Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Rheumatology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

5,703Medicare Part D Prescriptions Filled, Including Refills

Rank: 5 out of 29

$681K Total Retail Price of All Prescriptions

Rank: 14 out of 29

488 Patients Receiving at Least One Drug in Part D
86% Patients 65 Years and Older

11% 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 Kansas
lower than average

Antipsychotics

0% of this provider’s 420 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

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

65 of this provider’s 420 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

22% of this provider’s 488 patients filled at least one prescription for an opioid, compared to an average of 20%.

More resources »

Brand Name Drugs

15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$119 was the average price of a prescription from this provider, compared to $233 among peers.

Prescriptions per Patient

12 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

$358K

2012

$489K

2013

$604K

2014

$681K

2015

Number of Claims

4,276

2012

5,084

2013

5,249

2014

5,703

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
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

542

prescriptions, 10% of all prescriptions

464

prescriptions.

100

patients, 20% of all patients

1 9
METHOTREXATE

Treats several kinds of can... +

Treats several kinds of cancer, including cancer of the blood, bone, lung, breast, head, or neck. Source: National Library of Medicine

463

prescriptions, 8% of all prescriptions

414

prescriptions.

67

patients, 14% of all patients

2 1
MELOXICAM

Treats symptoms of osteoart... +

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

420

prescriptions, 7% of all prescriptions

384

prescriptions.

92

patients, 19% of all patients

3 8
GABAPENTIN

Treats certain types of sei... +

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

355

prescriptions, 6% of all prescriptions

266

prescriptions.

74

patients, 15% of all patients

4 6
TRAMADOL HCL

Tramadol is used to relieve... +

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

321

prescriptions, 6% of all prescriptions

293

prescriptions.

75

patients, 15% of all patients

O 5 4
HYDROXYCHLOROQUINE SULFATE

Hydroxychloroquine is in a ... +

Hydroxychloroquine is in a class of drugs called antimalarials. Source: National Library of Medicine

301

prescriptions, 5% of all prescriptions

255

prescriptions.

58

patients, 12% of all patients

6 3
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Source: National Library of Medicine

236

prescriptions, 4% of all prescriptions

192

prescriptions.

53

patients, 11% of all patients

7 2
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

227

prescriptions, 4% of all prescriptions

198

prescriptions.

60

patients, 12% of all patients

8 21
NABUMETONE

Treats pain caused by arthr... +

Treats pain caused by arthritis. Source: National Library of Medicine

217

prescriptions, 4% of all prescriptions

200

prescriptions.

45

patients, 9% of all patients

9 26
TRAZODONE HCL

Trazodone is used to treat ... +

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

216

prescriptions, 4% of all prescriptions

156

prescriptions.

44

patients, 9% of all patients

10 17
CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

165

prescriptions, 3% of all prescriptions

160

prescriptions.

43

patients, 9% of all patients

11 22
DIFLUNISAL 135

prescriptions, 2% of all prescriptions

130

prescriptions.

30

patients, 6% of all patients

12 44
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

113

prescriptions, 2% of all prescriptions

86

prescriptions.

32

patients, 7% of all patients

13 29
CLONAZEPAM

Treats seizures, panic diso... +

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

102

prescriptions, 2% of all prescriptions

86

prescriptions.

19

patients, 4% of all patients

14 31
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

96

prescriptions, 2% of all prescriptions

74

prescriptions.

16

patients, 3% of all patients

15 14
ALPRAZOLAM

Treats anxiety, panic disor... +

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

95

prescriptions, 2% of all prescriptions

78

prescriptions.

17

patients, 3% of all patients

16 27
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

94

prescriptions, 2% of all prescriptions

69

prescriptions.

20

patients, 4% of all patients

17 55
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

82

prescriptions, 1% of all prescriptions

59

prescriptions.

25

patients, 5% of all patients

18 18
CARISOPRODOL

Treats pain and stiffness o... +

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

81

prescriptions, 1% of all prescriptions

70

prescriptions.

18

patients, 4% of all patients

R 19 33
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

80

prescriptions, 1% of all prescriptions

60

prescriptions.

20

patients, 4% of all patients

R 20 23
ALLOPURINOL

Treats gout and some kinds ... +

Treats gout and some kinds of kidney stones. Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

73

prescriptions.

15

patients, 3% of all patients

21 10
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

75

prescriptions, 1% of all prescriptions

63

prescriptions.

18

patients, 4% of all patients

O 22 5
SAVELLA 68

prescriptions, 1% of all prescriptions

35

prescriptions.

13

patients, 3% of all patients

23 38
HUMIRA PEN

Treats the symptoms and pre... +

Treats the symptoms and prevent the progression of active rheumatoid arthritis and ankylosing spondylitis. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

39

prescriptions.

<11 23 15
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

62

prescriptions.

19

patients, 4% of all patients

O 25 32
METHOCARBAMOL

Treats muscle pain and spas... +

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

58

prescriptions, 1% of all prescriptions

53

prescriptions.

17

patients, 3% of all patients

R 26 68
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

56

prescriptions, 1% of all prescriptions

35

prescriptions.

15

patients, 3% of all patients

R 27 12
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. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

53

prescriptions.

12

patients, 2% of all patients

28 11
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?

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 checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org.

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 Dec. 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.