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Prescriber Checkup

At A Glance: This Prescriber in 2011

Geriatric Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

18,715Medicare Part D Prescriptions Filled, Including Refills

Rank: 15 out of 83

$357K Total Retail Price of All Prescriptions

Rank: 38 out of 83

369 Patients Receiving at Least One Drug in Part D
93%Patients 65 Years and Older
36% 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
Average for
this specialty
in Ohio

Narcotics

30% of this provider’s 369 patients filled at least one prescription for a narcotic painkiller, compared to an average of 29%.

Antipsychotics to Seniors

15% of this provider’s 344 patients 65 and older filled at least one prescription for an antipsychotic, compared to an average of 10%.

Risky Drugs to Seniors

0% of this provider’s 17,684 prescriptions for patients 65 and older were for "potentially dangerous" drugs, compared to an average of 1%.

Brand Name Drugs

18% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$19 was the average price of a prescription from this provider, compared to $56 among peers.

Prescriptions per Patient

51 is the average number of prescriptions (including refills) per patient, compared to an average of 32.


Another View

This chart shows a different comparison of all providers in this specialty based on their mix of drugs and volume. Providers are grouped by similarity; those least like their peers are farthest to the right. Hover over the bars to see names of other prescribers.

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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.

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A

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.

N

A narcotic drug. More » Misuse and abuse of narcotics led to some 16,000 overdose deaths in 2010.

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
Including Refills
Prescriptions
to 65+
Category For this Prescriber For All Prescribers in
This Specialty in Ohio
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Lowers risk of heart attack, stroke, and certain blood vessel problems in people with certain risk factors. This medicine is an HMG-CoA reductase inhibitor, also called a statin. More info »

759 698 1 2
ASPIRIN EC

Prescription aspirin is use... +

Prescription aspirin is used to relieve the symptoms of rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), osteoarthritis (arthritis caused by breakdown of the lining of the joints), systemic lupus erythematosus (condition in which the immune system attacks the joints and organs and causes pain and swelling) and certain other rheumatologic conditions (conditions in which the immune system attacks parts of the body). Nonprescription aspirin is used to reduce fever and to relieve mild to moderate pain from headaches, menstrual periods, arthritis, colds, toothaches, and muscle aches. Nonprescription aspirin is also used to prevent heart attacks in people who have had a heart attack in the past or who have angina (chest pain that occurs when the heart does not get enough oxygen). Nonprescription aspirin is also used to reduce the risk of death in people who are experiencing or who have recently experienced a heart attack. Nonprescription aspirin is also used to prevent ischemic strokes (strokes that occur when a blood clot blocks the flow of blood to the brain) or mini-strokes (strokes that occur when the flow of blood to the brain is blocked for a short time) in people who have had this type of stroke or mini-stroke in the past. Aspirin will not prevent hemorrhagic strokes (strokes caused by bleeding in the brain). Aspirin is in a group of medications called salicylates. It works by stopping the production of certain natural substances that cause fever, pain, swelling, and blood clots. More info »

643 594 2 54
RAMIPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure after a heart attack. Reduces risk of heart attack, stroke, and death in people 55 years and older who have heart disease. This medicine is an ACE (angiotensin-converting enzyme) inhibitor. More info »

639 617 3 101
METOPROLOL SUCCINATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. It also is used to prevent angina (chest pain) and to improve survival after a heart attack. Extended-release (long-acting) metoprolol also is used in combination with other medications to treat heart failure. Metoprolol is in a class of medications called beta blockers. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure More info »

623 581 4 22
VITAMIN D2

Maintains calcium and phosp... +

Maintains calcium and phosphorus in your body and makes your bones strong. More info »

579 529 5 91
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). Amlodipine is in a class of medications called calcium channel blockers. It lowers blood pressure by relaxing the blood vessels so the heart does not have to pump as hard. It controls chest pain by increasing the supply of blood to the heart. If taken regularly, amlodipine controls chest pain, but it does not stop chest pain once it starts. Your doctor may prescribe a different medication to take when you have chest pain. More info »

