Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Family Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

13,774Medicare Part D Prescriptions Filled, Including Refills

Rank: 26 out of 473

$933K Total Retail Price of All Prescriptions

Rank: 11 out of 473

1,024 Patients Receiving at Least One Drug in Part D
87% 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

This provider prescribed antipsychotics 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 »

Antibiotics

19% of this provider’s 1,024 patients filled at least one prescription for an antibiotic drug, compared to an average of 25%.

More resources »

Risky Drugs for Seniors

5% of this provider’s 891 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

20% of this provider’s 1,024 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 18%.

Prescription Price

$68 was the average price of a prescription from this provider, compared to $57 among peers.

Prescriptions per Patient

13 is the average number of prescriptions (including refills) per patient, compared to an average of 13.


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

$270K

2012

$562K

2013

$850K

2014

$933K

2015

Number of Claims

5,492

2012

9,305

2013

11,881

2014

13,774

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
LISINOPRIL

Treats high blood pressure ... +

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

565

prescriptions, 4% of all prescriptions

500

prescriptions.

189

patients, 18% of all patients

1 1
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

516

prescriptions, 4% of all prescriptions

475

prescriptions.

165

patients, 16% of all patients

2 2
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

511

prescriptions, 4% of all prescriptions

470

prescriptions.

171

patients, 17% of all patients

3 3
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

510

prescriptions, 4% of all prescriptions

438

prescriptions.

187

patients, 18% of all patients

4 4
SIMVASTATIN

Treats high cholesterol and... +

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

501

prescriptions, 4% of all prescriptions

444

prescriptions.

150

patients, 15% of all patients

5 5
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

460

prescriptions, 3% of all prescriptions

348

prescriptions.

118

patients, 12% of all patients

O 6 7
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

454

prescriptions, 3% of all prescriptions

393

prescriptions.

167

patients, 16% of all patients

7 8
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

447

prescriptions, 3% of all prescriptions

405

prescriptions.

158

patients, 15% of all patients

8 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

423

prescriptions, 3% of all prescriptions

347

prescriptions.

142

patients, 14% of all patients

9 6
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

297

prescriptions, 2% of all prescriptions

292

prescriptions.

103

patients, 10% of all patients

10 19
TEMAZEPAM

Treats insomnia (trouble sl... +

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

253

prescriptions, 2% of all prescriptions

226

prescriptions.

44

patients, 4% of all patients

11 38
ALPRAZOLAM

Treats anxiety, panic disor... +

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

215

prescriptions, 2% of all prescriptions

181

prescriptions.

56

patients, 5% of all patients

12 11
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

212

prescriptions, 2% of all prescriptions

192

prescriptions.

73

patients, 7% of all patients

13 13
GABAPENTIN

Treats certain types of sei... +

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

205

prescriptions, 1% of all prescriptions

173

prescriptions.

74

patients, 7% of all patients

14 10
FUROSEMIDE

Treats fluid retention (ede... +

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

188

prescriptions, 1% of all prescriptions

143

prescriptions.

67

patients, 7% of all patients

15 14
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

181

prescriptions, 1% of all prescriptions

154

prescriptions.

89

patients, 9% of all patients

16 22
LOVASTATIN

Lowers high cholesterol and... +

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

175

prescriptions, 1% of all prescriptions

170

prescriptions.

60

patients, 6% of all patients

17 17
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

173

prescriptions, 1% of all prescriptions

151

prescriptions.

63

patients, 6% of all patients

18 12
ATENOLOL

Treats high blood pressure ... +

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

165

prescriptions, 1% of all prescriptions

142

prescriptions.

50

patients, 5% of all patients

19 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

160

prescriptions, 1% of all prescriptions

138

prescriptions.

63

patients, 6% of all patients

20 47
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

146

prescriptions, 1% of all prescriptions

132

prescriptions.

49

patients, 5% of all patients

21 20
BACLOFEN

Treats muscle spasms caused... +

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

142

prescriptions, 1% of all prescriptions

115

prescriptions.

60

patients, 6% of all patients

22 62
CLOPIDOGREL

Helps prevent stroke, heart... +

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

134

prescriptions, 1% of all prescriptions

104

prescriptions.

38

patients, 4% of all patients

23 29
ALLOPURINOL

Treats gout and some kinds ... +

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

132

prescriptions, 1% of all prescriptions

127

prescriptions.

49

patients, 5% of all patients

24 27
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

131

prescriptions, 1% of all prescriptions

117

prescriptions.

42

patients, 4% of all patients

25 15
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

129

prescriptions, 1% of all prescriptions

110

prescriptions.

73

patients, 7% of all patients

26 30
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

125

prescriptions, 1% of all prescriptions

109

prescriptions.

44

patients, 4% of all patients

O 27 123
CARVEDILOL

Treats high blood pressure ... +

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

123

prescriptions, 1% of all prescriptions

96

prescriptions.

41

patients, 4% of all patients

28 23
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

118

prescriptions, 1% of all prescriptions

91

prescriptions.

