Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Gastroenterology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

12,822Medicare Part D Prescriptions Filled, Including Refills

Rank: 4 out of 1037

$1.44M Total Retail Price of All Prescriptions

Rank: 114 out of 1037

678 Patients Receiving at Least One Drug in Part D
97% Patients 65 Years and Older

90% 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 California
lower than average

Antipsychotics

This provider prescribed antipsychotics to at least one but fewer than 11 patients who are 65 and older, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Antibiotics

37% of this provider’s 678 patients filled at least one prescription for an antibiotic drug, compared to an average of 8%.

More resources »

Risky Drugs for Seniors

6% of this provider’s 656 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 1%.

More resources »

Opioids

10% of this provider’s 678 patients filled at least one prescription for an opioid, compared to an average of 2%.

More resources »

Brand Name Drugs

38% of this provider’s prescriptions were for brand-name drugs, compared to an average of 32%.

Prescription Price

$113 was the average price of a prescription from this provider, compared to $601 among peers.

Prescriptions per Patient

19 is the average number of prescriptions (including refills) per patient, compared to an average of 4.


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

$65K

2012

$81.9K

2013

$262K

2014

$1.44M

2015

Number of Claims

650

2012

658

2013

3,225

2014

12,822

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
DEXILANT

Treats erosive esophagitis,... +

Treats erosive esophagitis, heartburn, gastroesophageal reflux disease (GERD), and other conditions caused by too much stomach acid. Source: National Library of Medicine

1,237

prescriptions, 10% of all prescriptions

1,221

prescriptions.

319

patients, 47% of all patients

10 1 4
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels. Source: National Library of Medicine

854

prescriptions, 7% of all prescriptions

840

prescriptions.

186

patients, 27% of all patients

2 11
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

797

prescriptions, 6% of all prescriptions

783

prescriptions.

254

patients, 37% of all patients

3 1
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

578

prescriptions, 5% of all prescriptions

578

prescriptions.

143

patients, 21% of all patients

4 88
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

This drug is used to treat high blood pressure. Source: National Library of Medicine

541

prescriptions, 4% of all prescriptions

529

prescriptions.

126

patients, 19% of all patients

5 52
LOSARTAN POTASSIUM

Losartan is used alone or i... +

Losartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

460

prescriptions, 4% of all prescriptions

455

prescriptions.

142

patients, 21% of all patients

6 27
METFORMIN HCL

Metformin is used alone or ... +

Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Source: National Library of Medicine

425

prescriptions, 3% of all prescriptions

425

prescriptions.

99

patients, 15% of all patients

7 25
FINASTERIDE

Treats an enlarged prostate... +

Treats an enlarged prostate (benign prostatic hyperplasia or BPH) in men and causes hair growth in male pattern baldness. Source: National Library of Medicine

404

prescriptions, 3% of all prescriptions

404

prescriptions.

98

patients, 14% of all patients

8 83
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

398

prescriptions, 3% of all prescriptions

393

prescriptions.

83

patients, 12% of all patients

9 14
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

363

prescriptions, 3% of all prescriptions

358

prescriptions.

78

patients, 12% of all patients

10 26
SUPREP

Used to cleanse of the colo... +

Used to cleanse of the colon in preparation for colonoscopy. Source: National Library of Medicine

350

prescriptions, 3% of all prescriptions

339

prescriptions.

328

patients, 48% of all patients

11 5
NEXIUM

Treats heartburn, gastroeso... +

Treats heartburn, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid. Source: National Library of Medicine

342

prescriptions, 3% of all prescriptions

337

prescriptions.

94

patients, 14% of all patients

12 7
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

316

prescriptions, 2% of all prescriptions

305

prescriptions.

160

patients, 24% of all patients

A 13 54
HYDROXYCHLOROQUINE SULFATE

Hydroxychloroquine is in a ... +

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

309

prescriptions, 2% of all prescriptions

296

prescriptions.

97

patients, 14% of all patients

14 133
GLIPIZIDE ER

Glipizide is used along wit... +

Glipizide is used along with diet and exercise, and sometimes with other medications, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Source: National Library of Medicine

247

prescriptions, 2% of all prescriptions

242

prescriptions.

68

patients, 10% of all patients

15 146
LINZESS

Used in adults to treat irr... +

Used in adults to treat irritable bowel syndrome with constipation (IBS-C; a condition that causes stomach pain or cramps, bloating, and infrequent or difficult passage of stools) and chronic idiopathic constipation (CIC; difficult or infrequent passage of stools that lasts for 3 months or longer and is not caused by a disease or a medication). Source: National Library of Medicine

235

prescriptions, 2% of all prescriptions

230

prescriptions.