546 530 6 6
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. More info »

480 467 7 12
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). More info »

375 357 8 1
MAPAP 366 340 9 134
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. Also helps heal a damaged esophagus, and helps prevent stomach bleeding in patients who have a serious illness. This medicine may be used in combination with antibiotics to treat ulcers. This medicine is a proton pump inhibitor (PPI). More info »

350 326 10 4
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). Donepezil is in a class of medications called cholinesterase inhibitors. It improves mental function (such as memory, attention, social interaction, reasoning and language abilities, and ability to perform activities of daily living) by increasing the amount of a certain naturally occurring substance in the brain. Donepezil may improve the ability to think and remember or slow the loss of these abilities in people who have AD. However, donepezil will not cure AD or prevent the loss of mental abilities at some time in the future. More info »

344 341 11 8
MIRTAZAPINE

Treats depression. +

Treats depression. More info »

319 288 12 14
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. Without this hormone, the body cannot function properly, resulting in: poor growth; slow speech; lack of energy; weight gain; hair loss; dry, thick skin; and increased sensitivity to cold. When taken correctly, levothyroxine reverses these symptoms. Levothyroxine is also used to treat congenital hypothyroidism (cretinism) and goiter (enlarged thyroid gland). More info »

305 302 13 5
POTASSIUM CHLORIDE

Potassium is needed to main... +

Potassium is needed to maintain good health. More info »

295 295 14 19
CITALOPRAM HBR

Citalopram is used to treat... +

Citalopram is used to treat depression. Citalopram is in a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs). It is thought to work by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. More info »

284 272 15 11
HYDROCHLOROTHIAZIDE

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). This medicine is a diuretic (water pill). More info »

283 260 16 18
METOPROLOL TARTRATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. It also is used to prevent angina (chest pain) and to improve survival after a heart attack. Extended-release (long-acting) metoprolol also is used in combination with other medications to treat heart failure. Metoprolol is in a class of medications called beta blockers. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure More info »

278 275 17 7
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. Alendronate is also used to treat osteoporosis in men and women who are taking corticosteroids (a type of medication that may cause osteoporosis in some patients). Alendronate is also used to treat Paget's disease of bone (a condition in which the bones are soft and weak and may be deformed, painful, or easily broken). Alendronate is in a class of medications called bisphosphonates. It works by preventing bone breakdown and increasing bone density (thickness). More info »

258 258 18 32
GABAPENTIN

Treats certain types of sei... +

Treats certain types of seizures. Also treats Restless Legs Syndrome (RLS) and pain caused by shingles (postherpetic neuralgia). More info »

257 249 19 13
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. It is prescribed for people with certain types of irregular heartbeat, people with prosthetic (replacement or mechanical) heart valves, and people who have suffered a heart attack. Warfarin is also used to treat or prevent venous thrombosis (swelling and blood clot in a vein) and pulmonary embolism (a blood clot in the lung). Warfarin is in a class of medications called anticoagulants ('blood thinners'). It works by decreasing the clotting ability of the blood. More info »

250 250 20 10
DIOVAN

Treats high blood pressure ... +

Treats high blood pressure and heart failure. A lower blood pressure can reduce the risk of stroke and heart attack. May also prolong life after a heart attack. This medicine is an angiotensin receptor blocker (ARB). More info »

240 213 21 47
TRAZODONE HCL

Trazodone is used to treat ... +

Trazodone is used to treat depression. Trazodone is in a class of medications called serotonin modulators. It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. More info »

236 236 22 20
TRAMADOL HCL

Tramadol is used to relieve... +

Tramadol is used to relieve moderate to moderately severe pain. Tramadol extended-release tablets are only used by people who are expected to need medication to relieve pain around-the-clock for a long time. Tramadol is in a class of medications called opiate agonists. It works by changing the way the body senses pain. More info »

222 205 N 23 23
DOK 200 198 24 112
LISINOPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure. A lower blood pressure will reduce the risk of stroke and heart attack. Also used in the first few days after a heart attack to help reduce the risk of death. This medicine is an angiotensin-converting enzyme (ACE) inhibitor. More info »

