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 »

11,218Medicare Part D Prescriptions Filled, Including Refills

Rank: 733 out of 6974

$1.41M Total Retail Price of All Prescriptions

Rank: 264 out of 6974

733 Patients Receiving at Least One Drug in Part D
94% Patients 65 Years and Older

89% 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

41% of this provider’s 733 patients filled at least one prescription for an antibiotic drug, compared to an average of 24%.

More resources »

Risky Drugs for Seniors

2% of this provider’s 687 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

3% of this provider’s 733 patients filled at least one prescription for an opioid, compared to an average of 16%.

More resources »

Brand Name Drugs

48% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%. This is far more than peers.

Prescription Price

$126 was the average price of a prescription from this provider, compared to $86 among peers.

Prescriptions per Patient

15 is the average number of prescriptions (including refills) per patient, compared to an average of 15.


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

$833K

2012

$1.09M

2013

$1.2M

2014

$1.41M

2015

Number of Claims

7,044

2012

9,491

2013

10,066

2014

11,218

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
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

1,564

prescriptions, 14% of all prescriptions

1,477

prescriptions.

278

patients, 38% of all patients

1 38
THEOPHYLLINE ANHYDROUS

Theophylline is used to pre... +

Theophylline is used to prevent and treat wheezing, shortness of breath, and chest tightness caused by asthma, chronic bronchitis, emphysema, and other lung diseases. Source: National Library of Medicine

873

prescriptions, 8% of all prescriptions

804

prescriptions.

132

patients, 18% of all patients

10 2 289
SYMBICORT

This is a combination of bu... +

This is a combination of budesonide and formoterol used to help control the symptoms of asthma and improve lung function. Source: National Library of Medicine

775

prescriptions, 7% of all prescriptions

744

prescriptions.

139

patients, 19% of all patients

3 110
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

758

prescriptions, 7% of all prescriptions

703

prescriptions.

188

patients, 26% of all patients

4 28
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). Source: National Library of Medicine

622

prescriptions, 6% of all prescriptions

591

prescriptions.

96

patients, 13% of all patients

5 68
PREDNISONE

Treats inflammation (swelli... +

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

582

prescriptions, 5% of all prescriptions

560

prescriptions.

283

patients, 39% of all patients

6 53
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

571

prescriptions, 5% of all prescriptions

520

prescriptions.

91

patients, 12% of all patients

7 58
XOPENEX HFA

Treats asthma and other lun... +

Treats asthma and other lung problems such as chronic bronchitis. Source: National Library of Medicine

289

prescriptions, 3% of all prescriptions

276

prescriptions.

51

patients, 7% of all patients

10 8 415
BREO ELLIPTA

Treats asthma in patients n... +

Treats asthma in patients not adequately controlled a long-term asthma medicine and chronic obstructive pulmonary disease (COPD). Source: National Library of Medicine

257

prescriptions, 2% of all prescriptions

252

prescriptions.

66

patients, 9% of all patients

9 320
LEVOFLOXACIN

Levofloxacin is used to tre... +

Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine

239

prescriptions, 2% of all prescriptions

225

prescriptions.

192

patients, 26% of all patients

A 10 79
COMBIVENT RESPIMAT

Used to help control the sy... +

Used to help control the symptoms of lung diseases, such as asthma, chronic bronchitis, and emphysema. Source: National Library of Medicine

234

prescriptions, 2% of all prescriptions

195

prescriptions.

43

patients, 6% of all patients

11 230
AZELASTINE HCL

Used to treat hay fever and... +

Used to treat hay fever and allergy symptoms including runny nose, sneezing, and itchy nose. Source: National Library of Medicine

230

prescriptions, 2% of all prescriptions

218

prescriptions.

76

patients, 10% of all patients

12 171
TUDORZA PRESSAIR

Used as a long term treatme... +

Used as a long term treatment to prevent wheezing, shortness of breath, coughing, and chest tightness in patients 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 air sacs in the lungs). Source: National Library of Medicine

219

prescriptions, 2% of all prescriptions

202

prescriptions.

