Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Neurology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

3,620Medicare Part D Prescriptions Filled, Including Refills

Rank: 109 out of 576

$7.9M Total Retail Price of All Prescriptions

Rank: 2 out of 576

262 Patients Receiving at Least One Drug in Part D
18% Patients 65 Years and Older

54% 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 Florida
lower than average

Antipsychotics

Comparisons are not shown because this provider has fewer than 100 patients who are 65 and older.

0 of this provider’s 48 patients who are 65 and older filled at least one prescription for an antipsychotic drug.

More resources »

Antibiotics

5% of this provider’s 262 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

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

9% of this provider’s 262 patients filled at least one prescription for an opioid, compared to an average of 9%.

More resources »

Brand Name Drugs

42% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%. This is far more than peers.

Prescription Price

$2182 was the average price of a prescription from this provider, compared to $299 among peers.

Prescriptions per Patient

14 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

$3.74M

2012

$5.16M

2013

$6.36M

2014

$7.9M

2015

Number of Claims

2,612

2012

3,616

2013

3,971

2014

3,620

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
COPAXONE

This is used to reduce the ... +

This is used to reduce the frequency of relapses (flare-ups) in patients with relapsing-remitting multiple sclerosis (RMMS). Source: National Library of Medicine

475

prescriptions, 13% of all prescriptions

104

prescriptions.

58

patients, 22% of all patients

10 1 36
BACLOFEN

Treats muscle spasms caused... +

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

337

prescriptions, 9% of all prescriptions

33

prescriptions.

89

patients, 34% of all patients

2 17
TECFIDERA 241

prescriptions, 7% of all prescriptions

30

prescriptions.

39

patients, 15% of all patients

3 56
GABAPENTIN

Treats certain types of sei... +

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

202

prescriptions, 6% of all prescriptions

22

prescriptions.

59

patients, 23% of all patients

4 1
AUBAGIO 172

prescriptions, 5% of all prescriptions

39

prescriptions.

31

patients, 12% of all patients

5 80
AMPYRA 146

prescriptions, 4% of all prescriptions

21

prescriptions.

19

patients, 7% of all patients

6 74
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

134

prescriptions, 4% of all prescriptions

15

prescriptions.

44

patients, 17% of all patients

7 23
CLONAZEPAM

Treats seizures, panic diso... +

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

122

prescriptions, 3% of all prescriptions

13

prescriptions.

23

patients, 9% of all patients

8 7
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

95

prescriptions, 3% of all prescriptions

5

prescriptions.

22

patients, 8% of all patients

R 9 43
OXYBUTYNIN CHLORIDE

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

70

prescriptions, 2% of all prescriptions

5

prescriptions.

15

patients, 6% of all patients

10 215
OXCARBAZEPINE

Used alone or together with... +

Used alone or together with other medicines to treat seizures caused by epilepsy in adults and children 2 years of age and older. Source: National Library of Medicine

69

prescriptions, 2% of all prescriptions

12

prescriptions.

16

patients, 6% of all patients

11 38
TRAMADOL HCL

Tramadol is used to relieve... +

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

64

prescriptions, 2% of all prescriptions

5

prescriptions.

16

patients, 6% of all patients

O 12 30
AVONEX PEN 63

prescriptions, 2% of all prescriptions

5

prescriptions.

<11 13 118
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

63

prescriptions, 2% of all prescriptions

24

prescriptions.

12

patients, 5% of all patients

13 15
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

59

prescriptions, 2% of all prescriptions

5

prescriptions.

15

patients, 6% of all patients

15 178
REBIF 55

prescriptions, 2% of all prescriptions

0

prescriptions.

<11 16 136
OXYBUTYNIN CHLORIDE ER

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 17 239
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

50

prescriptions, 1% of all prescriptions

12

prescriptions.

16

patients, 6% of all patients

18 11
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 10, 2008.
  • 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.