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 »

9,571Medicare Part D Prescriptions Filled, Including Refills

Rank: 1001 out of 6974

$4.45M Total Retail Price of All Prescriptions

Rank: 24 out of 6974

228 Patients Receiving at Least One Drug in Part D
56% Patients 65 Years and Older

51% 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 California
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

36% of this provider’s 228 patients filled at least one prescription for an antibiotic drug, compared to an average of 24%.

More resources »

Risky Drugs for Seniors

13% of this provider’s 127 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

22% of this provider’s 228 patients filled at least one prescription for an opioid, compared to an average of 16%.

More resources »

Brand Name Drugs

39% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%. This is far more than peers.

Prescription Price

$465 was the average price of a prescription from this provider, compared to $86 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

$3.95M

2012

$4.1M

2013

$5.08M

2014

$4.45M

2015

Number of Claims

10,507

2012

10,989

2013

10,143

2014

9,571

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
ISENTRESS

Treats human immunodeficien... +

Treats human immunodeficiency virus (HIV) infection. Source: National Library of Medicine

458

prescriptions, 5% of all prescriptions

125

prescriptions.

44

patients, 19% of all patients

1 180
ACYCLOVIR

Treats herpes labialis (col... +

Treats herpes labialis (cold sores). Source: National Library of Medicine

333

prescriptions, 3% of all prescriptions

82

prescriptions.

39

patients, 17% of all patients

2 182
TRUVADA

Treats HIV infection. Also ... +

Treats HIV infection. Source: National Library of Medicine

286

prescriptions, 3% of all prescriptions

107

prescriptions.

30

patients, 13% of all patients

3 144
NORVIR

Treats human immunodeficien... +

Treats human immunodeficiency virus (HIV) infection. Source: National Library of Medicine

279

prescriptions, 3% of all prescriptions

68

prescriptions.

32

patients, 14% of all patients

4 151
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

248

prescriptions, 3% of all prescriptions

117

prescriptions.

36

patients, 16% of all patients

5 1
PREZISTA

Treats human immunodeficien... +

Treats human immunodeficiency virus (HIV) infection. Source: National Library of Medicine

226

prescriptions, 2% of all prescriptions

51

prescriptions.

23

patients, 10% of all patients

6 190
VIREAD 216

prescriptions, 2% of all prescriptions

63

prescriptions.

26

patients, 11% of all patients

7 276
LORAZEPAM

Treats anxiety, anxiety wit... +

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

202

prescriptions, 2% of all prescriptions

80

prescriptions.

28

patients, 12% of all patients

8 26
ALPRAZOLAM

Treats anxiety, panic disor... +

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

195

prescriptions, 2% of all prescriptions

35

prescriptions.

24

patients, 11% of all patients

9 29
EPZICOM 193

prescriptions, 2% of all prescriptions

39

prescriptions.

21

patients, 9% of all patients

10 232
CLONAZEPAM

Treats seizures, panic diso... +

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

182

prescriptions, 2% of all prescriptions

46

prescriptions.

25

patients, 11% of all patients

11 76
TESTOSTERONE CYPIONATE

Used to treat symptoms of l... +

Used to treat symptoms of low testosterone in men who do not produce enough natural testosterone. Source: National Library of Medicine

143

prescriptions, 1% of all prescriptions

21

prescriptions.

22

patients, 10% of all patients

12 310
INTELENCE 140

prescriptions, 1% of all prescriptions

39

prescriptions.

15

patients, 7% of all patients

13 307
TIVICAY 139

prescriptions, 1% of all prescriptions

60

prescriptions.

15

patients, 7% of all patients

14 235
NEVIRAPINE ER 129

prescriptions, 1% of all prescriptions

61

prescriptions.

19

patients, 8% of all patients

10 15 406
ABACAVIR 122

prescriptions, 1% of all prescriptions

49

prescriptions.

16

patients, 7% of all patients

16 419
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

121

prescriptions, 1% of all prescriptions

16

prescriptions.

14

patients, 6% of all patients

17 63
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

119

prescriptions, 1% of all prescriptions

25

prescriptions.

24

patients, 11% of all patients

18 253
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

118

prescriptions, 1% of all prescriptions

36

prescriptions.

19

patients, 8% of all patients

19 6
SELZENTRY 114

prescriptions, 1% of all prescriptions

13

prescriptions.

12

patients, 5% of all patients

20 397
GABAPENTIN

Treats certain types of sei... +

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

106

prescriptions, 1% of all prescriptions

29

prescriptions.

