Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Cardiovascular Disease

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

11,311Medicare Part D Prescriptions Filled, Including Refills

Rank: 3 out of 79

$867K Total Retail Price of All Prescriptions

Rank: 2 out of 79

862 Patients Receiving at Least One Drug in Part D
94% Patients 65 Years and Older

14% 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 Nebraska
lower than average

Antipsychotics

0% of this provider’s 812 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 »

Risky Drugs for Seniors

2% of this provider’s 812 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 5%.

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

31% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%. This is far more than peers.

Prescription Price

$77 was the average price of a prescription from this provider, compared to $56 among peers.

Prescriptions per Patient

13 is the average number of prescriptions (including refills) per patient, compared to an average of 10.


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

$685K

2012

$732K

2013

$812K

2014

$867K

2015

Number of Claims

10,954

2012

11,810

2013

11,573

2014

11,311

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
CARVEDILOL

Treats high blood pressure ... +

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

1,640

prescriptions, 14% of all prescriptions

1,552

prescriptions.

263

patients, 31% of all patients

1 2
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

1,070

prescriptions, 9% of all prescriptions

1,017

prescriptions.

196

patients, 23% of all patients

2 1
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

807

prescriptions, 7% of all prescriptions

795

prescriptions.

143

patients, 17% of all patients

3 4
ELIQUIS

Used to help prevent stroke... +

Used to help prevent strokes or blood clots in people who have atrial fibrillation (a condition in which the heart beats irregularly, increasing the chance of clots forming in the body and possibly causing strokes) that is not caused by heart valve disease. Source: National Library of Medicine

722

prescriptions, 6% of all prescriptions

717

prescriptions.

104

patients, 12% of all patients

4 15
LISINOPRIL

Treats high blood pressure ... +

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

669

prescriptions, 6% of all prescriptions

639

prescriptions.

121

patients, 14% of all patients

5 6
FUROSEMIDE

Treats fluid retention (ede... +

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

623

prescriptions, 6% of all prescriptions

556

prescriptions.

124

patients, 14% of all patients

6 5
BYSTOLIC

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

610

prescriptions, 5% of all prescriptions

549

prescriptions.

88

patients, 10% of all patients

7 20
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

426

prescriptions, 4% of all prescriptions

397

prescriptions.

72

patients, 8% of all patients

8 10
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

387

prescriptions, 3% of all prescriptions

382

prescriptions.

70

patients, 8% of all patients

9 9
CRESTOR

Lowers high levels of chole... +

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

353

prescriptions, 3% of all prescriptions

348

prescriptions.

67

patients, 8% of all patients

10 17
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

293

prescriptions, 3% of all prescriptions

243

prescriptions.

55

patients, 6% of all patients

11 16
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

291

prescriptions, 3% of all prescriptions

286

prescriptions.

56

patients, 6% of all patients

12 34
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

273

prescriptions, 2% of all prescriptions

273

prescriptions.

37

patients, 4% of all patients

13 7
SIMVASTATIN

Treats high cholesterol and... +

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

244

prescriptions, 2% of all prescriptions

232

prescriptions.

41

patients, 5% of all patients

14 11
PRADAXA

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung) in patients who have been treated with an injectable anticoagulant (''blood thinner''). Source: National Library of Medicine

200

prescriptions, 2% of all prescriptions

200

prescriptions.

30

patients, 3% of all patients

15 23
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

153

prescriptions, 1% of all prescriptions

142

prescriptions.

24

patients, 3% of all patients

16 38
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

136

prescriptions, 1% of all prescriptions

131

prescriptions.

31

patients, 4% of all patients

17 14
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

127

prescriptions, 1% of all prescriptions

115

prescriptions.

23

patients, 3% of all patients

18 52
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

119

prescriptions, 1% of all prescriptions

114

prescriptions.

18

patients, 2% of all patients

19 3
CLOPIDOGREL

Helps prevent stroke, heart... +

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

118

prescriptions, 1% of all prescriptions

85

prescriptions.

19

patients, 2% of all patients

20 8
CHLORTHALIDONE

Treats high blood pressure ... +

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

116

prescriptions, 1% of all prescriptions

111

prescriptions.

18

patients, 2% of all patients

21 50
RANEXA

Treats or prevents angina (... +

Treats or prevents angina (chest pain). Source: National Library of Medicine

107

prescriptions, 1% of all prescriptions

85

prescriptions.

17

patients, 2% of all patients

22 26
BISOPROLOL FUMARATE

Bisoprolol is used alone or... +

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

100

prescriptions, 1% of all prescriptions

95

prescriptions.

22

patients, 3% of all patients

23 25
PROPAFENONE HCL

Propafenone is used to trea... +

Propafenone is used to treat arrhythmia (irregular heartbeat) and to maintain a normal heart rate. Source: National Library of Medicine

97

prescriptions, 1% of all prescriptions

97

prescriptions.

16

patients, 2% of all patients

24 39
MULTAQ

Treats heart rhythm problem... +

Treats heart rhythm problems in patients who have a history of atrial fibrillation. Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

86

prescriptions.

15

patients, 2% of all patients

25 49
XARELTO

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung). Source: National Library of Medicine

85

prescriptions, 1% of all prescriptions

85

prescriptions.

13

patients, 2% of all patients

26 19
LIVALO

Used together with diet, we... +

Used together with diet, weight-loss, and exercise to reduce the amount of fatty substances such as low-density lipoprotein (LDL) cholesterol ('bad cholesterol') in the blood and to increase the amount of high-density lipoprotein (HDL) cholesterol ('good cholesterol'). Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

67

prescriptions.

11

patients, 1% of all patients

27 60
MIDODRINE HCL

Midodrine hydrochloride tab... +

Midodrine hydrochloride tablets are indicated for the treatment of symptomatic orthostatic hypotension. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

67

prescriptions.

<11 28 61
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

59

prescriptions.

<11 29 70
EDARBYCLOR 64

prescriptions, 1% of all prescriptions

64

prescriptions.

11

patients, 1% of all patients

29 92
ZETIA

Lowers cholesterol in your ... +

Lowers cholesterol in your blood. Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

56

prescriptions.

15

patients, 2% of all patients

31 29
DIGOXIN

Treats certain heart rhythm... +

Treats certain heart rhythm problems (atrial fibrillation). Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

54

prescriptions.

14

patients, 2% of all patients

R 32 27
PRAVASTATIN SODIUM

Pravastatin is used with di... +

Pravastatin is used with diet, weight-loss, and exercise to reduce the risk of heart attack and stroke and to decrease the chance that heart surgery will be needed in people who have heart disease or who are at risk of developing heart disease. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

47

prescriptions.

11

patients, 1% of all patients

32 21
TIKOSYN 58

prescriptions, 1% of all prescriptions

58

prescriptions.

<11 34 54
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 Nov. 11, 2011.
  • 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.