40

patients, 5% of all patients

13 455
FUROSEMIDE

Treats fluid retention (ede... +

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

203

prescriptions, 2% of all prescriptions

190

prescriptions.

59

patients, 8% of all patients

14 11
DULERA

Used to treat asthma and im... +

Used to treat asthma and improve lung function. Source: National Library of Medicine

180

prescriptions, 2% of all prescriptions

175

prescriptions.

37

patients, 5% of all patients

15 158
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

170

prescriptions, 2% of all prescriptions

165

prescriptions.

47

patients, 6% of all patients

16 17
VENTOLIN HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

137

prescriptions, 1% of all prescriptions

137

prescriptions.

33

patients, 5% of all patients

17 173
AZITHROMYCIN

Treats infections caused by... +

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

125

prescriptions, 1% of all prescriptions

104

prescriptions.

94

patients, 13% of all patients

A 18 42
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

113

prescriptions, 1% of all prescriptions

102

prescriptions.

20

patients, 3% of all patients

19 49
DALIRESP

Used to prevent the symptom... +

Used to prevent the symptoms (flare-ups) of chronic obstructive pulmonary disease (COPD) from getting worse. Source: National Library of Medicine

110

prescriptions, 1% of all prescriptions

105

prescriptions.

15

patients, 2% of all patients

20 357
NASONEX

Treats or prevents the symp... +

Treats or prevents the symptoms of seasonal (short-term) and perennial (year-round) allergies (hay fever), such as stuffy or runny nose, sneezing, and watery eyes. Source: National Library of Medicine

109

prescriptions, 1% of all prescriptions

109

prescriptions.

25

patients, 3% of all patients

21 154
ALBUTEROL SULFATE

Albuterol is used to preven... +

Albuterol is used to prevent and treat wheezing, shortness of breath, coughing, and chest tightness caused by lung diseases such as asthma and chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways). Source: National Library of Medicine

93

prescriptions, 1% of all prescriptions

93

prescriptions.

23

patients, 3% of all patients

22 147
SIMVASTATIN

Treats high cholesterol and... +

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

91

prescriptions, 1% of all prescriptions

79

prescriptions.

11

patients, 2% of all patients

23 4
THEO-24 80

prescriptions, 1% of all prescriptions

80

prescriptions.

16

patients, 2% of all patients

10 24 448
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

75

prescriptions, 1% of all prescriptions

75

prescriptions.

18

patients, 2% of all patients

25 23
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

73

prescriptions, 1% of all prescriptions

73

prescriptions.

<11 26 6
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

73

prescriptions, 1% of all prescriptions

68

prescriptions.

<11 26 3
AMOXICILLIN-CLAVULANATE POTASS

Treats infections. +

Treats infections. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

65

prescriptions.

52

patients, 7% of all patients

A 28 153
METOLAZONE

Treats high blood pressure ... +

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

67

prescriptions, 1% of all prescriptions

67

prescriptions.

25

patients, 3% of all patients

29 342
SPIRIVA RESPIMAT

Treats chronic obstructive ... +

Treats chronic obstructive pulmonary disease (COPD). Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

61

prescriptions.

16

patients, 2% of all patients

30 450
MELOXICAM

Treats symptoms of osteoart... +

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

58

prescriptions, 1% of all prescriptions

58

prescriptions.

11

patients, 2% of all patients

31 39
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

56

prescriptions, 0% of all prescriptions

56

prescriptions.

<11 32 1
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

54

prescriptions, 0% of all prescriptions

54

prescriptions.

11

patients, 2% of all patients

33 2
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

51

prescriptions, 0% of all prescriptions

36

prescriptions.

<11 34 44
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

50

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 35 20
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 Sept. 2, 2010.
  • 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.