194 191 25 3
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). Metformin is in a class of drugs called biguanides. Metformin helps to control the amount of glucose (sugar) in your blood. It decreases the amount of glucose you absorb from your food and the amount of glucose made by your liver. Metformin also increases your body's response to insulin, a natural substance that controls the amount of glucose in the blood. Metformin is not used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). More info »

191 168 26 15
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Insulin is a hormone that helps get sugar from the blood to the muscles, where it is used for energy. This type of insulin usually works longer than regular insulin. More info »

185 177 27 24
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. More info »

179 160 28 35
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. More info »

163 150 A 29 27
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

Treats stuffy nose caused by hay fever and other allergies. This medicine is a corticosteroid. More info »

162 160 30 58
SEROQUEL

Treats schizophrenia and sy... +

Treats schizophrenia and symptoms of bipolar disorder (manic-depressive illness). Used together with other medicines to treat major depressive disorder (MDD). More info »

161 153 A 31 21
DOCUSATE SODIUM 146 132 32 235
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). It is also used to relieve the symptoms of premenstrual dysphoric disorder, including mood swings, irritability, bloating, and breast tenderness. Sertraline is in a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs). It works by increasing the amounts of serotonin, a natural substance in the brain that helps maintain mental balance. More info »

143 143 33 17
MULTIVITAMINS 141 141 34 103
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Also treats problems caused by liver disease. More info »

136 135 35 89
LIDODERM

Treats nerve pain that is c... +

Treats nerve pain that is caused by herpes zoster, or "shingles." More info »

134 132 36 46
HYDRALAZINE HCL

Hydralazine is used to trea... +

Hydralazine is used to treat high blood pressure. It works by relaxing the blood vessels so that blood can flow more easily through the body. More info »

133 108 37 61
ISOSORBIDE MONONITRATE ER 132 131 38 38
PLAVIX

Used alone or together with... +

Used alone or together with aspirin to help prevent stroke, heart attack, and other heart problems. This medicine is a blood thinner. More info »

126 121 39 16
LATANOPROST 119 119 40 199
VITAMIN D 113 101 41 190
LEXAPRO

Treats severe depression an... +

Treats severe depression and generalized anxiety disorder (GAD). This medicine is a selective serotonin reuptake inhibitor (SSRI). More info »

113 107 41 26
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. Tamsulosin is in a class of medications called alpha blockers. It works by relaxing the muscles in the prostate and bladder so that urine can flow easily. More info »

111 98 43 33
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. This medicine is a combination of a steroid and a bronchodilator. More info »

102 96 44 68
CALCIUM ANTACID 101 97 10 45 185
ALLOPURINOL

Treats gout and some kinds ... +

Treats gout and some kinds of kidney stones. Lowers the amount of uric acid in blood. More info »

101 88 45 45
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). May also lower the risk of repeated heart attacks. More info »

101 98 45 29
ASPIRIN 99 85 48 162
VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Also treats acute migraine attacks in adults. This is a nonsteroidal antiinflammatory medicine (NSAID). More info »

87 87 49 165
ZETIA

Lowers cholesterol in your ... +

Lowers cholesterol in your blood. May be used in combination with another cholesterol-lowering medicine called a "statin." More info »

86 86 50 137
SENNA-GEN 80 72 51 275
OXYCONTIN

Oxycodone is used to reliev... +

Oxycodone is used to relieve moderate to severe pain. More info »

77 71 N 52 70
SENNA 74 70 53 231
FERROUS SULFATE 71 71 54 126
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Also used to treat the manic phase of bipolar disorder (manic-depressive illness) and to prevent migraine headaches. Belongs to a class of drugs called anticonvulsants. More info »

68 68 55 30
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. Pravastatin is also used to reduce the amount of cholesterol (a fat-like substance) and other fatty substances in the blood. Pravastatin is in a class of medications called HMG-CoA reductase inhibitors (statins). It works by slowing the production of cholesterol in the body to decrease the amount of cholesterol that may build up on the walls of the arteries and block blood flow to the heart, brain, and other parts of the body. More info »

