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 »

11,937Medicare Part D Prescriptions Filled, Including Refills

Rank: 50 out of 410

$900K Total Retail Price of All Prescriptions

Rank: 22 out of 410

542 Patients Receiving at Least One Drug in Part D
85% Patients 65 Years and Older

32% 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

3% of this provider’s 463 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.

More resources »

Antibiotics

25% of this provider’s 542 patients filled at least one prescription for an antibiotic drug, compared to an average of 26%.

More resources »

Risky Drugs for Seniors

9% of this provider’s 463 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

36% of this provider’s 542 patients filled at least one prescription for an opioid, compared to an average of 20%.

More resources »

Brand Name Drugs

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$75 was the average price of a prescription from this provider, compared to $74 among peers.

Prescriptions per Patient

22 is the average number of prescriptions (including refills) per patient, compared to an average of 14.


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

$88.8K

2012

$471K

2013

$735K

2014

$900K

2015

Number of Claims

1,833

2012

8,111

2013

10,745

2014

11,937

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

441

prescriptions, 4% of all prescriptions

383

prescriptions.

120

patients, 22% of all patients

1 1
LISINOPRIL

Treats high blood pressure ... +

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

420

prescriptions, 4% of all prescriptions

393

prescriptions.

127

patients, 23% of all patients

2 2
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

376

prescriptions, 3% of all prescriptions

272

prescriptions.

86

patients, 16% of all patients

O 3 8
GABAPENTIN

Treats certain types of sei... +

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

369

prescriptions, 3% of all prescriptions

280

prescriptions.

108

patients, 20% of all patients

4 10
ALPRAZOLAM

Treats anxiety, panic disor... +

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

338

prescriptions, 3% of all prescriptions

204

prescriptions.

69

patients, 13% of all patients

5 13
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

296

prescriptions, 2% of all prescriptions

260

prescriptions.

76

patients, 14% of all patients

6 9
SIMVASTATIN

Treats high cholesterol and... +

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

279

prescriptions, 2% of all prescriptions

274

prescriptions.

80

patients, 15% of all patients

7 5
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

276

prescriptions, 2% of all prescriptions

227

prescriptions.

91

patients, 17% of all patients

8 6
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

273

prescriptions, 2% of all prescriptions

253

prescriptions.

93

patients, 17% of all patients

9 4
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

237

prescriptions, 2% of all prescriptions

199

prescriptions.

63

patients, 12% of all patients

10 7
FUROSEMIDE

Treats fluid retention (ede... +

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

236

prescriptions, 2% of all prescriptions

206

prescriptions.

80

patients, 15% of all patients

11 12
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

225

prescriptions, 2% of all prescriptions

147

prescriptions.

42

patients, 8% of all patients

O 12 36
LOVASTATIN

Lowers high cholesterol and... +

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

203

prescriptions, 2% of all prescriptions

182

prescriptions.

59

patients, 11% of all patients

13 21
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

187

prescriptions, 2% of all prescriptions

166

prescriptions.

53

patients, 10% of all patients

14 11
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

167

prescriptions, 1% of all prescriptions

132

prescriptions.

54

patients, 10% of all patients

15 14
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

155

prescriptions, 1% of all prescriptions

150

prescriptions.

51

patients, 9% of all patients

16 3
OXYCODONE HCL

Oxycodone is used to reliev... +

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

148

prescriptions, 1% of all prescriptions

71

prescriptions.

22

patients, 4% of all patients

O 17 48
TRAMADOL HCL

Tramadol is used to relieve... +

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

145

prescriptions, 1% of all prescriptions

116

prescriptions.

61

patients, 11% of all patients

O 18 28
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

135

prescriptions, 1% of all prescriptions

106

prescriptions.

44

patients, 8% of all patients

19 18
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

132

prescriptions, 1% of all prescriptions

127

prescriptions.

35

patients, 6% of all patients

20 19
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

110

prescriptions.

35

patients, 6% of all patients

21 15
TEMAZEPAM

Treats insomnia (trouble sl... +

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

128

prescriptions, 1% of all prescriptions

97

prescriptions.

33

patients, 6% of all patients

22 37
CARVEDILOL

Treats high blood pressure ... +

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

127

prescriptions, 1% of all prescriptions

113

prescriptions.

29

patients, 5% of all patients

23 20
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

115

prescriptions, 1% of all prescriptions

67

prescriptions.

22

patients, 4% of all patients

24 59
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

111

prescriptions, 1% of all prescriptions

106

prescriptions.

30

patients, 6% of all patients

25 33
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

104

prescriptions, 1% of all prescriptions

89

prescriptions.

