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 »

11,474Medicare Part D Prescriptions Filled, Including Refills

Rank: 25 out of 808

$780K Total Retail Price of All Prescriptions

Rank: 128 out of 808

358 Patients Receiving at Least One Drug in Part D
82% Patients 65 Years and Older

95% 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

15% of this provider’s 294 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

38% of this provider’s 358 patients filled at least one prescription for an antibiotic drug, compared to an average of 16%.

More resources »

Risky Drugs for Seniors

18% of this provider’s 294 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

17% of this provider’s 358 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

$68 was the average price of a prescription from this provider, compared to $184 among peers.

Prescriptions per Patient

32 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

$715K

2012

$808K

2013

$769K

2014

$780K

2015

Number of Claims

10,431

2012

13,518

2013

12,963

2014

11,474

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

424

prescriptions, 4% of all prescriptions

320

prescriptions.

62

patients, 17% of all patients

1 1
FUROSEMIDE

Treats fluid retention (ede... +

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

408

prescriptions, 4% of all prescriptions

364

prescriptions.

58

patients, 16% of all patients

2 2
SIMVASTATIN

Treats high cholesterol and... +

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

371

prescriptions, 3% of all prescriptions

327

prescriptions.

62

patients, 17% of all patients

3 11
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

365

prescriptions, 3% of all prescriptions

328

prescriptions.

68

patients, 19% of all patients

4 31
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

342

prescriptions, 3% of all prescriptions

261

prescriptions.

56

patients, 16% of all patients

5 4
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

303

prescriptions, 3% of all prescriptions

257

prescriptions.

51

patients, 14% of all patients

6 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

290

prescriptions, 3% of all prescriptions

144

prescriptions.

23

patients, 6% of all patients

7 36
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

270

prescriptions, 2% of all prescriptions

249

prescriptions.

38

patients, 11% of all patients

8 37
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

265

prescriptions, 2% of all prescriptions

247

prescriptions.

60

patients, 17% of all patients

9 23
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

211

prescriptions, 2% of all prescriptions

179

prescriptions.

32

patients, 9% of all patients

10 19
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

205

prescriptions, 2% of all prescriptions

172

prescriptions.

44

patients, 12% of all patients

11 8
CLOPIDOGREL

Helps prevent stroke, heart... +

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

200

prescriptions, 2% of all prescriptions

195

prescriptions.

27

patients, 8% of all patients

12 29
GABAPENTIN

Treats certain types of sei... +

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

181

prescriptions, 2% of all prescriptions

135

prescriptions.

28

patients, 8% of all patients

13 18
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

175

prescriptions, 2% of all prescriptions

137

prescriptions.

21

patients, 6% of all patients

P 14 149
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

161

prescriptions, 1% of all prescriptions

156

prescriptions.

25

patients, 7% of all patients

15 14
CARVEDILOL

Treats high blood pressure ... +

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

159

prescriptions, 1% of all prescriptions

159

prescriptions.

25

patients, 7% of all patients

16 10
QUETIAPINE FUMARATE

Quetiapine is used to treat... +

Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

155

prescriptions, 1% of all prescriptions

150

prescriptions.

15

patients, 4% of all patients

P 17 110
CITALOPRAM HBR

Citalopram is used to treat... +

Citalopram is used to treat depression. Source: National Library of Medicine

149

prescriptions, 1% of all prescriptions

144

prescriptions.

20

patients, 6% of all patients

18 129
AMIODARONE HCL

Amiodarone is used to treat... +

Amiodarone is used to treat and prevent certain types of serious, life-threatening ventricular arrhythmias (a certain type of abnormal heart rhythm when other medications did not help or could not be tolerated. Source: National Library of Medicine

148

prescriptions, 1% of all prescriptions

143

prescriptions.

19

patients, 5% of all patients

19 123
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

145

prescriptions, 1% of all prescriptions

121

prescriptions.

22

patients, 6% of all patients

20 34
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

141

prescriptions, 1% of all prescriptions

90

prescriptions.

26

patients, 7% of all patients

21 12
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

120

prescriptions, 1% of all prescriptions

105

prescriptions.

13

patients, 4% of all patients

22 35
LORAZEPAM

Treats anxiety, anxiety wit... +

Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine

111

prescriptions, 1% of all prescriptions

83

prescriptions.

33

patients, 9% of all patients

23 49
OLANZAPINE

Treats psychotic mental dis... +

Treats psychotic mental disorders, such as schizophrenia or bipolar disorder (manic-depressive illness). Source: National Library of Medicine

111

prescriptions, 1% of all prescriptions

79

prescriptions.

13

patients, 4% of all patients

P 23 133
NOVOLIN R

Treats diabetes mellitus. +

Treats diabetes mellitus. Source: National Library of Medicine

107

prescriptions, 1% of all prescriptions

102

prescriptions.

