Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nurse Practitioner

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

4,215Medicare Part D Prescriptions Filled, Including Refills

Rank: 20 out of 302

$2.34M Total Retail Price of All Prescriptions

Rank: 2 out of 302

426 Patients Receiving at Least One Drug in Part D
58% Patients 65 Years and Older

56% 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 Minnesota
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

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

9% of this provider’s 246 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 7%.

More resources »

Opioids

6% of this provider’s 426 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

31% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$555 was the average price of a prescription from this provider, compared to $107 among peers.

Prescriptions per Patient

10 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$1.61M

2012

$1.78M

2013

$1.99M

2014

$2.34M

2015

Number of Claims

3,836

2012

3,949

2013

4,299

2014

4,215

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
GABAPENTIN

Treats certain types of sei... +

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

316

prescriptions, 7% of all prescriptions

172

prescriptions.

86

patients, 20% of all patients

1 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

219

prescriptions, 5% of all prescriptions

72

prescriptions.

39

patients, 9% of all patients

2 34
COPAXONE

This is used to reduce the ... +

This is used to reduce the frequency of relapses (flare-ups) in patients with relapsing-remitting multiple sclerosis (RMMS). Source: National Library of Medicine

164

prescriptions, 4% of all prescriptions

119

prescriptions.

17

patients, 4% of all patients

3 123
CARBIDOPA-LEVODOPA

The combination of levodopa... +

The combination of levodopa and carbidopa is used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

155

prescriptions, 4% of all prescriptions

150

prescriptions.

32

patients, 8% of all patients

4 95
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, 3% of all prescriptions

32

prescriptions.

29

patients, 7% of all patients

5 67
ROPINIROLE HCL

Ropinirole is used alone or... +

Ropinirole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

140

prescriptions, 3% of all prescriptions

74

prescriptions.

34

patients, 8% of all patients

6 96
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

133

prescriptions, 3% of all prescriptions

43

prescriptions.

22

patients, 5% of all patients

7 54
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

131

prescriptions, 3% of all prescriptions

126

prescriptions.

34

patients, 8% of all patients

8 43
TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Source: National Library of Medicine

119

prescriptions, 3% of all prescriptions

23

prescriptions.

29

patients, 7% of all patients

9 74
LAMOTRIGINE

Treats certain types of sei... +

Treats certain types of seizures and mood disorders. Source: National Library of Medicine

107

prescriptions, 3% of all prescriptions

31

prescriptions.

14

patients, 3% of all patients

10 56
PHENYTOIN SODIUM EXTENDED

Phenytoin is used to contro... +

Phenytoin is used to control certain type of seizures, and to treat and prevent seizures that may begin during or after surgery to the brain or nervous system. Source: National Library of Medicine

104

prescriptions, 2% of all prescriptions

33

prescriptions.

16

patients, 4% of all patients

11 152
NUVIGIL 96

prescriptions, 2% of all prescriptions

45

prescriptions.

13

patients, 3% of all patients

12 159
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

89

prescriptions, 2% of all prescriptions

19

prescriptions.

16

patients, 4% of all patients

13 63
VIMPAT

Used to control partial sei... +

Used to control partial seizures (convulsions) in the treatment of epilepsy. Source: National Library of Medicine

88

prescriptions, 2% of all prescriptions

14

prescriptions.

11

patients, 3% of all patients

14 165
CARBIDOPA-LEVODOPA ER

Used to treat the symptoms ... +

Used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

82

prescriptions, 2% of all prescriptions

82

prescriptions.

16

patients, 4% of all patients

15 168
KEPPRA 82

prescriptions, 2% of all prescriptions

20

prescriptions.

11

patients, 3% of all patients

15 168
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

73

prescriptions, 2% of all prescriptions

5

prescriptions.

<11 17 71
NAMENDA XR

Used to treat the symptoms ... +

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

71

prescriptions, 2% of all prescriptions

66

prescriptions.

17

patients, 4% of all patients

18 122
PROPRANOLOL HCL ER

Propranolol is used to trea... +

Propranolol is used to treat high blood pressure, irregular heart rhythms, pheochromocytoma (tumor on a small gland near the kidneys), certain types of tremor, and hypertrophic subaortic stenosis (a heart muscle disease). Source: National Library of Medicine

69

prescriptions, 2% of all prescriptions

33

prescriptions.

15

patients, 4% of all patients

19 181
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

65

prescriptions, 2% of all prescriptions

31

prescriptions.

15

patients, 4% of all patients

20 47
CARBAMAZEPINE ER

Treats certain types of se... +

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

59

prescriptions, 1% of all prescriptions

14

prescriptions.

11

patients, 3% of all patients

21 119
ZOLPIDEM TARTRATE

Zolpidem is used to treat i... +

Zolpidem is used to treat insomnia (difficulty falling asleep or staying asleep). Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

23

prescriptions.

17

patients, 4% of all patients

R 22 62
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

56

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 23 219
LAMICTAL 56

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 23 219
AMPYRA 54

prescriptions, 1% of all prescriptions

17

prescriptions.

<11 25 224
CLONAZEPAM

Treats seizures, panic diso... +

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

53

prescriptions, 1% of all prescriptions

26

prescriptions.

16

patients, 4% of all patients

26 33
DILANTIN*

Treats seizures. This medic... +

Treats seizures. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 27 226
SUMATRIPTAN SUCCINATE

Sumatriptan is used to trea... +

Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light). Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

31

prescriptions.

16

patients, 4% of all patients

28 121
PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

29

prescriptions.

18

patients, 4% of all patients

28 80
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 Sept. 22, 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.