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 »

13,511Medicare Part D Prescriptions Filled, Including Refills

Rank: 59 out of 948

$5.27M Total Retail Price of All Prescriptions

Rank: 3 out of 948

465 Patients Receiving at Least One Drug in Part D
68% Patients 65 Years and Older

87% 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 Arizona
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

15% of this provider’s 465 patients filled at least one prescription for an antibiotic drug, compared to an average of 24%.

More resources »

Risky Drugs for Seniors

5% of this provider’s 314 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

33% of this provider’s 465 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$390 was the average price of a prescription from this provider, compared to $77 among peers.

Prescriptions per Patient

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


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

$1.17M

2012

$800K

2013

$7.51M

2014

$5.27M

2015

Number of Claims

14,006

2012

14,937

2013

14,827

2014

13,511

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
LISINOPRIL

Treats high blood pressure ... +

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

874

prescriptions, 6% of all prescriptions

728

prescriptions.

141

patients, 30% of all patients

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

794

prescriptions, 6% of all prescriptions

612

prescriptions.

138

patients, 30% of all patients

2 6
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

690

prescriptions, 5% of all prescriptions

580

prescriptions.

116

patients, 25% of all patients

3 4
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

680

prescriptions, 5% of all prescriptions

505

prescriptions.

98

patients, 21% of all patients

4 7
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

582

prescriptions, 4% of all prescriptions

462

prescriptions.

102

patients, 22% of all patients

5 14
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

413

prescriptions, 3% of all prescriptions

328

prescriptions.

70

patients, 15% of all patients

6 1
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

392

prescriptions, 3% of all prescriptions

318

prescriptions.

101

patients, 22% of all patients

7 5
GABAPENTIN

Treats certain types of sei... +

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

351

prescriptions, 3% of all prescriptions

256

prescriptions.

66

patients, 14% of all patients

8 10
FUROSEMIDE

Treats fluid retention (ede... +

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

346

prescriptions, 3% of all prescriptions

301

prescriptions.

60

patients, 13% of all patients

9 11
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

289

prescriptions, 2% of all prescriptions

243

prescriptions.

50

patients, 11% of all patients

10 40
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

280

prescriptions, 2% of all prescriptions

126

prescriptions.

42

patients, 9% of all patients

O 11 30
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

265

prescriptions, 2% of all prescriptions

199

prescriptions.

45

patients, 10% of all patients

12 12
MORPHINE SULFATE ER

Morphine (extended release)... +

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

264

prescriptions, 2% of all prescriptions

159

prescriptions.

38

patients, 8% of all patients

O 13 58
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

248

prescriptions, 2% of all prescriptions

222

prescriptions.

36

patients, 8% of all patients

14 17
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

225

prescriptions, 2% of all prescriptions

171

prescriptions.

47

patients, 10% of all patients

O 15 13
CITALOPRAM HBR

Citalopram is used to treat... +

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

206

prescriptions, 2% of all prescriptions

188

prescriptions.

40

patients, 9% of all patients

16 26
DOXAZOSIN MESYLATE

Doxazosin (Cardura, Cardura... +

Doxazosin (Cardura, Cardura XL) 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

199

prescriptions, 1% of all prescriptions

152

prescriptions.

36

patients, 8% of all patients

17 74
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

191

prescriptions, 1% of all prescriptions

104

prescriptions.

47

patients, 10% of all patients

18 37
OXYCODONE HCL

Oxycodone is used to reliev... +

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

186

prescriptions, 1% of all prescriptions

81

prescriptions.

31

patients, 7% of all patients

O 19 36
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

175

prescriptions, 1% of all prescriptions

132

prescriptions.

35

patients, 8% of all patients

20 43
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

156

prescriptions, 1% of all prescriptions

78

prescriptions.

35

patients, 8% of all patients

21 69
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

156

prescriptions, 1% of all prescriptions

137

prescriptions.

29

patients, 6% of all patients

21 9
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

150

prescriptions, 1% of all prescriptions

134

prescriptions.

29

patients, 6% of all patients

23 28
ATENOLOL

Treats high blood pressure ... +

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

137

prescriptions, 1% of all prescriptions

124

prescriptions.

17

patients, 4% of all patients

24 16
TRAMADOL HCL

Tramadol is used to relieve... +

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

127

prescriptions, 1% of all prescriptions

98

prescriptions.

