Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nurse Practitioner, Adult Health

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,321Medicare Part D Prescriptions Filled, Including Refills

Rank: 3 out of 29

$367K Total Retail Price of All Prescriptions

Rank: 11 out of 29

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

70% 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

11% of this provider’s 223 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 1%.

More resources »

Antibiotics

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

80 of this provider’s 244 patients filled at least one prescription for an antibiotic drug.

More resources »

Risky Drugs for Seniors

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

23 of this provider’s 223 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

39% of this provider’s 244 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

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

Prescription Price

$50 was the average price of a prescription from this provider, compared to $144 among peers.

Prescriptions per Patient

30 is the average number of prescriptions (including refills) per patient, compared to an average of 10.


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

$96.8K

2012

$101K

2013

$222K

2014

$367K

2015

Number of Claims

2,789

2012

3,256

2013

4,993

2014

7,321

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

316

prescriptions, 4% of all prescriptions

289

prescriptions.

42

patients, 17% of all patients

1 2
FUROSEMIDE

Treats fluid retention (ede... +

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

274

prescriptions, 4% of all prescriptions

274

prescriptions.

45

patients, 18% of all patients

2 7
TRAMADOL HCL

Tramadol is used to relieve... +

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

233

prescriptions, 3% of all prescriptions

228

prescriptions.

39

patients, 16% of all patients

O 3 16
TRAZODONE HCL

Trazodone is used to treat ... +

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

230

prescriptions, 3% of all prescriptions

201

prescriptions.

40

patients, 16% of all patients

4 32
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

229

prescriptions, 3% of all prescriptions

214

prescriptions.

36

patients, 15% of all patients

5 12
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

202

prescriptions, 3% of all prescriptions

202

prescriptions.

25

patients, 10% of all patients

6 28
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

193

prescriptions, 3% of all prescriptions

193

prescriptions.

21

patients, 9% of all patients

7 6
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

177

prescriptions, 2% of all prescriptions

165

prescriptions.

30

patients, 12% of all patients

8 1
LISINOPRIL

Treats high blood pressure ... +

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

165

prescriptions, 2% of all prescriptions

153

prescriptions.

29

patients, 12% of all patients

9 4
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

162

prescriptions, 2% of all prescriptions

162

prescriptions.

21

patients, 9% of all patients

10 17
LORAZEPAM

Treats anxiety, anxiety wit... +

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

140

prescriptions, 2% of all prescriptions

101

prescriptions.

28

patients, 11% of all patients

11 26
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

140

prescriptions, 2% of all prescriptions

140

prescriptions.

16

patients, 7% of all patients

11 10
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

135

prescriptions, 2% of all prescriptions

113

prescriptions.

37

patients, 15% of all patients

O 13 8
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

133

prescriptions, 2% of all prescriptions

115

prescriptions.

26

patients, 11% of all patients

14 45
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

132

prescriptions, 2% of all prescriptions

127

prescriptions.

18

patients, 7% of all patients

15 21
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

123

prescriptions, 2% of all prescriptions

123

prescriptions.

19

patients, 8% of all patients

16 35
GABAPENTIN

Treats certain types of sei... +

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

118

prescriptions, 2% of all prescriptions

92

prescriptions.

16

patients, 7% of all patients

17 5
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

96

prescriptions.

17

patients, 7% of all patients

18 3
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

112

prescriptions, 2% of all prescriptions

97

prescriptions.

12

patients, 5% of all patients

19 72
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

109

prescriptions, 1% of all prescriptions

109

prescriptions.

17

patients, 7% of all patients

20 9
CITALOPRAM HBR

Citalopram is used to treat... +

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

108

prescriptions, 1% of all prescriptions

87

prescriptions.

16

patients, 7% of all patients

21 25
ATENOLOL

Treats high blood pressure ... +

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

97

prescriptions, 1% of all prescriptions

97

prescriptions.

<11 22 33
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

90

prescriptions, 1% of all prescriptions

85

prescriptions.

15

patients, 6% of all patients

23 49
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

84

prescriptions, 1% of all prescriptions

84

prescriptions.

13

patients, 5% of all patients

24 13
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

81

prescriptions, 1% of all prescriptions

81

prescriptions.

12

patients, 5% of all patients

25 20
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

80

prescriptions, 1% of all prescriptions

56

prescriptions.

<11 26 56
NAMENDA XR

Used to treat the symptoms ... +

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

75

prescriptions, 1% of all prescriptions

75

prescriptions.

<11 27 39
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

74

prescriptions, 1% of all prescriptions

59

prescriptions.

11

patients, 5% of all patients

28 76
NOVOLOG

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

56

prescriptions.

<11 29 53
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

66

prescriptions, 1% of all prescriptions

66

prescriptions.

<11 30 15
MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

55

prescriptions.

<11 31 127
BUSPIRONE HCL

Buspirone is used to treat ... +

Buspirone is used to treat anxiety disorders or in the short-term treatment of symptoms of anxiety. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

47

prescriptions.

12

patients, 5% of all patients

32 131
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

57

prescriptions, 1% of all prescriptions

57

prescriptions.

14

patients, 6% of all patients

33 37
XARELTO

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung). Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

57

prescriptions.

<11 33 89
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

55

prescriptions, 1% of all prescriptions

42

prescriptions.

<11 O 35 22
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

54

prescriptions.

<11 36 36
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

52

prescriptions, 1% of all prescriptions

52

prescriptions.

<11 37 11
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 May 5, 2017.
  • 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.