Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nephrology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

5,009Medicare Part D Prescriptions Filled, Including Refills

Rank: 113 out of 808

$2.39M Total Retail Price of All Prescriptions

Rank: 9 out of 808

245 Patients Receiving at Least One Drug in Part D
37% Patients 65 Years and Older

73% 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

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

0 of this provider’s 90 patients who are 65 and older filled at least one prescription for an antipsychotic drug.

More resources »

Antibiotics

62% of this provider’s 245 patients filled at least one prescription for an antibiotic drug, compared to an average of 16%.

More resources »

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.

More resources »

Opioids

26% of this provider’s 245 patients filled at least one prescription for an opioid, compared to an average of 8%.

More resources »

Brand Name Drugs

25% of this provider’s prescriptions were for brand-name drugs, compared to an average of 28%.

Prescription Price

$477 was the average price of a prescription from this provider, compared to $184 among peers.

Prescriptions per Patient

20 is the average number of prescriptions (including refills) per patient, compared to an average of 12.


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

$765K

2012

$1.4M

2013

$1.74M

2014

$2.39M

2015

Number of Claims

4,685

2012

4,714

2013

4,363

2014

5,009

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
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

Treating infections caused by certain bacteria. Source: National Library of Medicine

713

prescriptions, 14% of all prescriptions

245

prescriptions.

124

patients, 51% of all patients

A 1 60
VALGANCICLOVIR HCL 521

prescriptions, 10% of all prescriptions

130

prescriptions.

105

patients, 43% of all patients

10 2 108
FAMOTIDINE*

Treats ulcers, gastroesopha... +

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

329

prescriptions, 7% of all prescriptions

80

prescriptions.

67

patients, 27% of all patients

3 37
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

261

prescriptions, 5% of all prescriptions

96

prescriptions.

76

patients, 31% of all patients

4 1
PANTOPRAZOLE SODIUM

Pantoprazole is used to tre... +

Pantoprazole is used to treat gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the esophagus (the tube between the throat and stomach). Source: National Library of Medicine

252

prescriptions, 5% of all prescriptions

109

prescriptions.

45

patients, 18% of all patients

5 23
LABETALOL HCL

Labetalol is used to treat ... +

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

218

prescriptions, 4% of all prescriptions

73

prescriptions.

58

patients, 24% of all patients

6 46
NYSTATIN

Treats fungus infections in... +

Treats fungus infections in the mouth, throat, and intestines. Source: National Library of Medicine

151

prescriptions, 3% of all prescriptions

60

prescriptions.

69

patients, 28% of all patients

7 197
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

129

prescriptions, 3% of all prescriptions

35

prescriptions.

26

patients, 11% of all patients

8 6
PREDNISONE

Treats inflammation (swelli... +

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

118

prescriptions, 2% of all prescriptions

59

prescriptions.

45

patients, 18% of all patients

9 25
GAMMAGARD LIQUID 117

prescriptions, 2% of all prescriptions

27

prescriptions.

18

patients, 7% of all patients

10 308
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

116

prescriptions, 2% of all prescriptions

14

prescriptions.

21

patients, 9% of all patients

11 34
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

107

prescriptions, 2% of all prescriptions

47

prescriptions.

39

patients, 16% of all patients

12 80
SENSIPAR

Lowers the amount of calciu... +

Lowers the amount of calcium in your blood. Source: National Library of Medicine

100

prescriptions, 2% of all prescriptions

16

prescriptions.

20

patients, 8% of all patients

13 7
TRAMADOL HCL

Tramadol is used to relieve... +

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

96

prescriptions, 2% of all prescriptions

27

prescriptions.

64

patients, 26% of all patients

O 14 43
TACROLIMUS 93

prescriptions, 2% of all prescriptions

24

prescriptions.

16

patients, 7% of all patients

15 116
NOVOLOG FLEXPEN

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

93

prescriptions, 2% of all prescriptions

30

prescriptions.

36

patients, 15% of all patients

15 140
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

91

prescriptions, 2% of all prescriptions

39

prescriptions.

19

patients, 8% of all patients

17 20
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine

83

prescriptions, 2% of all prescriptions

5

prescriptions.

20

patients, 8% of all patients

18 10
UNIFINE PENTIPS

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

19

prescriptions.

32

patients, 13% of all patients

19 195
VALCYTE 55

prescriptions, 1% of all prescriptions

24

prescriptions.

18

patients, 7% of all patients

20 374
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 March 13, 2015.
  • 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.