Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Physician Assistant

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

15,007Medicare Part D Prescriptions Filled, Including Refills

Rank: 3 out of 1782

$560K Total Retail Price of All Prescriptions

Rank: 87 out of 1782

1,295 Patients Receiving at Least One Drug in Part D
91% Patients 65 Years and Older

90% 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 California
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

13% of this provider’s 1,295 patients filled at least one prescription for an antibiotic drug, compared to an average of 23%.

More resources »

Risky Drugs for Seniors

3% of this provider’s 1,178 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

6% of this provider’s 1,295 patients filled at least one prescription for an opioid, compared to an average of 27%.

More resources »

Brand Name Drugs

14% of this provider’s prescriptions were for brand-name drugs, compared to an average of 17%.

Prescription Price

$37 was the average price of a prescription from this provider, compared to $85 among peers.

Prescriptions per Patient

12 is the average number of prescriptions (including refills) per patient, compared to an average of 7.


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

$600K

2012

$591K

2013

$652K

2014

$560K

2015

Number of Claims

20,678

2012

19,374

2013

19,492

2014

15,007

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
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

1,115

prescriptions, 7% of all prescriptions

1,002

prescriptions.

263

patients, 20% of all patients

1 3
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

841

prescriptions, 6% of all prescriptions

757

prescriptions.

249

patients, 19% of all patients

2 5
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

766

prescriptions, 5% of all prescriptions

717

prescriptions.

192

patients, 15% of all patients

3 6
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

635

prescriptions, 4% of all prescriptions

607

prescriptions.

174

patients, 13% of all patients

4 4
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

624

prescriptions, 4% of all prescriptions

573

prescriptions.

141

patients, 11% of all patients

5 27
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

501

prescriptions, 3% of all prescriptions

460

prescriptions.

151

patients, 12% of all patients

6 10
BENAZEPRIL HCL

Benazepril is used alone or... +

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

482

prescriptions, 3% of all prescriptions

447

prescriptions.

132

patients, 10% of all patients

7 24
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

473

prescriptions, 3% of all prescriptions

422

prescriptions.

121

patients, 9% of all patients

8 11
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

443

prescriptions, 3% of all prescriptions

431

prescriptions.

116

patients, 9% of all patients

9 18
GABAPENTIN

Treats certain types of sei... +

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

408

prescriptions, 3% of all prescriptions

356

prescriptions.

128

patients, 10% of all patients

10 9
SIMVASTATIN

Treats high cholesterol and... +

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

396

prescriptions, 3% of all prescriptions

377

prescriptions.

108

patients, 8% of all patients

11 8
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

312

prescriptions, 2% of all prescriptions

284

prescriptions.

68

patients, 5% of all patients

12 39
LISINOPRIL

Treats high blood pressure ... +

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

304

prescriptions, 2% of all prescriptions

276

prescriptions.

90

patients, 7% of all patients

13 2
ALCOHOL PREP PADS

Prep pads +

Prep pads. Source: National Library of Medicine

275

prescriptions, 2% of all prescriptions

242

prescriptions.

63

patients, 5% of all patients

14 231
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

274

prescriptions, 2% of all prescriptions

249

prescriptions.

132

patients, 10% of all patients

15 16
EASY TOUCH ALCOHOL PREP PADS 253

prescriptions, 2% of all prescriptions

222

prescriptions.

126

patients, 10% of all patients

16 218
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

220

prescriptions, 1% of all prescriptions

200

prescriptions.

70

patients, 5% of all patients

17 7
ATENOLOL

Treats high blood pressure ... +

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

219

prescriptions, 1% of all prescriptions

214

prescriptions.

72

patients, 6% of all patients

18 21
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

204

prescriptions, 1% of all prescriptions

183

prescriptions.

58

patients, 4% of all patients

19 72
FUROSEMIDE

Treats fluid retention (ede... +

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

196

prescriptions, 1% of all prescriptions

169

prescriptions.

57

patients, 4% of all patients

20 13
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

195

prescriptions, 1% of all prescriptions

183

prescriptions.

99

patients, 8% of all patients

21 49
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

184

prescriptions, 1% of all prescriptions

184

prescriptions.

45

patients, 3% of all patients

22 14
TRIAMCINOLONE ACETONIDE

Triamcinolone is used to tr... +

Triamcinolone is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions. Source: National Library of Medicine

172

prescriptions, 1% of all prescriptions

167

prescriptions.

93

patients, 7% of all patients

23 47
TRAMADOL HCL

Tramadol is used to relieve... +

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

158

prescriptions, 1% of all prescriptions

136

prescriptions.

80

patients, 6% of all patients

O 24 15
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

154

prescriptions, 1% of all prescriptions

149

prescriptions.

42

patients, 3% of all patients

25 69
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

152

prescriptions, 1% of all prescriptions

147

prescriptions.

41

patients, 3% of all patients

26 68
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

140

prescriptions, 1% of all prescriptions

135

prescriptions.

50

patients, 4% of all patients

27 114
ENALAPRIL MALEATE

Enalapril is used alone or ... +

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

133

prescriptions, 1% of all prescriptions

117

prescriptions.

37

patients, 3% of all patients

28 74
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

129

prescriptions, 1% of all prescriptions

114

prescriptions.

33

patients, 3% of all patients

29 20
LOVASTATIN

Lowers high cholesterol and... +

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

122

prescriptions, 1% of all prescriptions

122

prescriptions.

