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 »

13,173Medicare Part D Prescriptions Filled, Including Refills

Rank: 66 out of 1396

$802K Total Retail Price of All Prescriptions

Rank: 110 out of 1396

317 Patients Receiving at Least One Drug in Part D
85% Patients 65 Years and Older

94% 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 Maryland
lower than average

Antipsychotics

16% of this provider’s 270 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

40% of this provider’s 317 patients filled at least one prescription for an antibiotic drug, compared to an average of 26%.

More resources »

Risky Drugs for Seniors

11% of this provider’s 270 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

28% of this provider’s 317 patients filled at least one prescription for an opioid, compared to an average of 15%.

More resources »

Brand Name Drugs

19% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$61 was the average price of a prescription from this provider, compared to $95 among peers.

Prescriptions per Patient

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


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

$799K

2012

$910K

2013

$937K

2014

$802K

2015

Number of Claims

12,786

2012

16,749

2013

16,261

2014

13,173

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
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

457

prescriptions, 3% of all prescriptions

415

prescriptions.

75

patients, 24% of all patients

1 1
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

412

prescriptions, 3% of all prescriptions

389

prescriptions.

72

patients, 23% of all patients

2 10
LISINOPRIL

Treats high blood pressure ... +

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

407

prescriptions, 3% of all prescriptions

369

prescriptions.

69

patients, 22% of all patients

3 3
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

389

prescriptions, 3% of all prescriptions

355

prescriptions.

68

patients, 21% of all patients

4 2
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

366

prescriptions, 3% of all prescriptions

332

prescriptions.

60

patients, 19% of all patients

5 4
GABAPENTIN

Treats certain types of sei... +

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

322

prescriptions, 2% of all prescriptions

269

prescriptions.

48

patients, 15% of all patients

6 16
FUROSEMIDE

Treats fluid retention (ede... +

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

309

prescriptions, 2% of all prescriptions

273

prescriptions.

57

patients, 18% of all patients

7 6
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

239

prescriptions, 2% of all prescriptions

205

prescriptions.

47

patients, 15% of all patients

8 21
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

231

prescriptions, 2% of all prescriptions

170

prescriptions.

20

patients, 6% of all patients

9 15
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

226

prescriptions, 2% of all prescriptions

205

prescriptions.

55

patients, 17% of all patients

10 24
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

215

prescriptions, 2% of all prescriptions

191

prescriptions.

42

patients, 13% of all patients

11 14
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

212

prescriptions, 2% of all prescriptions

191

prescriptions.

40

patients, 13% of all patients

12 20
IPRATROPIUM-ALBUTEROL

The combination of albutero... +

The combination of albuterol and ipratropium is used to prevent wheezing, difficulty breathing, chest tightness, and coughing in people with chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to the air sacs in the lungs). Source: National Library of Medicine

201

prescriptions, 2% of all prescriptions

161

prescriptions.

52

patients, 16% of all patients

13 76
TRAMADOL HCL

Tramadol is used to relieve... +

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

194

prescriptions, 1% of all prescriptions

189

prescriptions.

39

patients, 12% of all patients

O 14 18
CARVEDILOL

Treats high blood pressure ... +

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

191

prescriptions, 1% of all prescriptions

165

prescriptions.

30

patients, 9% of all patients

15 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

189

prescriptions, 1% of all prescriptions

169

prescriptions.

32

patients, 10% of all patients

16 11
TRAZODONE HCL

Trazodone is used to treat ... +

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

180

prescriptions, 1% of all prescriptions

162

prescriptions.

35

patients, 11% of all patients

17 27
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

180

prescriptions, 1% of all prescriptions

180

prescriptions.

32

patients, 10% of all patients

17 30
CLOPIDOGREL

Helps prevent stroke, heart... +

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

171

prescriptions, 1% of all prescriptions

142

prescriptions.

29

patients, 9% of all patients

19 19
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

166

prescriptions, 1% of all prescriptions

133

prescriptions.

37

patients, 12% of all patients

20 8
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

161

prescriptions, 1% of all prescriptions

146

prescriptions.

21

patients, 7% of all patients

21 33
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

157

prescriptions, 1% of all prescriptions

103

prescriptions.

24

patients, 8% of all patients

22 53
CITALOPRAM HBR

Citalopram is used to treat... +

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

152

prescriptions, 1% of all prescriptions

124

prescriptions.

25

patients, 8% of all patients

23 35
TRANSDERM-SCOP 150

prescriptions, 1% of all prescriptions

93

prescriptions.

13

patients, 4% of all patients

10 24 206
QUETIAPINE FUMARATE

Quetiapine is used to treat... +

Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

134

prescriptions, 1% of all prescriptions

108

prescriptions.

21

patients, 7% of all patients

P 25 45
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

128

prescriptions, 1% of all prescriptions

115

prescriptions.

24

patients, 8% of all patients

26 22
BACLOFEN

Treats muscle spasms caused... +

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

128

prescriptions, 1% of all prescriptions

81

prescriptions.

19

patients, 6% of all patients

26 85
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

119

prescriptions, 1% of all prescriptions

107

prescriptions.

24

patients, 8% of all patients

28 42
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

114

prescriptions, 1% of all prescriptions

109

prescriptions.