73

patients, 11% of all patients

16 15
URSODIOL

Dissolves certain kinds of ... +

Dissolves certain kinds of gallstones in the body when they cannot be removed by surgery. Source: National Library of Medicine

167

prescriptions, 1% of all prescriptions

162

prescriptions.

47

patients, 7% of all patients

17 31
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

167

prescriptions, 1% of all prescriptions

167

prescriptions.

32

patients, 5% of all patients

17 65
LEVOTHYROXINE SODIUM

Levothyroxine, a thyroid ho... +

Levothyroxine, a thyroid hormone, is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. Source: National Library of Medicine

165

prescriptions, 1% of all prescriptions

160

prescriptions.

27

patients, 4% of all patients

19 22
TAMSULOSIN HCL

Tamsulosin is used in men t... +

Tamsulosin is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH) which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Source: National Library of Medicine

144

prescriptions, 1% of all prescriptions

144

prescriptions.

39

patients, 6% of all patients

20 38
CREON

Helps patients who have cys... +

Helps patients who have cystic fibrosis, pancreatitis, or digestive disorders digest food. Source: National Library of Medicine

138

prescriptions, 1% of all prescriptions

138

prescriptions.

47

patients, 7% of all patients

21 16
GLIPIZIDE XL

Glipizide is used along wit... +

Glipizide is used along with diet and exercise, and sometimes with other medications, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Source: National Library of Medicine

138

prescriptions, 1% of all prescriptions

133

prescriptions.

41

patients, 6% of all patients

21 182
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

131

prescriptions, 1% of all prescriptions

126

prescriptions.

28

patients, 4% of all patients

23 142
AMOXICILLIN-CLAVULANATE POTASS

Treats infections. +

Treats infections. Source: National Library of Medicine

126

prescriptions, 1% of all prescriptions

121

prescriptions.

59

patients, 9% of all patients

A 24 163
PAROXETINE HCL

Paroxetine tablets, suspens... +

Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine

125

prescriptions, 1% of all prescriptions

120

prescriptions.

29

patients, 4% of all patients

25 118
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

120

prescriptions, 1% of all prescriptions

120

prescriptions.

32

patients, 5% of all patients

26 49
ZENPEP 113

prescriptions, 1% of all prescriptions

108

prescriptions.

35

patients, 5% of all patients

27 78
MECLIZINE HCL

Meclizine is used to preven... +

Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Source: National Library of Medicine

108

prescriptions, 1% of all prescriptions

103

prescriptions.

51

patients, 8% of all patients

28 174
CLOPIDOGREL

Helps prevent stroke, heart... +

Helps prevent stroke, heart attack, and other heart problems. Source: National Library of Medicine

104

prescriptions, 1% of all prescriptions

99

prescriptions.

23

patients, 3% of all patients

29 34
LEVOFLOXACIN

Levofloxacin is used to tre... +

Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine

99

prescriptions, 1% of all prescriptions

94

prescriptions.

55

patients, 8% of all patients

A 30 73
CELECOXIB

Treats mild to moderate pai... +

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

88

prescriptions, 1% of all prescriptions

88

prescriptions.

21

patients, 3% of all patients

31 41
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

85

prescriptions, 1% of all prescriptions

80

prescriptions.

16

patients, 2% of all patients

32 56
HYDROCHLOROTHIAZIDE

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). Source: National Library of Medicine

85

prescriptions, 1% of all prescriptions

80

prescriptions.

23

patients, 3% of all patients

32 53
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

76

prescriptions.

19

patients, 3% of all patients

34 39
VALSARTAN

Valsartan is used alone or ... +

Valsartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

81

prescriptions.

14

patients, 2% of all patients

34 58
LOPERAMIDE

Treats diarrhea and decreas... +

Treats diarrhea and decreases the amount of drainage in patients who have ostomies. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

60

prescriptions.

33

patients, 5% of all patients

36 181
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

58

prescriptions.

35

patients, 5% of all patients

O 37 151
TRIAMCINOLONE ACETONIDE

Triamcinolone is used to tr... +

Triamcinolone is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

63

prescriptions.

28

patients, 4% of all patients

37 81
TRADJENTA

Used with proper diet and e... +

Used with proper diet and exercise to treat high blood sugar levels caused by type 2 diabetes. Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

44

prescriptions.

<11 39 116
PREDNISONE

Treats inflammation (swelli... +

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

57

prescriptions, 0% of all prescriptions

52

prescriptions.

17

patients, 3% of all patients

40 76
METOPROLOL SUCCINATE

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, 0% of all prescriptions

53

prescriptions.

12

patients, 2% of all patients

41 57
LIDODERM

Treats nerve pain that is c... +

Treats nerve pain that is caused by herpes zoster, or "shingles. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

46

prescriptions.

12

patients, 2% of all patients

42 87
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 Jan. 16, 2014.
  • 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.