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 »

5,790Medicare Part D Prescriptions Filled, Including Refills

Rank: 19 out of 300

$1.92M Total Retail Price of All Prescriptions

Rank: 2 out of 300

226 Patients Receiving at Least One Drug in Part D
39% Patients 65 Years and Older

81% 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

Comparisons are not shown because this provider has fewer than 100 patients who are 65 and older.

0 of this provider’s 88 patients who are 65 and older filled at least one prescription for an antipsychotic drug.

More resources »

Antibiotics

13% of this provider’s 226 patients filled at least one prescription for an antibiotic drug, compared to an average of 31%.

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

24% of this provider’s 226 patients filled at least one prescription for an opioid, compared to an average of 18%.

More resources »

Brand Name Drugs

36% of this provider’s prescriptions were for brand-name drugs, compared to an average of 17%. This is far more than peers.

Prescription Price

$332 was the average price of a prescription from this provider, compared to $87 among peers.

Prescriptions per Patient

26 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

$1.29M

2012

$1.46M

2013

$1.74M

2014

$1.92M

2015

Number of Claims

5,284

2012

5,637

2013

5,930

2014

5,790

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

257

prescriptions, 4% of all prescriptions

145

prescriptions.

38

patients, 17% of all patients

1 6
TRUVADA

Treats HIV infection. Also ... +

Treats HIV infection. Source: National Library of Medicine

248

prescriptions, 4% of all prescriptions

5

prescriptions.

27

patients, 12% of all patients

2 115
NORVIR

Treats human immunodeficien... +

Treats human immunodeficiency virus (HIV) infection. Source: National Library of Medicine

229

prescriptions, 4% of all prescriptions

29

prescriptions.

25

patients, 11% of all patients

3 121
LISINOPRIL

Treats high blood pressure ... +

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

199

prescriptions, 3% of all prescriptions

86

prescriptions.

29

patients, 13% of all patients

4 3
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

190

prescriptions, 3% of all prescriptions

73

prescriptions.

24

patients, 11% of all patients

5 5
ISENTRESS

Treats human immunodeficien... +

Treats human immunodeficiency virus (HIV) infection. Source: National Library of Medicine

178

prescriptions, 3% of all prescriptions

58

prescriptions.

20

patients, 9% of all patients

6 138
ATRIPLA

Treats human immunodeficien... +

Treats human immunodeficiency virus (HIV) infection. Source: National Library of Medicine

157

prescriptions, 3% of all prescriptions

75

prescriptions.

17

patients, 8% of all patients

7 149
PREZISTA

Treats human immunodeficien... +

Treats human immunodeficiency virus (HIV) infection. Source: National Library of Medicine

144

prescriptions, 2% of all prescriptions

17

prescriptions.

17

patients, 8% of all patients

8 156
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

116

prescriptions, 2% of all prescriptions

51

prescriptions.

19

patients, 8% of all patients

9 10
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

116

prescriptions, 2% of all prescriptions

63

prescriptions.

23

patients, 10% of all patients

9 33
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

115

prescriptions, 2% of all prescriptions

67

prescriptions.

25

patients, 11% of all patients

O 11 7
TRAMADOL HCL

Tramadol is used to relieve... +

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

106

prescriptions, 2% of all prescriptions

5

prescriptions.

22

patients, 10% of all patients

O 12 13
GABAPENTIN

Treats certain types of sei... +

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

101

prescriptions, 2% of all prescriptions

21

prescriptions.

16

patients, 7% of all patients

13 15
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

98

prescriptions, 2% of all prescriptions

82

prescriptions.

13

patients, 6% of all patients

14 1
SIMVASTATIN

Treats high cholesterol and... +

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

94

prescriptions, 2% of all prescriptions

73

prescriptions.

18

patients, 8% of all patients

15 4
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

89

prescriptions, 2% of all prescriptions

36

prescriptions.

15

patients, 7% of all patients

16 34
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

86

prescriptions, 1% of all prescriptions

57

prescriptions.

19

patients, 8% of all patients

17 9
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

80

prescriptions, 1% of all prescriptions

31

prescriptions.

16

patients, 7% of all patients

18 2
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

75

prescriptions, 1% of all prescriptions

54

prescriptions.

<11 19 195
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

43

prescriptions.

<11 20 40
REYATAZ 69

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 21 201
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

62

prescriptions, 1% of all prescriptions

13

prescriptions.

<11 22 11
TRAZODONE HCL

Trazodone is used to treat ... +

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

57

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 23 20
LAMIVUDINE-ZIDOVUDINE 56

prescriptions, 1% of all prescriptions

23

prescriptions.

<11 24 220
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

22

prescriptions.

<11 24 35
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

55

prescriptions, 1% of all prescriptions

19

prescriptions.

<11 26 14
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

52

prescriptions, 1% of all prescriptions

30

prescriptions.

<11 27 16
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 July 26, 2016.
  • 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.