Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Rheumatology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

8,277Medicare Part D Prescriptions Filled, Including Refills

Rank: 20 out of 437

$549K Total Retail Price of All Prescriptions

Rank: 247 out of 437

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

79% 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

5% of this provider’s 422 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

22% of this provider’s 454 patients filled at least one prescription for an antibiotic drug, compared to an average of 7%.

More resources »

Risky Drugs for Seniors

13% of this provider’s 422 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 7%.

More resources »

Opioids

30% of this provider’s 454 patients filled at least one prescription for an opioid, compared to an average of 18%.

More resources »

Brand Name Drugs

20% of this provider’s prescriptions were for brand-name drugs, compared to an average of 25%.

Prescription Price

$66 was the average price of a prescription from this provider, compared to $344 among peers.

Prescriptions per Patient

18 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$270K

2012

$283K

2013

$370K

2014

$549K

2015

Number of Claims

3,810

2012

4,891

2013

6,698

2014

8,277

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
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

347

prescriptions, 4% of all prescriptions

342

prescriptions.

98

patients, 22% of all patients

1 16
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

283

prescriptions, 3% of all prescriptions

235

prescriptions.

66

patients, 15% of all patients

2 20
FUROSEMIDE

Treats fluid retention (ede... +

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

273

prescriptions, 3% of all prescriptions

268

prescriptions.

49

patients, 11% of all patients

3 39
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

269

prescriptions, 3% of all prescriptions

264

prescriptions.

67

patients, 15% of all patients

4 18
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

218

prescriptions, 3% of all prescriptions

189

prescriptions.

70

patients, 15% of all patients

O 5 4
CARVEDILOL

Treats high blood pressure ... +

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

152

prescriptions, 2% of all prescriptions

138

prescriptions.

37

patients, 8% of all patients

6 94
HEPARIN SODIUM 146

prescriptions, 2% of all prescriptions

64

prescriptions.

<11 7 143
GABAPENTIN

Treats certain types of sei... +

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

139

prescriptions, 2% of all prescriptions

134

prescriptions.

40

patients, 9% of all patients

8 5
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

135

prescriptions, 2% of all prescriptions

130

prescriptions.

39

patients, 9% of all patients

9 56
LISINOPRIL

Treats high blood pressure ... +

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

133

prescriptions, 2% of all prescriptions

128

prescriptions.

35

patients, 8% of all patients

10 31
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

123

prescriptions, 1% of all prescriptions

104

prescriptions.

26

patients, 6% of all patients

11 38
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

123

prescriptions, 1% of all prescriptions

98

prescriptions.

15

patients, 3% of all patients

11 135
IPRATROPIUM-ALBUTEROL

The combination of albutero... +

The combination of albuterol and ipratropium is used to prevent wheezing, difficulty breathing, chest tightness, and coughing in people with chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to the air sacs in the lungs). Source: National Library of Medicine

123

prescriptions, 1% of all prescriptions

85

prescriptions.

36

patients, 8% of all patients

11 169
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, 1% of all prescriptions

116

prescriptions.

19

patients, 4% of all patients

14 99
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

99

prescriptions, 1% of all prescriptions

94

prescriptions.

35

patients, 8% of all patients

15 11
LORAZEPAM

Treats anxiety, anxiety wit... +

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

92

prescriptions, 1% of all prescriptions

76

prescriptions.

38

patients, 8% of all patients

16 54
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

91

prescriptions, 1% of all prescriptions

46

prescriptions.

16

patients, 4% of all patients

O 17 48
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

85

prescriptions, 1% of all prescriptions

85

prescriptions.

22

patients, 5% of all patients

18 150
BACLOFEN

Treats muscle spasms caused... +

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

84

prescriptions, 1% of all prescriptions

44

prescriptions.

15

patients, 3% of all patients

19 28
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

79

prescriptions, 1% of all prescriptions

74

prescriptions.

23

patients, 5% of all patients

20 101
FLUOXETINE HCL

Fluoxetine is used to treat... +

Fluoxetine 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), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

74

prescriptions.

11

patients, 2% of all patients

20 123
ONDANSETRON HCL*

Ondansetron is used to prev... +

Ondansetron is used to prevent nausea and vomiting caused by cancer chemotherapy, radiation therapy, and surgery. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

31

prescriptions.

21

patients, 5% of all patients

22 231
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

75

prescriptions, 1% of all prescriptions

70

prescriptions.

12

patients, 3% of all patients

23 25
CARBIDOPA-LEVODOPA

The combination of levodopa... +

The combination of levodopa and carbidopa is used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

75

prescriptions.

13

patients, 3% of all patients

23 173
CLOPIDOGREL

Helps prevent stroke, heart... +

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

69

prescriptions, 1% of all prescriptions

56

prescriptions.

21

patients, 5% of all patients

25 46
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

69

prescriptions, 1% of all prescriptions

69

prescriptions.

16

patients, 4% of all patients

25 24
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

68

prescriptions, 1% of all prescriptions

63

prescriptions.

20

patients, 4% of all patients

27 71
CHLORHEXIDINE GLUCONATE

Treats gingivitis (swelling... +

Treats gingivitis (swelling of the gums) and other problems of the mouth and gums. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

47

prescriptions.

11

patients, 2% of all patients

27 248
XARELTO

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung). Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

67

prescriptions.

15

patients, 3% of all patients

29 125
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

66

prescriptions, 1% of all prescriptions

53

prescriptions.

19

patients, 4% of all patients

30 51
KLOR-CON M20

Potassium is essential for ... +

Potassium is essential for the proper functioning of the heart, kidneys, muscles, nerves, and digestive system. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

59

prescriptions.

18

patients, 4% of all patients

31 257
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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

23

patients, 5% of all patients

32 44
FINASTERIDE

Treats an enlarged prostate... +

Treats an enlarged prostate (benign prostatic hyperplasia or BPH) in men and causes hair growth in male pattern baldness. Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

50

prescriptions.

17

patients, 4% of all patients

33 102
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

45

prescriptions.

15

patients, 3% of all patients

34 103
DIGOX

Digox (digoxin) is used to ... +

Digox (digoxin) is used to treat heart failure and abnormal heart rhythms (arrhythmias). Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

54

prescriptions.

<11 R 35 279
SODIUM CHLORIDE* 54

prescriptions, 1% of all prescriptions

49

prescriptions.

<11 35 142
BUMETANIDE

Treats fluid retention (ede... +

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

53

prescriptions, 1% of all prescriptions

42

prescriptions.

<11 37 282
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

53

prescriptions, 1% of all prescriptions

48

prescriptions.

11

patients, 2% of all patients

37 88
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

52

prescriptions, 1% of all prescriptions

47

prescriptions.

<11 39 131
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

51

prescriptions, 1% of all prescriptions

46

prescriptions.

22

patients, 5% of all patients

40 53
PREDNISONE

Treats inflammation (swelli... +

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

50

prescriptions, 1% of all prescriptions

45

prescriptions.

18

patients, 4% of all patients

41 2
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 Dec. 20, 2015.
  • 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.