Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Dermatology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

2,828Medicare Part D Prescriptions Filled, Including Refills

Rank: 5 out of 198

$1.26M Total Retail Price of All Prescriptions

Rank: 2 out of 198

1,210 Patients Receiving at Least One Drug in Part D
94% Patients 65 Years and Older

6% 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 Michigan
lower than average

Antipsychotics

0% of this provider’s 1,139 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

25% of this provider’s 1,210 patients filled at least one prescription for an antibiotic drug, compared to an average of 15%.

More resources »

Risky Drugs for Seniors

This provider prescribed potentially inappropriate drugs 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 »

Opioids

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

More resources »

Brand Name Drugs

19% of this provider’s prescriptions were for brand-name drugs, compared to an average of 14%.

Prescription Price

$445 was the average price of a prescription from this provider, compared to $169 among peers.

Prescriptions per Patient

2 is the average number of prescriptions (including refills) per patient, compared to an average of 3.


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

$330K

2012

$989K

2013

$1.17M

2014

$1.26M

2015

Number of Claims

1,315

2012

2,567

2013

2,944

2014

2,828

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
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

398

prescriptions, 14% of all prescriptions

367

prescriptions.

311

patients, 26% of all patients

1 1
MINOCYCLINE HCL

Minocycline is used to trea... +

Minocycline is used to treat bacterial infections including pneumonia and other respiratory tract infections; acne; and infections of skin, genital, and urinary systems. Source: National Library of Medicine

255

prescriptions, 9% of all prescriptions

206

prescriptions.

102

patients, 8% of all patients

A 2 10
CLOBETASOL PROPIONATE

Treats psoriasis, skin irri... +

Treats psoriasis, skin irritation, allergic reactions, and other types of skin problems. Source: National Library of Medicine

249

prescriptions, 9% of all prescriptions

224

prescriptions.

175

patients, 14% of all patients

3 2
KETOCONAZOLE

Treats fungal infections in... +

Treats fungal infections in the skin, throat, urinary tract, and lungs. Source: National Library of Medicine

225

prescriptions, 8% of all prescriptions

209

prescriptions.

140

patients, 12% of all patients

4 3
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

147

prescriptions, 5% of all prescriptions

142

prescriptions.

48

patients, 4% of all patients

5 30
CEPHALEXIN

Treats bacterial infections... +

Treats bacterial infections. Source: National Library of Medicine

143

prescriptions, 5% of all prescriptions

138

prescriptions.

127

patients, 10% of all patients

A 6 7
HUMIRA PEN

Treats the symptoms and pre... +

Treats the symptoms and prevent the progression of active rheumatoid arthritis and ankylosing spondylitis. Source: National Library of Medicine

141

prescriptions, 5% of all prescriptions

123

prescriptions.

16

patients, 1% of all patients

7 32
VALACYCLOVIR

Treats herpes virus infecti... +

Treats herpes virus infections, including shingles (herpes zoster), cold sores (herpes labialis), and genital herpes (herpes simplex) in adults. Source: National Library of Medicine

141

prescriptions, 5% of all prescriptions

129

prescriptions.

67

patients, 6% of all patients

7 24
ZOSTAVAX

Prevents shingles (herpes z... +

Prevents shingles (herpes zoster virus). Source: National Library of Medicine

110

prescriptions, 4% of all prescriptions

105

prescriptions.

110

patients, 9% of all patients

9 48
METRONIDAZOLE*

Used to treat serious bacte... +

Used to treat serious bacterial infections in different areas of the body. Source: National Library of Medicine

80

prescriptions, 3% of all prescriptions

80

prescriptions.

46

patients, 4% of all patients

A 10 8
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

74

prescriptions, 3% of all prescriptions

69

prescriptions.

18

patients, 1% of all patients

11 18
FLUOCINONIDE

Treats many skin disorders.... +

Treats many skin disorders. Source: National Library of Medicine

71

prescriptions, 3% of all prescriptions

66

prescriptions.

59

patients, 5% of all patients

12 4
BETAMETHASONE DIPROPIONATE*

Treats skin irritation, all... +

Treats skin irritation, allergic reactions, and other types of skin problems. Source: National Library of Medicine

50

prescriptions, 2% of all prescriptions

45

prescriptions.

46

patients, 4% of all patients

13 17
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 Dec. 29, 2011.
  • 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.