19

patients, 8% of all patients

21 14
LAMIVUDINE 105

prescriptions, 1% of all prescriptions

37

prescriptions.

11

patients, 5% of all patients

22 380
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

101

prescriptions, 1% of all prescriptions

62

prescriptions.

15

patients, 7% of all patients

23 38
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

99

prescriptions, 1% of all prescriptions

26

prescriptions.

12

patients, 5% of all patients

24 62
TEMAZEPAM

Treats insomnia (trouble sl... +

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

93

prescriptions, 1% of all prescriptions

57

prescriptions.

20

patients, 9% of all patients

25 56
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

91

prescriptions, 1% of all prescriptions

22

prescriptions.

17

patients, 7% of all patients

26 156
TRAZODONE HCL

Trazodone is used to treat ... +

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

90

prescriptions, 1% of all prescriptions

28

prescriptions.

12

patients, 5% of all patients

27 36
LISINOPRIL

Treats high blood pressure ... +

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

88

prescriptions, 1% of all prescriptions

39

prescriptions.

19

patients, 8% of all patients

28 5
OXYCONTIN

Oxycodone is used to reliev... +

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

87

prescriptions, 1% of all prescriptions

48

prescriptions.

<11 O 29 223
DIAZEPAM

Treats anxiety, muscle spas... +

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

87

prescriptions, 1% of all prescriptions

32

prescriptions.

18

patients, 8% of all patients

29 113
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

82

prescriptions, 1% of all prescriptions

39

prescriptions.

16

patients, 7% of all patients

31 122
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

81

prescriptions, 1% of all prescriptions

41

prescriptions.

19

patients, 8% of all patients

O 32 9
INDAPAMIDE

Treats high blood pressure ... +

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

79

prescriptions, 1% of all prescriptions

64

prescriptions.

17

patients, 7% of all patients

33 387
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

78

prescriptions, 1% of all prescriptions

40

prescriptions.

15

patients, 7% of all patients

34 16
METHYLPHENIDATE HCL

Methylphenidate is used as ... +

Methylphenidate is used as part of a treatment program to control symptoms of attention deficit hyperactivity disorder (ADHD; more difficulty focusing, controlling actions, and remaining still or quiet than other people who are the same age) in adults and children. Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

37

prescriptions.

14

patients, 6% of all patients

35 579
ANDROGEL

Treats low testosterone lev... +

Treats low testosterone levels when your body does not produce enough natural testosterone. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

37

prescriptions.

<11 36 296
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

73

prescriptions, 1% of all prescriptions

34

prescriptions.

15

patients, 7% of all patients

R 37 34
PROPRANOLOL HCL

Propranolol is used to trea... +

Propranolol is used to treat high blood pressure, abnormal heart rhythms, heart disease, pheochromocytoma (tumor on a small gland near the kidneys), and certain types of tremor. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 38 165
NEVIRAPINE 69

prescriptions, 1% of all prescriptions

34

prescriptions.

<11 39 505
REYATAZ 68

prescriptions, 1% of all prescriptions

25

prescriptions.

<11 40 254
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

67

prescriptions, 1% of all prescriptions

11

prescriptions.

<11 41 92
LAMOTRIGINE

Treats certain types of sei... +

Treats certain types of seizures and mood disorders. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 42 247
PREDNISONE

Treats inflammation (swelli... +

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

63

prescriptions, 1% of all prescriptions

41

prescriptions.

25

patients, 11% of all patients

43 53
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

61

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 44 260
TRIUMEQ 61

prescriptions, 1% of all prescriptions

28

prescriptions.

11

patients, 5% of all patients

44 302
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

61

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 44 13
CITALOPRAM HBR

Citalopram is used to treat... +

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

59

prescriptions, 1% of all prescriptions

37

prescriptions.

12

patients, 5% of all patients

47 48
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

59

prescriptions, 1% of all prescriptions

23

prescriptions.

16

patients, 7% of all patients

47 28
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

56

prescriptions, 1% of all prescriptions

28

prescriptions.

<11 49 8
FENTANYL

Treats severe, ongoing pain... +

Treats severe, ongoing pain (during and after surgery, cancer pain) that cannot be controlled with other medicines. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 O 50 162
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

54

prescriptions, 1% of all prescriptions

42

prescriptions.

<11 51 7
DIPHENOXYLATE-ATROPINE

Treats diarrhea. +

Treats diarrhea. Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

16

prescriptions.

<11 52 234
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

50

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 53 27
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 Sept. 10, 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.