Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Internal Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

23,753Medicare Part D Prescriptions Filled, Including Refills

Rank: 44 out of 571

$632K Total Retail Price of All Prescriptions

Rank: 105 out of 571

554 Patients Receiving at Least One Drug in Part D
71% Patients 65 Years and Older

2% 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 Puerto Rico
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

36% of this provider’s 554 patients filled at least one prescription for an antibiotic drug, compared to an average of 29%.

More resources »

Risky Drugs for Seniors

7% of this provider’s 391 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

16% of this provider’s 554 patients filled at least one prescription for an opioid, compared to an average of 12%.

More resources »

Brand Name Drugs

16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 17%.

Prescription Price

$27 was the average price of a prescription from this provider, compared to $50 among peers.

Prescriptions per Patient

43 is the average number of prescriptions (including refills) per patient, compared to an average of 23.


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

$730K

2012

$584K

2013

$629K

2014

$632K

2015

Number of Claims

21,300

2012

21,955

2013

22,888

2014

23,753

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
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

1,477

prescriptions, 6% of all prescriptions

1,013

prescriptions.

218

patients, 39% of all patients

1 5
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

1,438

prescriptions, 6% of all prescriptions

941

prescriptions.

180

patients, 32% of all patients

2 10
GABAPENTIN

Treats certain types of sei... +

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

1,304

prescriptions, 5% of all prescriptions

822

prescriptions.

183

patients, 33% of all patients

3 2
SIMVASTATIN

Treats high cholesterol and... +

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

1,146

prescriptions, 5% of all prescriptions

880

prescriptions.

153

patients, 28% of all patients

4 1
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

1,113

prescriptions, 5% of all prescriptions

821

prescriptions.

143

patients, 26% of all patients

5 3
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

831

prescriptions, 3% of all prescriptions

663

prescriptions.

117

patients, 21% of all patients

6 7
DICLOFENAC POTASSIUM

Diclofenac is a nonsteroida... +

Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild-to-moderate pain, and helps to relieve symptoms of arthritis (eg, osteoarthritis or rheumatoid arthritis), such as inflammation, swelling, stiffness, and joint pain. Source: National Library of Medicine

737

prescriptions, 3% of all prescriptions

457

prescriptions.

159

patients, 29% of all patients

7 35
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

678

prescriptions, 3% of all prescriptions

484

prescriptions.

95

patients, 17% of all patients

8 11
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

655

prescriptions, 3% of all prescriptions

486

prescriptions.

94

patients, 17% of all patients

9 22
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

541

prescriptions, 2% of all prescriptions

348

prescriptions.

74

patients, 13% of all patients

10 34
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

521

prescriptions, 2% of all prescriptions

377

prescriptions.

114

patients, 21% of all patients

11 32
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

517

prescriptions, 2% of all prescriptions

442

prescriptions.

62

patients, 11% of all patients

12 12
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

512

prescriptions, 2% of all prescriptions

377

prescriptions.

72

patients, 13% of all patients

13 16
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

506

prescriptions, 2% of all prescriptions

407

prescriptions.

91

patients, 16% of all patients

14 6
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

489

prescriptions, 2% of all prescriptions

362

prescriptions.

83

patients, 15% of all patients

15 8
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

471

prescriptions, 2% of all prescriptions

327

prescriptions.

61

patients, 11% of all patients

16 9
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

387

prescriptions, 2% of all prescriptions

357

prescriptions.

52

patients, 9% of all patients

17 27
HUMULIN 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

356

prescriptions, 1% of all prescriptions

320

prescriptions.

51

patients, 9% of all patients

18 38
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

351

prescriptions, 1% of all prescriptions

318

prescriptions.

43

patients, 8% of all patients

19 21
QUINAPRIL HCL

Quinapril is used alone or ... +

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

335

prescriptions, 1% of all prescriptions

256

prescriptions.

