Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

RYAN BANKS M.D.

UNMC DEPT OF FAMILY MEDICINE 983075 NEBRASKA MEDICAL CENTER

Omaha | Nebraska | 68198

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At A Glance: This Prescriber in 2016

Family Medicine

Self-Reported Primary Specialty

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11,011Medicare Part D Prescriptions Filled, Including Refills

Rank: 81 out of 649 providers in this state and specialty

$573K Total Retail Price of All Prescriptions

Rank: 80 out of 649 providers in this state and specialty

310 Patients Receiving at Least One Drug in Part D
85% Patients 65 Years and Older

51% 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 Nebraska
lower than average

Antipsychotics

5% of this provider’s 263 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 3%.

More resources »

Antibiotics

33% of this provider’s 310 patients filled at least one prescription for an antibiotic drug, compared to an average of 29%.

More resources »

Opioids

27% of this provider’s 310 patients filled at least one prescription for an opioid, compared to an average of 18%.

More resources »

Brand Name Drugs

15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 17%.

Prescription Price

$52 was the average price of a prescription from this provider, compared to $53 among peers.

Prescriptions per Patient

36 is the average number of prescriptions (including refills) per patient, compared to an average of 18.


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 2014. All years may not be shown if there is insufficient data.

Cost of Claims

$432K

2014

$551K

2015

$573K

2016

Number of Claims

9,297

2014

10,638

2015

11,011

2016

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.

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 573

prescriptions, 5% of all prescriptions

504

prescriptions.

87

patients, 28% of all patients

1 1
OMEPRAZOLE 411

prescriptions, 4% of all prescriptions

329

prescriptions.

69

patients, 22% of all patients

2 2
ATORVASTATIN CALCIUM 367

prescriptions, 3% of all prescriptions

318

prescriptions.

69

patients, 22% of all patients

3 3
METFORMIN HCL 283

prescriptions, 3% of all prescriptions

222

prescriptions.

50

patients, 16% of all patients

4 8
FUROSEMIDE 265

prescriptions, 2% of all prescriptions

230

prescriptions.

41

patients, 13% of all patients

5 6
POTASSIUM CHLORIDE 260

prescriptions, 2% of all prescriptions

216

prescriptions.

39

patients, 13% of all patients

6 9
WARFARIN SODIUM 257

prescriptions, 2% of all prescriptions

252

prescriptions.

32

patients, 10% of all patients

7 10
LISINOPRIL 245

prescriptions, 2% of all prescriptions

203

prescriptions.

46

patients, 15% of all patients

8 5
SIMVASTATIN 235

prescriptions, 2% of all prescriptions

204

prescriptions.

44

patients, 14% of all patients

9 7
TRAMADOL HCL 227

prescriptions, 2% of all prescriptions

187

prescriptions.

45

patients, 15% of all patients

O 10 16
LOSARTAN POTASSIUM 225

prescriptions, 2% of all prescriptions

204

prescriptions.

40

patients, 13% of all patients

11 14
GABAPENTIN 215

prescriptions, 2% of all prescriptions

141

prescriptions.

33

patients, 11% of all patients

12 11
AMLODIPINE BESYLATE 214

prescriptions, 2% of all prescriptions

203

prescriptions.

39

patients, 13% of all patients

13 4
METOPROLOL TARTRATE 180

prescriptions, 2% of all prescriptions

175

prescriptions.

31

patients, 10% of all patients

14 15
HYDROCHLOROTHIAZIDE 176

prescriptions, 2% of all prescriptions

153

prescriptions.

29

patients, 9% of all patients

15 17
HYDROCODONE-ACETAMINOPHEN 160

prescriptions, 1% of all prescriptions

95

prescriptions.

38

patients, 12% of all patients

O 16 13
SERTRALINE HCL 159

prescriptions, 1% of all prescriptions

122

prescriptions.

26

patients, 8% of all patients

17 21
ALLOPURINOL 134

prescriptions, 1% of all prescriptions

134

prescriptions.

16

patients, 5% of all patients

18 24
TAMSULOSIN HCL 133

prescriptions, 1% of all prescriptions

105

prescriptions.

22

patients, 7% of all patients

19 20
PANTOPRAZOLE SODIUM 131

prescriptions, 1% of all prescriptions

126

prescriptions.

20

patients, 6% of all patients

20 18
CITALOPRAM HBR 126

prescriptions, 1% of all prescriptions

88

prescriptions.

18

patients, 6% of all patients

21 25
POLYETHYLENE GLYCOL 3350 119

prescriptions, 1% of all prescriptions

106

prescriptions.

28

patients, 9% of all patients

22 34
FLUTICASONE PROPIONATE 106

prescriptions, 1% of all prescriptions

84

prescriptions.

37

patients, 12% of all patients

23 29
METOPROLOL SUCCINATE 102

prescriptions, 1% of all prescriptions

102

prescriptions.

22

patients, 7% of all patients

24 12
CLOPIDOGREL 100

prescriptions, 1% of all prescriptions

95

prescriptions.

