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 »

10,000Medicare Part D Prescriptions Filled, Including Refills

Rank: 550 out of 7305

$1.31M Total Retail Price of All Prescriptions

Rank: 137 out of 7305

170 Patients Receiving at Least One Drug in Part D
56% Patients 65 Years and Older

78% 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

44% of this provider’s 170 patients filled at least one prescription for an antibiotic drug, compared to an average of 24%.

More resources »

Risky Drugs for Seniors

Comparisons are not shown because this provider has fewer than 100 patients who are 65 and older.

21 of this provider’s 96 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

52% of this provider’s 170 patients filled at least one prescription for an opioid, compared to an average of 18%.

More resources »

Brand Name Drugs

33% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%. This is far more than peers.

Prescription Price

$131 was the average price of a prescription from this provider, compared to $59 among peers.

Prescriptions per Patient

59 is the average number of prescriptions (including refills) per patient, compared to an average of 14.


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

$899K

2012

$1.03M

2013

$1.19M

2014

$1.31M

2015

Number of Claims

10,822

2012

10,928

2013

10,880

2014

10,000

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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

395

prescriptions, 4% of all prescriptions

121

prescriptions.

59

patients, 35% of all patients

O 1 8
LIDOCAINE

Causes numbness or loss of ... +

Causes numbness or loss of feeling in an area of your body. Source: National Library of Medicine

336

prescriptions, 3% of all prescriptions

124

prescriptions.

52

patients, 31% of all patients

2 132
OXYCODONE HCL

Oxycodone is used to reliev... +

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

205

prescriptions, 2% of all prescriptions

47

prescriptions.

26

patients, 15% of all patients

O 3 94
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

179

prescriptions, 2% of all prescriptions

85

prescriptions.

25

patients, 15% of all patients

4 6
FUROSEMIDE

Treats fluid retention (ede... +

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

155

prescriptions, 2% of all prescriptions

135

prescriptions.

18

patients, 11% of all patients

5 12
DEXILANT

Treats erosive esophagitis,... +

Treats erosive esophagitis, heartburn, gastroesophageal reflux disease (GERD), and other conditions caused by too much stomach acid. Source: National Library of Medicine

151

prescriptions, 2% of all prescriptions

53

prescriptions.

20

patients, 12% of all patients

6 88
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

149

prescriptions, 1% of all prescriptions

71

prescriptions.

27

patients, 16% of all patients

7 10
GABAPENTIN

Treats certain types of sei... +

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

144

prescriptions, 1% of all prescriptions

67

prescriptions.

26

patients, 15% of all patients

8 13
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

144

prescriptions, 1% of all prescriptions

93

prescriptions.

27

patients, 16% of all patients

8 1
ZENPEP 136

prescriptions, 1% of all prescriptions

65

prescriptions.

29

patients, 17% of all patients

10 364
LINZESS

Used in adults to treat irr... +

Used in adults to treat irritable bowel syndrome with constipation (IBS-C; a condition that causes stomach pain or cramps, bloating, and infrequent or difficult passage of stools) and chronic idiopathic constipation (CIC; difficult or infrequent passage of stools that lasts for 3 months or longer and is not caused by a disease or a medication). Source: National Library of Medicine

132

prescriptions, 1% of all prescriptions

40

prescriptions.

26

patients, 15% of all patients

11 139
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

125

prescriptions, 1% of all prescriptions

88

prescriptions.

16

patients, 9% of all patients

12 2
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

123

prescriptions, 1% of all prescriptions

71

prescriptions.

22

patients, 13% of all patients

13 28
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

120

prescriptions, 1% of all prescriptions

56

prescriptions.

20

patients, 12% of all patients

14 54
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

117

prescriptions, 1% of all prescriptions

84

prescriptions.

21

patients, 12% of all patients

15 7
BYSTOLIC

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

113

prescriptions, 1% of all prescriptions

64

prescriptions.

11

patients, 6% of all patients

16 142
SYMBICORT

This is a combination of bu... +

This is a combination of budesonide and formoterol used to help control the symptoms of asthma and improve lung function. Source: National Library of Medicine

111

prescriptions, 1% of all prescriptions

44

prescriptions.

18

patients, 11% of all patients

17 111
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

109

prescriptions, 1% of all prescriptions

60

prescriptions.

18

patients, 11% of all patients

18 4
CARISOPRODOL

Treats pain and stiffness o... +

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

106

prescriptions, 1% of all prescriptions

13

prescriptions.

14

patients, 8% of all patients

R 19 122
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

104

prescriptions, 1% of all prescriptions

58

prescriptions.

14

patients, 8% of all patients

20 19
ALLOPURINOL

Treats gout and some kinds ... +

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

96

prescriptions, 1% of all prescriptions

65

prescriptions.

15

patients, 9% of all patients

21 35
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

92

prescriptions, 1% of all prescriptions

60

prescriptions.

16

patients, 9% of all patients

22 26
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

49

prescriptions.

15

patients, 9% of all patients

23 44
CREON

Helps patients who have cys... +

Helps patients who have cystic fibrosis, pancreatitis, or digestive disorders digest food. Source: National Library of Medicine

88

prescriptions, 1% of all prescriptions

60

prescriptions.

15

patients, 9% of all patients

24 113
AMMONIUM LACTATE

Treats dry, scaly skin cond... +

Treats dry, scaly skin conditions called xerosis and ichthyosis. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

28

prescriptions.

20

patients, 12% of all patients

25 404
BENICAR

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

70

prescriptions.

