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 »

11,337Medicare Part D Prescriptions Filled, Including Refills

Rank: 294 out of 1067

$557K Total Retail Price of All Prescriptions

Rank: 369 out of 1067

487 Patients Receiving at Least One Drug in Part D
92% Patients 65 Years and Older

11% 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

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

37% of this provider’s 487 patients filled at least one prescription for an antibiotic drug, compared to an average of 27%.

More resources »

Risky Drugs for Seniors

18% of this provider’s 448 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

26% of this provider’s 487 patients filled at least one prescription for an opioid, compared to an average of 21%.

More resources »

Brand Name Drugs

16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$49 was the average price of a prescription from this provider, compared to $68 among peers.

Prescriptions per Patient

23 is the average number of prescriptions (including refills) per patient, compared to an average of 18.


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

$472K

2012

$552K

2013

$585K

2014

$557K

2015

Number of Claims

8,137

2012

10,067

2013

10,376

2014

11,337

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
INDAPAMIDE

Treats high blood pressure ... +

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

369

prescriptions, 3% of all prescriptions

356

prescriptions.

84

patients, 17% of all patients

1 193
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

346

prescriptions, 3% of all prescriptions

341

prescriptions.

82

patients, 17% of all patients

2 4
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

344

prescriptions, 3% of all prescriptions

330

prescriptions.

84

patients, 17% of all patients

3 10
LISINOPRIL

Treats high blood pressure ... +

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

338

prescriptions, 3% of all prescriptions

315

prescriptions.

70

patients, 14% of all patients

4 2
SIMVASTATIN

Treats high cholesterol and... +

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

329

prescriptions, 3% of all prescriptions

324

prescriptions.

69

patients, 14% of all patients

5 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

278

prescriptions, 2% of all prescriptions

257

prescriptions.

59

patients, 12% of all patients

6 3
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

269

prescriptions, 2% of all prescriptions

269

prescriptions.

58

patients, 12% of all patients

7 17
METFORMIN HCL ER

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

264

prescriptions, 2% of all prescriptions

259

prescriptions.

56

patients, 11% of all patients

8 50
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

259

prescriptions, 2% of all prescriptions

223

prescriptions.

83

patients, 17% of all patients

O 9 8
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

213

prescriptions, 2% of all prescriptions

197

prescriptions.

42

patients, 9% of all patients

10 1
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

207

prescriptions, 2% of all prescriptions

193

prescriptions.

46

patients, 9% of all patients

11 5
ALPRAZOLAM

Treats anxiety, panic disor... +

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

185

prescriptions, 2% of all prescriptions

163

prescriptions.

34

patients, 7% of all patients

12 14
LORAZEPAM

Treats anxiety, anxiety wit... +

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

180

prescriptions, 2% of all prescriptions

180

prescriptions.

42

patients, 9% of all patients

13 37
FUROSEMIDE

Treats fluid retention (ede... +

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

178

prescriptions, 2% of all prescriptions

166

prescriptions.

55

patients, 11% of all patients

14 7
TRAZODONE HCL

Trazodone is used to treat ... +

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

169

prescriptions, 1% of all prescriptions

164

prescriptions.

33

patients, 7% of all patients

15 28
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

168

prescriptions, 1% of all prescriptions

168

prescriptions.

32

patients, 7% of all patients

16 19
PREDNISONE

Treats inflammation (swelli... +

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

163

prescriptions, 1% of all prescriptions

158

prescriptions.

99

patients, 20% of all patients

17 40
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

159

prescriptions, 1% of all prescriptions

139

prescriptions.

31

patients, 6% of all patients

18 12
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

154

prescriptions, 1% of all prescriptions

140

prescriptions.

44

patients, 9% of all patients

19 15
GABAPENTIN

Treats certain types of sei... +

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

143

prescriptions, 1% of all prescriptions

138

prescriptions.

33

patients, 7% of all patients

20 13
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

133

prescriptions, 1% of all prescriptions

128

prescriptions.

32

patients, 7% of all patients

R 21 35
TAMSULOSIN HCL

Tamsulosin is used in men t... +

Tamsulosin 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

131

prescriptions, 1% of all prescriptions

131

prescriptions.

31

patients, 6% of all patients

22 25
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

122

prescriptions, 1% of all prescriptions

117

prescriptions.

35

patients, 7% of all patients

23 41
TRAMADOL HCL

Tramadol is used to relieve... +

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

116

prescriptions, 1% of all prescriptions

100

prescriptions.

34

patients, 7% of all patients

O 24 16
CLONAZEPAM

Treats seizures, panic diso... +

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

116

prescriptions, 1% of all prescriptions

103

prescriptions.

17

patients, 3% of all patients

24 57
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

114

prescriptions, 1% of all prescriptions

109

prescriptions.

19

patients, 4% of all patients

26 46
ALLOPURINOL

Treats gout and some kinds ... +

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

112

prescriptions, 1% of all prescriptions

107

prescriptions.

29

patients, 6% of all patients

27 29
PANTOPRAZOLE SODIUM

Pantoprazole is used to tre... +

Pantoprazole is used to treat gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the esophagus (the tube between the throat and stomach). Source: National Library of Medicine

102

prescriptions, 1% of all prescriptions

90

prescriptions.

