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Prescriber Checkup

At A Glance: This Prescriber in 2011

Internal Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

11,232Medicare Part D Prescriptions Filled, Including Refills

Rank: 614 out of 6533

$1.02M Total Retail Price of All Prescriptions

Rank: 281 out of 6533

533 Patients Receiving at Least One Drug in Part D
69%Patients 65 Years and Older
81% 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 California

Narcotics

15% of this provider’s 533 patients filled at least one prescription for a narcotic painkiller, compared to an average of 18%.

Antipsychotics to Seniors

N/A

Risky Drugs to Seniors

5% of this provider’s 6,368 prescriptions for patients 65 and older were for "potentially dangerous" drugs, compared to an average of 1%.

Brand Name Drugs

23% of this provider’s prescriptions were for brand-name drugs, compared to an average of 23%.

Prescription Price

$91 was the average price of a prescription from this provider, compared to $65 among peers.

Prescriptions per Patient

21 is the average number of prescriptions (including refills) per patient, compared to an average of 17.


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 California
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 »

526 260 1 5
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 »

342 217 2 3
SUCRALFATE

Treats ulcers and other sto... +

Treats ulcers and other stomach problems. More info »

341 228 3 248
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 »

298 142 4 6
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 »

223 122 5 1
LEVETIRACETAM

Used to help control certai... +

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

218 43 6 127
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Also treats symptoms of rheumatoid arthritis (RA) in adults and children. This medicine is a nonsteroidal anti-inflammatory drug (NSAID). More info »

208 136 7 50
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 »

204 112 8 35
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 »

193 121 9 2
FAMOTIDINE

Treats ulcers, gastroesopha... +

Treats ulcers, gastroesophageal reflux disease (GERD), and conditions that cause the stomach to produce too much stomach acid. Also treats heartburn caused by acid indigestion. More info »

179 96 10 33
TRIAMTERENE-HCTZ

The combination of triamter... +

The combination of triamterene and hydrochlorothiazide is used to treat high blood pressure and edema (fluid retention; excess fluid held in body tissues) in patients who have lower amounts of potassium in their bodies or for whom low potassium levels in the body could be dangerous. The combination of triamterene and hydrochlorothiazide is in a class of medications called diuretics ('water pills'). It causes the kidneys to get rid of unneeded water and sodium from the body into the urine, but reduces the loss of potassium. More info »

172 128 11 47
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 »

162 66 12 11
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. More info »

158 80 N 13 4
BENAZEPRIL HCL

Benazepril is used alone or... +

Benazepril is used alone or in combination with other medications to treat high blood pressure. Benazepril is in a class of medications called angiotensin-converting enzyme (ACE) inhibitors. It works by decreasing certain chemicals that tighten the blood vessels, so blood flows more smoothly. More info »

147 86 14 21
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 »

140 98 N 15 34
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 »

127 127 16 18
LAMOTRIGINE

Treats certain types of sei... +

Treats certain types of seizures and mood disorders. Often used along with other medicines. More info »

121 17 261
OXCARBAZEPINE

Used alone or together with... +

Used alone or together with other medicines to treat seizures caused by epilepsy in adults and children 2 years of age and older. More info »

120 46 18 375
ZOLPIDEM TARTRATE

Zolpidem is used to treat i... +

Zolpidem is used to treat insomnia (difficulty falling asleep or staying asleep). Zolpidem belongs to a class of medications called sedative-hypnotics. It works by slowing activity in the brain to allow sleep. More info »

119 84 19 17
RISPERIDONE

Treats schizophrenia and ce... +

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

118 12 A 20 96
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 »

113 85 21 8
CARBAMAZEPINE

Treats different types of s... +

Treats different types of seizures. Also used to treat nerve pain and bipolar disorder, also known as manic-depressive illness. More info »

110 22 210
GLYBURIDE

Used with diet and exercise... +

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

108 92 R 23 53
METOCLOPRAMIDE HCL

Metoclopramide is used to r... +

Metoclopramide is used to relieve heartburn and speed the healing of ulcers and sores in the esophagus (tube that connects the mouth to the stomach) in people who have gastroesophageal reflux disease (GERD; condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus) that did not get better with other treatments. Metoclopramide is also used to relieve symptoms caused by slow stomach emptying in people who have diabetes. These symptoms include nausea, vomiting, heartburn, loss of appetite, and feeling of fullness that lasts long after meals. Metoclopramide is in a class of medications called prokinetic agents. It works by speeding the movement of food through the stomach and intestines. More info »

105 34 24 112
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 »

105 89 24 19
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. More info »

103 76 R 26 115
SINGULAIR

Helps prevent and control a... +

Helps prevent and control asthma attacks, including attacks caused by exercise. Also treats seasonal (short-term) and perennial (long-term) allergies. More info »

96 43 27 49
LOVAZA

Treats high levels of trigl... +

Treats high levels of triglycerides (fat-like substance) in your blood. This medicine is used together with diet, exercise, and weight loss to help control triglycerides. More info »