65 61 56 50
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. This medicine is an antiepileptic. More info »

62 53 57 63
CALCI-CHEW 62 62 10 57 303
NEXIUM

Treats heartburn, gastroeso... +

Treats heartburn, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid. Also helps heal a damaged esophagus. Prevents stomach ulcers and stomach irritation in patients who take pain or arthritis medicine or NSAID. This medicine may be used in combination with antibiotics to treat ulcers. This medicine is a proton pump inhibitor (PPI). More info »

61 60 59 44
TRAVATAN Z

Reduces pressure inside the... +

Reduces pressure inside the eye that is caused by glaucoma or ocular hypertension (high blood pressure in the eye). More info »

59 59 60 71
NYSTATIN

Treats fungus infections in... +

Treats fungus infections in the mouth, throat, and intestines. Belongs to a class of drugs called antifungals. More info »

58 55 61 100
OXYCODONE HCL

Oxycodone is used to reliev... +

Oxycodone is used to relieve moderate to severe pain. Oxycodone is in a class of medications called opiate (narcotic) analgesics. It works by changing the way the brain and nervous system respond to pain. More info »

57 57 N 62 39
TAB-A-VITE 57 57 62 312
TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Also prevents migraine headaches in adults. More info »

57 43 62 190
DIGOXIN

Treats certain heart rhythm... +

Treats certain heart rhythm problems (atrial fibrillation). Also used to treat heart failure, usually in combination with a diuretic (water pill) and an angiotensin-converting enzyme (ACE) inhibitor. This medicine is also called digitalis. More info »

55 55 65 51
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. More info »

54 51 66 43
ACTOS

Used together with proper d... +

Used together with proper diet and exercise to help control blood sugar in adults with type 2 diabetes. More info »

53 53 67 83
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. Phenytoin is in a class of medications called anticonvulsants. It works by decreasing abnormal electrical activity in the brain. More info »

52 47 68 110
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Also used to decrease some symptoms of cancer. This medicine is a steroid. More info »

52 49 68 37
FISH OIL 51 51 70 153
LOSARTAN POTASSIUM

Losartan is used alone or i... +

Losartan is used alone or in combination with other medications to treat high blood pressure. Losartan is also used to decrease the risk of stroke in people who have high blood pressure and a heart condition called left ventricular hypertrophy (enlargement of the walls of the left side of the heart). Losartan may not decrease the risk of stroke in African Americans who have these conditions. This medication is also used to treat kidney disease in people who have type 2 diabetes (condition in which the body does not use insulin normally and therefore cannot control the amount of sugar in the blood) and high blood pressure. Losartan is in a class of medications called angiotensin II receptor antagonists. It works by blocking the action of certain natural substances that tighten the blood vessels, allowing the blood to flow more smoothly and the heart to pump more efficiently. More info »

51 41 70 49
SANTYL

Used to clean skin ulcers a... +

Used to clean skin ulcers and severe burns. More info »

51 51 70 135
About This Data

ProPublica obtained prescribing data from Medicare’s prescription drug benefit, known as Part D, under the Freedom of Information Act. The data for 2011 includes nearly 1.2 billion prescriptions written by 1.6 million doctors, nurses and other providers. This database lists about 364,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. About three-fourths went to patients 65 and older; the rest were for disabled patients. Methodology »

Caveats
  • No comparisons are shown if 10 or fewer prescribers in the state share this specialty.
  • The list of top drugs includes only those for which this provider wrote 50 or more prescriptions, but all prescriptions are counted in the summary totals at the top.
  • The calculation of “Risky Drugs to Seniors” does not include drugs for which a provider wrote 11 or fewer prescriptions because Medicare redacted the information to protect patient privacy.
  • 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 6, 2008.
  • Comparisons are based on each provider’s current address, not necessarily where he or she worked during the time period covered in this database.
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 drugs@propublica.org and we will update your information. If you have other questions about this data, send a note to drugs@propublica.org.