Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Infectious Disease

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

13,569Medicare Part D Prescriptions Filled, Including Refills

Rank: 5 out of 219

$6.35M Total Retail Price of All Prescriptions

Rank: 4 out of 219

236 Patients Receiving at Least One Drug in Part D
19% Patients 65 Years and Older

74% 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

47% of this provider’s 236 patients filled at least one prescription for an antibiotic drug, compared to an average of 44%.

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

30% of this provider’s 236 patients filled at least one prescription for an opioid, compared to an average of 13%.

More resources »

Brand Name Drugs

38% of this provider’s prescriptions were for brand-name drugs, compared to an average of 33%.

Prescription Price

$468 was the average price of a prescription from this provider, compared to $497 among peers.

Prescriptions per Patient

57 is the average number of prescriptions (including refills) per patient, compared to an average of 16.


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

$3.94M

2012

$4.32M

2013

$5.69M

2014

$6.35M

2015

Number of Claims

11,215

2012

11,944

2013

12,095

2014

13,569

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
TRUVADA

Treats HIV infection. Also ... +

Treats HIV infection. Source: National Library of Medicine

543

prescriptions, 4% of all prescriptions

60

prescriptions.

56

patients, 24% of all patients

1 1
ISENTRESS

Treats human immunodeficien... +

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

473

prescriptions, 3% of all prescriptions

100

prescriptions.

57

patients, 24% of all patients

2 6
ACYCLOVIR

Treats herpes labialis (col... +

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

433

prescriptions, 3% of all prescriptions

67

prescriptions.

58

patients, 25% of all patients

3 14
NORVIR

Treats human immunodeficien... +

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

418

prescriptions, 3% of all prescriptions

57

prescriptions.

54

patients, 23% of all patients

4 2
EPZICOM 322

prescriptions, 2% of all prescriptions

101

prescriptions.

36

patients, 15% of all patients

5 16
PREZISTA

Treats human immunodeficien... +

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

288

prescriptions, 2% of all prescriptions

42

prescriptions.

37

patients, 16% of all patients

6 7
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

268

prescriptions, 2% of all prescriptions

72

prescriptions.

28

patients, 12% of all patients

7 21
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

268

prescriptions, 2% of all prescriptions

33

prescriptions.

36

patients, 15% of all patients

7 9
GABAPENTIN

Treats certain types of sei... +

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

255

prescriptions, 2% of all prescriptions

15

prescriptions.

36

patients, 15% of all patients

9 11
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

230

prescriptions, 2% of all prescriptions

17

prescriptions.

48

patients, 20% of all patients

10 29
LISINOPRIL

Treats high blood pressure ... +

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

215

prescriptions, 2% of all prescriptions

41

prescriptions.

28

patients, 12% of all patients

11 4
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

205

prescriptions, 2% of all prescriptions

11

prescriptions.

39

patients, 17% of all patients

12 30
INTELENCE 194

prescriptions, 1% of all prescriptions

41

prescriptions.

25

patients, 11% of all patients

13 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

191

prescriptions, 1% of all prescriptions

51

prescriptions.

22

patients, 9% of all patients

14 13
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

171

prescriptions, 1% of all prescriptions

11

prescriptions.

29

patients, 12% of all patients

15 54
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

171

prescriptions, 1% of all prescriptions

24

prescriptions.

27

patients, 11% of all patients

15 50
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

166

prescriptions, 1% of all prescriptions

31

prescriptions.

25

patients, 11% of all patients

17 25
STRIBILD 163

prescriptions, 1% of all prescriptions

17

prescriptions.

21

patients, 9% of all patients

18 33
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

152

prescriptions, 1% of all prescriptions

58

prescriptions.

26

patients, 11% of all patients

A 19 35
NEVIRAPINE 151

prescriptions, 1% of all prescriptions

57

prescriptions.

14

patients, 6% of all patients

10 20 90
TRAZODONE HCL

Trazodone is used to treat ... +

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

149

prescriptions, 1% of all prescriptions

11

prescriptions.

20

patients, 8% of all patients

21 45
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

149

prescriptions, 1% of all prescriptions

0

prescriptions.

20

patients, 8% of all patients

21 43
ANDROGEL

Treats low testosterone lev... +

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

148

prescriptions, 1% of all prescriptions

24

prescriptions.

25

patients, 11% of all patients

23 48
FLUCONAZOLE

Prevents and treats certain... +

Prevents and treats certain fungus infections. Source: National Library of Medicine

135

prescriptions, 1% of all prescriptions

15

prescriptions.

19

patients, 8% of all patients

24 34
NEVIRAPINE ER 132

prescriptions, 1% of all prescriptions

25

prescriptions.

13

patients, 6% of all patients

10 25 65
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

126

prescriptions, 1% of all prescriptions

5

prescriptions.

24

patients, 10% of all patients

O 26 8
AZITHROMYCIN

Treats infections caused by... +

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

124

prescriptions, 1% of all prescriptions

23

prescriptions.

49

patients, 21% of all patients

A 27 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

117

prescriptions, 1% of all prescriptions

5

prescriptions.

22

patients, 9% of all patients

R 28 27
DRONABINOL 116

prescriptions, 1% of all prescriptions

5

prescriptions.

14

patients, 6% of all patients

29 95
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

116

prescriptions, 1% of all prescriptions

13

prescriptions.

16

patients, 7% of all patients

29 10
REYATAZ 114

prescriptions, 1% of all prescriptions

0

prescriptions.