23

patients, 6% of all patients

25 219
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

104

prescriptions, 1% of all prescriptions

104

prescriptions.

18

patients, 5% of all patients

26 45
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

98

prescriptions.

17

patients, 5% of all patients

27 48
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

101

prescriptions, 1% of all prescriptions

42

prescriptions.

<11 28 146
DIOVAN

Treats high blood pressure ... +

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

100

prescriptions, 1% of all prescriptions

95

prescriptions.

25

patients, 7% of all patients

29 152
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

94

prescriptions, 1% of all prescriptions

94

prescriptions.

<11 30 87
JANTOVEN

Helps to prevent new blood ... +

Helps to prevent new blood clots from forming, and helps to keep existing blood clots from getting worse. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

92

prescriptions.

<11 31 254
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

90

prescriptions, 1% of all prescriptions

85

prescriptions.

14

patients, 4% of all patients

32 20
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

87

prescriptions, 1% of all prescriptions

62

prescriptions.

37

patients, 10% of all patients

O 33 21
SERTRALINE HCL

Sertraline is used to treat... +

Sertraline is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks), posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience), 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

86

prescriptions, 1% of all prescriptions

75

prescriptions.

13

patients, 4% of all patients

34 74
HUMULIN R

Treats diabetes mellitus. +

Treats diabetes mellitus. Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

65

prescriptions.

21

patients, 6% of all patients

35 285
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

83

prescriptions, 1% of all prescriptions

78

prescriptions.

14

patients, 4% of all patients

36 27
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

66

prescriptions.

15

patients, 4% of all patients

37 103
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

76

prescriptions, 1% of all prescriptions

71

prescriptions.

11

patients, 3% of all patients

38 93
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

75

prescriptions, 1% of all prescriptions

70

prescriptions.

11

patients, 3% of all patients

39 113
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

74

prescriptions, 1% of all prescriptions

69

prescriptions.

61

patients, 17% of all patients

A 40 72
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

73

prescriptions, 1% of all prescriptions

62

prescriptions.

26

patients, 7% of all patients

41 17
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

70

prescriptions, 1% of all prescriptions

45

prescriptions.

28

patients, 8% of all patients

R 42 42
CRESTOR

Lowers high levels of chole... +

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

70

prescriptions, 1% of all prescriptions

70

prescriptions.

<11 42 39
VENLAFAXINE HCL

Venlafaxine is used to trea... +

Venlafaxine is used to treat depression. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

62

prescriptions.

11

patients, 3% of all patients

44 354
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

53

prescriptions.

17

patients, 5% of all patients

44 89
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

67

prescriptions, 1% of all prescriptions

67

prescriptions.

19

patients, 5% of all patients

44 64
NIFEDIPINE ER

Used for the treatment of v... +

Used for the treatment of vasospastic angina, chronic stable angina and hypertension. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

50

prescriptions.

<11 47 24
LISINOPRIL

Treats high blood pressure ... +

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

65

prescriptions, 1% of all prescriptions

60

prescriptions.

11

patients, 3% of all patients

47 5
NOVOLIN 70-30

Insulin injection is used t... +

Insulin injection is used to control blood sugar in people who have type 1 diabetes (condition in which the body does not make insulin and therefore cannot control the amount of sugar in the blood) or in people who have type 2 diabetes (condition in which the blood sugar is too high because the body does not produce or use insulin normally) that cannot be controlled with oral medications alone. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

64

prescriptions.

11

patients, 3% of all patients

49 210
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

58

prescriptions, 1% of all prescriptions

46

prescriptions.

14

patients, 4% of all patients

50 16
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

57

prescriptions.

11

patients, 3% of all patients

51 66
RENVELA

Lowers the amount of phosph... +

Lowers the amount of phosphorus in blood of patients receiving kidney dialysis. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

20

prescriptions.

<11 52 3
CELECOXIB

Treats mild to moderate pai... +

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

56

prescriptions, 0% of all prescriptions

51

prescriptions.

16

patients, 4% of all patients

52 57
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

55

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 54 22
MEGESTROL ACETATE

Megestrol tablets treat bre... +

Megestrol tablets treat breast and uterine cancer. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

53

prescriptions.

<11 R 55 127
DIGOX

Digox (digoxin) is used to ... +

Digox (digoxin) is used to treat heart failure and abnormal heart rhythms (arrhythmias). Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

47

prescriptions.

<11 R 56 211
LIDOCAINE

Causes numbness or loss of ... +

Causes numbness or loss of feeling in an area of your body. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 57 116
MONOJECT INSULIN SAFETY SYRNG 51

prescriptions, 0% of all prescriptions

32

prescriptions.

<11 57 381
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 July 8, 2007.
  • 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.