45

patients, 4% of all patients

29 18
CLONAZEPAM

Treats seizures, panic diso... +

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

117

prescriptions, 1% of all prescriptions

75

prescriptions.

27

patients, 3% of all patients

30 53
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

115

prescriptions, 1% of all prescriptions

110

prescriptions.

38

patients, 4% of all patients

31 21
TRAMADOL HCL

Tramadol is used to relieve... +

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

114

prescriptions, 1% of all prescriptions

103

prescriptions.

45

patients, 4% of all patients

O 32 25
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

113

prescriptions, 1% of all prescriptions

108

prescriptions.

36

patients, 4% of all patients

33 35
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

110

prescriptions, 1% of all prescriptions

99

prescriptions.

40

patients, 4% of all patients

34 37
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

110

prescriptions, 1% of all prescriptions

105

prescriptions.

35

patients, 3% of all patients

34 26
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

103

prescriptions, 1% of all prescriptions

91

prescriptions.

28

patients, 3% of all patients

36 32
FENOFIBRATE*

Treats high cholesterol and... +

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

97

prescriptions, 1% of all prescriptions

81

prescriptions.

33

patients, 3% of all patients

37 69
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

95

prescriptions, 1% of all prescriptions

90

prescriptions.

32

patients, 3% of all patients

38 51
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

95

prescriptions, 1% of all prescriptions

90

prescriptions.

28

patients, 3% of all patients

38 50
SYMBICORT

This is a combination of bu... +

This is a combination of budesonide and formoterol used to help control the symptoms of asthma and improve lung function. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

74

prescriptions.

37

patients, 4% of all patients

40 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

84

prescriptions, 1% of all prescriptions

79

prescriptions.

65

patients, 6% of all patients

A 41 59
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

83

prescriptions, 1% of all prescriptions

78

prescriptions.

29

patients, 3% of all patients

42 56
MELOXICAM

Treats symptoms of osteoart... +

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

83

prescriptions, 1% of all prescriptions

78

prescriptions.

35

patients, 3% of all patients

42 41
TRAZODONE HCL

Trazodone is used to treat ... +

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

81

prescriptions, 1% of all prescriptions

67

prescriptions.

23

patients, 2% of all patients

44 24
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

68

prescriptions.

25

patients, 2% of all patients

45 45
PIOGLITAZONE HCL

Pioglitazone is used to tre... +

Pioglitazone is used 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

73

prescriptions, 1% of all prescriptions

68

prescriptions.

23

patients, 2% of all patients

45 71
LEVOFLOXACIN

Levofloxacin is used to tre... +

Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

65

prescriptions.

51

patients, 5% of all patients

A 47 86
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

64

prescriptions.

26

patients, 3% of all patients

48 91
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

69

prescriptions, 1% of all prescriptions

64

prescriptions.

21

patients, 2% of all patients

48 46
OMEGA-3 ACID ETHYL ESTERS

Omega-3 fatty acids are use... +

Omega-3 fatty acids are used together with lifestyle changes (diet, weight-loss, exercise) to reduce the amount of triglycerides (a fat-like substance) in the blood in people with very high triglycerides. Source: National Library of Medicine

68

prescriptions, 0% of all prescriptions

48

prescriptions.

22

patients, 2% of all patients

50 143
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

66

prescriptions, 0% of all prescriptions

54

prescriptions.

22

patients, 2% of all patients

51 28
PREDNISONE

Treats inflammation (swelli... +

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

65

prescriptions, 0% of all prescriptions

60

prescriptions.

43

patients, 4% of all patients

52 40
TRIAMCINOLONE ACETONIDE

Triamcinolone is used to tr... +

Triamcinolone is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions. Source: National Library of Medicine

64

prescriptions, 0% of all prescriptions

59

prescriptions.

41

patients, 4% of all patients

53 84
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

61

prescriptions, 0% of all prescriptions

50

prescriptions.

17

patients, 2% of all patients

54 44
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

41

prescriptions.

20

patients, 2% of all patients

55 80
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

58

prescriptions, 0% of all prescriptions

47

prescriptions.

19

patients, 2% of all patients

56 34
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

56

prescriptions, 0% of all prescriptions

51

prescriptions.

21

patients, 2% of all patients

57 90
CITALOPRAM HBR

Citalopram is used to treat... +

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

56

prescriptions, 0% of all prescriptions

51

prescriptions.

21

patients, 2% of all patients

57 31
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

56

prescriptions, 0% of all prescriptions

45

prescriptions.

27

patients, 3% of all patients

57 49
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

55

prescriptions, 0% of all prescriptions

33

prescriptions.

17

patients, 2% of all patients

60 77
OXYBUTYNIN CHLORIDE ER

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

54

prescriptions, 0% of all prescriptions

49

prescriptions.

17

patients, 2% of all patients

61 129
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

52

prescriptions, 0% of all prescriptions

40

prescriptions.

17

patients, 2% of all patients

62 60
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 checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org.

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. 11, 2015.
  • 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.