35

patients, 6% of all patients

26 25
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

102

prescriptions, 1% of all prescriptions

82

prescriptions.

29

patients, 5% of all patients

27 22
BACLOFEN

Treats muscle spasms caused... +

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

99

prescriptions, 1% of all prescriptions

64

prescriptions.

36

patients, 7% of all patients

28 75
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). Source: National Library of Medicine

98

prescriptions, 1% of all prescriptions

77

prescriptions.

23

patients, 4% of all patients

29 62
LORAZEPAM

Treats anxiety, anxiety wit... +

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

97

prescriptions, 1% of all prescriptions

66

prescriptions.

25

patients, 5% of all patients

30 45
ALLOPURINOL

Treats gout and some kinds ... +

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

97

prescriptions, 1% of all prescriptions

92

prescriptions.

27

patients, 5% of all patients

30 27
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

95

prescriptions, 1% of all prescriptions

95

prescriptions.

18

patients, 3% of all patients

32 26
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

95

prescriptions, 1% of all prescriptions

76

prescriptions.

31

patients, 6% of all patients

32 29
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

94

prescriptions, 1% of all prescriptions

89

prescriptions.

28

patients, 5% of all patients

34 51
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

91

prescriptions, 1% of all prescriptions

86

prescriptions.

32

patients, 6% of all patients

35 17
PREDNISONE

Treats inflammation (swelli... +

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

90

prescriptions, 1% of all prescriptions

59

prescriptions.

34

patients, 6% of all patients

36 54
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

69

prescriptions.

27

patients, 5% of all patients

37 63
CITALOPRAM HBR

Citalopram is used to treat... +

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

87

prescriptions, 1% of all prescriptions

75

prescriptions.

25

patients, 5% of all patients

37 32
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

87

prescriptions, 1% of all prescriptions

65

prescriptions.

38

patients, 7% of all patients

37 35
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

85

prescriptions, 1% of all prescriptions

67

prescriptions.

34

patients, 6% of all patients

40 24
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

84

prescriptions, 1% of all prescriptions

79

prescriptions.

28

patients, 5% of all patients

41 34
CLOPIDOGREL

Helps prevent stroke, heart... +

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

73

prescriptions, 1% of all prescriptions

68

prescriptions.

22

patients, 4% of all patients

42 23
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

73

prescriptions, 1% of all prescriptions

68

prescriptions.

21

patients, 4% of all patients

42 84
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 O 44 82
TRAZODONE HCL

Trazodone is used to treat ... +

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

70

prescriptions, 1% of all prescriptions

35

prescriptions.

20

patients, 4% of all patients

45 31
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

64

prescriptions.

16

patients, 3% of all patients

46 99
PAROXETINE HCL

Paroxetine tablets, suspens... +

Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), 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

69

prescriptions, 1% of all prescriptions

64

prescriptions.

12

patients, 2% of all patients

46 73
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

62

prescriptions.

40

patients, 7% of all patients

A 48 58
AZITHROMYCIN

Treats infections caused by... +

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

67

prescriptions, 1% of all prescriptions

55

prescriptions.

53

patients, 10% of all patients

A 48 43
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

66

prescriptions, 1% of all prescriptions

35

prescriptions.

15

patients, 3% of all patients

50 66
ATENOLOL

Treats high blood pressure ... +

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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

19

patients, 4% of all patients

51 16
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

59

prescriptions, 0% of all prescriptions

42

prescriptions.

17

patients, 3% of all patients

52 42
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

59

prescriptions, 0% of all prescriptions

41

prescriptions.

16

patients, 3% of all patients

52 50
TERAZOSIN HCL

Terazosin is used in men to... +

Terazosin 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

57

prescriptions, 0% of all prescriptions

52

prescriptions.

20

patients, 4% of all patients

54 72
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

55

prescriptions, 0% of all prescriptions

50

prescriptions.

15

patients, 3% of all patients

P 55 77
PROPRANOLOL HCL

Propranolol is used to trea... +

Propranolol is used to treat high blood pressure, abnormal heart rhythms, heart disease, pheochromocytoma (tumor on a small gland near the kidneys), and certain types of tremor. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

39

prescriptions.

<11 55 216
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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

18

patients, 3% of all patients

57 52
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

52

prescriptions, 0% of all prescriptions

32

prescriptions.

<11 O 58 163
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

34

prescriptions.

14

patients, 3% of all patients

59 74
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

15

patients, 3% of all patients

O 59 104
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

50

prescriptions, 0% of all prescriptions

30

prescriptions.

18

patients, 3% of all patients

59 41
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 Feb. 19, 2014.
  • 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.