Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Family Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

12,621Medicare Part D Prescriptions Filled, Including Refills

Rank: 415 out of 3836

$1.07M Total Retail Price of All Prescriptions

Rank: 158 out of 3836

491 Patients Receiving at Least One Drug in Part D
78% Patients 65 Years and Older

69% 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 Pennsylvania
lower than average

Antipsychotics

3% of this provider’s 381 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 3%.

More resources »

Antibiotics

29% of this provider’s 491 patients filled at least one prescription for an antibiotic drug, compared to an average of 27%.

More resources »

Risky Drugs for Seniors

8% of this provider’s 381 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

14% of this provider’s 491 patients filled at least one prescription for an opioid, compared to an average of 16%.

More resources »

Brand Name Drugs

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

Prescription Price

$84 was the average price of a prescription from this provider, compared to $62 among peers.

Prescriptions per Patient

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


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

$910K

2012

$933K

2013

$1.01M

2014

$1.07M

2015

Number of Claims

11,481

2012

11,785

2013

12,023

2014

12,621

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
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

530

prescriptions, 4% of all prescriptions

324

prescriptions.

73

patients, 15% of all patients

1 1
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

312

prescriptions, 2% of all prescriptions

289

prescriptions.

70

patients, 14% of all patients

2 4
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

245

prescriptions, 2% of all prescriptions

107

prescriptions.

40

patients, 8% of all patients

3 6
LISINOPRIL

Treats high blood pressure ... +

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

243

prescriptions, 2% of all prescriptions

205

prescriptions.

45

patients, 9% of all patients

4 2
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

222

prescriptions, 2% of all prescriptions

66

prescriptions.

24

patients, 5% of all patients

5 128
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

220

prescriptions, 2% of all prescriptions

57

prescriptions.

21

patients, 4% of all patients

6 65
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. Source: National Library of Medicine

209

prescriptions, 2% of all prescriptions

24

prescriptions.

18

patients, 4% of all patients

7 181
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). Source: National Library of Medicine

202

prescriptions, 2% of all prescriptions

144

prescriptions.

25

patients, 5% of all patients

8 22
ESCITALOPRAM OXALATE

Escitalopram is used to tre... +

Escitalopram is used to treat depression and generalized anxiety disorder (excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

201

prescriptions, 2% of all prescriptions

158

prescriptions.

26

patients, 5% of all patients

9 32
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

197

prescriptions, 2% of all prescriptions

192

prescriptions.

19

patients, 4% of all patients

10 13
FUROSEMIDE

Treats fluid retention (ede... +

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

185

prescriptions, 1% of all prescriptions

170

prescriptions.

34

patients, 7% of all patients

11 7
CALCITONIN-SALMON

Calcitonin salmon is used t... +

Calcitonin salmon is used to treat osteoporosis in women who are at least 5 years past menopause and cannot or do not want to take estrogen products. Source: National Library of Medicine

182

prescriptions, 1% of all prescriptions

5

prescriptions.

17

patients, 3% of all patients

12 236
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). Source: National Library of Medicine

181

prescriptions, 1% of all prescriptions

140

prescriptions.

32

patients, 7% of all patients

13 15
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

175

prescriptions, 1% of all prescriptions

138

prescriptions.

36

patients, 7% of all patients

14 5
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

161

prescriptions, 1% of all prescriptions

139

prescriptions.

35

patients, 7% of all patients

15 9
SIMVASTATIN

Treats high cholesterol and... +

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

161

prescriptions, 1% of all prescriptions

121

prescriptions.

31

patients, 6% of all patients

15 3
BACLOFEN

Treats muscle spasms caused... +

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

154

prescriptions, 1% of all prescriptions

35

prescriptions.

14

patients, 3% of all patients

17 96
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

152

prescriptions, 1% of all prescriptions

135

prescriptions.

17

patients, 3% of all patients

18 61
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

137

prescriptions, 1% of all prescriptions

96

prescriptions.

39

patients, 8% of all patients

O 19 19
MELOXICAM

Treats symptoms of osteoart... +

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

134

prescriptions, 1% of all prescriptions

79

prescriptions.

30

patients, 6% of all patients

20 40
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). Source: National Library of Medicine

131

prescriptions, 1% of all prescriptions

89

prescriptions.

25

patients, 5% of all patients

21 8
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

125

prescriptions, 1% of all prescriptions

100

prescriptions.

22

patients, 4% of all patients

22 14
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). Source: National Library of Medicine

120

prescriptions, 1% of all prescriptions

108

prescriptions.

19

patients, 4% of all patients

23 31
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

115

prescriptions, 1% of all prescriptions

63

prescriptions.

17

patients, 3% of all patients

24 45
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

108

prescriptions, 1% of all prescriptions

82

prescriptions.

16

patients, 3% of all patients

25 26
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

107

prescriptions, 1% of all prescriptions

5

prescriptions.

12

patients, 2% of all patients

26 42
GABAPENTIN

Treats certain types of sei... +

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

106

prescriptions, 1% of all prescriptions

53

prescriptions.

19

patients, 4% of all patients

27 12
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

103

prescriptions, 1% of all prescriptions

78

prescriptions.

23

patients, 5% of all patients

28 10
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine

102

prescriptions, 1% of all prescriptions

102

prescriptions.

