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 »

6,747Medicare Part D Prescriptions Filled, Including Refills

Rank: 146 out of 369

$312K Total Retail Price of All Prescriptions

Rank: 151 out of 369

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

7% 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 Rhode Island
lower than average

Antipsychotics

0% of this provider’s 289 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 3%.

More resources »

Antibiotics

36% of this provider’s 306 patients filled at least one prescription for an antibiotic drug, compared to an average of 23%.

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

7% of this provider’s 306 patients filled at least one prescription for an opioid, compared to an average of 13%.

More resources »

Brand Name Drugs *

13% of this provider’s prescriptions were for brand-name drugs, compared to an average of 16%.

* This is an estimate, see our methodology.

Prescription Price

$46 was the average price of a prescription from this provider, compared to $56 among peers.

Prescriptions per Patient

22 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

$428K

2012

$384K

2013

$366K

2014

$312K

2015

Number of Claims

6,378

2012

6,752

2013

6,760

2014

6,747

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
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

547

prescriptions, 8% of all prescriptions

515

prescriptions.

112

patients, 37% of all patients

1 1
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

464

prescriptions, 7% of all prescriptions

402

prescriptions.

79

patients, 26% of all patients

2 3
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

344

prescriptions, 5% of all prescriptions

319

prescriptions.

66

patients, 22% of all patients

3 16
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

326

prescriptions, 5% of all prescriptions

303

prescriptions.

59

patients, 19% of all patients

4 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

238

prescriptions, 4% of all prescriptions

218

prescriptions.

54

patients, 18% of all patients

5 9
BYSTOLIC

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

226

prescriptions, 3% of all prescriptions

221

prescriptions.

41

patients, 13% of all patients

6 98
CITALOPRAM HBR

Citalopram is used to treat... +

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

180

prescriptions, 3% of all prescriptions

139

prescriptions.

28

patients, 9% of all patients

7 19
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

179

prescriptions, 3% of all prescriptions

151

prescriptions.

35

patients, 11% of all patients

8 4
ENALAPRIL MALEATE

Enalapril is used alone or ... +

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

175

prescriptions, 3% of all prescriptions

170

prescriptions.

37

patients, 12% of all patients

9 62
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

175

prescriptions, 3% of all prescriptions

148

prescriptions.

23

patients, 8% of all patients

9 56
ALPRAZOLAM

Treats anxiety, panic disor... +

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

167

prescriptions, 2% of all prescriptions

162

prescriptions.

33

patients, 11% of all patients

11 20
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

163

prescriptions, 2% of all prescriptions

158

prescriptions.

27

patients, 9% of all patients

12 15
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

157

prescriptions, 2% of all prescriptions

152

prescriptions.

31

patients, 10% of all patients

13 47
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

154

prescriptions, 2% of all prescriptions

154

prescriptions.

33

patients, 11% of all patients

14 11
GABAPENTIN

Treats certain types of sei... +

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

126

prescriptions, 2% of all prescriptions

106

prescriptions.

24

patients, 8% of all patients

15 17
SIMVASTATIN

Treats high cholesterol and... +

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

114

prescriptions, 2% of all prescriptions

114

prescriptions.

17

patients, 6% of all patients

16 6
BISOPROLOL FUMARATE

Bisoprolol is used alone or... +

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

93

prescriptions, 1% of all prescriptions

82

prescriptions.

17

patients, 6% of all patients

17 66
CLONAZEPAM

Treats seizures, panic diso... +

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

89

prescriptions, 1% of all prescriptions

84

prescriptions.

13

patients, 4% of all patients

18 34
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

88

prescriptions, 1% of all prescriptions

83

prescriptions.

31

patients, 10% of all patients

19 23
VALSARTAN-HYDROCHLOROTHIAZIDE

Treats high blood pressure. +

Treats high blood pressure. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

86

prescriptions.

17

patients, 6% of all patients

20 84
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

69

prescriptions, 1% of all prescriptions

52

prescriptions.

13

patients, 4% of all patients

21 46
MELOXICAM

Treats symptoms of osteoart... +

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

68

prescriptions, 1% of all prescriptions

68

prescriptions.

14

patients, 5% of all patients

22 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

66

prescriptions, 1% of all prescriptions

66

prescriptions.

12

patients, 4% of all patients

23 24
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

65

prescriptions.

12

patients, 4% of all patients

24 40
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

53

prescriptions.

16

patients, 5% of all patients

24 109
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

64

prescriptions, 1% of all prescriptions

59

prescriptions.

12

patients, 4% of all patients

26 8
LISINOPRIL

Treats high blood pressure ... +

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

64

prescriptions, 1% of all prescriptions

64

prescriptions.

12

patients, 4% of all patients

26 2
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

62

prescriptions, 1% of all prescriptions

62

prescriptions.

11

patients, 4% of all patients

28 28
RALOXIFENE HCL

Raloxifene is used to preve... +

Raloxifene is used to prevent and treat osteoporosis (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). Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

62

prescriptions.

<11 28 151
FAMOTIDINE*

Treats ulcers, gastroesopha... +

Treats ulcers, gastroesophageal reflux disease (GERD), and conditions that cause the stomach to produce too much stomach acid. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

59

prescriptions.

12

patients, 4% of all patients

30 124
DILTIAZEM 24HR ER

Diltiazem is used to treat ... +

Diltiazem is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

57

prescriptions.

<11 31 83
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

51

prescriptions, 1% of all prescriptions

51

prescriptions.

<11 32 22
TRIAMTERENE-HYDROCHLOROTHIAZID

Used to treat high blood pr... +

Used to treat high blood pressure and edema (fluid retention; excess fluid held in body tissues) in patients who have lower amounts of potassium in their bodies or for whom low potassium levels in the body could be dangerous. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

50

prescriptions.

<11 33 52
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 May 12, 2009.
  • 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.