14

patients, 5% of all patients

25 30
PREDNISONE 98

prescriptions, 1% of all prescriptions

93

prescriptions.

25

patients, 8% of all patients

26 33
ENALAPRIL MALEATE 97

prescriptions, 1% of all prescriptions

84

prescriptions.

15

patients, 5% of all patients

27 54
CARVEDILOL 88

prescriptions, 1% of all prescriptions

83

prescriptions.

14

patients, 5% of all patients

28 19
FENTANYL 84

prescriptions, 1% of all prescriptions

53

prescriptions.

12

patients, 4% of all patients

O 29 51
ISOSORBIDE MONONITRATE ER 83

prescriptions, 1% of all prescriptions

83

prescriptions.

<11 30 64
ATENOLOL 81

prescriptions, 1% of all prescriptions

76

prescriptions.

14

patients, 5% of all patients

31 27
TRAZODONE HCL 76

prescriptions, 1% of all prescriptions

36

prescriptions.

18

patients, 6% of all patients

32 36
DOXAZOSIN MESYLATE 76

prescriptions, 1% of all prescriptions

58

prescriptions.

11

patients, 4% of all patients

32 113
MIRTAZAPINE 75

prescriptions, 1% of all prescriptions

70

prescriptions.

11

patients, 4% of all patients

34 48
PRAMIPEXOLE DIHYDROCHLORIDE 75

prescriptions, 1% of all prescriptions

44

prescriptions.

<11 34 136
ALENDRONATE SODIUM 71

prescriptions, 1% of all prescriptions

71

prescriptions.

13

patients, 4% of all patients

36 42
CEPHALEXIN 70

prescriptions, 1% of all prescriptions

65

prescriptions.

41

patients, 13% of all patients

A 37 83
LYRICA 69

prescriptions, 1% of all prescriptions

33

prescriptions.

17

patients, 5% of all patients

38 68
CYCLOBENZAPRINE HCL 69

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 38 94
DONEPEZIL HCL 69

prescriptions, 1% of all prescriptions

69

prescriptions.

<11 38 32
TRIAMTERENE-HYDROCHLOROTHIAZID 68

prescriptions, 1% of all prescriptions

68

prescriptions.

11

patients, 4% of all patients

41 44
CLONAZEPAM 68

prescriptions, 1% of all prescriptions

34

prescriptions.

11

patients, 4% of all patients

41 46
ESCITALOPRAM OXALATE 67

prescriptions, 1% of all prescriptions

67

prescriptions.

<11 43 28
BISOPROLOL FUMARATE 66

prescriptions, 1% of all prescriptions

61

prescriptions.

12

patients, 4% of all patients

44 97
DULOXETINE HCL 66

prescriptions, 1% of all prescriptions

24

prescriptions.

12

patients, 4% of all patients

44 37
GEMFIBROZIL 65

prescriptions, 1% of all prescriptions

49

prescriptions.

<11 46 147
OXYBUTYNIN CHLORIDE 61

prescriptions, 1% of all prescriptions

61

prescriptions.

<11 47 82
LOVASTATIN 60

prescriptions, 1% of all prescriptions

60

prescriptions.

11

patients, 4% of all patients

48 88
QUETIAPINE FUMARATE 60

prescriptions, 1% of all prescriptions

33

prescriptions.

<11 P 48 52
CLONIDINE HCL 58

prescriptions, 1% of all prescriptions

42

prescriptions.

14

patients, 5% of all patients

50 72
JANUVIA 57

prescriptions, 1% of all prescriptions

37

prescriptions.

<11 51 84
LANTUS SOLOSTAR 57

prescriptions, 1% of all prescriptions

41

prescriptions.

14

patients, 5% of all patients

51 74
RANITIDINE HCL 55

prescriptions, 0% of all prescriptions

55

prescriptions.

13

patients, 4% of all patients

53 43
SPIRONOLACTONE 54

prescriptions, 0% of all prescriptions

49

prescriptions.

13

patients, 4% of all patients

54 41
ZOLPIDEM TARTRATE 54

prescriptions, 0% of all prescriptions

23

prescriptions.

14

patients, 5% of all patients

54 47
MELOXICAM 53

prescriptions, 0% of all prescriptions

42

prescriptions.

11

patients, 4% of all patients

56 22
GLIPIZIDE 53

prescriptions, 0% of all prescriptions

48

prescriptions.

11

patients, 4% of all patients

56 65
LANTUS 52

prescriptions, 0% of all prescriptions

39

prescriptions.

<11 58 76
CARBIDOPA-LEVODOPA 51

prescriptions, 0% of all prescriptions

51

prescriptions.

<11 59 91
LISINOPRIL-HYDROCHLOROTHIAZIDE 51

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 59 35
MONTELUKAST SODIUM 51

prescriptions, 0% of all prescriptions

38

prescriptions.

<11 59 38
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 2016 includes more than 1.5 billion prescriptions written by 1.1 million doctors, nurses and other providers. This database lists over 460,000 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 »

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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 July 15, 2009.
  • 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.