Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nephrology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

6,139Medicare Part D Prescriptions Filled, Including Refills

Rank: 6 out of 93

$2.34M Total Retail Price of All Prescriptions

Rank: 1 out of 93

461 Patients Receiving at Least One Drug in Part D
41% Patients 65 Years and Older

81% 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 Alabama
lower than average

Antipsychotics

0% of this provider’s 191 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

16% of this provider’s 461 patients filled at least one prescription for an antibiotic drug, compared to an average of 14%.

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

13% of this provider’s 461 patients filled at least one prescription for an opioid, compared to an average of 7%.

More resources »

Brand Name Drugs

40% of this provider’s prescriptions were for brand-name drugs, compared to an average of 25%.

Prescription Price

$381 was the average price of a prescription from this provider, compared to $207 among peers.

Prescriptions per Patient

13 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$1.14M

2012

$1.84M

2013

$2.2M

2014

$2.34M

2015

Number of Claims

5,342

2012

7,319

2013

7,138

2014

6,139

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
RENVELA

Lowers the amount of phosph... +

Lowers the amount of phosphorus in blood of patients receiving kidney dialysis. Source: National Library of Medicine

689

prescriptions, 11% of all prescriptions

173

prescriptions.

127

patients, 28% of all patients

10 1 4
SENSIPAR

Lowers the amount of calciu... +

Lowers the amount of calcium in your blood. Source: National Library of Medicine

683

prescriptions, 11% of all prescriptions

150

prescriptions.

108

patients, 23% of all patients

10 2 2
PROSOL 377

prescriptions, 6% of all prescriptions

218

prescriptions.

17

patients, 4% of all patients

3 14
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

294

prescriptions, 5% of all prescriptions

65

prescriptions.

66

patients, 14% of all patients

4 1
CLONIDINE HCL

Clonidine is used alone or ... +

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

293

prescriptions, 5% of all prescriptions

5

prescriptions.

53

patients, 11% of all patients

5 11
CALCIUM ACETATE

Used to treat hyperphosphat... +

Used to treat hyperphosphatemia (too much phosphate in the blood) in patients with end stage kidney disease who are on dialysis. Source: National Library of Medicine

159

prescriptions, 3% of all prescriptions

40

prescriptions.

29

patients, 6% of all patients

6 10
CARVEDILOL

Treats high blood pressure ... +

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

159

prescriptions, 3% of all prescriptions

22

prescriptions.

35

patients, 8% of all patients

6 6
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

131

prescriptions, 2% of all prescriptions

26

prescriptions.

38

patients, 8% of all patients

O 8 22
LABETALOL HCL

Labetalol is used to treat ... +

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

114

prescriptions, 2% of all prescriptions

5

prescriptions.

20

patients, 4% of all patients

9 28
ALPRAZOLAM

Treats anxiety, panic disor... +

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

108

prescriptions, 2% of all prescriptions

25

prescriptions.

30

patients, 7% of all patients

10 29
FUROSEMIDE

Treats fluid retention (ede... +

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

108

prescriptions, 2% of all prescriptions

73

prescriptions.

27

patients, 6% of all patients

10 3
LISINOPRIL

Treats high blood pressure ... +

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

104

prescriptions, 2% of all prescriptions

13

prescriptions.

24

patients, 5% of all patients

12 5
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

104

prescriptions, 2% of all prescriptions

5

prescriptions.

26

patients, 6% of all patients

12 9
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

103

prescriptions, 2% of all prescriptions

5

prescriptions.

19

patients, 4% of all patients

14 36
GABAPENTIN

Treats certain types of sei... +

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

103

prescriptions, 2% of all prescriptions

29

prescriptions.

26

patients, 6% of all patients

14 21
SIMVASTATIN

Treats high cholesterol and... +

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

92

prescriptions, 1% of all prescriptions

24

prescriptions.

15

patients, 3% of all patients

16 15
MEGESTROL ACETATE

Megestrol tablets treat bre... +

Megestrol tablets treat breast and uterine cancer. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

18

prescriptions.

17

patients, 4% of all patients

R 17 100
LIDOCAINE-PRILOCAINE

This is used on the skin or... +

This is used on the skin or in the genital area to cause numbness or loss of feeling before certain medical procedures. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

68

prescriptions.

16

patients, 3% of all patients

18 47
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

81

prescriptions, 1% of all prescriptions

5

prescriptions.

19

patients, 4% of all patients

19 13
MIDODRINE HCL

Midodrine hydrochloride tab... +

Midodrine hydrochloride tablets are indicated for the treatment of symptomatic orthostatic hypotension. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

39

prescriptions.

17

patients, 4% of all patients

20 103
MINOXIDIL

Treats high blood pressure ... +

Treats high blood pressure that has not been controlled with other medicines. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

0

prescriptions.

13

patients, 3% of all patients

20 40
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

69

prescriptions, 1% of all prescriptions

13

prescriptions.

<11 22 16
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

67

prescriptions, 1% of all prescriptions

38

prescriptions.

15

patients, 3% of all patients

23 25
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

62

prescriptions, 1% of all prescriptions

5

prescriptions.

22

patients, 5% of all patients

R 24 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

60

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 25 18
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

52

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 26 17
NIFEDIPINE ER

Used for the treatment of v... +

Used for the treatment of vasospastic angina, chronic stable angina and hypertension. Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 2% of all patients

27 34
ALLOPURINOL

Treats gout and some kinds ... +

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

51

prescriptions, 1% of all prescriptions

18

prescriptions.

<11 27 8
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 June 9, 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.