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 »

12,514Medicare Part D Prescriptions Filled, Including Refills

Rank: 460 out of 3110

$863K Total Retail Price of All Prescriptions

Rank: 524 out of 3110

331 Patients Receiving at Least One Drug in Part D
83% Patients 65 Years and Older

72% 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 Texas
lower than average

Antipsychotics

17% of this provider’s 276 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

37% of this provider’s 331 patients filled at least one prescription for an antibiotic drug, compared to an average of 31%.

More resources »

Risky Drugs for Seniors

20% of this provider’s 276 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 13%.

More resources »

Opioids

28% of this provider’s 331 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

27% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$69 was the average price of a prescription from this provider, compared to $84 among peers.

Prescriptions per Patient

38 is the average number of prescriptions (including refills) per patient, compared to an average of 17.


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

$152K

2013

$346K

2014

$863K

2015

Number of Claims

2012

3,292

2013

6,235

2014

12,514

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
FUROSEMIDE

Treats fluid retention (ede... +

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

451

prescriptions, 4% of all prescriptions

382

prescriptions.

71

patients, 21% of all patients

1 7
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

419

prescriptions, 3% of all prescriptions

379

prescriptions.

59

patients, 18% of all patients

2 1
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

374

prescriptions, 3% of all prescriptions

324

prescriptions.

52

patients, 16% of all patients

3 3
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

359

prescriptions, 3% of all prescriptions

347

prescriptions.

24

patients, 7% of all patients

4 59
LISINOPRIL

Treats high blood pressure ... +

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

314

prescriptions, 3% of all prescriptions

287

prescriptions.

55

patients, 17% of all patients

5 4
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

309

prescriptions, 2% of all prescriptions

255

prescriptions.

43

patients, 13% of all patients

6 16
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

274

prescriptions, 2% of all prescriptions

263

prescriptions.

45

patients, 14% of all patients

7 26
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

256

prescriptions, 2% of all prescriptions

209

prescriptions.

43

patients, 13% of all patients

8 2
GABAPENTIN

Treats certain types of sei... +

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

232

prescriptions, 2% of all prescriptions

165

prescriptions.

41

patients, 12% of all patients

9 10
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

185

prescriptions, 1% of all prescriptions

169

prescriptions.

30

patients, 9% of all patients

10 24
CLOPIDOGREL

Helps prevent stroke, heart... +

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

182

prescriptions, 1% of all prescriptions

177

prescriptions.

25

patients, 8% of all patients

11 21
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

177

prescriptions, 1% of all prescriptions

145

prescriptions.

33

patients, 10% of all patients

12 14
OLANZAPINE

Treats psychotic mental dis... +

Treats psychotic mental disorders, such as schizophrenia or bipolar disorder (manic-depressive illness). Source: National Library of Medicine

176

prescriptions, 1% of all prescriptions

114

prescriptions.

24

patients, 7% of all patients

P 13 138
LORAZEPAM

Treats anxiety, anxiety wit... +

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

175

prescriptions, 1% of all prescriptions

149

prescriptions.

35

patients, 11% of all patients

14 44
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

171

prescriptions, 1% of all prescriptions

154

prescriptions.

33

patients, 10% of all patients

15 55
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

171

prescriptions, 1% of all prescriptions

130

prescriptions.

18

patients, 5% of all patients

15 41
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

169

prescriptions, 1% of all prescriptions

116

prescriptions.

44

patients, 13% of all patients

17 23
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

164

prescriptions, 1% of all prescriptions

145

prescriptions.

23

patients, 7% of all patients

18 22
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

164

prescriptions, 1% of all prescriptions

132

prescriptions.

30

patients, 9% of all patients

18 19
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

159

prescriptions, 1% of all prescriptions

140

prescriptions.

27

patients, 8% of all patients

20 92
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

157

prescriptions, 1% of all prescriptions

135

prescriptions.

43

patients, 13% of all patients

O 21 11
SIMVASTATIN

Treats high cholesterol and... +

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

144

prescriptions, 1% of all prescriptions

128

prescriptions.

21

patients, 6% of all patients

22 5
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

142

prescriptions, 1% of all prescriptions

117

prescriptions.

19

patients, 6% of all patients

23 37
QUETIAPINE FUMARATE

Quetiapine is used to treat... +

Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

141

prescriptions, 1% of all prescriptions

110

prescriptions.

20

patients, 6% of all patients

P 24 57
TRAMADOL HCL

Tramadol is used to relieve... +

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

135

prescriptions, 1% of all prescriptions

101

prescriptions.

42

patients, 13% of all patients

O 25 12
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

134

prescriptions, 1% of all prescriptions

101

prescriptions.

11

patients, 3% of all patients

26 95
TRAZODONE HCL

Trazodone is used to treat ... +

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

131

prescriptions, 1% of all prescriptions

95

prescriptions.

30

patients, 9% of all patients

27 29
CARVEDILOL

Treats high blood pressure ... +

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

126

prescriptions, 1% of all prescriptions

107

prescriptions.

24

patients, 7% of all patients

28 20
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

124

prescriptions, 1% of all prescriptions

124

prescriptions.

23

patients, 7% of all patients

29 67
EXELON

Rivastigmine is used to tre... +

Rivastigmine is used to treat mild to moderate dementia (memory loss) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine

117

prescriptions, 1% of all prescriptions

117

prescriptions.