15

patients, 9% of all patients

26 96
TOLTERODINE TARTRATE

Tolterodine is used treat o... +

Tolterodine is used 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) to relieve urinary difficulties, including frequent urination and inability to control urination. Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

31

prescriptions.

12

patients, 7% of all patients

26 397
LANSOPRAZOLE

Treats stomach ulcers, gast... +

Treats stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

45

prescriptions.

<11 28 161
ALPRAZOLAM

Treats anxiety, panic disor... +

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

77

prescriptions, 1% of all prescriptions

16

prescriptions.

<11 28 23
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

77

prescriptions, 1% of all prescriptions

31

prescriptions.

13

patients, 8% of all patients

O 28 71
SIMVASTATIN

Treats high cholesterol and... +

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

77

prescriptions, 1% of all prescriptions

31

prescriptions.

11

patients, 6% of all patients

28 5
AMITIZA

Treats certain types of lon... +

Treats certain types of long-term constipation by helping you have a bowel movement. Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

49

prescriptions.

<11 32 167
NYSTATIN-TRIAMCINOLONE

The combination of nystatin... +

The combination of nystatin and triamcinolone is used to treat fungal skin infections. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

16

prescriptions.

12

patients, 7% of all patients

33 284
LAMOTRIGINE

Treats certain types of sei... +

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

70

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 33 206
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

69

prescriptions, 1% of all prescriptions

35

prescriptions.

17

patients, 10% of all patients

35 32
LORAZEPAM

Treats anxiety, anxiety wit... +

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

69

prescriptions, 1% of all prescriptions

53

prescriptions.

12

patients, 7% of all patients

35 20
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

69

prescriptions, 1% of all prescriptions

39

prescriptions.

<11 35 67
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

39

prescriptions.

13

patients, 8% of all patients

35 72
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

53

prescriptions.

<11 39 99
CLOPIDOGREL

Helps prevent stroke, heart... +

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

66

prescriptions, 1% of all prescriptions

33

prescriptions.

<11 40 30
BUSPIRONE HCL

Buspirone is used to treat ... +

Buspirone is used to treat anxiety disorders or in the short-term treatment of symptoms of anxiety. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

21

prescriptions.

<11 41 162
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

64

prescriptions, 1% of all prescriptions

45

prescriptions.

<11 41 190
OLOPATADINE HCL 64

prescriptions, 1% of all prescriptions

18

prescriptions.

13

patients, 8% of all patients

41 476
IBANDRONATE SODIUM

Used to prevent and treat o... +

Used to prevent and treat osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause. Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

47

prescriptions.

<11 44 148
DIAZEPAM

Treats anxiety, muscle spas... +

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

60

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 44 91
CARVEDILOL

Treats high blood pressure ... +

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

59

prescriptions, 1% of all prescriptions

54

prescriptions.

<11 46 24
ALCLOMETASONE DIPROPIONATE 59

prescriptions, 1% of all prescriptions

16

prescriptions.

20

patients, 12% of all patients

46 607
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

58

prescriptions, 1% of all prescriptions

33

prescriptions.

<11 48 9
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

23

prescriptions.

<11 O 48 79
BENICAR HCT

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

30

prescriptions.

<11 48 141
TRAMADOL HCL

Tramadol is used to relieve... +

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

57

prescriptions, 1% of all prescriptions

24

prescriptions.

16

patients, 9% of all patients

O 51 25
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

57

prescriptions, 1% of all prescriptions

33

prescriptions.

<11 51 98
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

57

prescriptions, 1% of all prescriptions

44

prescriptions.

<11 51 46
ATENOLOL

Treats high blood pressure ... +

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

56

prescriptions, 1% of all prescriptions

37

prescriptions.

<11 54 11
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

56

prescriptions, 1% of all prescriptions

29

prescriptions.

<11 O 54 129
TRAZODONE HCL

Trazodone is used to treat ... +

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

56

prescriptions, 1% of all prescriptions

33

prescriptions.

<11 54 34
NITROSTAT

Treats or prevents angina (... +

Treats or prevents angina (chest pain). Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

33

prescriptions.

16

patients, 9% of all patients

57 179
AZITHROMYCIN

Treats infections caused by... +

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

53

prescriptions, 1% of all prescriptions

27

prescriptions.

33

patients, 19% of all patients

A 58 45
WELCHOL

Used together with diet and... +

Used together with diet and exercise to lower cholesterol levels in the blood and to treat type 2 diabetes. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

13

prescriptions.

12

patients, 7% of all patients

58 243
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

52

prescriptions, 1% of all prescriptions

36

prescriptions.

12

patients, 7% of all patients

60 93
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

52

prescriptions, 1% of all prescriptions

30

prescriptions.

<11 60 160
TUDORZA PRESSAIR

Used as a long term treatme... +

Used as a long term treatment to prevent wheezing, shortness of breath, coughing, and chest tightness in patients with chronic obstructive pulmonary disease (COPD, a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to air sacs in the lungs). Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 62 382
TOLTERODINE TARTRATE ER

Tolterodine is used treat o... +

Tolterodine is used 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) to relieve urinary difficulties, including frequent urination and inability to control urination. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

26

prescriptions.

<11 63 345
DALIRESP

Used to prevent the symptom... +

Used to prevent the symptoms (flare-ups) of chronic obstructive pulmonary disease (COPD) from getting worse. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 63 350
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

50

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 P 63 75
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 18, 2014.
  • 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.