Prescriber Checkup
The Doctors and Drugs in Medicare Part D
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LLOYD MANCHIKES MD
5 MOBILE INFIRMARY CIR
Mobile | Alabama | 36607
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At A Glance: This Prescriber in 2015
Self-Reported Primary Specialty
Rank: 10 out of 253
Rank: 2 out of 253
How Does This Prescriber Compare to Peers?
In the same specialty and state. Caveats »
this specialty
in Alabama 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.
Antibiotics
8% of this provider’s 536 patients filled at least one prescription for an antibiotic drug, compared to an average of 41%.
Risky Drugs for Seniors
8% of this provider’s 170 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.
Opioids
98% of this provider’s 536 patients filled at least one prescription for an opioid, compared to an average of 42%.
Brand Name Drugs *
13% of this provider’s prescriptions were for brand-name drugs, compared to an average of 10%.
* This is an estimate, see our methodology.
Prescription Price
$167 was the average price of a prescription from this provider, compared to $24 among peers.
Prescriptions per Patient
16 is the average number of prescriptions (including refills) per patient, compared to an average of 4.
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
$50.7K
2012
$45.7K
2013
$838K
2014
$1.46M
2015
Number of Claims
921
2012
710
2013
5,417
2014
8,731
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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An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.
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.
An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.
A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.
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.
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This Drug's Rank
|
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|---|---|---|---|---|---|---|
| Drug Name | Total Prescriptions Filled with Refills |
Prescriptions to 65+ |
Patients Receiving this Drug | Category | For this Prescriber | For this Prescriber's Peers |
|
HYDROCODONE-ACETAMINOPHEN
Used to relieve moderate to... + Used to relieve moderate to severe pain. Source: National Library of Medicine |
1,949
prescriptions, 22% of all prescriptions |
687
prescriptions. |
306
patients, 57% of all patients |
O | 1 | 1 |
|
OXYCODONE-ACETAMINOPHEN
Used to relieve moderate to... + Used to relieve moderate to severe pain. Source: National Library of Medicine |
953
prescriptions, 11% of all prescriptions |
217
prescriptions. |
169
patients, 32% of all patients |
O | 2 | 10 |
|
GABAPENTIN
Treats certain types of sei... + Treats certain types of seizures. Source: National Library of Medicine |
952
prescriptions, 11% of all prescriptions |
240
prescriptions. |
218
patients, 41% of all patients |
3 | 3 | |
|
OXYCODONE HCL
Oxycodone is used to reliev... + Oxycodone is used to relieve moderate to severe pain. Source: National Library of Medicine |
637
prescriptions, 7% of all prescriptions |
166
prescriptions. |
117
patients, 22% of all patients |
O | 4 | 43 |
|
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 |
479
prescriptions, 5% of all prescriptions |
134
prescriptions. |
100
patients, 19% of all patients |
O | 5 | 80 |
|
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 |
329
prescriptions, 4% of all prescriptions |
62
prescriptions. |
77
patients, 14% of all patients |
6 | 21 | |
|
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 |
289
prescriptions, 3% of all prescriptions |
37
prescriptions. |
77
patients, 14% of all patients |
7 | 29 | |
|
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 |
241
prescriptions, 3% of all prescriptions |
5
prescriptions. |
56
patients, 10% of all patients |
R | 8 | 53 |
|
OXYCONTIN
Oxycodone is used to reliev... + Oxycodone is used to relieve moderate to severe pain. Source: National Library of Medicine |
235
prescriptions, 3% of all prescriptions |
64
prescriptions. |
45
patients, 8% of all patients |
O | 9 | 118 |
|
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 |
217
prescriptions, 2% of all prescriptions |
47
prescriptions. |
48
patients, 9% of all patients |
10 | 68 | |
|
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 |
204
prescriptions, 2% of all prescriptions |
25
prescriptions. |
45
patients, 8% of all patients |
P | 11 | 46 |
|
MELOXICAM
Treats symptoms of osteoart... + Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine |
196
prescriptions, 2% of all prescriptions |
59
prescriptions. |
45
patients, 8% of all patients |
12 | 11 | |
| DICLOFENAC SODIUM ER |
187
prescriptions, 2% of all prescriptions |
41
prescriptions. |
48
patients, 9% of all patients |
13 | 130 | |
|
MORPHINE SULFATE ER
Morphine (extended release)... + Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine |
167
prescriptions, 2% of all prescriptions |
43
prescriptions. |
40
patients, 7% of all patients |
O | 14 | 140 |
|
CELECOXIB
Treats mild to moderate pai... + Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine |
148
prescriptions, 2% of all prescriptions |
55
prescriptions. |
39
patients, 7% of all patients |
15 | 76 | |
| SUBSYS |
121
prescriptions, 1% of all prescriptions |
15
prescriptions. |
18
patients, 3% of all patients |
O | 16 | 160 |
|
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 |
116
prescriptions, 1% of all prescriptions |
21
prescriptions. |
31
patients, 6% of all patients |
17 | 38 | |
|
METHADONE HCL
Methadone is used to reliev... + Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. Source: National Library of Medicine |
115
prescriptions, 1% of all prescriptions |
38
prescriptions. |
18
patients, 3% of all patients |
O | 18 | 126 |
|
TRAMADOL HCL
Tramadol is used to relieve... + Tramadol is used to relieve moderate to moderately severe pain. Source: National Library of Medicine |
95
prescriptions, 1% of all prescriptions |
19
prescriptions. |
22
patients, 4% of all patients |
O | 19 | 2 |
|
PROMETHAZINE HCL
Promethazine is used to rel... + Promethazine is used to relieve the symptoms of allergic reactions such as allergic rhinitis (runny nose and watery eyes caused by allergy to pollen, mold or dust), allergic conjunctivitis (red, watery eyes caused by allergies), allergic skin reactions, and allergic reactions to blood or plasma products. Source: National Library of Medicine |
73
prescriptions, 1% of all prescriptions |
5
prescriptions. |
11
patients, 2% of all patients |
R | 20 | 62 |
|
BACLOFEN
Treats muscle spasms caused... + Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine |
69
prescriptions, 1% of all prescriptions |
12
prescriptions. |
16
patients, 3% of all patients |
21 | 94 | |
|
VOLTAREN
Treats pain caused by arthr... + Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine |
67
prescriptions, 1% of all prescriptions |
18
prescriptions. |
39
patients, 7% of all patients |
22 | 127 | |
|
DIAZEPAM
Treats anxiety, muscle spas... + Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine |
67
prescriptions, 1% of all prescriptions |
5
prescriptions. |
18
patients, 3% of all patients |
22 | 57 | |
|
HYDROMORPHONE HCL*
Used to relieve moderate to... + Used to relieve moderate to severe pain. Source: National Library of Medicine |
63
prescriptions, 1% of all prescriptions |
5
prescriptions. |
<11 | O | 24 | 200 |
|
CARISOPRODOL
Treats pain and stiffness o... + Treats pain and stiffness of muscle spasms. Source: National Library of Medicine |
59
prescriptions, 1% of all prescriptions |
13
prescriptions. |
21
patients, 4% of all patients |
R | 25 | 97 |
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?
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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 May 20, 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.
- 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.