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 »

8,134Medicare Part D Prescriptions Filled, Including Refills

Rank: 79 out of 196

$268K Total Retail Price of All Prescriptions

Rank: 117 out of 196

316 Patients Receiving at Least One Drug in Part D
91% Patients 65 Years and Older

22% 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 Nebraska
lower than average

Antipsychotics

0% of this provider’s 287 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.

More resources »

Antibiotics

36% of this provider’s 316 patients filled at least one prescription for an antibiotic drug, compared to an average of 27%.

More resources »

Risky Drugs for Seniors

8% of this provider’s 287 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

12% of this provider’s 316 patients filled at least one prescription for an opioid, compared to an average of 17%.

More resources »

Brand Name Drugs

14% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$33 was the average price of a prescription from this provider, compared to $65 among peers.

Prescriptions per Patient

26 is the average number of prescriptions (including refills) per patient, compared to an average of 19.


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

$242K

2012

$277K

2013

$292K

2014

$268K

2015

Number of Claims

6,989

2012

7,759

2013

8,223

2014

8,134

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
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

635

prescriptions, 8% of all prescriptions

630

prescriptions.

88

patients, 28% of all patients

1 2
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

381

prescriptions, 5% of all prescriptions

365

prescriptions.

54

patients, 17% of all patients

2 18
FUROSEMIDE

Treats fluid retention (ede... +

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

354

prescriptions, 4% of all prescriptions

349

prescriptions.

51

patients, 16% of all patients

3 6
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

327

prescriptions, 4% of all prescriptions

264

prescriptions.

48

patients, 15% of all patients

4 14
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

315

prescriptions, 4% of all prescriptions

303

prescriptions.

37

patients, 12% of all patients

5 13
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

301

prescriptions, 4% of all prescriptions

268

prescriptions.

41

patients, 13% of all patients

6 10
SIMVASTATIN

Treats high cholesterol and... +

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

292

prescriptions, 4% of all prescriptions

278

prescriptions.

51

patients, 16% of all patients

7 5
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

282

prescriptions, 3% of all prescriptions

282

prescriptions.

39

patients, 12% of all patients

8 9
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

281

prescriptions, 3% of all prescriptions

281

prescriptions.

42

patients, 13% of all patients

9 1
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

249

prescriptions, 3% of all prescriptions

225

prescriptions.

42

patients, 13% of all patients

10 8
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

205

prescriptions, 3% of all prescriptions

151

prescriptions.

32

patients, 10% of all patients

11 3
RAMIPRIL

Treats high blood pressure ... +

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

186

prescriptions, 2% of all prescriptions

186

prescriptions.

24

patients, 8% of all patients

12 93
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

186

prescriptions, 2% of all prescriptions

150

prescriptions.

24

patients, 8% of all patients

12 23
LISINOPRIL

Treats high blood pressure ... +

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

168

prescriptions, 2% of all prescriptions

150

prescriptions.

26

patients, 8% of all patients

14 7
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

144

prescriptions, 2% of all prescriptions

144

prescriptions.

18

patients, 6% of all patients

15 67
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

136

prescriptions, 2% of all prescriptions

89

prescriptions.

16

patients, 5% of all patients

16 55
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

134

prescriptions, 2% of all prescriptions

129

prescriptions.

18

patients, 6% of all patients

17 12
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

129

prescriptions, 2% of all prescriptions

124

prescriptions.

23

patients, 7% of all patients

18 71
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

126

prescriptions, 2% of all prescriptions

121

prescriptions.

20

patients, 6% of all patients

19 4
GABAPENTIN

Treats certain types of sei... +

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

114

prescriptions, 1% of all prescriptions

109

prescriptions.

23

patients, 7% of all patients

20 11
GLIPIZIDE ER

Glipizide is used along wit... +

Glipizide is used along with diet and exercise, and sometimes with other medications, 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

108

prescriptions, 1% of all prescriptions

108

prescriptions.

12

patients, 4% of all patients

21 103
ALLOPURINOL

Treats gout and some kinds ... +

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

99

prescriptions, 1% of all prescriptions

94

prescriptions.

15

patients, 5% of all patients

22 25
CRESTOR

Lowers high levels of chole... +

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

82

prescriptions, 1% of all prescriptions

82

prescriptions.

13

patients, 4% of all patients

23 32
ATENOLOL

Treats high blood pressure ... +

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

79

prescriptions, 1% of all prescriptions

79

prescriptions.

12

patients, 4% of all patients

24 21
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

77

prescriptions, 1% of all prescriptions

77

prescriptions.

<11 25 53
CLOPIDOGREL

Helps prevent stroke, heart... +

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

64

prescriptions, 1% of all prescriptions

59

prescriptions.

<11 26 29
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

64

prescriptions, 1% of all prescriptions

64

prescriptions.

<11 26 100
TRAMADOL HCL

Tramadol is used to relieve... +

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

62

prescriptions, 1% of all prescriptions

57

prescriptions.

31

patients, 10% of all patients

O 28 16
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

61

prescriptions.

<11 29 70
AMOXICILLIN

Treats infections. Also use... +

Treats infections. Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

50

prescriptions.

46

patients, 15% of all patients

A 29 129
CARVEDILOL

Treats high blood pressure ... +

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

59

prescriptions, 1% of all prescriptions

59

prescriptions.

<11 31 20
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 32 19
ONGLYZA

Used along with diet and ex... +

Used along with diet and exercise to lower blood sugar levels in patients with type 2 diabetes (condition in which blood sugar is too high because the body does not produce or use insulin normally). Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

52

prescriptions.

<11 33 230
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

51

prescriptions, 1% of all prescriptions

51

prescriptions.

<11 34 35
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

51

prescriptions, 1% of all prescriptions

51

prescriptions.

<11 34 51
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 Dec. 7, 2007.
  • 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.