21

patients, 7% of all patients

29 7
NYSTOP

Treats infections caused by... +

Treats infections caused by fungus. Source: National Library of Medicine

114

prescriptions, 1% of all prescriptions

56

prescriptions.

25

patients, 8% of all patients

29 153
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

112

prescriptions, 1% of all prescriptions

88

prescriptions.

21

patients, 7% of all patients

31 56
NOVOLOG FLEXPEN

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

109

prescriptions, 1% of all prescriptions

68

prescriptions.

23

patients, 7% of all patients

32 114
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

104

prescriptions, 1% of all prescriptions

104

prescriptions.

15

patients, 5% of all patients

P 33 61
LORAZEPAM

Treats anxiety, anxiety wit... +

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

102

prescriptions, 1% of all prescriptions

76

prescriptions.

25

patients, 8% of all patients

34 29
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

99

prescriptions, 1% of all prescriptions

94

prescriptions.

25

patients, 8% of all patients

35 13
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

96

prescriptions, 1% of all prescriptions

91

prescriptions.

22

patients, 7% of all patients

36 31
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

95

prescriptions, 1% of all prescriptions

55

prescriptions.

14

patients, 4% of all patients

37 88
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

94

prescriptions, 1% of all prescriptions

66

prescriptions.

<11 38 52
SIMVASTATIN

Treats high cholesterol and... +

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

89

prescriptions, 1% of all prescriptions

70

prescriptions.

15

patients, 5% of all patients

39 5
CHLORHEXIDINE GLUCONATE

Treats gingivitis (swelling... +

Treats gingivitis (swelling of the gums) and other problems of the mouth and gums. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

47

prescriptions.

14

patients, 4% of all patients

39 161
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

85

prescriptions, 1% of all prescriptions

85

prescriptions.

17

patients, 5% of all patients

41 9
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

76

prescriptions.

28

patients, 9% of all patients

42 80
ALLOPURINOL

Treats gout and some kinds ... +

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

80

prescriptions, 1% of all prescriptions

75

prescriptions.

12

patients, 4% of all patients

43 36
CLONAZEPAM

Treats seizures, panic diso... +

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

78

prescriptions, 1% of all prescriptions

40

prescriptions.

13

patients, 4% of all patients

44 54
LEVOFLOXACIN

Levofloxacin is used to tre... +

Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

62

prescriptions.

29

patients, 9% of all patients

A 44 69
HEPARIN SODIUM 76

prescriptions, 1% of all prescriptions

20

prescriptions.

<11 46 146
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

61

prescriptions.

32

patients, 10% of all patients

A 47 68
OXYCODONE HCL

Oxycodone is used to reliev... +

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

75

prescriptions, 1% of all prescriptions

38

prescriptions.

23

patients, 7% of all patients

O 47 32
PREDNISONE

Treats inflammation (swelli... +

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

75

prescriptions, 1% of all prescriptions

58

prescriptions.

20

patients, 6% of all patients

47 40
VANCOMYCIN HCL*

Treats bacterial infections. +

Treats bacterial infections. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

42

prescriptions.

16

patients, 5% of all patients

A 50 286
FAMOTIDINE*

Treats ulcers, gastroesopha... +

Treats ulcers, gastroesophageal reflux disease (GERD), and conditions that cause the stomach to produce too much stomach acid. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

66

prescriptions.

16

patients, 5% of all patients

51 87
CARBIDOPA-LEVODOPA

The combination of levodopa... +

The combination of levodopa and carbidopa is used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

69

prescriptions.

<11 52 89
LIDOCAINE

Causes numbness or loss of ... +

Causes numbness or loss of feeling in an area of your body. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

63

prescriptions.

12

patients, 4% of all patients

53 151
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

67

prescriptions, 1% of all prescriptions

46

prescriptions.

32

patients, 10% of all patients

A 54 95
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

58

prescriptions.

14

patients, 4% of all patients

55 59
ONDANSETRON HCL*

Ondansetron is used to prev... +

Ondansetron is used to prevent nausea and vomiting caused by cancer chemotherapy, radiation therapy, and surgery. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

41

prescriptions.

38

patients, 12% of all patients

55 159
ALPRAZOLAM

Treats anxiety, panic disor... +

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

61

prescriptions, 0% of all prescriptions

56

prescriptions.

17

patients, 5% of all patients

57 23
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

46

prescriptions.

16

patients, 5% of all patients

58 60
METOCLOPRAMIDE HCL

Metoclopramide is used to r... +

Metoclopramide is used to relieve heartburn and speed the healing of ulcers and sores in the esophagus (tube that connects the mouth to the stomach) in people who have gastroesophageal reflux disease (GERD; condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus) that did not get better with other treatments. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 59 197
SANTYL

Used to clean skin ulcers a... +

Used to clean skin ulcers and severe burns. Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

15

prescriptions.

19

patients, 6% of all patients

60 148
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

58

prescriptions, 0% of all prescriptions

36

prescriptions.

<11 60 75
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

55

prescriptions, 0% of all prescriptions

50

prescriptions.

12

patients, 4% of all patients

62 12
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

55

prescriptions, 0% of all prescriptions

37

prescriptions.

<11 O 62 43
RENVELA

Lowers the amount of phosph... +

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

52

prescriptions, 0% of all prescriptions

27

prescriptions.

<11 64 164
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

51

prescriptions.

<11 65 72
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 March 11, 2016.
  • 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.