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 »

10,447Medicare Part D Prescriptions Filled, Including Refills

Rank: 84 out of 308

$352K Total Retail Price of All Prescriptions

Rank: 166 out of 308

302 Patients Receiving at Least One Drug in Part D
93% Patients 65 Years and Older

20% 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 Iowa
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

40% of this provider’s 302 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 280 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

21% of this provider’s 302 patients filled at least one prescription for an opioid, compared to an average of 17%.

More resources »

Brand Name Drugs

18% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$34 was the average price of a prescription from this provider, compared to $70 among peers.

Prescriptions per Patient

35 is the average number of prescriptions (including refills) per patient, compared to an average of 18.


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

$318K

2012

$331K

2013

$374K

2014

$352K

2015

Number of Claims

8,420

2012

9,485

2013

10,874

2014

10,447

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
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

597

prescriptions, 6% of all prescriptions

547

prescriptions.

67

patients, 22% of all patients

1 1
FUROSEMIDE

Treats fluid retention (ede... +

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

361

prescriptions, 3% of all prescriptions

356

prescriptions.

41

patients, 14% of all patients

2 7
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

345

prescriptions, 3% of all prescriptions

333

prescriptions.

48

patients, 16% of all patients

3 4
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

317

prescriptions, 3% of all prescriptions

296

prescriptions.

38

patients, 13% of all patients

4 15
GABAPENTIN

Treats certain types of sei... +

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

301

prescriptions, 3% of all prescriptions

270

prescriptions.

34

patients, 11% of all patients

5 14
SIMVASTATIN

Treats high cholesterol and... +

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

278

prescriptions, 3% of all prescriptions

278

prescriptions.

46

patients, 15% of all patients

6 3
FOSINOPRIL SODIUM

Fosinopril is used alone or... +

Fosinopril is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

265

prescriptions, 3% of all prescriptions

260

prescriptions.

39

patients, 13% of all patients

10 7 186
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

265

prescriptions, 3% of all prescriptions

237

prescriptions.

39

patients, 13% of all patients

7 2
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

264

prescriptions, 3% of all prescriptions

264

prescriptions.

45

patients, 15% of all patients

9 8
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

252

prescriptions, 2% of all prescriptions

219

prescriptions.

26

patients, 9% of all patients

10 10
LISINOPRIL

Treats high blood pressure ... +

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

242

prescriptions, 2% of all prescriptions

237

prescriptions.

30

patients, 10% of all patients

11 5
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

231

prescriptions, 2% of all prescriptions

226

prescriptions.

41

patients, 14% of all patients

12 6
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

207

prescriptions, 2% of all prescriptions

202

prescriptions.

30

patients, 10% of all patients

13 19
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

193

prescriptions, 2% of all prescriptions

175

prescriptions.

28

patients, 9% of all patients

14 23
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

182

prescriptions, 2% of all prescriptions

177

prescriptions.

23

patients, 8% of all patients

15 21
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

163

prescriptions, 2% of all prescriptions

163

prescriptions.

22

patients, 7% of all patients

16 12
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

160

prescriptions, 2% of all prescriptions

155

prescriptions.

27

patients, 9% of all patients

17 9
GEMFIBROZIL

Lowers high triglyceride an... +

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

157

prescriptions, 2% of all prescriptions

137

prescriptions.

24

patients, 8% of all patients

18 102
ALLOPURINOL

Treats gout and some kinds ... +

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

154

prescriptions, 1% of all prescriptions

149

prescriptions.

21

patients, 7% of all patients

19 26
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

129

prescriptions, 1% of all prescriptions

129

prescriptions.

26

patients, 9% of all patients

20 16
ALPRAZOLAM

Treats anxiety, panic disor... +

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

125

prescriptions, 1% of all prescriptions

114

prescriptions.

27

patients, 9% of all patients

21 22
PIOGLITAZONE HCL

Pioglitazone is used to tre... +

Pioglitazone is used 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

121

prescriptions, 1% of all prescriptions

121

prescriptions.

