Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Pain Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

17,324Medicare Part D Prescriptions Filled, Including Refills

Rank: 3 out of 73

$1.29M Total Retail Price of All Prescriptions

Rank: 4 out of 73

1,338 Patients Receiving at Least One Drug in Part D
50% Patients 65 Years and Older

66% 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 Florida
lower than average

Antipsychotics

0% of this provider’s 670 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 1%.

More resources »

Antibiotics

This provider prescribed antibiotics to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Risky Drugs for Seniors

7% of this provider’s 670 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

93% of this provider’s 1,338 patients filled at least one prescription for an opioid, compared to an average of 74%.

More resources »

Brand Name Drugs

11% of this provider’s prescriptions were for brand-name drugs, compared to an average of 13%.

Prescription Price

$74 was the average price of a prescription from this provider, compared to $81 among peers.

Prescriptions per Patient

13 is the average number of prescriptions (including refills) per patient, compared to an average of 10.


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

$343K

2012

$723K

2013

$1.13M

2014

$1.29M

2015

Number of Claims

5,381

2012

10,347

2013

14,322

2014

17,324

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

3,638

prescriptions, 21% of all prescriptions

1,982

prescriptions.

573

patients, 43% 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

2,165

prescriptions, 12% of all prescriptions

1,029

prescriptions.

360

patients, 27% of all patients

O 2 2
MORPHINE SULFATE ER

Morphine (extended release)... +

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

1,347

prescriptions, 8% of all prescriptions

514

prescriptions.

198

patients, 15% of all patients

O 3 3
OXYCODONE HCL

Oxycodone is used to reliev... +

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

1,347

prescriptions, 8% of all prescriptions

487

prescriptions.

215

patients, 16% of all patients

O 3 5
GABAPENTIN

Treats certain types of sei... +

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

1,268

prescriptions, 7% of all prescriptions

486

prescriptions.

286

patients, 21% of all patients

5 4
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

1,052

prescriptions, 6% of all prescriptions

354

prescriptions.

228

patients, 17% of all patients

6 7
BACLOFEN

Treats muscle spasms caused... +

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

743

prescriptions, 4% of all prescriptions

295

prescriptions.

206

patients, 15% of all patients

7 10
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

707

prescriptions, 4% of all prescriptions

431

prescriptions.

123

patients, 9% of all patients

O 8 6
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

702

prescriptions, 4% of all prescriptions

254

prescriptions.

135

patients, 10% of all patients

9 15
MELOXICAM

Treats symptoms of osteoart... +

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

590

prescriptions, 3% of all prescriptions

156

prescriptions.

162

patients, 12% of all patients

10 9
TRAMADOL HCL

Tramadol is used to relieve... +

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

424

prescriptions, 2% of all prescriptions

219

prescriptions.

97

patients, 7% of all patients

O 11 8
OXYCONTIN

Oxycodone is used to reliev... +

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

309

prescriptions, 2% of all prescriptions

122

prescriptions.

47

patients, 4% of all patients

O 12 14
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

302

prescriptions, 2% of all prescriptions

61

prescriptions.

70

patients, 5% of all patients

R 13 17
MORPHINE SULFATE

Morphine is used to relieve... +

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

289

prescriptions, 2% of all prescriptions

101

prescriptions.

53

patients, 4% of all patients

O 14 12
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

200

prescriptions, 1% of all prescriptions

77

prescriptions.

44

patients, 3% of all patients

15 22
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

168

prescriptions, 1% of all prescriptions

37

prescriptions.

25

patients, 2% of all patients

O 16 11
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

141

prescriptions, 1% of all prescriptions

44

prescriptions.

32

patients, 2% of all patients

17 21
METHOCARBAMOL

Treats muscle pain and spas... +

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

136

prescriptions, 1% of all prescriptions

44

prescriptions.

25

patients, 2% of all patients

R 18 25
OPANA ER

Used to relieve moderate to... +

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

134

prescriptions, 1% of all prescriptions

56

prescriptions.

22

patients, 2% of all patients

O 19 29
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

130

prescriptions, 1% of all prescriptions

47

prescriptions.

26

patients, 2% of all patients

O 20 13
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

119

prescriptions, 1% of all prescriptions

29

prescriptions.

24

patients, 2% of all patients

R 21 35
CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

106

prescriptions, 1% of all prescriptions

63

prescriptions.

21

patients, 2% of all patients

22 47
LIDOCAINE

Causes numbness or loss of ... +

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

98

prescriptions, 1% of all prescriptions

46

prescriptions.

32

patients, 2% of all patients

23 38
DIAZEPAM

Treats anxiety, muscle spas... +

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

93

prescriptions, 1% of all prescriptions

33

prescriptions.

22

patients, 2% of all patients

24 18
TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Source: National Library of Medicine

85

prescriptions, 0% of all prescriptions

5

prescriptions.

16

patients, 1% of all patients

25 32
VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine

84

prescriptions, 0% of all prescriptions

49

prescriptions.

33

patients, 2% of all patients

26 24
BUTALBITAL-ACETAMINOPHEN-CAFFE

This combination of drugs i... +

This combination of drugs is used to relieve tension headaches. Source: National Library of Medicine

71

prescriptions, 0% of all prescriptions

13

prescriptions.

16

patients, 1% of all patients

R 27 53
ZOLPIDEM TARTRATE

Zolpidem is used to treat i... +

Zolpidem is used to treat insomnia (difficulty falling asleep or staying asleep). Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

12

prescriptions.

11

patients, 1% of all patients

R 28 19
CARISOPRODOL

Treats pain and stiffness o... +

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

58

prescriptions, 0% of all prescriptions

12

prescriptions.

<11 R 29 20
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

52

prescriptions, 0% of all prescriptions

13

prescriptions.

11

patients, 1% of all patients

R 30 50
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 Feb. 29, 2016.
  • 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.