CLONAZEPAM

Treats seizures, panic diso... +

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

62

prescriptions, 0% of all prescriptions

18

prescriptions.

13

patients, 4% of all patients

61 68
MELOXICAM

Treats symptoms of osteoart... +

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

61

prescriptions, 0% of all prescriptions

27

prescriptions.

<11 63 89
VERAPAMIL ER

Verapamil is used to treat ... +

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

56

prescriptions, 0% of all prescriptions

13

prescriptions.

<11 64 227
ZETIA

Lowers cholesterol in your ... +

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

56

prescriptions, 0% of all prescriptions

24

prescriptions.

<11 64 122
AZITHROMYCIN

Treats infections caused by... +

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

56

prescriptions, 0% of all prescriptions

5

prescriptions.

26

patients, 9% of all patients

A 64 26
NEXIUM

Treats heartburn, gastroeso... +

Treats heartburn, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 67 88
TRAMADOL HCL

Tramadol is used to relieve... +

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

54

prescriptions, 0% of all prescriptions

17

prescriptions.

<11 O 68 55
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

54

prescriptions, 0% of all prescriptions

12

prescriptions.

<11 68 115
TRIAMTERENE-HYDROCHLOROTHIAZID

Used to treat high blood pr... +

Used to treat high blood pressure and edema (fluid retention; excess fluid held in body tissues) in patients who have lower amounts of potassium in their bodies or for whom low potassium levels in the body could be dangerous. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

12

prescriptions.

<11 68 76
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

52

prescriptions, 0% of all prescriptions

15

prescriptions.

12

patients, 4% of all patients

71 50
SUSTIVA 51

prescriptions, 0% of all prescriptions

17

prescriptions.

<11 72 103
STRIBILD 50

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 73 33
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 June 17, 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.