Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Anesthesiology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

15,613Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 26

$2.28M Total Retail Price of All Prescriptions

Rank: 1 out of 26

840 Patients Receiving at Least One Drug in Part D
20% Patients 65 Years and Older

85% 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 Missouri
lower than average

Antipsychotics

0% of this provider’s 170 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

This provider prescribed antibiotics to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.

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

98% of this provider’s 840 patients filled at least one prescription for an opioid, compared to an average of 81%.

More resources »

Brand Name Drugs

18% of this provider’s prescriptions were for brand-name drugs, compared to an average of 13%.

Prescription Price

$146 was the average price of a prescription from this provider, compared to $108 among peers.

Prescriptions per Patient

19 is the average number of prescriptions (including refills) per patient, compared to an average of 7.


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

$1.81M

2012

$2.09M

2013

$2.19M

2014

$2.28M

2015

Number of Claims

13,654

2012

14,046

2013

13,603

2014

15,613

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
MORPHINE SULFATE ER

Morphine (extended release)... +

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

2,727

prescriptions, 17% of all prescriptions

497

prescriptions.

223

patients, 27% of all patients

O 10 1 3
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

2,543

prescriptions, 16% of all prescriptions

603

prescriptions.

308

patients, 37% of all patients

O 2 1
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

1,774

prescriptions, 11% of all prescriptions

285

prescriptions.

249

patients, 30% of all patients

O 3 2
OXYCODONE HCL

Oxycodone is used to reliev... +

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

1,515

prescriptions, 10% of all prescriptions

160

prescriptions.

180

patients, 21% of all patients

O 4 4
METHADONE HCL

Methadone is used to reliev... +

Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. Source: National Library of Medicine

1,115

prescriptions, 7% of all prescriptions

210

prescriptions.

117

patients, 14% of all patients

O 5 7
OXYCONTIN

Oxycodone is used to reliev... +

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

1,025

prescriptions, 7% of all prescriptions

155

prescriptions.

95

patients, 11% of all patients

O 10 6 9
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

770

prescriptions, 5% of all prescriptions

54

prescriptions.

101

patients, 12% of all patients

7 8
MORPHINE SULFATE

Morphine is used to relieve... +

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

552

prescriptions, 4% of all prescriptions

102

prescriptions.

64

patients, 8% of all patients

O 8 11
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

527

prescriptions, 3% of all prescriptions

100

prescriptions.

71

patients, 8% of all patients

O 9 6
GABAPENTIN

Treats certain types of sei... +

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

454

prescriptions, 3% of all prescriptions

89

prescriptions.

61

patients, 7% of all patients

10 5
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

400

prescriptions, 3% of all prescriptions

22

prescriptions.

58

patients, 7% of all patients

R 11 13
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

267

prescriptions, 2% of all prescriptions

26

prescriptions.

30

patients, 4% of all patients

O 12 10
ENDOCET

Treats moderate to moderate... +

Treats moderate to moderately severe pain. Source: National Library of Medicine

196

prescriptions, 1% of all prescriptions

15

prescriptions.

53

patients, 6% of all patients

O 13 22
OPANA ER

Used to relieve moderate to... +

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

189

prescriptions, 1% of all prescriptions

12

prescriptions.

31

patients, 4% of all patients

O 14 19
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

150

prescriptions, 1% of all prescriptions

23

prescriptions.

29

patients, 3% of all patients

15 26
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

145

prescriptions, 1% of all prescriptions

5

prescriptions.

18

patients, 2% of all patients

16 16
BACLOFEN

Treats muscle spasms caused... +

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

110

prescriptions, 1% of all prescriptions

0

prescriptions.

16

patients, 2% of all patients

17 12
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

14

prescriptions.

17

patients, 2% of all patients

18 30
KADIAN 83

prescriptions, 1% of all prescriptions

11

prescriptions.

13

patients, 2% of all patients

O 10 19 32
HYDROMORPHONE ER 81

prescriptions, 1% of all prescriptions

5

prescriptions.

12

patients, 1% of all patients

O 20 33
EXALGO 70

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 O 10 21 36
METHOCARBAMOL

Treats muscle pain and spas... +

Treats muscle pain and spasms. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

0

prescriptions.

12

patients, 1% of all patients

R 22 37
LIDOCAINE-PRILOCAINE

This is used on the skin or... +

This is used on the skin or in the genital area to cause numbness or loss of feeling before certain medical procedures. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

16

prescriptions.

27

patients, 3% of all patients

23 29
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

53

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 24 21
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 June 15, 2011.
  • 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.