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 »

12,332Medicare Part D Prescriptions Filled, Including Refills

Rank: 43 out of 410

$712K Total Retail Price of All Prescriptions

Rank: 49 out of 410

680 Patients Receiving at Least One Drug in Part D
84% Patients 65 Years and Older

33% 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 Nevada
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

15% of this provider’s 680 patients filled at least one prescription for an antibiotic drug, compared to an average of 26%.

More resources »

Risky Drugs for Seniors

15% of this provider’s 572 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

20% of this provider’s 680 patients filled at least one prescription for an opioid, compared to an average of 20%.

More resources »

Brand Name Drugs

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$58 was the average price of a prescription from this provider, compared to $74 among peers.

Prescriptions per Patient

18 is the average number of prescriptions (including refills) per patient, compared to an average of 14.


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

2012

2013

$275K

2014

$712K

2015

Number of Claims

2012

2013

4,621

2014

12,332

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
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

637

prescriptions, 5% of all prescriptions

555

prescriptions.

121

patients, 18% of all patients

1 1
LISINOPRIL

Treats high blood pressure ... +

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

470

prescriptions, 4% of all prescriptions

386

prescriptions.

91

patients, 13% of all patients

2 2
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

416

prescriptions, 3% of all prescriptions

366

prescriptions.

92

patients, 14% of all patients

3 3
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

404

prescriptions, 3% of all prescriptions

327

prescriptions.

84

patients, 12% of all patients

4 6
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

342

prescriptions, 3% of all prescriptions

321

prescriptions.

75

patients, 11% of all patients

5 4
SIMVASTATIN

Treats high cholesterol and... +

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

311

prescriptions, 3% of all prescriptions

275

prescriptions.

72

patients, 11% of all patients

6 5
METFORMIN HCL

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

296

prescriptions, 2% of all prescriptions

261

prescriptions.

64

patients, 9% of all patients

7 7
CITALOPRAM HBR

Citalopram is used to treat... +

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

261

prescriptions, 2% of all prescriptions

177

prescriptions.

49

patients, 7% of all patients

8 32
ALPRAZOLAM

Treats anxiety, panic disor... +

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

233

prescriptions, 2% of all prescriptions

142

prescriptions.

46

patients, 7% of all patients

9 13
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

232

prescriptions, 2% of all prescriptions

173

prescriptions.

59

patients, 9% of all patients

O 10 8
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

225

prescriptions, 2% of all prescriptions

220

prescriptions.

47

patients, 7% of all patients

11 46
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

182

prescriptions, 1% of all prescriptions

171

prescriptions.

32

patients, 5% of all patients

12 9
FUROSEMIDE

Treats fluid retention (ede... +

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

181

prescriptions, 1% of all prescriptions

153

prescriptions.

51

patients, 8% of all patients

13 12
TRAMADOL HCL

Tramadol is used to relieve... +

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

178

prescriptions, 1% of all prescriptions

129

prescriptions.

60

patients, 9% of all patients

O 14 28
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

172

prescriptions, 1% of all prescriptions

144

prescriptions.

37

patients, 5% of all patients

15 14
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

171

prescriptions, 1% of all prescriptions

166

prescriptions.

35

patients, 5% of all patients

16 15
GABAPENTIN

Treats certain types of sei... +

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

170

prescriptions, 1% of all prescriptions

91

prescriptions.

40

patients, 6% of all patients

17 10
CARVEDILOL

Treats high blood pressure ... +

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

168

prescriptions, 1% of all prescriptions

140

prescriptions.

44

patients, 6% of all patients

18 20
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

158

prescriptions, 1% of all prescriptions

140

prescriptions.

38

patients, 6% of all patients

19 18
LORAZEPAM

Treats anxiety, anxiety wit... +

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

157

prescriptions, 1% of all prescriptions

106

prescriptions.

34

patients, 5% of all patients

20 45
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

145

prescriptions, 1% of all prescriptions

130

prescriptions.

33

patients, 5% of all patients

21 11
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

143

prescriptions, 1% of all prescriptions

130

prescriptions.

32

patients, 5% of all patients

22 16
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

126

prescriptions, 1% of all prescriptions

100

prescriptions.

