Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Pain Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

12,509Medicare Part D Prescriptions Filled, Including Refills

Rank: 4 out of 68

$897K Total Retail Price of All Prescriptions

Rank: 6 out of 68

1,603 Patients Receiving at Least One Drug in Part D
77% Patients 65 Years and Older

30% 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 Florida
lower than average

Antipsychotics

0% of this provider’s 1,235 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

1% of this provider’s 1,603 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

3% of this provider’s 1,235 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

60% of this provider’s 1,603 patients filled at least one prescription for an opioid, compared to an average of 82%.

More resources »

Brand Name Drugs

8% of this provider’s prescriptions were for brand-name drugs, compared to an average of 12%.

Prescription Price

$72 was the average price of a prescription from this provider, compared to $87 among peers.

Prescriptions per Patient

8 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

$618K

2012

$1M

2013

$1.2M

2014

$897K

2015

Number of Claims

9,127

2012

13,115

2013

13,545

2014

12,509

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

2,210

prescriptions, 18% of all prescriptions

1,740

prescriptions.

775

patients, 48% of all patients

1 3
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

2,207

prescriptions, 18% of all prescriptions

1,479

prescriptions.

362

patients, 23% of all patients

O 2 1
TRAMADOL HCL

Tramadol is used to relieve... +

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

1,556

prescriptions, 12% of all prescriptions

1,114

prescriptions.

423

patients, 26% of all patients

O 3 6
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

1,001

prescriptions, 8% of all prescriptions

732

prescriptions.

361

patients, 23% of all patients

4 18
TOPIRAMATE

Helps control and prevent c... +

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

877

prescriptions, 7% of all prescriptions

534

prescriptions.

287

patients, 18% of all patients

10 5 17
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

870

prescriptions, 7% of all prescriptions

591

prescriptions.

139

patients, 9% of all patients

O 6 2
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

488

prescriptions, 4% of all prescriptions

273

prescriptions.

71

patients, 4% of all patients

O 7 7
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

384

prescriptions, 3% of all prescriptions

182

prescriptions.

102

patients, 6% of all patients

8 8
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

356

prescriptions, 3% of all prescriptions

183

prescriptions.

57

patients, 4% of all patients

O 9 9
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

271

prescriptions, 2% of all prescriptions

142

prescriptions.

89

patients, 6% of all patients

10 13
BACLOFEN

Treats muscle spasms caused... +

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

270

prescriptions, 2% of all prescriptions

149

prescriptions.

101

patients, 6% of all patients

11 12
OXYCODONE HCL

Oxycodone is used to reliev... +

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

245

prescriptions, 2% of all prescriptions

184

prescriptions.

38

patients, 2% of all patients

O 12 5
MORPHINE SULFATE ER

Morphine (extended release)... +

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

161

prescriptions, 1% of all prescriptions

86

prescriptions.

22

patients, 1% of all patients

O 13 4
MELOXICAM

Treats symptoms of osteoart... +

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

128

prescriptions, 1% of all prescriptions

89

prescriptions.

44

patients, 3% of all patients

14 10
VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine

126

prescriptions, 1% of all prescriptions

78

prescriptions.

48

patients, 3% of all patients

15 35
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

108

prescriptions, 1% of all prescriptions

74

prescriptions.

50

patients, 3% of all patients

16 39
LIDOCAINE

Causes numbness or loss of ... +

Causes numbness or loss of feeling in an area of your body. Source: National Library of Medicine

101

prescriptions, 1% of all prescriptions

70

prescriptions.

51

patients, 3% of all patients

17 31
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

99

prescriptions, 1% of all prescriptions

29

prescriptions.

35

patients, 2% of all patients

R 18 15
BUTRANS 76

prescriptions, 1% of all prescriptions

37

prescriptions.

14

patients, 1% of all patients

O 19 37
CLONAZEPAM

Treats seizures, panic diso... +

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

65

prescriptions, 1% of all prescriptions

32

prescriptions.

<11 20 22
ALPRAZOLAM

Treats anxiety, panic disor... +

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

63

prescriptions, 1% of all prescriptions

48

prescriptions.

25

patients, 2% of all patients

21 19
OXYCONTIN

Oxycodone is used to reliev... +

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

59

prescriptions, 0% of all prescriptions

54

prescriptions.

<11 O 22 14
MORPHINE SULFATE

Morphine is used to relieve... +

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

58

prescriptions, 0% of all prescriptions

21

prescriptions.

<11 O 23 11
NUCYNTA ER 54

prescriptions, 0% of all prescriptions

22

prescriptions.

<11 O 24 41
NUCYNTA 51

prescriptions, 0% of all prescriptions

23

prescriptions.

<11 O 25 45
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 March 5, 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.