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 »

5,545Medicare Part D Prescriptions Filled, Including Refills

Rank: 16 out of 73

$729K Total Retail Price of All Prescriptions

Rank: 7 out of 73

240 Patients Receiving at Least One Drug in Part D
40% Patients 65 Years and Older

75% 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

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

12 of this provider’s 95 patients who are 65 and older filled at least one prescription for an antipsychotic drug.

More resources »

Antibiotics

10% of this provider’s 240 patients filled at least one prescription for an antibiotic drug, compared to an average of 5%.

More resources »

Risky Drugs for Seniors

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

24 of this provider’s 95 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

77% of this provider’s 240 patients filled at least one prescription for an opioid, compared to an average of 74%.

More resources »

Brand Name Drugs

20% of this provider’s prescriptions were for brand-name drugs, compared to an average of 13%.

Prescription Price

$131 was the average price of a prescription from this provider, compared to $81 among peers.

Prescriptions per Patient

23 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

$405K

2012

$689K

2013

$660K

2014

$729K

2015

Number of Claims

3,801

2012

5,394

2013

5,330

2014

5,545

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
SUBOXONE

Treats an addiction to or d... +

Treats an addiction to or dependence on narcotic medicine. Source: National Library of Medicine

364

prescriptions, 7% of all prescriptions

111

prescriptions.

43

patients, 18% of all patients

1 26
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

336

prescriptions, 6% of all prescriptions

145

prescriptions.

61

patients, 25% of all patients

O 2 1
GABAPENTIN

Treats certain types of sei... +

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

324

prescriptions, 6% of all prescriptions

96

prescriptions.

71

patients, 30% of all patients

3 4
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

282

prescriptions, 5% of all prescriptions

84

prescriptions.

73

patients, 30% of all patients

4 34
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

239

prescriptions, 4% of all prescriptions

134

prescriptions.

46

patients, 19% of all patients

O 5 2
TOPIRAMATE

Helps control and prevent c... +

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

228

prescriptions, 4% of all prescriptions

62

prescriptions.

50

patients, 21% of all patients

6 32
OXYCODONE HCL

Oxycodone is used to reliev... +

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

202

prescriptions, 4% of all prescriptions

39

prescriptions.

50

patients, 21% of all patients

O 7 5
BACLOFEN

Treats muscle spasms caused... +

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

186

prescriptions, 3% of all prescriptions

59

prescriptions.

55

patients, 23% of all patients

8 10
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

166

prescriptions, 3% of all prescriptions

44

prescriptions.

36

patients, 15% of all patients

9 7
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

146

prescriptions, 3% of all prescriptions

35

prescriptions.

37

patients, 15% of all patients

10 22
MORPHINE SULFATE ER

Morphine (extended release)... +

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

144

prescriptions, 3% of all prescriptions

33

prescriptions.

29

patients, 12% of all patients

O 11 3
BUPRENORPHINE HCL 143

prescriptions, 3% of all prescriptions

5

prescriptions.

27

patients, 11% of all patients

O 12 52
MELOXICAM

Treats symptoms of osteoart... +

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

140

prescriptions, 3% of all prescriptions

64

prescriptions.

37

patients, 15% of all patients

13 9
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

123

prescriptions, 2% of all prescriptions

17

prescriptions.

32

patients, 13% of all patients

R 14 17
CITALOPRAM HBR

Citalopram is used to treat... +

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

119

prescriptions, 2% of all prescriptions

51

prescriptions.

30

patients, 13% of all patients

15 43
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

103

prescriptions, 2% of all prescriptions

37

prescriptions.

28

patients, 12% of all patients

16 15
ALPRAZOLAM

Treats anxiety, panic disor... +

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

100

prescriptions, 2% of all prescriptions

44

prescriptions.

21

patients, 9% of all patients

17 16
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

99

prescriptions, 2% of all prescriptions

36

prescriptions.

14

patients, 6% of all patients

O 18 11
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

97

prescriptions, 2% of all prescriptions

17

prescriptions.

24

patients, 10% of all patients

R 19 19
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

96

prescriptions, 2% of all prescriptions

57

prescriptions.

28

patients, 12% of all patients

20 21
MORPHINE SULFATE

Morphine is used to relieve... +

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

92

prescriptions, 2% of all prescriptions

22

prescriptions.

17

patients, 7% of all patients

O 21 12
SEROQUEL XR

Treats schizophrenia and sy... +

Treats schizophrenia and symptoms of bipolar disorder (manic-depressive illness). Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

18

prescriptions.

23

patients, 10% of all patients

P 22 78
HYDROXYZINE HCL

Hydroxyzine is used to reli... +

Hydroxyzine is used to relieve the itching caused by allergies and to control the nausea and vomiting caused by various conditions, including motion sickness. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

19

prescriptions.

24

patients, 10% of all patients

R 23 114
CELECOXIB

Treats mild to moderate pai... +

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

68

prescriptions, 1% of all prescriptions

27

prescriptions.

18

patients, 8% of all patients

23 47
VOLTAREN

Treats pain caused by arthr... +

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

59

prescriptions, 1% of all prescriptions

38

prescriptions.

26

patients, 11% of all patients

25 24
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

46

prescriptions.

12

patients, 5% of all patients

O 26 8
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 5% of all patients

26 67
CLONAZEPAM

Treats seizures, panic diso... +

Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

5

prescriptions.

13

patients, 5% of all patients

28 23
LIDOCAINE-PRILOCAINE

This is used on the skin or... +

This is used on the skin or in the genital area to cause numbness or loss of feeling before certain medical procedures. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

17

prescriptions.

26

patients, 11% of all patients

29 33
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 26, 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.