Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

NOSSONAL KLEINFELDT MD

At A Glance: This Prescriber in 2016

Ophthalmology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

10,557Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 99 providers in this state and specialty

$1.11M Total Retail Price of All Prescriptions

Rank: 2 out of 99 providers in this state and specialty

2,186 Patients Receiving at Least One Drug in Part D
92% Patients 65 Years and Older

17% 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 Michigan
lower than average

Antipsychotics

0% of this provider’s 2,009 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

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

More resources »

Opioids

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

More resources »

Brand Name Drugs

55% of this provider’s prescriptions were for brand-name drugs, compared to an average of 46%.

Prescription Price

$105 was the average price of a prescription from this provider, compared to $96 among peers.

Prescriptions per Patient

5 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 2014. All years may not be shown if there is insufficient data.

Cost of Claims

$946K

2014

$1.14M

2015

$1.11M

2016

Number of Claims

8,722

2014

9,988

2015

10,557

2016

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.

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
LATANOPROST 2,968

prescriptions, 28% of all prescriptions

2,834

prescriptions.

646

patients, 30% of all patients

1 1
OFLOXACIN 1,461

prescriptions, 14% of all prescriptions

1,325

prescriptions.

969

patients, 44% of all patients

A 10 2 7
LUMIGAN 905

prescriptions, 9% of all prescriptions

842

prescriptions.

229

patients, 10% of all patients

3 5
PREDNISOLONE ACETATE 847

prescriptions, 8% of all prescriptions

769

prescriptions.

588

patients, 27% of all patients

4 2
KETOROLAC TROMETHAMINE 734

prescriptions, 7% of all prescriptions

667

prescriptions.

554

patients, 25% of all patients

5 8
TRAVATAN Z 721

prescriptions, 7% of all prescriptions

607

prescriptions.

216

patients, 10% of all patients

6 9
DUREZOL 640

prescriptions, 6% of all prescriptions

578

prescriptions.

417

patients, 19% of all patients

7 13
ILEVRO 557

prescriptions, 5% of all prescriptions

507

prescriptions.

383

patients, 18% of all patients

8 17
COMBIGAN 467

prescriptions, 4% of all prescriptions

441

prescriptions.

139

patients, 6% of all patients

9 10
DORZOLAMIDE-TIMOLOL 337

prescriptions, 3% of all prescriptions

325

prescriptions.

95

patients, 4% of all patients

10 4
TIMOLOL MALEATE 131

prescriptions, 1% of all prescriptions

119

prescriptions.

39

patients, 2% of all patients

11 3
RESTASIS 105

prescriptions, 1% of all prescriptions

100

prescriptions.

42

patients, 2% of all patients

12 11
SIMBRINZA 96

prescriptions, 1% of all prescriptions

91

prescriptions.

32

patients, 1% of all patients

13 26
PATADAY 84

prescriptions, 1% of all prescriptions

62

prescriptions.

32

patients, 1% of all patients

14 30
TOBRAMYCIN-DEXAMETHASONE 72

prescriptions, 1% of all prescriptions

67

prescriptions.

60

patients, 3% of all patients

15 27
PAZEO 68

prescriptions, 1% of all prescriptions

63

prescriptions.

26

patients, 1% of all patients

16 32
BRIMONIDINE TARTRATE 62

prescriptions, 1% of all prescriptions

57

prescriptions.

17

patients, 1% of all patients

17 6
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 2016 includes more than 1.5 billion prescriptions written by 1.1 million doctors, nurses and other providers. This database lists over 460,000 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 March 13, 2008.
  • 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.