32

patients, 2% of all patients

30 40
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

118

prescriptions, 1% of all prescriptions

113

prescriptions.

25

patients, 2% of all patients

31 64
CARVEDILOL

Treats high blood pressure ... +

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

110

prescriptions, 1% of all prescriptions

105

prescriptions.

29

patients, 2% of all patients

32 25
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

109

prescriptions, 1% of all prescriptions

90

prescriptions.

26

patients, 2% of all patients

33 42
MECLIZINE HCL

Meclizine is used to preven... +

Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Source: National Library of Medicine

109

prescriptions, 1% of all prescriptions

90

prescriptions.

51

patients, 4% of all patients

33 102
PROAIR HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

101

prescriptions, 1% of all prescriptions

96

prescriptions.

41

patients, 3% of all patients

35 22
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

96

prescriptions, 1% of all prescriptions

70

prescriptions.

39

patients, 3% of all patients

36 96
TRAZODONE HCL

Trazodone is used to treat ... +

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

95

prescriptions, 1% of all prescriptions

71

prescriptions.

24

patients, 2% of all patients

37 41
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

89

prescriptions, 1% of all prescriptions

65

prescriptions.

26

patients, 2% of all patients

38 23
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

83

prescriptions, 1% of all prescriptions

78

prescriptions.

20

patients, 2% of all patients

39 73
BENAZEPRIL-HYDROCHLOROTHIAZIDE

The combination of benazepr... +

The combination of benazepril and hydrochlorothiazide is used to treat high blood pressure. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

83

prescriptions.

22

patients, 2% of all patients

39 167
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

75

prescriptions, 0% of all prescriptions

70

prescriptions.

24

patients, 2% of all patients

41 34
CLOTRIMAZOLE

This medicine is an antifun... +

This medicine is an antifungal. Source: National Library of Medicine

75

prescriptions, 0% of all prescriptions

61

prescriptions.

32

patients, 2% of all patients

41 267
AVODART

Treats problems with urinat... +

Treats problems with urination caused by an enlarged prostate (benign prostatic hyperplasia or BPH). Source: National Library of Medicine

72

prescriptions, 0% of all prescriptions

72

prescriptions.

17

patients, 1% of all patients

43 152
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

72

prescriptions, 0% of all prescriptions

67

prescriptions.

28

patients, 2% of all patients

43 78
GLIPIZIDE-METFORMIN

Treats type 2 diabetes. +

Treats type 2 diabetes. Source: National Library of Medicine

70

prescriptions, 0% of all prescriptions

70

prescriptions.

14

patients, 1% of all patients

45 182
OXYBUTYNIN CHLORIDE

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

69

prescriptions, 0% of all prescriptions

64

prescriptions.

19

patients, 1% of all patients

46 154
GEMFIBROZIL

Lowers high triglyceride an... +

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

67

prescriptions, 0% of all prescriptions

62

prescriptions.

18

patients, 1% of all patients

47 122
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

67

prescriptions, 0% of all prescriptions

67

prescriptions.

17

patients, 1% of all patients

47 65
BACLOFEN

Treats muscle spasms caused... +

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

66

prescriptions, 0% of all prescriptions

61

prescriptions.

34

patients, 3% of all patients

49 45
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). Source: National Library of Medicine

66

prescriptions, 0% of all prescriptions

50

prescriptions.

20

patients, 2% of all patients

49 95
CLOPIDOGREL

Helps prevent stroke, heart... +

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

63

prescriptions, 0% of all prescriptions

58

prescriptions.

19

patients, 1% of all patients

51 29
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

63

prescriptions, 0% of all prescriptions

58

prescriptions.

21

patients, 2% of all patients

51 60
CLOBETASOL PROPIONATE

Treats psoriasis, skin irri... +

Treats psoriasis, skin irritation, allergic reactions, and other types of skin problems. Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

61

prescriptions.

17

patients, 1% of all patients

53 53
MELOXICAM

Treats symptoms of osteoart... +

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

59

prescriptions, 0% of all prescriptions

59

prescriptions.

24

patients, 2% of all patients

54 35
VALSARTAN-HYDROCHLOROTHIAZIDE

Treats high blood pressure. +

Treats high blood pressure. Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

53

prescriptions.

13

patients, 1% of all patients

55 92
AZITHROMYCIN

Treats infections caused by... +

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

55

prescriptions, 0% of all prescriptions

50

prescriptions.

55

patients, 4% of all patients

A 56 30
OMEGA-3 ACID ETHYL ESTERS

Omega-3 fatty acids are use... +

Omega-3 fatty acids are used together with lifestyle changes (diet, weight-loss, exercise) to reduce the amount of triglycerides (a fat-like substance) in the blood in people with very high triglycerides. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

50

prescriptions.

14

patients, 1% of all patients

56 100
NOVOLIN 70-30

Insulin injection is used t... +

Insulin injection is used to control blood sugar in people who have type 1 diabetes (condition in which the body does not make insulin and therefore cannot control the amount of sugar in the blood) or in people who have type 2 diabetes (condition in which the blood sugar is too high because the body does not produce or use insulin normally) that cannot be controlled with oral medications alone. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

46

prescriptions.

11

patients, 1% of all patients

58 237
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

50

prescriptions, 0% of all prescriptions

31

prescriptions.

13

patients, 1% of all patients

59 31
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 Aug. 20, 2015.
  • 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.