Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nephrology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

10,863Medicare Part D Prescriptions Filled, Including Refills

Rank: 4 out of 140

$1.41M Total Retail Price of All Prescriptions

Rank: 1 out of 140

815 Patients Receiving at Least One Drug in Part D
41% Patients 65 Years and Older

57% 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 Missouri
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

32% of this provider’s 815 patients filled at least one prescription for an antibiotic drug, compared to an average of 16%.

More resources »

Risky Drugs for Seniors

4% of this provider’s 334 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 6%.

More resources »

Opioids

1% of this provider’s 815 patients filled at least one prescription for an opioid, compared to an average of 8%.

More resources »

Brand Name Drugs

12% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$130 was the average price of a prescription from this provider, compared to $126 among peers.

Prescriptions per Patient

13 is the average number of prescriptions (including refills) per patient, compared to an average of 12.


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

$714K

2012

$866K

2013

$1.24M

2014

$1.41M

2015

Number of Claims

10,909

2012

10,273

2013

11,424

2014

10,863

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
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

Treating infections caused by certain bacteria. Source: National Library of Medicine

1,308

prescriptions, 12% of all prescriptions

443

prescriptions.

229

patients, 28% of all patients

A 10 1 23
PREDNISONE

Treats inflammation (swelli... +

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

1,131

prescriptions, 10% of all prescriptions

542

prescriptions.

240

patients, 29% of all patients

2 16
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). Source: National Library of Medicine

823

prescriptions, 8% of all prescriptions

240

prescriptions.

155

patients, 19% of all patients

3 1
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels. Source: National Library of Medicine

648

prescriptions, 6% of all prescriptions

212

prescriptions.

126

patients, 15% of all patients

4 10
METOPROLOL TARTRATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

471

prescriptions, 4% of all prescriptions

150

prescriptions.

86

patients, 11% of all patients

5 12
FAMOTIDINE*

Treats ulcers, gastroesopha... +

Treats ulcers, gastroesophageal reflux disease (GERD), and conditions that cause the stomach to produce too much stomach acid. Source: National Library of Medicine

460

prescriptions, 4% of all prescriptions

136

prescriptions.

84

patients, 10% of all patients

6 36
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. Source: National Library of Medicine

454

prescriptions, 4% of all prescriptions

155

prescriptions.

86

patients, 11% of all patients

7 13
ACYCLOVIR

Treats herpes labialis (col... +

Treats herpes labialis (cold sores). Source: National Library of Medicine

308

prescriptions, 3% of all prescriptions

115

prescriptions.

66

patients, 8% of all patients

8 50
LISINOPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure. Source: National Library of Medicine

285

prescriptions, 3% of all prescriptions

95

prescriptions.

62

patients, 8% of all patients

9 3
ALLOPURINOL

Treats gout and some kinds ... +

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

208

prescriptions, 2% of all prescriptions

91

prescriptions.

45

patients, 6% of all patients

10 8
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. Source: National Library of Medicine

191

prescriptions, 2% of all prescriptions

111

prescriptions.

37

patients, 5% of all patients

11 30
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine

187

prescriptions, 2% of all prescriptions

43

prescriptions.

45

patients, 6% of all patients

12 5
NEXIUM

Treats heartburn, gastroeso... +

Treats heartburn, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid. Source: National Library of Medicine

185

prescriptions, 2% of all prescriptions

16

prescriptions.

33

patients, 4% of all patients

13 47
CALCITRIOL

Treats low blood calcium in... +

Treats low blood calcium in kidney dialysis patients and other patients. Source: National Library of Medicine

184

prescriptions, 2% of all prescriptions

55

prescriptions.

28

patients, 3% of all patients

14 7
DOXAZOSIN MESYLATE

Doxazosin (Cardura, Cardura... +

Doxazosin (Cardura, Cardura XL) 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. Source: National Library of Medicine

182

prescriptions, 2% of all prescriptions

120

prescriptions.

29

patients, 4% of all patients

15 19
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. Source: National Library of Medicine

174

prescriptions, 2% of all prescriptions

102

prescriptions.

34

patients, 4% of all patients

16 27
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

165

prescriptions, 2% of all prescriptions

58

prescriptions.

39

patients, 5% of all patients

17 18
TACROLIMUS 136

prescriptions, 1% of all prescriptions

67

prescriptions.

31

patients, 4% of all patients

18 74
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). Source: National Library of Medicine

131

prescriptions, 1% of all prescriptions

41

prescriptions.

41

patients, 5% of all patients

19 2
CLONIDINE HCL

Clonidine is used alone or ... +

Clonidine is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

122

prescriptions, 1% of all prescriptions

46

prescriptions.

27

patients, 3% of all patients

20 14
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

115

prescriptions, 1% of all prescriptions

52

prescriptions.

24

patients, 3% of all patients

21 49
LOSARTAN POTASSIUM

Losartan is used alone or i... +

Losartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

109

prescriptions, 1% of all prescriptions

40

prescriptions.

24

patients, 3% of all patients

22 6
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

93

prescriptions, 1% of all prescriptions

12

prescriptions.

15

patients, 2% of all patients

R 23 40
METOPROLOL SUCCINATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

27

prescriptions.

21

patients, 3% of all patients

24 24
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. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

15

prescriptions.

12

patients, 1% of all patients

25 29
GABAPENTIN

Treats certain types of sei... +

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

82

prescriptions, 1% of all prescriptions

25

prescriptions.

17

patients, 2% of all patients

26 22
AZATHIOPRINE

Prevents your body from rej... +

Prevents your body from rejecting a kidney transplant. Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

41

prescriptions.

19

patients, 2% of all patients

27 105
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

17

prescriptions.

18

patients, 2% of all patients

28 43
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. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

30

prescriptions.

17

patients, 2% of all patients

29 17
ZETIA

Lowers cholesterol in your ... +

Lowers cholesterol in your blood. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

38

prescriptions.

<11 30 73
TRAZODONE HCL

Trazodone is used to treat ... +

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

63

prescriptions, 1% of all prescriptions

17

prescriptions.

13

patients, 2% of all patients

30 62
FLUCONAZOLE

Prevents and treats certain... +

Prevents and treats certain fungus infections. Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

15

prescriptions.

30

patients, 4% of all patients

32 116
HYDRALAZINE HCL

Hydralazine is used to trea... +

Hydralazine is used to treat high blood pressure. Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

29

prescriptions.

16

patients, 2% of all patients

33 11
VALGANCICLOVIR HCL 61

prescriptions, 1% of all prescriptions

5

prescriptions.

29

patients, 4% of all patients

33 77
ALPRAZOLAM

Treats anxiety, panic disor... +

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

58

prescriptions, 1% of all prescriptions

28

prescriptions.

13

patients, 2% of all patients

35 33
HYDROCHLOROTHIAZIDE

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

34

prescriptions.

<11 35 26
CLOPIDOGREL

Helps prevent stroke, heart... +

Helps prevent stroke, heart attack, and other heart problems. Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

32

prescriptions.

12

patients, 1% of all patients

37 48
MYCOPHENOLATE MOFETIL

Used with other medications... +

Used with other medications to help prevent transplant organ rejection (attack of the transplanted organ by the immune system of the person receiving the organ) in people who have received organ transplants. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

37

prescriptions.

11

patients, 1% of all patients

38 99
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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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 Nov. 14, 2016.
  • 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.