Prescriber Checkup
The Doctors and Drugs in Medicare Part D
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IGNATIUS MEDANI MD
34716 1ST AVE S #A
Federal way | Washington | 98003
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At A Glance: This Prescriber in 2015
Self-Reported Primary Specialty
Rank: 354 out of 951
Rank: 300 out of 951
How Does This Prescriber Compare to Peers?
In the same specialty and state. Caveats »
this specialty
in Washington lower than average
Antipsychotics
Comparisons are not shown because this provider has fewer than 100 patients who are 65 and older.
0 of this provider’s 49 patients who are 65 and older filled at least one prescription for an antipsychotic drug.
Antibiotics
25% of this provider’s 190 patients filled at least one prescription for an antibiotic drug, compared to an average of 20%.
Risky Drugs for Seniors
This provider prescribed potentially inappropriate drugs to at least one but fewer than 11 patients who are 65 and older, so Medicare redacted the exact figure. Comparisons are not shown.
Opioids
84% of this provider’s 190 patients filled at least one prescription for an opioid, compared to an average of 18%.
Brand Name Drugs
16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.
Prescription Price
$68 was the average price of a prescription from this provider, compared to $74 among peers.
Prescriptions per Patient
29 is the average number of prescriptions (including refills) per patient, compared to an average of 15.
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
$204K
2012
$229K
2013
$288K
2014
$377K
2015
Number of Claims
3,519
2012
4,121
2013
4,727
2014
5,544
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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An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.
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.
An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.
A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.
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.
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This Drug's Rank
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|---|---|---|---|---|---|---|
| Drug Name | Total Prescriptions Filled with Refills |
Prescriptions to 65+ |
Patients Receiving this Drug | Category | For this Prescriber | For this Prescriber's Peers |
|
OXYCODONE HCL
Oxycodone is used to reliev... + Oxycodone is used to relieve moderate to severe pain. Source: National Library of Medicine |
1,025
prescriptions, 18% of all prescriptions |
203
prescriptions. |
114
patients, 60% of all patients |
O | 1 | 24 |
|
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 |
464
prescriptions, 8% of all prescriptions |
93
prescriptions. |
53
patients, 28% of all patients |
O | 2 | 69 |
|
OXYCODONE-ACETAMINOPHEN
Used to relieve moderate to... + Used to relieve moderate to severe pain. Source: National Library of Medicine |
209
prescriptions, 4% of all prescriptions |
44
prescriptions. |
25
patients, 13% of all patients |
O | 3 | 42 |
|
GABAPENTIN
Treats certain types of sei... + Treats certain types of seizures. Source: National Library of Medicine |
187
prescriptions, 3% of all prescriptions |
25
prescriptions. |
37
patients, 19% of all patients |
4 | 11 | |
|
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 |
155
prescriptions, 3% of all prescriptions |
53
prescriptions. |
43
patients, 23% of all patients |
5 | 5 | |
|
HYDROCODONE-ACETAMINOPHEN
Used to relieve moderate to... + Used to relieve moderate to severe pain. Source: National Library of Medicine |
148
prescriptions, 3% of all prescriptions |
23
prescriptions. |
22
patients, 12% of all patients |
O | 6 | 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 |
143
prescriptions, 3% of all prescriptions |
46
prescriptions. |
49
patients, 26% of all patients |
7 | 75 | |
|
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 |
141
prescriptions, 3% of all prescriptions |
24
prescriptions. |
32
patients, 17% of all patients |
8 | 94 | |
|
MELOXICAM
Treats symptoms of osteoart... + Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine |
139
prescriptions, 3% of all prescriptions |
29
prescriptions. |
53
patients, 28% of all patients |
9 | 49 | |
|
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 |
139
prescriptions, 3% of all prescriptions |
5
prescriptions. |
20
patients, 11% of all patients |
R | 9 | 36 |
|
CARISOPRODOL
Treats pain and stiffness o... + Treats pain and stiffness of muscle spasms. Source: National Library of Medicine |
116
prescriptions, 2% of all prescriptions |
5
prescriptions. |
15
patients, 8% of all patients |
R | 11 | 226 |
|
NORTRIPTYLINE HCL
Nortriptyline is used to tr... + Nortriptyline is used to treat depression. Source: National Library of Medicine |
87
prescriptions, 2% of all prescriptions |
5
prescriptions. |
21
patients, 11% of all patients |
12 | 120 | |
|
PROAIR HFA
Treats or prevents bronchos... + Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine |
78
prescriptions, 1% of all prescriptions |
15
prescriptions. |
21
patients, 11% of all patients |
13 | 33 | |
|
SIMVASTATIN
Treats high cholesterol and... + Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine |
77
prescriptions, 1% of all prescriptions |
19
prescriptions. |
21
patients, 11% of all patients |
14 | 6 | |
|
LISINOPRIL-HYDROCHLOROTHIAZIDE
Treats high blood pressure.... + Treats high blood pressure. Source: National Library of Medicine |
76
prescriptions, 1% of all prescriptions |
22
prescriptions. |
22
patients, 12% of all patients |
15 | 54 | |
|
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 |
75
prescriptions, 1% of all prescriptions |
11
prescriptions. |
16
patients, 8% of all patients |
16 | 4 | |
|
TEMAZEPAM
Treats insomnia (trouble sl... + Treats insomnia (trouble sleeping). Source: National Library of Medicine |
74
prescriptions, 1% of all prescriptions |
11
prescriptions. |
17
patients, 9% of all patients |
17 | 127 | |
|
LISINOPRIL
Treats high blood pressure ... + Treats high blood pressure and heart failure. Source: National Library of Medicine |
72
prescriptions, 1% of all prescriptions |
13
prescriptions. |
26
patients, 14% of all patients |
18 | 2 | |
|
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 |
64
prescriptions, 1% of all prescriptions |
5
prescriptions. |
22
patients, 12% of all patients |
19 | 80 | |
|
OXYCONTIN
Oxycodone is used to reliev... + Oxycodone is used to relieve moderate to severe pain. Source: National Library of Medicine |
59
prescriptions, 1% of all prescriptions |
11
prescriptions. |
<11 | O | 20 | 116 |
|
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 |
53
prescriptions, 1% of all prescriptions |
15
prescriptions. |
<11 | 21 | 13 | |
|
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 |
53
prescriptions, 1% of all prescriptions |
5
prescriptions. |
22
patients, 12% of all patients |
21 | 97 | |
|
TRIAMTERENE-HYDROCHLOROTHIAZID
Used to treat high blood pr... + Used to treat high blood pressure and edema (fluid retention; excess fluid held in body tissues) in patients who have lower amounts of potassium in their bodies or for whom low potassium levels in the body could be dangerous. Source: National Library of Medicine |
52
prescriptions, 1% of all prescriptions |
5
prescriptions. |
14
patients, 7% of all patients |
23 | 39 | |
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 April 2, 2013.
- 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.