17

patients, 3% of all patients

23 26
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

119

prescriptions, 1% of all prescriptions

100

prescriptions.

27

patients, 4% of all patients

R 24 30
TRAZODONE HCL

Trazodone is used to treat ... +

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

118

prescriptions, 1% of all prescriptions

63

prescriptions.

30

patients, 4% of all patients

25 31
TEMAZEPAM

Treats insomnia (trouble sl... +

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

114

prescriptions, 1% of all prescriptions

100

prescriptions.

29

patients, 4% of all patients

26 37
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

112

prescriptions, 1% of all prescriptions

92

prescriptions.

21

patients, 3% of all patients

27 49
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

105

prescriptions, 1% of all prescriptions

88

prescriptions.

19

patients, 3% of all patients

28 22
FLUOXETINE HCL

Fluoxetine is used to treat... +

Fluoxetine 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), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Source: National Library of Medicine

102

prescriptions, 1% of all prescriptions

91

prescriptions.

21

patients, 3% of all patients

29 50
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

100

prescriptions, 1% of all prescriptions

85

prescriptions.

24

patients, 4% of all patients

30 56
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

92

prescriptions, 1% of all prescriptions

59

prescriptions.

23

patients, 3% of all patients

31 25
ALLOPURINOL

Treats gout and some kinds ... +

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

86

prescriptions, 1% of all prescriptions

81

prescriptions.

22

patients, 3% of all patients

32 27
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

83

prescriptions, 1% of all prescriptions

61

prescriptions.

17

patients, 3% of all patients

33 17
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

82

prescriptions, 1% of all prescriptions

59

prescriptions.

16

patients, 2% of all patients

34 29
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

82

prescriptions, 1% of all prescriptions

77

prescriptions.

18

patients, 3% of all patients

34 60
LOVASTATIN

Lowers high cholesterol and... +

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

81

prescriptions, 1% of all prescriptions

81

prescriptions.

22

patients, 3% of all patients

36 21
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

80

prescriptions, 1% of all prescriptions

48

prescriptions.

39

patients, 6% of all patients

37 35
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

79

prescriptions, 1% of all prescriptions

44

prescriptions.

15

patients, 2% of all patients

38 59
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

79

prescriptions.

18

patients, 3% of all patients

38 38
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

73

prescriptions.

12

patients, 2% of all patients

40 40
MELOXICAM

Treats symptoms of osteoart... +

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

78

prescriptions, 1% of all prescriptions

52

prescriptions.

16

patients, 2% of all patients

40 44
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

77

prescriptions, 1% of all prescriptions

60

prescriptions.

30

patients, 4% of all patients

42 24
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

74

prescriptions, 1% of all prescriptions

69

prescriptions.

17

patients, 3% of all patients

43 34
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

56

prescriptions.

15

patients, 2% of all patients

44 33
DIAZEPAM

Treats anxiety, muscle spas... +

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

71

prescriptions, 1% of all prescriptions

33

prescriptions.

19

patients, 3% of all patients

45 66
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

65

prescriptions, 1% of all prescriptions

32

prescriptions.

11

patients, 2% of all patients

R 46 132
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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

12

patients, 2% of all patients

47 19
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

61

prescriptions, 0% of all prescriptions

45

prescriptions.

18

patients, 3% of all patients

48 42
ESTRADIOL

Replaces estrogen that decr... +

Replaces estrogen that decreases with menopause or removal of the ovaries. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

50

prescriptions.

12

patients, 2% of all patients

R 49 129
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

41

prescriptions.

16

patients, 2% of all patients

50 61
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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

14

patients, 2% of all patients

51 41
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

48

prescriptions.

19

patients, 3% of all patients

51 90
TRADJENTA

Used with proper diet and e... +

Used with proper diet and exercise to treat high blood sugar levels caused by type 2 diabetes. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

31

prescriptions.

<11 53 150
CLONAZEPAM

Treats seizures, panic diso... +

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

52

prescriptions, 0% of all prescriptions

27

prescriptions.

<11 53 57
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

50

prescriptions, 0% of all prescriptions

28

prescriptions.

15

patients, 2% of all patients

O 55 36
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 Sept. 18, 2014.
  • 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.