Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Pain Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

29,408Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 175

$1.61M Total Retail Price of All Prescriptions

Rank: 4 out of 175

3,892 Patients Receiving at Least One Drug in Part D
80% Patients 65 Years and Older

64% 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 Florida
lower than average

Antipsychotics

0% of this provider’s 3,099 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

This provider prescribed antibiotics to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Risky Drugs for Seniors

1% of this provider’s 3,099 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

89% of this provider’s 3,892 patients filled at least one prescription for an opioid, compared to an average of 81%.

More resources »

Brand Name Drugs

10% of this provider’s prescriptions were for brand-name drugs, compared to an average of 14%.

Prescription Price

$55 was the average price of a prescription from this provider, compared to $88 among peers.

Prescriptions per Patient

8 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

$699K

2012

$993K

2013

$1.26M

2014

$1.61M

2015

Number of Claims

13,668

2012

17,666

2013

22,260

2014

29,408

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
GABAPENTIN

Treats certain types of sei... +

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

5,293

prescriptions, 18% of all prescriptions

4,156

prescriptions.

1,682

patients, 43% of all patients

10 1 3
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

5,034

prescriptions, 17% of all prescriptions

2,457

prescriptions.

908

patients, 23% of all patients

O 10 2 2
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

3,776

prescriptions, 13% of all prescriptions

2,721

prescriptions.

1,059

patients, 27% of all patients

O 3 1
TRAMADOL HCL

Tramadol is used to relieve... +

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

1,551

prescriptions, 5% of all prescriptions

1,346

prescriptions.

627

patients, 16% of all patients

O 4 6
TRAMADOL HCL-ACETAMINOPHEN

Treats short-term, medium t... +

Treats short-term, medium to medium-severe pain. Source: National Library of Medicine

1,343

prescriptions, 5% of all prescriptions

1,300

prescriptions.

705

patients, 18% of all patients

O 10 5 24
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

1,272

prescriptions, 4% of all prescriptions

898

prescriptions.

311

patients, 8% of all patients

O 10 6 7
MELOXICAM

Treats symptoms of osteoart... +

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

1,263

prescriptions, 4% of all prescriptions

972

prescriptions.

481

patients, 12% of all patients

7 13
OXYCODONE HCL

Oxycodone is used to reliev... +

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

1,196

prescriptions, 4% of all prescriptions

370

prescriptions.

169

patients, 4% of all patients

O 8 5
MORPHINE SULFATE ER

Morphine (extended release)... +

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

1,167

prescriptions, 4% of all prescriptions

405

prescriptions.

181

patients, 5% of all patients

O 9 4
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

858

prescriptions, 3% of all prescriptions

805

prescriptions.

421

patients, 11% of all patients

O 10 22
VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine

703

prescriptions, 2% of all prescriptions

569

prescriptions.

221

patients, 6% of all patients

11 20
ALPRAZOLAM

Treats anxiety, panic disor... +

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

690

prescriptions, 2% of all prescriptions

270

prescriptions.

100

patients, 3% of all patients

12 17
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

668

prescriptions, 2% of all prescriptions

441

prescriptions.

196

patients, 5% of all patients

13 11
BACLOFEN

Treats muscle spasms caused... +

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

625

prescriptions, 2% of all prescriptions

325

prescriptions.

209

patients, 5% of all patients

14 15
BUTRANS 392

prescriptions, 1% of all prescriptions

368

prescriptions.

153

patients, 4% of all patients

O 10 15 37
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

391

prescriptions, 1% of all prescriptions

152

prescriptions.

84

patients, 2% of all patients

O 16 10
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

328

prescriptions, 1% of all prescriptions

210

prescriptions.

96

patients, 2% of all patients

17 25
OXYCONTIN

Oxycodone is used to reliev... +

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

266

prescriptions, 1% of all prescriptions

83

prescriptions.

37

patients, 1% of all patients

O 18 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

249

prescriptions, 1% of all prescriptions

199

prescriptions.

97

patients, 2% of all patients

19 27
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

170

prescriptions, 1% of all prescriptions

133

prescriptions.

68

patients, 2% of all patients

20 36
DIAZEPAM

Treats anxiety, muscle spas... +

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

147

prescriptions, 0% of all prescriptions

43

prescriptions.

29

patients, 1% of all patients

21 19
CARISOPRODOL

Treats pain and stiffness o... +

Treats pain and stiffness of muscle spasms. Source: National Library of Medicine

140

prescriptions, 0% of all prescriptions

14

prescriptions.

20

patients, 1% of all patients

R 22 21
LIDOCAINE

Causes numbness or loss of ... +

Causes numbness or loss of feeling in an area of your body. Source: National Library of Medicine

128

prescriptions, 0% of all prescriptions

99

prescriptions.

40

patients, 1% of all patients

23 29
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

126

prescriptions, 0% of all prescriptions

101

prescriptions.

30

patients, 1% of all patients

24 18
CLONAZEPAM

Treats seizures, panic diso... +

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

122

prescriptions, 0% of all prescriptions

77

prescriptions.

38

patients, 1% of all patients

25 26
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, 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), stroke, or brain or spinal injury. Source: National Library of Medicine

120

prescriptions, 0% of all prescriptions

49

prescriptions.

33

patients, 1% of all patients

26 8
TEMAZEPAM

Treats insomnia (trouble sl... +

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

100

prescriptions, 0% of all prescriptions

56

prescriptions.

18

patients, 0% of all patients

27 32
CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

99

prescriptions, 0% of all prescriptions

80

prescriptions.

37

patients, 1% of all patients

28 38
OPANA ER

Used to relieve moderate to... +

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

98

prescriptions, 0% of all prescriptions

20

prescriptions.

11

patients, 0% of all patients

O 29 33
MORPHINE SULFATE

Morphine is used to relieve... +

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

81

prescriptions, 0% of all prescriptions

25

prescriptions.

15

patients, 0% of all patients

O 30 14
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

74

prescriptions, 0% of all prescriptions

40

prescriptions.

19

patients, 0% of all patients

R 31 23
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

74

prescriptions, 0% of all prescriptions

69

prescriptions.

33

patients, 1% of all patients

31 39
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

73

prescriptions, 0% of all prescriptions

5

prescriptions.

21

patients, 1% of all patients

R 33 16
LORAZEPAM

Treats anxiety, anxiety wit... +

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

72

prescriptions, 0% of all prescriptions

67

prescriptions.

13

patients, 0% of all patients

34 49
HYDROCODONE-IBUPROFEN 67

prescriptions, 0% of all prescriptions

44

prescriptions.

14

patients, 0% of all patients

O 35 46
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 Jan. 3, 2012.
  • 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.