34

patients, 7% of all patients

O 25 23
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. Source: National Library of Medicine

120

prescriptions, 1% of all prescriptions

50

prescriptions.

31

patients, 7% of all patients

26 102
INSULIN SYRINGE*

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

119

prescriptions, 1% of all prescriptions

96

prescriptions.

31

patients, 7% of all patients

27 145
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

118

prescriptions, 1% of all prescriptions

87

prescriptions.

25

patients, 5% of all patients

28 15
HARVONI 116

prescriptions, 1% of all prescriptions

32

prescriptions.

42

patients, 9% of all patients

29 241
NOVOLOG

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

109

prescriptions, 1% of all prescriptions

80

prescriptions.

27

patients, 6% of all patients

30 100
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

107

prescriptions, 1% of all prescriptions

86

prescriptions.

25

patients, 5% of all patients

31 8
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

107

prescriptions, 1% of all prescriptions

56

prescriptions.

17

patients, 4% of all patients

31 39
CARVEDILOL

Treats high blood pressure ... +

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

105

prescriptions, 1% of all prescriptions

90

prescriptions.

19

patients, 4% of all patients

33 33
OXYBUTYNIN CHLORIDE

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

99

prescriptions, 1% of all prescriptions

88

prescriptions.

18

patients, 4% of all patients

34 88
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

97

prescriptions, 1% of all prescriptions

54

prescriptions.

34

patients, 7% of all patients

35 21
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

96

prescriptions, 1% of all prescriptions

65

prescriptions.

26

patients, 6% of all patients

36 95
TRAZODONE HCL

Trazodone is used to treat ... +

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

96

prescriptions, 1% of all prescriptions

50

prescriptions.

16

patients, 3% of all patients

36 27
CLOPIDOGREL

Helps prevent stroke, heart... +

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

94

prescriptions, 1% of all prescriptions

82

prescriptions.

13

patients, 3% of all patients

38 22
NOVOLIN N

Treats diabetes mellitus. +

Treats diabetes mellitus. Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

72

prescriptions.

11

patients, 2% of all patients

39 294
BACLOFEN

Treats muscle spasms caused... +

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

82

prescriptions, 1% of all prescriptions

23

prescriptions.

22

patients, 5% of all patients

40 78
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

75

prescriptions, 1% of all prescriptions

42

prescriptions.

<11 41 25
INSULIN SYRINGE*

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

50

prescriptions.

18

patients, 4% of all patients

42 103
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

66

prescriptions, 0% of all prescriptions

42

prescriptions.

<11 43 51
METHADONE HCL

Methadone is used to reliev... +

Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. Source: National Library of Medicine

64

prescriptions, 0% of all prescriptions

38

prescriptions.

<11 O 44 165
TRIAMCINOLONE ACETONIDE

Triamcinolone is used to tr... +

Triamcinolone is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

47

prescriptions.

27

patients, 6% of all patients

45 110
FLUCONAZOLE

Prevents and treats certain... +

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

61

prescriptions, 0% of all prescriptions

49

prescriptions.

17

patients, 4% of all patients

46 151
PROPRANOLOL HCL

Propranolol is used to trea... +

Propranolol is used to treat high blood pressure, abnormal heart rhythms, heart disease, pheochromocytoma (tumor on a small gland near the kidneys), and certain types of tremor. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

30

prescriptions.

<11 47 144
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

58

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 R 48 114
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

57

prescriptions, 0% of all prescriptions

43

prescriptions.

12

patients, 3% of all patients

49 18
RIBASPHERE 55

prescriptions, 0% of all prescriptions

26

prescriptions.

19

patients, 4% of all patients

10 50 388
LEVEMIR

Helps control blood sugar l... +

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

52

prescriptions, 0% of all prescriptions

28

prescriptions.

13

patients, 3% of all patients

51 126
LOVASTATIN

Lowers high cholesterol and... +

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

52

prescriptions, 0% of all prescriptions

47

prescriptions.

13

patients, 3% of all patients

51 31
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

47

prescriptions.

13

patients, 3% of all patients

51 66
CLONAZEPAM

Treats seizures, panic diso... +

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

51

prescriptions, 0% of all prescriptions

33

prescriptions.

<11 54 55
QUINAPRIL HCL

Quinapril is used alone or ... +

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

50

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 55 195
MORPHINE SULFATE

Morphine is used to relieve... +

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

50

prescriptions, 0% of all prescriptions

12

prescriptions.

<11 O 55 171
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 July 8, 2007.
  • 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.