23

patients, 7% of all patients

30 117
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

110

prescriptions, 1% of all prescriptions

91

prescriptions.

17

patients, 5% of all patients

31 18
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

107

prescriptions, 1% of all prescriptions

107

prescriptions.

16

patients, 5% of all patients

32 31
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

106

prescriptions, 1% of all prescriptions

65

prescriptions.

<11 33 50
CITALOPRAM HBR

Citalopram is used to treat... +

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

97

prescriptions, 1% of all prescriptions

92

prescriptions.

15

patients, 5% of all patients

34 30
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

58

prescriptions.

18

patients, 5% of all patients

35 6
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

90

prescriptions, 1% of all prescriptions

85

prescriptions.

25

patients, 8% of all patients

36 8
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

89

prescriptions, 1% of all prescriptions

84

prescriptions.

42

patients, 13% of all patients

37 118
NOVOLOG

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

88

prescriptions, 1% of all prescriptions

52

prescriptions.

15

patients, 5% of all patients

38 141
PREDNISONE

Treats inflammation (swelli... +

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

87

prescriptions, 1% of all prescriptions

65

prescriptions.

33

patients, 10% of all patients

39 42
NUEDEXTA

Used to treat pseudobulbar ... +

Used to treat pseudobulbar affect (PBA; a condition of sudden, frequent outbursts of crying or laughing that can not be controlled) in people with certain conditions such as amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease; condition in which the nerves that control muscle movement slowly die, causing the muscles to shrink and weaken) or multiple sclerosis (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). Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

86

prescriptions.

<11 40 148
LEVETIRACETAM

Used to help control certai... +

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

84

prescriptions, 1% of all prescriptions

40

prescriptions.

14

patients, 4% of all patients

41 87
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

81

prescriptions, 1% of all prescriptions

42

prescriptions.

14

patients, 4% of all patients

R 42 36
MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

73

prescriptions.

12

patients, 4% of all patients

43 110
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

77

prescriptions.

29

patients, 9% of all patients

44 106
LEVEMIR

Helps control blood sugar l... +

Helps control blood sugar levels. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

28

prescriptions.

13

patients, 4% of all patients

44 131
ALPRAZOLAM

Treats anxiety, panic disor... +

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

77

prescriptions, 1% of all prescriptions

59

prescriptions.

27

patients, 8% of all patients

44 17
ABILIFY

Treats schizophrenia, bipol... +

Treats schizophrenia, bipolar disorder, and depression. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

36

prescriptions.

<11 P 47 194
SEROQUEL XR

Treats schizophrenia and sy... +

Treats schizophrenia and symptoms of bipolar disorder (manic-depressive illness). Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

57

prescriptions.

<11 P 47 280
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

74

prescriptions, 1% of all prescriptions

56

prescriptions.

13

patients, 4% of all patients

49 9
OXYBUTYNIN CHLORIDE ER

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

47

prescriptions.

<11 50 119
CLONAZEPAM

Treats seizures, panic diso... +

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

69

prescriptions, 1% of all prescriptions

53

prescriptions.

14

patients, 4% of all patients

51 49
FENTANYL

Treats severe, ongoing pain... +

Treats severe, ongoing pain (during and after surgery, cancer pain) that cannot be controlled with other medicines. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

42

prescriptions.

12

patients, 4% of all patients

O 52 142
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

63

prescriptions, 1% of all prescriptions

41

prescriptions.

12

patients, 4% of all patients

53 13
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

63

prescriptions, 1% of all prescriptions

37

prescriptions.

<11 53 28
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

62

prescriptions, 0% of all prescriptions

57

prescriptions.

13

patients, 4% of all patients

55 15
LATANOPROST

Latanoprost ophthalmic is u... +

Latanoprost ophthalmic is used to treat glaucoma (a condition in which increased pressure in the eye can lead to gradual loss of vision) and ocular hypertension (a condition which causes increased pressure in the eye). Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

56

prescriptions.

14

patients, 4% of all patients

56 155
TEMAZEPAM

Treats insomnia (trouble sl... +

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

60

prescriptions, 0% of all prescriptions

55

prescriptions.

12

patients, 4% of all patients

57 68
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

59

prescriptions, 0% of all prescriptions

54

prescriptions.

12

patients, 4% of all patients

58 52
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

53

prescriptions.

<11 59 183
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

57

prescriptions, 0% of all prescriptions

52

prescriptions.

<11 60 129
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, 0% of all prescriptions

50

prescriptions.

<11 61 58
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

54

prescriptions, 0% of all prescriptions

49

prescriptions.

12

patients, 4% of all patients

62 73
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

54

prescriptions, 0% of all prescriptions

38

prescriptions.

24

patients, 7% of all patients

62 165
AMIODARONE HCL

Amiodarone is used to treat... +

Amiodarone is used to treat and prevent certain types of serious, life-threatening ventricular arrhythmias (a certain type of abnormal heart rhythm when other medications did not help or could not be tolerated. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

49

prescriptions.

<11 62 139
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

52

prescriptions, 0% of all prescriptions

35

prescriptions.

<11 65 39
FANAPT 50

prescriptions, 0% of all prescriptions

25

prescriptions.

<11 P 66 421
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

50

prescriptions, 0% of all prescriptions

37

prescriptions.

<11 66 47
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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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 Feb. 14, 2014.
  • 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.