Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Rheumatology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,584Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 30

$1.33M Total Retail Price of All Prescriptions

Rank: 3 out of 30

523 Patients Receiving at Least One Drug in Part D
79% Patients 65 Years and Older

26% 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 Iowa
lower than average

Antipsychotics

0% of this provider’s 412 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

25 of this provider’s 523 patients filled at least one prescription for an antibiotic drug.

More resources »

Risky Drugs for Seniors

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

36 of this provider’s 412 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

43% of this provider’s 523 patients filled at least one prescription for an opioid, compared to an average of 25%.

More resources »

Brand Name Drugs

19% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$176 was the average price of a prescription from this provider, compared to $189 among peers.

Prescriptions per Patient

15 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

$639K

2012

$900K

2013

$1.03M

2014

$1.33M

2015

Number of Claims

5,454

2012

6,385

2013

6,779

2014

7,584

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
HYDROXYCHLOROQUINE SULFATE

Hydroxychloroquine is in a ... +

Hydroxychloroquine is in a class of drugs called antimalarials. Source: National Library of Medicine

681

prescriptions, 9% of all prescriptions

542

prescriptions.

121

patients, 23% of all patients

1 3
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Source: National Library of Medicine

648

prescriptions, 9% of all prescriptions

497

prescriptions.

157

patients, 30% of all patients

2 1
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

581

prescriptions, 8% of all prescriptions

403

prescriptions.

104

patients, 20% of all patients

O 3 6
METHOTREXATE

Treats several kinds of can... +

Treats several kinds of cancer, including cancer of the blood, bone, lung, breast, head, or neck. Source: National Library of Medicine

490

prescriptions, 6% of all prescriptions

386

prescriptions.

85

patients, 16% of all patients

4 2
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

372

prescriptions, 5% of all prescriptions

247

prescriptions.

56

patients, 11% of all patients

5 11
TRAMADOL HCL

Tramadol is used to relieve... +

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

324

prescriptions, 4% of all prescriptions

259

prescriptions.

75

patients, 14% of all patients

O 6 4
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

310

prescriptions, 4% of all prescriptions

261

prescriptions.

54

patients, 10% of all patients

7 12
LEFLUNOMIDE

Treats rheumatoid arthritis... +

Treats rheumatoid arthritis in adults. Source: National Library of Medicine

291

prescriptions, 4% of all prescriptions

230

prescriptions.

52

patients, 10% of all patients

8 9
MELOXICAM

Treats symptoms of osteoart... +

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

275

prescriptions, 4% of all prescriptions

211

prescriptions.

65

patients, 12% of all patients

9 7
GABAPENTIN

Treats certain types of sei... +

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

255

prescriptions, 3% of all prescriptions

185

prescriptions.

45

patients, 9% of all patients

10 8
NABUMETONE

Treats pain caused by arthr... +

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

237

prescriptions, 3% of all prescriptions

172

prescriptions.

47

patients, 9% of all patients

11 13
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

163

prescriptions, 2% of all prescriptions

123

prescriptions.

53

patients, 10% of all patients

12 5
CELECOXIB

Treats mild to moderate pai... +

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

141

prescriptions, 2% of all prescriptions

124

prescriptions.

29

patients, 6% of all patients

13 14
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

140

prescriptions, 2% of all prescriptions

77

prescriptions.

22

patients, 4% of all patients

R 14 26
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

136

prescriptions, 2% of all prescriptions

71

prescriptions.

27

patients, 5% of all patients

15 17
SULFASALAZINE DR 114

prescriptions, 2% of all prescriptions

69

prescriptions.

30

patients, 6% of all patients

16 18
TRAMADOL HCL-ACETAMINOPHEN

Treats short-term, medium t... +

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

111

prescriptions, 1% of all prescriptions

81

prescriptions.

30

patients, 6% of all patients

O 17 48
ETODOLAC

Treats pain caused by arthr... +

Treats pain caused by arthritis and other medical problems. Source: National Library of Medicine

99

prescriptions, 1% of all prescriptions

77

prescriptions.

19

patients, 4% of all patients

18 20
ENBREL

Treats rheumatoid arthritis... +

Treats rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and plaque psoriasis in adults. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

50

prescriptions.

<11 19 15
ALLOPURINOL

Treats gout and some kinds ... +

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

82

prescriptions, 1% of all prescriptions

54

prescriptions.

<11 20 10
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

82

prescriptions, 1% of all prescriptions

32

prescriptions.

13

patients, 2% of all patients

20 23
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

73

prescriptions, 1% of all prescriptions

32

prescriptions.

24

patients, 5% of all patients

R 22 22
MORPHINE SULFATE ER

Morphine (extended release)... +

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

65

prescriptions, 1% of all prescriptions

41

prescriptions.

<11 O 23 43
ROPINIROLE HCL

Ropinirole is used alone or... +

Ropinirole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

32

prescriptions.

<11 24 45
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

56

prescriptions, 1% of all prescriptions

44

prescriptions.

<11 24 16
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

54

prescriptions, 1% of all prescriptions

29

prescriptions.

14

patients, 3% of all patients

O 26 38
AZATHIOPRINE

Prevents your body from rej... +

Prevents your body from rejecting a kidney transplant. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

48

prescriptions.

<11 27 21
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

52

prescriptions, 1% of all prescriptions

33

prescriptions.

<11 28 64
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 Jan. 14, 2011.
  • 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.