41

patients, 7% of all patients

20 130
IRBESARTAN-HYDROCHLOROTHIAZIDE

Used to treat high blood pr... +

Used to treat high blood pressure. Source: National Library of Medicine

326

prescriptions, 1% of all prescriptions

297

prescriptions.

50

patients, 9% of all patients

21 55
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

311

prescriptions, 1% of all prescriptions

306

prescriptions.

43

patients, 8% of all patients

22 29
SULINDAC

Treats pain caused by arthr... +

Treats pain caused by arthritis, gout, or sore tendons. Source: National Library of Medicine

306

prescriptions, 1% of all prescriptions

175

prescriptions.

61

patients, 11% of all patients

23 78
IRBESARTAN

Used alone or in combinatio... +

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

294

prescriptions, 1% of all prescriptions

238

prescriptions.

41

patients, 7% of all patients

24 26
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

276

prescriptions, 1% of all prescriptions

235

prescriptions.

47

patients, 8% of all patients

25 13
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

272

prescriptions, 1% of all prescriptions

217

prescriptions.

42

patients, 8% of all patients

26 4
ALLOPURINOL

Treats gout and some kinds ... +

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

260

prescriptions, 1% of all prescriptions

214

prescriptions.

40

patients, 7% of all patients

27 54
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

250

prescriptions, 1% of all prescriptions

205

prescriptions.

46

patients, 8% of all patients

28 15
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

245

prescriptions, 1% of all prescriptions

202

prescriptions.

34

patients, 6% of all patients

29 24
FUROSEMIDE

Treats fluid retention (ede... +

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

225

prescriptions, 1% of all prescriptions

208

prescriptions.

38

patients, 7% of all patients

30 19
CLOPIDOGREL

Helps prevent stroke, heart... +

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

225

prescriptions, 1% of all prescriptions

211

prescriptions.

36

patients, 6% of all patients

30 14
LISINOPRIL

Treats high blood pressure ... +

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

202

prescriptions, 1% of all prescriptions

118

prescriptions.

30

patients, 5% of all patients

32 18
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

187

prescriptions, 1% of all prescriptions

137

prescriptions.

25

patients, 5% of all patients

33 71
VALSARTAN-HYDROCHLOROTHIAZIDE

Treats high blood pressure. +

Treats high blood pressure. Source: National Library of Medicine

184

prescriptions, 1% of all prescriptions

148

prescriptions.

21

patients, 4% of all patients

34 53
ATENOLOL

Treats high blood pressure ... +

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

176

prescriptions, 1% of all prescriptions

114

prescriptions.

18

patients, 3% of all patients

35 17
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, 1% of all prescriptions

169

prescriptions.

27

patients, 5% of all patients

36 33
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

166

prescriptions, 1% of all prescriptions

136

prescriptions.

39

patients, 7% of all patients

37 49
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

163

prescriptions, 1% of all prescriptions

134

prescriptions.

25

patients, 5% of all patients

38 30
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

142

prescriptions, 1% of all prescriptions

137

prescriptions.

26

patients, 5% of all patients

39 68
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

140

prescriptions, 1% of all prescriptions

124

prescriptions.

17

patients, 3% of all patients

40 31
CLOTRIMAZOLE-BETAMETHASONE

This combination medication... +

This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch. Source: National Library of Medicine

139

prescriptions, 1% of all prescriptions

92

prescriptions.

46

patients, 8% of all patients

41 42
AMLODIPINE BESYLATE-BENAZEPRIL

The combination of amlodipi... +

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

134

prescriptions, 1% of all prescriptions

116

prescriptions.

17

patients, 3% of all patients

42 44
NABUMETONE

Treats pain caused by arthr... +

Treats pain caused by arthritis. Source: National Library of Medicine

121

prescriptions, 1% of all prescriptions

64

prescriptions.

27

patients, 5% of all patients

43 37
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

119

prescriptions, 1% of all prescriptions

98

prescriptions.

