Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Internal Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,510Medicare Part D Prescriptions Filled, Including Refills

Rank: 1510 out of 6974

$387K Total Retail Price of All Prescriptions

Rank: 2198 out of 6974

99 Patients Receiving at Least One Drug in Part D
84% Patients 65 Years and Older

92% 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.

15 of this provider’s 83 patients who are 65 and older filled at least one prescription for an antipsychotic drug.

More resources »

Antibiotics

Comparisons are not shown because this provider has fewer than 100 patients.

39 of this provider’s 99 patients filled at least one prescription for an antibiotic drug.

More resources »

Risky Drugs for Seniors

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

13 of this provider’s 83 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

Comparisons are not shown because this provider has fewer than 100 patients.

20 of this provider’s 99 patients filled at least one prescription for an opioid

More resources »

Brand Name Drugs

23% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$51 was the average price of a prescription from this provider, compared to $86 among peers.

Prescriptions per Patient

76 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

$444K

2012

$385K

2013

$401K

2014

$387K

2015

Number of Claims

8,002

2012

7,638

2013

7,947

2014

7,510

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
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

336

prescriptions, 4% of all prescriptions

262

prescriptions.

25

patients, 25% of all patients

1 2
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). Source: National Library of Medicine

324

prescriptions, 4% of all prescriptions

324

prescriptions.

22

patients, 22% of all patients

2 11
ALBUTEROL SULFATE

Albuterol is used to preven... +

Albuterol is used to prevent and treat wheezing, shortness of breath, coughing, and chest tightness caused by lung diseases such as asthma and chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways). Source: National Library of Medicine

289

prescriptions, 4% of all prescriptions

284

prescriptions.

17

patients, 17% of all patients

3 147
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

284

prescriptions, 4% of all prescriptions

233

prescriptions.

18

patients, 18% of all patients

4 3
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

235

prescriptions, 3% of all prescriptions

186

prescriptions.

15

patients, 15% of all patients

5 13
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

224

prescriptions, 3% of all prescriptions

213

prescriptions.

12

patients, 12% of all patients

6 35
LISINOPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure. Source: National Library of Medicine

169

prescriptions, 2% of all prescriptions

169

prescriptions.

19

patients, 19% of all patients

7 5
IPRATROPIUM BROMIDE

Ipratropium oral inhalation... +

Ipratropium oral inhalation is used to prevent wheezing, shortness of breath, coughing, and chest tightness in people with chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to the air sacs in the lungs). Source: National Library of Medicine

169

prescriptions, 2% of all prescriptions

154

prescriptions.

<11 7 208
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

142

prescriptions, 2% of all prescriptions

137

prescriptions.

11

patients, 11% of all patients

9 1
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

139

prescriptions, 2% of all prescriptions

104

prescriptions.

13

patients, 13% of all patients

10 8
DONEPEZIL HCL

Donepezil is used to treat ... +

Donepezil is used to treat dementia (a brain disorder that affects the ability to remember, think clearly, communicate, and perform daily activities and may cause changes in mood and personality) associated with Alzheimer's disease (AD; a brain disease that slowly destroys the memory and the ability to think, learn, communicate and handle daily activities). Source: National Library of Medicine

139

prescriptions, 2% of all prescriptions

120

prescriptions.

14

patients, 14% of all patients

10 33
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

127

prescriptions, 2% of all prescriptions

91

prescriptions.

13

patients, 13% of all patients

12 19
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

115

prescriptions, 2% of all prescriptions

84

prescriptions.

15

patients, 15% of all patients

13 6
WARFARIN SODIUM

Warfarin is used to prevent... +

Warfarin is used to prevent blood clots from forming or growing larger in your blood and blood vessels. Source: National Library of Medicine

113

prescriptions, 2% of all prescriptions

113

prescriptions.

<11 14 20
GABAPENTIN

Treats certain types of sei... +

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

108

prescriptions, 1% of all prescriptions

81

prescriptions.

14

patients, 14% of all patients

15 14
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

102

prescriptions, 1% of all prescriptions

61

prescriptions.

<11 16 94
TRAMADOL HCL

Tramadol is used to relieve... +

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

99

prescriptions, 1% of all prescriptions

42

prescriptions.

<11 O 17 30
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

99

prescriptions, 1% of all prescriptions

76

prescriptions.

<11 17 103
ENALAPRIL MALEATE

Enalapril is used alone or ... +

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

98

prescriptions, 1% of all prescriptions

86

prescriptions.

<11 19 95
NOVOLIN R

Treats diabetes mellitus. +

Treats diabetes mellitus. Source: National Library of Medicine

98

prescriptions, 1% of all prescriptions

93

prescriptions.

14

patients, 14% of all patients

19 201
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

96

prescriptions, 1% of all prescriptions

74

prescriptions.

<11 21 22
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

64

prescriptions.

<11 22 90
PROCRIT 81

prescriptions, 1% of all prescriptions

81

prescriptions.

<11 23 364
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

80

prescriptions, 1% of all prescriptions

56

prescriptions.

13

patients, 13% of all patients

24 69
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

79

prescriptions, 1% of all prescriptions

74

prescriptions.

12

patients, 12% of all patients

25 51
TERAZOSIN HCL

Terazosin is used in men to... +

Terazosin 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

76

prescriptions, 1% of all prescriptions

64

prescriptions.

<11 26 54
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

26

prescriptions.

<11 27 117
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

70

prescriptions, 1% of all prescriptions

47

prescriptions.

<11 28 59
NOVOLOG

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

62

prescriptions.

13

patients, 13% of all patients

29 143
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

67

prescriptions, 1% of all prescriptions

67

prescriptions.

<11 O 29 78
ELIXOPHYLLIN 60

prescriptions, 1% of all prescriptions

60

prescriptions.

<11 10 31 731
BENAZEPRIL HCL

Benazepril is used alone or... +

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

59

prescriptions, 1% of all prescriptions

46

prescriptions.

<11 32 31
BACLOFEN

Treats muscle spasms caused... +

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

58

prescriptions, 1% of all prescriptions

58

prescriptions.

<11 33 70
BETHANECHOL CHLORIDE

Bethanechol is used to reli... +

Bethanechol is used to relieve difficulties in urinating caused by surgery, drugs, or other factors. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

56

prescriptions.

<11 34 378
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

56

prescriptions.

<11 34 63
CARVEDILOL

Treats high blood pressure ... +

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

56

prescriptions, 1% of all prescriptions

37

prescriptions.

<11 34 24
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

55

prescriptions, 1% of all prescriptions

13

prescriptions.

<11 37 101
SENSIPAR

Lowers the amount of calciu... +

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

50

prescriptions, 1% of all prescriptions

24

prescriptions.

<11 38 290
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

50

prescriptions, 1% of all prescriptions

24

prescriptions.

<11 38 16
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 checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org.

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 Dec. 10, 2010.
  • 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.