14

patients, 6% of all patients

31 17
LORAZEPAM

Treats anxiety, anxiety wit... +

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

112

prescriptions, 1% of all prescriptions

36

prescriptions.

23

patients, 10% of all patients

32 31
SELZENTRY 111

prescriptions, 1% of all prescriptions

15

prescriptions.

12

patients, 5% of all patients

33 64
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

110

prescriptions, 1% of all prescriptions

5

prescriptions.

12

patients, 5% of all patients

34 56
FINASTERIDE

Treats an enlarged prostate... +

Treats an enlarged prostate (benign prostatic hyperplasia or BPH) in men and causes hair growth in male pattern baldness. Source: National Library of Medicine

107

prescriptions, 1% of all prescriptions

5

prescriptions.

16

patients, 7% of all patients

35 75
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

104

prescriptions, 1% of all prescriptions

19

prescriptions.

17

patients, 7% of all patients

36 47
TIVICAY 102

prescriptions, 1% of all prescriptions

5

prescriptions.

17

patients, 7% of all patients

37 22
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

99

prescriptions, 1% of all prescriptions

17

prescriptions.

18

patients, 8% of all patients

P 38 126
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

98

prescriptions, 1% of all prescriptions

13

prescriptions.

17

patients, 7% of all patients

39 3
OXYCODONE HCL

Oxycodone is used to reliev... +

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

97

prescriptions, 1% of all prescriptions

12

prescriptions.

18

patients, 8% of all patients

O 40 82
LAMIVUDINE 90

prescriptions, 1% of all prescriptions

11

prescriptions.

13

patients, 6% of all patients

41 71
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

90

prescriptions, 1% of all prescriptions

16

prescriptions.

12

patients, 5% of all patients

41 66
HYDROCORTISONE

Hydrocortisone provides rel... +

Hydrocortisone provides relief for inflamed areas of the body. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

5

prescriptions.

14

patients, 6% of all patients

41 193
GEMFIBROZIL

Lowers high triglyceride an... +

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

87

prescriptions, 1% of all prescriptions

5

prescriptions.

12

patients, 5% of all patients

44 144
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

82

prescriptions, 1% of all prescriptions

22

prescriptions.

11

patients, 5% of all patients

45 117
OXANDROLONE 80

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 5% of all patients

10 46 201
TRIAMCINOLONE ACETONIDE

Triamcinolone is used to tr... +

Triamcinolone is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions. Source: National Library of Medicine

80

prescriptions, 1% of all prescriptions

5

prescriptions.

22

patients, 9% of all patients

46 96
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

79

prescriptions, 1% of all prescriptions

0

prescriptions.

13

patients, 6% of all patients

R 48 165
LEXIVA 74

prescriptions, 1% of all prescriptions

13

prescriptions.

<11 49 152
EMTRIVA 74

prescriptions, 1% of all prescriptions

25

prescriptions.

<11 49 104
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

73

prescriptions, 1% of all prescriptions

30

prescriptions.

<11 51 5
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

73

prescriptions, 1% of all prescriptions

28

prescriptions.

<11 51 15
KETOCONAZOLE

Treats fungal infections in... +

Treats fungal infections in the skin, throat, urinary tract, and lungs. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

0

prescriptions.

13

patients, 6% of all patients

53 119
VIREAD 70

prescriptions, 1% of all prescriptions

33

prescriptions.

<11 54 57
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

70

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 54 122
ALPRAZOLAM

Treats anxiety, panic disor... +

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

68

prescriptions, 1% of all prescriptions

5

prescriptions.

17

patients, 7% of all patients

56 42
OLANZAPINE

Treats psychotic mental dis... +

Treats psychotic mental disorders, such as schizophrenia or bipolar disorder (manic-depressive illness). Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

43

prescriptions.

<11 P 56 155
SUMATRIPTAN SUCCINATE

Sumatriptan is used to trea... +

Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light). Source: National Library of Medicine

67

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 58 209
CLOTRIMAZOLE

This medicine is an antifun... +

This medicine is an antifungal. Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

5

prescriptions.

16

patients, 7% of all patients

59 148
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

62

prescriptions, 0% of all prescriptions

11

prescriptions.

<11 60 18
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

62

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 60 85
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

61

prescriptions, 0% of all prescriptions

24

prescriptions.

<11 R 62 91
DIPHENOXYLATE-ATROPINE

Treats diarrhea. +

Treats diarrhea. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

5

prescriptions.

12

patients, 5% of all patients

63 114
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

60

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 63 84
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

59

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 65 124
TRAMADOL HCL

Tramadol is used to relieve... +

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

58

prescriptions, 0% of all prescriptions

5

prescriptions.

20

patients, 8% of all patients

O 66 55
OMEGA-3 ACID ETHYL ESTERS

Omega-3 fatty acids are use... +

Omega-3 fatty acids are used together with lifestyle changes (diet, weight-loss, exercise) to reduce the amount of triglycerides (a fat-like substance) in the blood in people with very high triglycerides. Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 66 92
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

57

prescriptions, 0% of all prescriptions

14

prescriptions.

<11 68 70
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

13

prescriptions.

<11 69 151
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

55

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 70 143
SEROSTIM 55

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 70 153
AMOXICILLIN

Treats infections. Also use... +

Treats infections. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

16

prescriptions.

20

patients, 8% of all patients

A 70 170
IMIQUIMOD 53

prescriptions, 0% of all prescriptions

5

prescriptions.

12

patients, 5% of all patients

73 230
ATRIPLA

Treats human immunodeficien... +

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

52

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 74 20
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 Oct. 2, 2012.
  • 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.