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 »

10,610Medicare Part D Prescriptions Filled, Including Refills

Rank: 8 out of 89

$1.41M Total Retail Price of All Prescriptions

Rank: 17 out of 89

715 Patients Receiving at Least One Drug in Part D
63% Patients 65 Years and Older

44% 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 Missouri
lower than average

Antipsychotics

0% of this provider’s 449 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

4% of this provider’s 715 patients filled at least one prescription for an antibiotic drug, compared to an average of 8%.

More resources »

Risky Drugs for Seniors

6% of this provider’s 449 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 7%.

More resources »

Opioids

48% of this provider’s 715 patients filled at least one prescription for an opioid, compared to an average of 23%.

More resources »

Brand Name Drugs

15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$133 was the average price of a prescription from this provider, compared to $241 among peers.

Prescriptions per Patient

15 is the average number of prescriptions (including refills) per patient, compared to an average of 10.


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

$849K

2012

$1.04M

2013

$1.24M

2014

$1.41M

2015

Number of Claims

10,210

2012

10,714

2013

10,557

2014

10,610

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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

951

prescriptions, 9% of all prescriptions

475

prescriptions.

173

patients, 24% of all patients

O 1 5
PREDNISONE

Treats inflammation (swelli... +

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

904

prescriptions, 9% of all prescriptions

645

prescriptions.

200

patients, 28% of all patients

2 2
METHOTREXATE

Treats several kinds of can... +

Treats several kinds of cancer, including cancer of the blood, bone, lung, breast, head, or neck. Source: National Library of Medicine

850

prescriptions, 8% of all prescriptions

649

prescriptions.

129

patients, 18% of all patients

3 1
GABAPENTIN

Treats certain types of sei... +

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

752

prescriptions, 7% of all prescriptions

396

prescriptions.

125

patients, 17% of all patients

4 7
TRAMADOL HCL

Tramadol is used to relieve... +

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

564

prescriptions, 5% of all prescriptions

392

prescriptions.

118

patients, 17% of all patients

O 5 4
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

335

prescriptions, 3% of all prescriptions

173

prescriptions.

51

patients, 7% of all patients

6 10
HYDROXYCHLOROQUINE SULFATE

Hydroxychloroquine is in a ... +

Hydroxychloroquine is in a class of drugs called antimalarials. Source: National Library of Medicine

312

prescriptions, 3% of all prescriptions

208

prescriptions.

56

patients, 8% of all patients

7 3
LEFLUNOMIDE

Treats rheumatoid arthritis... +

Treats rheumatoid arthritis in adults. Source: National Library of Medicine

258

prescriptions, 2% of all prescriptions

165

prescriptions.

40

patients, 6% of all patients

8 6
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

251

prescriptions, 2% of all prescriptions

90

prescriptions.

43

patients, 6% of all patients

9 24
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

244

prescriptions, 2% of all prescriptions

76

prescriptions.

59

patients, 8% of all patients

10 33
MELOXICAM

Treats symptoms of osteoart... +

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

244

prescriptions, 2% of all prescriptions

175

prescriptions.

48

patients, 7% of all patients

10 8
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

239

prescriptions, 2% of all prescriptions

85

prescriptions.

39

patients, 5% of all patients

O 12 15
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

210

prescriptions, 2% of all prescriptions

126

prescriptions.

38

patients, 5% of all patients

13 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

184

prescriptions, 2% of all prescriptions

151

prescriptions.

34

patients, 5% of all patients

14 18
CARISOPRODOL

Treats pain and stiffness o... +

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

176

prescriptions, 2% of all prescriptions

49

prescriptions.

25

patients, 3% of all patients

R 15 49
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

171

prescriptions, 2% of all prescriptions

108

prescriptions.

29

patients, 4% of all patients

16 14
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

132

prescriptions, 1% of all prescriptions

32

prescriptions.

23

patients, 3% of all patients

R 17 23
CELECOXIB

Treats mild to moderate pai... +

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

132

prescriptions, 1% of all prescriptions

46

prescriptions.

24

patients, 3% of all patients

17 21
ALPRAZOLAM

Treats anxiety, panic disor... +

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

123

prescriptions, 1% of all prescriptions

37

prescriptions.

16

patients, 2% of all patients

19 22
OXYCODONE HCL

Oxycodone is used to reliev... +

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

119

prescriptions, 1% of all prescriptions

52

prescriptions.

28

patients, 4% of all patients

O 20 30
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

114

prescriptions, 1% of all prescriptions

30

prescriptions.

20

patients, 3% of all patients

21 29
ENBREL

Treats rheumatoid arthritis... +

Treats rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and plaque psoriasis in adults. Source: National Library of Medicine

110

prescriptions, 1% of all prescriptions

58

prescriptions.

15

patients, 2% of all patients

22 13
ALLOPURINOL

Treats gout and some kinds ... +

Treats gout and some kinds of kidney stones. Source: National Library of Medicine

107

prescriptions, 1% of all prescriptions

93

prescriptions.

17

patients, 2% of all patients

23 11
BACLOFEN

Treats muscle spasms caused... +

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

106

prescriptions, 1% of all prescriptions

40

prescriptions.

19

patients, 3% of all patients

24 60
MORPHINE SULFATE ER

Morphine (extended release)... +

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

105

prescriptions, 1% of all prescriptions

16

prescriptions.

16

patients, 2% of all patients

O 25 34
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

92

prescriptions, 1% of all prescriptions

14

prescriptions.

22

patients, 3% of all patients

26 44
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

77

prescriptions, 1% of all prescriptions

30

prescriptions.

<11 27 95
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

76

prescriptions, 1% of all prescriptions

45

prescriptions.

<11 28 25
PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

35

prescriptions.

14

patients, 2% of all patients

29 74
TRAZODONE HCL

Trazodone is used to treat ... +

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

69

prescriptions, 1% of all prescriptions

25

prescriptions.

<11 30 32
SAVELLA 69

prescriptions, 1% of all prescriptions

22

prescriptions.

11

patients, 2% of all patients

30 72
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

66

prescriptions, 1% of all prescriptions

29

prescriptions.

<11 O 32 38
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

65

prescriptions, 1% of all prescriptions

45

prescriptions.

<11 33 12
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

63

prescriptions, 1% of all prescriptions

36

prescriptions.

16

patients, 2% of all patients

O 34 136
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

61

prescriptions, 1% of all prescriptions

50

prescriptions.

11

patients, 2% of all patients

35 62
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

57

prescriptions, 1% of all prescriptions

12

prescriptions.

15

patients, 2% of all patients

36 67
LISINOPRIL

Treats high blood pressure ... +

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

57

prescriptions, 1% of all prescriptions

15

prescriptions.

<11 36 17
VOLTAREN

Treats pain caused by arthr... +

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

53

prescriptions, 0% of all prescriptions

27

prescriptions.

26

patients, 4% of all patients

38 61
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

53

prescriptions, 0% of all prescriptions

34

prescriptions.

<11 O 38 70
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

52

prescriptions, 0% of all prescriptions

5

prescriptions.

11

patients, 2% of all patients

R 40 28
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 July 5, 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.