17

patients, 3% of all patients

44 72
CILOSTAZOL

Treats a circulation proble... +

Treats a circulation problem in which too little blood flows into your leg muscles (intermittent claudication). Source: National Library of Medicine

111

prescriptions, 0% of all prescriptions

92

prescriptions.

17

patients, 3% of all patients

45 57
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

109

prescriptions, 0% of all prescriptions

90

prescriptions.

25

patients, 5% of all patients

46 20
CARVEDILOL

Treats high blood pressure ... +

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

107

prescriptions, 0% of all prescriptions

77

prescriptions.

18

patients, 3% of all patients

47 23
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

101

prescriptions, 0% of all prescriptions

96

prescriptions.

<11 48 48
AZITHROMYCIN

Treats infections caused by... +

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

98

prescriptions, 0% of all prescriptions

64

prescriptions.

80

patients, 14% of all patients

A 49 56
TRAMADOL HCL-ACETAMINOPHEN

Treats short-term, medium t... +

Treats short-term, medium to medium-severe pain. Source: National Library of Medicine

97

prescriptions, 0% of all prescriptions

65

prescriptions.

48

patients, 9% of all patients

O 50 61
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

94

prescriptions, 0% of all prescriptions

53

prescriptions.

19

patients, 3% of all patients

51 28
TRAMADOL HCL

Tramadol is used to relieve... +

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

91

prescriptions, 0% of all prescriptions

64

prescriptions.

38

patients, 7% of all patients

O 52 36
COUMADIN

Helps to prevent new blood ... +

Helps to prevent new blood clots from forming, and helps to keep existing blood clots from getting worse. Source: National Library of Medicine

82

prescriptions, 0% of all prescriptions

69

prescriptions.

<11 53 120
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

80

prescriptions, 0% of all prescriptions

68

prescriptions.

12

patients, 2% of all patients

54 59
FOSINOPRIL SODIUM

Fosinopril is used alone or... +

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

75

prescriptions, 0% of all prescriptions

61

prescriptions.

<11 55 118
OXYBUTYNIN CHLORIDE ER

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

73

prescriptions, 0% of all prescriptions

68

prescriptions.

15

patients, 3% of all patients

56 141
ISOSORBIDE DINITRATE

Treats and prevents angina ... +

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

73

prescriptions, 0% of all prescriptions

68

prescriptions.

<11 56 124
TRAZODONE HCL

Trazodone is used to treat ... +

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

67

prescriptions, 0% of all prescriptions

62

prescriptions.

26

patients, 5% of all patients

58 113
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

66

prescriptions, 0% of all prescriptions

66

prescriptions.

<11 59 150
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

65

prescriptions, 0% of all prescriptions

46

prescriptions.

15

patients, 3% of all patients

60 39
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

63

prescriptions, 0% of all prescriptions

38

prescriptions.

<11 61 69
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

63

prescriptions, 0% of all prescriptions

34

prescriptions.

23

patients, 4% of all patients

61 52
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

58

prescriptions, 0% of all prescriptions

35

prescriptions.

46

patients, 8% of all patients

A 63 116
CEFDINIR

Treats certain types of ski... +

Treats certain types of skin infections, throat infections, and lung infections, such as pneumonia, bronchitis, sinusitis, pharyngitis, or tonsillitis. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

44

prescriptions.

51

patients, 9% of all patients

A 64 278
GEMFIBROZIL

Lowers high triglyceride an... +

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

56

prescriptions, 0% of all prescriptions

37

prescriptions.

12

patients, 2% of all patients

64 67
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

54

prescriptions, 0% of all prescriptions

40

prescriptions.

<11 66 64
FOSINOPRIL-HYDROCHLOROTHIAZIDE 51

prescriptions, 0% of all prescriptions

28

prescriptions.

13

patients, 2% of all patients

10 67 288
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 Dec. 3, 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.