16

patients, 5% of all patients

22 80
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

118

prescriptions, 1% of all prescriptions

106

prescriptions.

14

patients, 5% of all patients

23 73
METFORMIN HCL ER

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

109

prescriptions, 1% of all prescriptions

95

prescriptions.

18

patients, 6% of all patients

24 52
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

107

prescriptions, 1% of all prescriptions

107

prescriptions.

14

patients, 5% of all patients

25 17
DOXAZOSIN MESYLATE

Doxazosin (Cardura, Cardura... +

Doxazosin (Cardura, Cardura XL) 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

105

prescriptions, 1% of all prescriptions

94

prescriptions.

11

patients, 4% of all patients

26 89
TRAMADOL HCL

Tramadol is used to relieve... +

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

96

prescriptions, 1% of all prescriptions

91

prescriptions.

28

patients, 9% of all patients

O 27 18
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

95

prescriptions, 1% of all prescriptions

90

prescriptions.

16

patients, 5% of all patients

28 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

89

prescriptions, 1% of all prescriptions

73

prescriptions.

<11 O 29 67
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

87

prescriptions, 1% of all prescriptions

62

prescriptions.

28

patients, 9% of all patients

O 30 13
LORAZEPAM

Treats anxiety, anxiety wit... +

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

85

prescriptions, 1% of all prescriptions

73

prescriptions.

18

patients, 6% of all patients

31 27
CARVEDILOL

Treats high blood pressure ... +

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

82

prescriptions, 1% of all prescriptions

69

prescriptions.

<11 32 30
PREDNISONE

Treats inflammation (swelli... +

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

76

prescriptions, 1% of all prescriptions

71

prescriptions.

35

patients, 12% of all patients

33 31
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

73

prescriptions, 1% of all prescriptions

73

prescriptions.

11

patients, 4% of all patients

34 63
KLOR-CON M10

Potassium is essential for ... +

Potassium is essential for the proper functioning of the heart, kidneys, muscles, nerves, and digestive system. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

72

prescriptions.

<11 35 235
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

55

prescriptions.

14

patients, 5% of all patients

36 43
BENAZEPRIL HCL

Benazepril is used alone or... +

Benazepril is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

65

prescriptions.

11

patients, 4% of all patients

36 55
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

64

prescriptions.

<11 38 48
CLONAZEPAM

Treats seizures, panic diso... +

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

69

prescriptions, 1% of all prescriptions

64

prescriptions.

<11 38 61
CLOPIDOGREL

Helps prevent stroke, heart... +

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

69

prescriptions, 1% of all prescriptions

57

prescriptions.

11

patients, 4% of all patients

38 24
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

67

prescriptions, 1% of all prescriptions

67

prescriptions.

12

patients, 4% of all patients

41 33
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

59

prescriptions.

<11 42 37
TRAZODONE HCL

Trazodone is used to treat ... +

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

64

prescriptions, 1% of all prescriptions

64

prescriptions.

<11 42 29
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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

<11 44 94
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

62

prescriptions, 1% of all prescriptions

62

prescriptions.

14

patients, 5% of all patients

45 32
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

62

prescriptions.

<11 45 34
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

62

prescriptions, 1% of all prescriptions

57

prescriptions.

11

patients, 4% of all patients

45 47
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

62

prescriptions, 1% of all prescriptions

62

prescriptions.

<11 45 50
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

59

prescriptions, 1% of all prescriptions

54

prescriptions.

25

patients, 8% of all patients

49 36
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

55

prescriptions, 1% of all prescriptions

50

prescriptions.

25

patients, 8% of all patients

50 42
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

49

prescriptions.

26

patients, 9% of all patients

51 127
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

53

prescriptions, 1% of all prescriptions

48

prescriptions.

13

patients, 4% of all patients

R 52 40
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

52

prescriptions, 0% of all prescriptions

52

prescriptions.

<11 53 38
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

50

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 54 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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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 Dec. 11, 2013.
  • 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.