12

patients, 2% of all patients

29 118
CLONAZEPAM

Treats seizures, panic diso... +

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

99

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 30 43
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

98

prescriptions, 1% of all prescriptions

31

prescriptions.

<11 P 31 74
BUMETANIDE

Treats fluid retention (ede... +

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

98

prescriptions, 1% of all prescriptions

93

prescriptions.

12

patients, 2% of all patients

31 97
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 2% of all patients

33 85
LAMOTRIGINE

Treats certain types of sei... +

Treats certain types of seizures and mood disorders. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 34 153
CITALOPRAM HBR

Citalopram is used to treat... +

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

88

prescriptions, 1% of all prescriptions

44

prescriptions.

12

patients, 2% of all patients

35 25
ATENOLOL

Treats high blood pressure ... +

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

86

prescriptions, 1% of all prescriptions

81

prescriptions.

19

patients, 4% of all patients

36 18
OLANZAPINE

Treats psychotic mental dis... +

Treats psychotic mental disorders, such as schizophrenia or bipolar disorder (manic-depressive illness). Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 P 36 115
NYSTOP

Treats infections caused by... +

Treats infections caused by fungus. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

86

prescriptions.

12

patients, 2% of all patients

36 212
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 39 98
MINOCYCLINE HCL

Minocycline is used to trea... +

Minocycline is used to treat bacterial infections including pneumonia and other respiratory tract infections; acne; and infections of skin, genital, and urinary systems. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 A 40 272
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

83

prescriptions, 1% of all prescriptions

21

prescriptions.

13

patients, 3% of all patients

40 35
LORAZEPAM

Treats anxiety, anxiety wit... +

Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

77

prescriptions.

29

patients, 6% of all patients

42 21
TOPIRAMATE

Helps control and prevent c... +

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

81

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 43 151
CARVEDILOL

Treats high blood pressure ... +

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

81

prescriptions, 1% of all prescriptions

76

prescriptions.

15

patients, 3% of all patients

43 27
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

81

prescriptions, 1% of all prescriptions

58

prescriptions.

11

patients, 2% of all patients

43 47
KEPPRA 81

prescriptions, 1% of all prescriptions

26

prescriptions.

<11 43 484
POTASSIUM CHLORIDE

Potassium is needed to main... +

Potassium is needed to maintain good health. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

59

prescriptions.

15

patients, 3% of all patients

47 17
CLOPIDOGREL

Helps prevent stroke, heart... +

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

77

prescriptions, 1% of all prescriptions

72

prescriptions.

21

patients, 4% of all patients

48 20
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

70

prescriptions.

14

patients, 3% of all patients

49 46
FINASTERIDE

Treats an enlarged prostate... +

Treats an enlarged prostate (benign prostatic hyperplasia or BPH) in men and causes hair growth in male pattern baldness. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

59

prescriptions.

<11 50 69
TRANSDERM-SCOP 73

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 51 345
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

73

prescriptions, 1% of all prescriptions

49

prescriptions.

11

patients, 2% of all patients

51 16
ALLOPURINOL

Treats gout and some kinds ... +

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

72

prescriptions, 1% of all prescriptions

58

prescriptions.

15

patients, 3% of all patients

53 29
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. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

13

prescriptions.

<11 54 261
VESICARE

Solifenacin is used to trea... +

Solifenacin is used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

43

prescriptions.

<11 54 122
KETOCONAZOLE

Treats fungal infections in... +

Treats fungal infections in the skin, throat, urinary tract, and lungs. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

22

prescriptions.

28

patients, 6% of all patients

56 200
CLINDAMYCIN PHOSPHATE

Topical clindamycin is used... +

Topical clindamycin is used to treat acne. Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

0

prescriptions.

15

patients, 3% of all patients

A 57 517
FLUOXETINE HCL

Fluoxetine is used to treat... +

Fluoxetine 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). Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

44

prescriptions.

<11 58 58
TRAMADOL HCL

Tramadol is used to relieve... +

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

59

prescriptions, 0% of all prescriptions

54

prescriptions.

15

patients, 3% of all patients

O 58 24
VIMPAT

Used to control partial sei... +

Used to control partial seizures (convulsions) in the treatment of epilepsy. Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 60 254
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

58

prescriptions, 0% of all prescriptions

28

prescriptions.

<11 R 60 44
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

40

prescriptions.

<11 62 130
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

55

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 O 62 76
PROMETHEGAN 54

prescriptions, 0% of all prescriptions

5

prescriptions.

43

patients, 9% of all patients

R 10 64 543
PREDNISONE

Treats inflammation (swelli... +

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

54

prescriptions, 0% of all prescriptions

49

prescriptions.

21

patients, 4% of all patients

64 37
LEVOFLOXACIN

Levofloxacin is used to tre... +

Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

14

prescriptions.

30

patients, 6% of all patients

A 66 88
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

Treats stuffy nose caused by hay fever and other allergies. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

16

prescriptions.

18

patients, 4% of all patients

67 30
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

51

prescriptions, 0% of all prescriptions

30

prescriptions.

12

patients, 2% of all patients

68 11
VALSARTAN

Valsartan is used alone or ... +

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

51

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 68 62
QUETIAPINE FUMARATE

Quetiapine is used to treat... +

Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

26

prescriptions.

<11 P 68 63
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

5

prescriptions.

19

patients, 4% of all patients

71 103
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 April 2, 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.
  • 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.