Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Pain Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

15,966Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 40

$1.67M Total Retail Price of All Prescriptions

Rank: 2 out of 40

1,252 Patients Receiving at Least One Drug in Part D
53% 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 Kentucky
lower than average

Antipsychotics

0% of this provider’s 666 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

13 of this provider’s 1,252 patients filled at least one prescription for an antibiotic drug.

More resources »

Risky Drugs for Seniors

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

49 of this provider’s 666 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

93% of this provider’s 1,252 patients filled at least one prescription for an opioid, compared to an average of 87%.

More resources »

Brand Name Drugs

18% of this provider’s prescriptions were for brand-name drugs, compared to an average of 10%.

Prescription Price

$105 was the average price of a prescription from this provider, compared to $74 among peers.

Prescriptions per Patient

13 is the average number of prescriptions (including refills) per patient, compared to an average of 8.


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

$1.27M

2012

$1.44M

2013

$1.6M

2014

$1.67M

2015

Number of Claims

15,099

2012

15,914

2013

16,869

2014

15,966

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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

3,910

prescriptions, 24% of all prescriptions

2,007

prescriptions.

575

patients, 46% of all patients

O 1 1
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

3,353

prescriptions, 21% of all prescriptions

1,710

prescriptions.

441

patients, 35% of all patients

O 10 2 2
OXYCONTIN

Oxycodone is used to reliev... +

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

891

prescriptions, 6% of all prescriptions

574

prescriptions.

102

patients, 8% of all patients

O 10 3 9
GABAPENTIN

Treats certain types of sei... +

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

781

prescriptions, 5% of all prescriptions

363

prescriptions.

163

patients, 13% of all patients

4 3
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

734

prescriptions, 5% of all prescriptions

523

prescriptions.

87

patients, 7% of all patients

O 5 6
OXYCODONE HCL

Oxycodone is used to reliev... +

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

580

prescriptions, 4% of all prescriptions

295

prescriptions.

80

patients, 6% of all patients

O 6 4
METHADONE HCL

Methadone is used to reliev... +

Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. Source: National Library of Medicine

541

prescriptions, 3% of all prescriptions

213

prescriptions.

64

patients, 5% of all patients

O 7 7
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

494

prescriptions, 3% of all prescriptions

165

prescriptions.

99

patients, 8% of all patients

8 5
MORPHINE SULFATE

Morphine is used to relieve... +

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

481

prescriptions, 3% of all prescriptions

274

prescriptions.

70

patients, 6% of all patients

O 9 20
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

447

prescriptions, 3% of all prescriptions

291

prescriptions.

65

patients, 5% of all patients

O 10 19
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

421

prescriptions, 3% of all prescriptions

146

prescriptions.

72

patients, 6% of all patients

11 11
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

289

prescriptions, 2% of all prescriptions

183

prescriptions.

33

patients, 3% of all patients

O 12 10
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

226

prescriptions, 1% of all prescriptions

43

prescriptions.

53

patients, 4% of all patients

R 13 12
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

213

prescriptions, 1% of all prescriptions

35

prescriptions.

40

patients, 3% of all patients

R 14 21
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

180

prescriptions, 1% of all prescriptions

60

prescriptions.

60

patients, 5% of all patients

15 24
TRAMADOL HCL

Tramadol is used to relieve... +

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

145

prescriptions, 1% of all prescriptions

93

prescriptions.

33

patients, 3% of all patients

O 16 8
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

128

prescriptions, 1% of all prescriptions

76

prescriptions.

27

patients, 2% of all patients

R 17 22
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

120

prescriptions, 1% of all prescriptions

43

prescriptions.

34

patients, 3% of all patients

18 17
ENDOCET

Treats moderate to moderate... +

Treats moderate to moderately severe pain. Source: National Library of Medicine

111

prescriptions, 1% of all prescriptions

56

prescriptions.

28

patients, 2% of all patients

O 19 25
VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

58

prescriptions.

42

patients, 3% of all patients

20 26
DOXEPIN HCL

Doxepin is used to treat de... +

Doxepin is used to treat depression and anxiety. Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

24

prescriptions.

16

patients, 1% of all patients

R 21 45
ROPINIROLE HCL

Ropinirole is used alone or... +

Ropinirole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

93

prescriptions, 1% of all prescriptions

40

prescriptions.

20

patients, 2% of all patients

22 46
OPANA ER

Used to relieve moderate to... +

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

85

prescriptions, 1% of all prescriptions

46

prescriptions.

11

patients, 1% of all patients

O 23 34
MELOXICAM

Treats symptoms of osteoart... +

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

77

prescriptions, 0% of all prescriptions

38

prescriptions.

19

patients, 2% of all patients

24 13
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

67

prescriptions, 0% of all prescriptions

5

prescriptions.

17

patients, 1% of all patients

25 30
LORAZEPAM

Treats anxiety, anxiety wit... +

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

60

prescriptions, 0% of all prescriptions

39

prescriptions.

<11 26 49
OXYMORPHONE HCL 60

prescriptions, 0% of all prescriptions

29

prescriptions.

<11 O 26 43
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

28

prescriptions.

14

patients, 1% of all patients

28 16
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

14

prescriptions.

<11 O 29 35
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?

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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 28, 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.