25

patients, 5% of all patients

28 21
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

101

prescriptions, 1% of all prescriptions

96

prescriptions.

38

patients, 8% of all patients

29 27
LOVASTATIN

Lowers high cholesterol and... +

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

98

prescriptions, 1% of all prescriptions

93

prescriptions.

20

patients, 4% of all patients

30 33
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

96

prescriptions, 1% of all prescriptions

91

prescriptions.

20

patients, 4% of all patients

31 18
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

95

prescriptions.

20

patients, 4% of all patients

32 53
IRBESARTAN

Used alone or in combinatio... +

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

94

prescriptions, 1% of all prescriptions

94

prescriptions.

15

patients, 3% of all patients

33 125
AMOXICILLIN

Treats infections. Also use... +

Treats infections. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

84

prescriptions.

65

patients, 13% of all patients

A 34 116
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

87

prescriptions, 1% of all prescriptions

82

prescriptions.

14

patients, 3% of all patients

35 38
METHYLPREDNISOLONE

Treats asthma, allergic rea... +

Treats asthma, allergic reactions, inflammation, flare-ups of ongoing illnesses, and many other medical problems. Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

79

prescriptions.

64

patients, 13% of all patients

36 94
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

83

prescriptions, 1% of all prescriptions

56

prescriptions.

24

patients, 5% of all patients

37 74
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

74

prescriptions, 1% of all prescriptions

69

prescriptions.

41

patients, 8% of all patients

38 115
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

71

prescriptions.

17

patients, 3% of all patients

39 34
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

71

prescriptions, 1% of all prescriptions

60

prescriptions.

17

patients, 3% of all patients

39 26
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

70

prescriptions, 1% of all prescriptions

55

prescriptions.

<11 41 42
DONEPEZIL HCL

Donepezil is used to treat ... +

Donepezil is used to treat dementia (a brain disorder that affects the ability to remember, think clearly, communicate, and perform daily activities and may cause changes in mood and personality) associated with Alzheimer's disease (AD; a brain disease that slowly destroys the memory and the ability to think, learn, communicate and handle daily activities). Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

67

prescriptions.

13

patients, 3% of all patients

42 32
BENAZEPRIL HCL

Benazepril is used alone or... +

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

67

prescriptions, 1% of all prescriptions

67

prescriptions.

14

patients, 3% of all patients

42 97
RALOXIFENE HCL

Raloxifene is used to preve... +

Raloxifene is used to prevent and treat osteoporosis (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). Source: National Library of Medicine

66

prescriptions, 1% of all prescriptions

66

prescriptions.

14

patients, 3% of all patients

44 167
ALFUZOSIN HCL ER

Alfuzosin is used in men to... +

Alfuzosin is used in men to treat 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

65

prescriptions, 1% of all prescriptions

65

prescriptions.

<11 45 346
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

This drug is used to treat high blood pressure. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

59

prescriptions.

<11 46 49
TORSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) caused by congestive heart failure, kidney disease, or liver disease. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

58

prescriptions.

27

patients, 6% of all patients

47 124
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

63

prescriptions, 1% of all prescriptions

63

prescriptions.

15

patients, 3% of all patients

47 11
CLOPIDOGREL

Helps prevent stroke, heart... +

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

61

prescriptions, 1% of all prescriptions

56

prescriptions.

13

patients, 3% of all patients

49 23
DIAZEPAM

Treats anxiety, muscle spas... +

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

60

prescriptions, 1% of all prescriptions

55

prescriptions.

14

patients, 3% of all patients

50 81
MELOXICAM

Treats symptoms of osteoart... +

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

55

prescriptions, 0% of all prescriptions

55

prescriptions.

18

patients, 4% of all patients

51 30
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

54

prescriptions, 0% of all prescriptions

49

prescriptions.

32

patients, 7% of all patients

A 52 114
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

54

prescriptions, 0% of all prescriptions

49

prescriptions.

12

patients, 2% of all patients

52 77
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

53

prescriptions.

<11 54 47
CITALOPRAM HBR

Citalopram is used to treat... +

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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

13

patients, 3% of all patients

54 22
LEVEMIR FLEXTOUCH

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

53

prescriptions.

12

patients, 2% of all patients

54 122
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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

24

patients, 5% of all patients

54 36
TRIAMTERENE-HYDROCHLOROTHIAZID

Used to treat high blood pr... +

Used to treat high blood pressure and edema (fluid retention; excess fluid held in body tissues) in patients who have lower amounts of potassium in their bodies or for whom low potassium levels in the body could be dangerous. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

48

prescriptions.

<11 54 44
METOLAZONE

Treats high blood pressure ... +

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

52

prescriptions, 0% of all prescriptions

52

prescriptions.

12

patients, 2% of all patients

59 188
CARVEDILOL

Treats high blood pressure ... +

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

51

prescriptions, 0% of all prescriptions

51

prescriptions.

15

patients, 3% of all patients

60 20
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 61 142
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 Dec. 18, 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.