Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Physician Assistant

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

9,799Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 167

$387K Total Retail Price of All Prescriptions

Rank: 12 out of 167

258 Patients Receiving at Least One Drug in Part D
94% Patients 65 Years and Older

36% 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 Nevada
lower than average

Antipsychotics

27% of this provider’s 243 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 1%.

More resources »

Antibiotics

32% of this provider’s 258 patients filled at least one prescription for an antibiotic drug, compared to an average of 24%.

More resources »

Risky Drugs for Seniors

14% of this provider’s 243 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

28% of this provider’s 258 patients filled at least one prescription for an opioid, compared to an average of 30%.

More resources »

Brand Name Drugs

12% of this provider’s prescriptions were for brand-name drugs, compared to an average of 16%.

Prescription Price

$39 was the average price of a prescription from this provider, compared to $101 among peers.

Prescriptions per Patient

38 is the average number of prescriptions (including refills) per patient, compared to an average of 6.


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

$121K

2012

$186K

2013

$289K

2014

$387K

2015

Number of Claims

3,255

2012

5,433

2013

7,372

2014

9,799

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
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

401

prescriptions, 4% of all prescriptions

363

prescriptions.

59

patients, 23% of all patients

1 9
LISINOPRIL

Treats high blood pressure ... +

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

392

prescriptions, 4% of all prescriptions

375

prescriptions.

57

patients, 22% of all patients

2 2
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

376

prescriptions, 4% of all prescriptions

376

prescriptions.

55

patients, 21% of all patients

3 8
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

368

prescriptions, 4% of all prescriptions

354

prescriptions.

61

patients, 24% of all patients

4 3
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

307

prescriptions, 3% of all prescriptions

263

prescriptions.

48

patients, 19% of all patients

5 12
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

297

prescriptions, 3% of all prescriptions

280

prescriptions.

51

patients, 20% of all patients

6 61
FUROSEMIDE

Treats fluid retention (ede... +

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

296

prescriptions, 3% of all prescriptions

280

prescriptions.

54

patients, 21% of all patients

7 14
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

264

prescriptions, 3% of all prescriptions

250

prescriptions.

41

patients, 16% of all patients

P 8 80
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

243

prescriptions, 2% of all prescriptions

243

prescriptions.

34

patients, 13% of all patients

9 15
GABAPENTIN

Treats certain types of sei... +

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

214

prescriptions, 2% of all prescriptions

195

prescriptions.

26

patients, 10% of all patients

10 5
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

196

prescriptions, 2% of all prescriptions

163

prescriptions.

43

patients, 17% of all patients

O 11 1
SIMVASTATIN

Treats high cholesterol and... +

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

192

prescriptions, 2% of all prescriptions

173

prescriptions.

31

patients, 12% of all patients

12 11
ALPRAZOLAM

Treats anxiety, panic disor... +

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

191

prescriptions, 2% of all prescriptions

186

prescriptions.

51

patients, 20% of all patients

13 13
TRAZODONE HCL

Trazodone is used to treat ... +

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

186

prescriptions, 2% of all prescriptions

172

prescriptions.

25

patients, 10% of all patients

14 23
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

182

prescriptions, 2% of all prescriptions

155

prescriptions.

23

patients, 9% of all patients

15 10
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

177

prescriptions, 2% of all prescriptions

177

prescriptions.

28

patients, 11% of all patients

16 77
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

169

prescriptions, 2% of all prescriptions

157

prescriptions.

26

patients, 10% of all patients

17 62
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

164

prescriptions, 2% of all prescriptions

139

prescriptions.

18

patients, 7% of all patients

P 18 72
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

156

prescriptions, 2% of all prescriptions

151

prescriptions.

29

patients, 11% of all patients

19 32
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

156

prescriptions, 2% of all prescriptions

156

prescriptions.

33

patients, 13% of all patients

19 57
CLOPIDOGREL

Helps prevent stroke, heart... +

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

134

prescriptions, 1% of all prescriptions

134

prescriptions.

21

patients, 8% of all patients

21 54
CITALOPRAM HBR

Citalopram is used to treat... +

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

122

prescriptions, 1% of all prescriptions

97

prescriptions.

24

patients, 9% of all patients

22 30
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

120

prescriptions, 1% of all prescriptions

120

prescriptions.

24

patients, 9% of all patients

23 70
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

118

prescriptions, 1% of all prescriptions

102

prescriptions.

18

patients, 7% of all patients

24 31
CARVEDILOL

Treats high blood pressure ... +

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

108

prescriptions, 1% of all prescriptions

80

prescriptions.

16

patients, 6% of all patients

25 47
LORAZEPAM

Treats anxiety, anxiety wit... +

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

100

prescriptions, 1% of all prescriptions

100

prescriptions.

27

patients, 10% of all patients

26 45
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

96

prescriptions, 1% of all prescriptions

83

prescriptions.

15

patients, 6% of all patients

27 90
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

95

prescriptions, 1% of all prescriptions

90

prescriptions.

16

patients, 6% of all patients

28 41
LOVASTATIN

Lowers high cholesterol and... +

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

89

prescriptions, 1% of all prescriptions

89

prescriptions.

11

patients, 4% of all patients

29 33
ESCITALOPRAM OXALATE

Escitalopram is used to tre... +

Escitalopram is used to treat depression and generalized anxiety disorder (excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

87

prescriptions.

17

patients, 7% of all patients

30 82
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

81

prescriptions, 1% of all prescriptions

81

prescriptions.

16

patients, 6% of all patients

31 43
TEMAZEPAM

Treats insomnia (trouble sl... +

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

80

prescriptions, 1% of all prescriptions

63

prescriptions.

19

patients, 7% of all patients

32 46
ATENOLOL

Treats high blood pressure ... +

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

71

prescriptions, 1% of all prescriptions

71

prescriptions.

11

patients, 4% of all patients

33 35
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

69

prescriptions, 1% of all prescriptions

64

prescriptions.

15

patients, 6% of all patients

34 64
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

67

prescriptions, 1% of all prescriptions

67

prescriptions.

14

patients, 5% of all patients

35 20
TRAMADOL HCL

Tramadol is used to relieve... +

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

66

prescriptions, 1% of all prescriptions

66

prescriptions.

19

patients, 7% of all patients

O 36 18
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

60

prescriptions.

21

patients, 8% of all patients

37 113
ALLOPURINOL

Treats gout and some kinds ... +

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

63

prescriptions, 1% of all prescriptions

43

prescriptions.

<11 38 71
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

62

prescriptions, 1% of all prescriptions

39

prescriptions.

<11 39 52
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

61

prescriptions, 1% of all prescriptions

61

prescriptions.

<11 40 83
OLANZAPINE

Treats psychotic mental dis... +

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

61

prescriptions, 1% of all prescriptions

25

prescriptions.

<11 P 40 151
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

57

prescriptions, 1% of all prescriptions

57

prescriptions.

12

patients, 5% of all patients

42 58
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

56

prescriptions, 1% of all prescriptions

51

prescriptions.

<11 43 36
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

56

prescriptions, 1% of all prescriptions

51

prescriptions.

12

patients, 5% of all patients

43 108
CHOLESTYRAMINE

Lowers high cholesterol lev... +

Lowers high cholesterol levels. Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

46

prescriptions.

18

patients, 7% of all patients

45 168
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

39

prescriptions.

<11 45 59
GEMFIBROZIL

Lowers high triglyceride an... +

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

50

prescriptions, 1% of all prescriptions

50

prescriptions.

<11 47 113
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 Sept. 7, 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.