93 52 28 82
ALBUTEROL SULFATE

Albuterol is used to preven... +

Albuterol is used to prevent and treat wheezing, shortness of breath, coughing, and chest tightness caused by lung diseases such as asthma and chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways). Albuterol inhalation aerosol is also used to prevent breathing difficulties during exercise. Albuterol is in a class of medications called bronchodilators. It works by relaxing and opening air passages to the lungs to make breathing easier. More info »

89 60 29 105
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). Pantoprazole is used to treat the symptoms of GERD, allow the esophagus to heal, and prevent further damage to the esophagus. It is also used to treat conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Pantoprazole is in a class of medications called proton-pump inhibitors. It works by decreasing the amount of acid made in the stomach. More info »

87 72 30 40
MEGESTROL ACETATE

Megestrol tablets treat bre... +

Megestrol tablets treat breast and uterine cancer. More info »

85 67 R 31 103
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

Treats symptoms of Parkinson's disease or side effects of other drugs. More info »

85 12 R 31 187
LOVASTATIN

Lowers high cholesterol and... +

Lowers high cholesterol and triglyceride levels in the blood. Helps prevent heart attack or other problems. Helps keep atherosclerosis (hardening of the arteries) from getting worse. This medicine is an HMG-CoA inhibitor, also called a statin. More info »

84 62 33 13
ATENOLOL

Treats high blood pressure ... +

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

81 66 34 7
CARAFATE

Treats ulcers and other sto... +

Treats ulcers and other stomach problems. More info »

76 37 35 439
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 »

73 16 36 20
PAROXETINE HCL

Paroxetine tablets, suspens... +

Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Paroxetine tablets and suspension are also used to treat obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), generalized anxiety disorder (GAD; excessive worrying that is difficult to control), and posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience). Paroxetine extended-release tablets are also used to treat premenstrual dysphoric disorder (PMDD, physical and psychological symptoms that occur before the onset of the menstrual period each month). Paroxetine is in a class of medications called selective serotonin-reuptake inhibitors (SSRIs). It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. More info »

72 33 37 69
ENALAPRIL MALEATE

Enalapril is used alone or ... +

Enalapril is used alone or in combination with other medications to treat high blood pressure. It is also used in combination with other medications to treat heart failure. Enalapril is in a class of medications called angiotensin-converting enzyme (ACE) inhibitors. It works by decreasing certain chemicals that tighten the blood vessels, so blood flows more smoothly and the heart can pump blood more efficiently. More info »

67 49 38 70
ASACOL

Treats and prevents an infl... +

Treats and prevents an inflammatory bowel disease called ulcerative colitis. More info »

65 32 39 658
DEXILANT

Treats erosive esophagitis,... +

Treats erosive esophagitis, heartburn, gastroesophageal reflux disease (GERD), and other conditions caused by too much stomach acid. This medicine is a proton pump inhibitor (PPI). More info »

63 46 40 142
NIFEDIPINE ER

Used for the treatment of v... +

Used for the treatment of vasospastic angina, chronic stable angina and hypertension. More info »

63 62 40 92
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 »

61 39 42 26
LIPITOR

Lowers high cholesterol and... +

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

58 38 43 12
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Used together with a proper diet and exercise to help control high blood sugar. This medicine is a sulfonylurea. More info »

57 55 44 51
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 »

57 18 44 9
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. This medicine is a muscle relaxer. More info »

55 46 117
FLUOXETINE HCL

Fluoxetine (Prozac) is used... +

Fluoxetine (Prozac) 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). Fluoxetine (Sarafem) is used to relieve the symptoms of premenstrual dysphoric disorder, including mood swings, irritability, bloating, and breast tenderness. Fluoxetine is in a class of medications called selective serotonin reuptake inhibitors (SSRIs). It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. More info »

55 46 62
MIRTAZAPINE

Treats depression. +

Treats depression. More info »

53 27 48 75
PEG-3350 AND ELECTROLYTES 52 41 49 465
AMOXICILLIN

Treats infections. Also use... +

Treats infections. Also used with other medicines to treat stomach ulcer. This medicine is a penicillin antibiotic. More info »

52 29 49 100
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 »

51 51 14
CARBATROL

Treats different types of s... +

Treats different types of seizures. Also used to treat nerve pain and bipolar disorder, also known as manic-depressive illness. More info »

51 51 550
NYSTATIN-TRIAMCINOLONE

The combination of nystatin... +

The combination of nystatin and triamcinolone is used to treat fungal skin infections. It relieves itching, inflammation, and pain. More info »

51 22 51 319
ZYPREXA

Treats psychotic mental dis... +

Treats psychotic mental disorders, such as schizophrenia or bipolar disorder (manic-depressive illness). More info »

51 24 A 51 149
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 5, 2010.
  • 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.