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 »

8,423Medicare Part D Prescriptions Filled, Including Refills

Rank: 550 out of 2174

$868K Total Retail Price of All Prescriptions

Rank: 254 out of 2174

250 Patients Receiving at Least One Drug in Part D
50% Patients 65 Years and Older

87% 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

This provider prescribed antipsychotics 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 »

Antibiotics

19% of this provider’s 250 patients filled at least one prescription for an antibiotic drug, compared to an average of 25%.

More resources »

Risky Drugs for Seniors

21% of this provider’s 124 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

79% of this provider’s 250 patients filled at least one prescription for an opioid, compared to an average of 23%.

More resources »

Brand Name Drugs

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%.

Prescription Price

$103 was the average price of a prescription from this provider, compared to $87 among peers.

Prescriptions per Patient

34 is the average number of prescriptions (including refills) per patient, compared to an average of 16.


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

2012

$389K

2013

$883K

2014

$868K

2015

Number of Claims

2012

4,552

2013

9,103

2014

8,423

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
OXYCODONE HCL

Oxycodone is used to reliev... +

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

1,008

prescriptions, 12% of all prescriptions

429

prescriptions.

119

patients, 48% of all patients

O 1 67
GABAPENTIN

Treats certain types of sei... +

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

510

prescriptions, 6% of all prescriptions

198

prescriptions.

94

patients, 38% of all patients

2 13
OXYMORPHONE HCL ER 463

prescriptions, 5% of all prescriptions

215

prescriptions.

71

patients, 28% of all patients

O 3 233
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. Source: National Library of Medicine

383

prescriptions, 5% of all prescriptions

181

prescriptions.

72

patients, 29% of all patients

4 89
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

334

prescriptions, 4% of all prescriptions

187

prescriptions.

55

patients, 22% of all patients

5 6
LISINOPRIL

Treats high blood pressure ... +

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

285

prescriptions, 3% of all prescriptions

164

prescriptions.

48

patients, 19% of all patients

6 2
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

271

prescriptions, 3% of all prescriptions

149

prescriptions.

60

patients, 24% of all patients

O 7 4
HYDROCHLOROTHIAZIDE

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). Source: National Library of Medicine

160

prescriptions, 2% of all prescriptions

75

prescriptions.

27

patients, 11% of all patients

8 15
PROAIR HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

154

prescriptions, 2% of all prescriptions

83

prescriptions.

37

patients, 15% of all patients

9 30
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

151

prescriptions, 2% of all prescriptions

71

prescriptions.

29

patients, 12% of all patients

10 32
ALPRAZOLAM

Treats anxiety, panic disor... +

Treats anxiety, panic disorder, insomnia (trouble sleeping), and anxiety caused by depression. Source: National Library of Medicine

149

prescriptions, 2% of all prescriptions

60

prescriptions.

29

patients, 12% of all patients

11 12
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

96

prescriptions.

27

patients, 11% of all patients

12 8
SIMVASTATIN

Treats high cholesterol and... +

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

134

prescriptions, 2% of all prescriptions

85

prescriptions.

23

patients, 9% of all patients

13 5
OPANA ER

Used to relieve moderate to... +

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

120

prescriptions, 1% of all prescriptions

38

prescriptions.

25

patients, 10% of all patients

O 14 379
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

119

prescriptions, 1% of all prescriptions

56

prescriptions.

24

patients, 10% of all patients

O 15 95
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

114

prescriptions, 1% of all prescriptions

62

prescriptions.

22

patients, 9% of all patients

16 44
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

112

prescriptions, 1% of all prescriptions

65

prescriptions.

22

patients, 9% of all patients

17 7
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

100

prescriptions, 1% of all prescriptions

40

prescriptions.

17

patients, 7% of all patients

18 51
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

90

prescriptions, 1% of all prescriptions

66

prescriptions.

20

patients, 8% of all patients

19 10
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

90

prescriptions, 1% of all prescriptions

54

prescriptions.

14

patients, 6% of all patients

19 14
FUROSEMIDE

Treats fluid retention (ede... +

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

83

prescriptions, 1% of all prescriptions

63

prescriptions.

19

patients, 8% of all patients

21 9
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

Treats stuffy nose caused by hay fever and other allergies. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

24

prescriptions.

19

patients, 8% of all patients

21 25
LIDOCAINE

Causes numbness or loss of ... +

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

75

prescriptions, 1% of all prescriptions

29

prescriptions.

25

patients, 10% of all patients

23 106
CARVEDILOL

Treats high blood pressure ... +

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

74

prescriptions, 1% of all prescriptions

26

prescriptions.

15

patients, 6% of all patients

24 23
CLOPIDOGREL

Helps prevent stroke, heart... +

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

73

prescriptions, 1% of all prescriptions

60

prescriptions.

12

patients, 5% of all patients

25 20
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

72

prescriptions, 1% of all prescriptions

67

prescriptions.

15

patients, 6% of all patients

26 22
FENTANYL

Treats severe, ongoing pain... +

Treats severe, ongoing pain (during and after surgery, cancer pain) that cannot be controlled with other medicines. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

23

prescriptions.

14

patients, 6% of all patients

O 26 69
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). Source: National Library of Medicine

66

prescriptions, 1% of all prescriptions

61

prescriptions.

12

patients, 5% of all patients

28 56
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

15

prescriptions.

19

patients, 8% of all patients

R 29 76
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

60

prescriptions, 1% of all prescriptions

30

prescriptions.

12

patients, 5% of all patients

30 64
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

39

prescriptions.

15

patients, 6% of all patients

31 63
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

55

prescriptions, 1% of all prescriptions

29

prescriptions.

11

patients, 4% of all patients

32 11
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

13

prescriptions.

11

patients, 4% of all patients

33 47
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

50

prescriptions, 1% of all prescriptions

16

prescriptions.

<11 34 100
DULOXETINE HCL

Duloxetine is used to treat... +

Duloxetine is used to treat depression and generalized anxiety disorder (GAD; excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 34 50
CARISOPRODOL

Treats pain and stiffness o... +

Treats pain and stiffness of muscle spasms. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

13

prescriptions.

<11 R 34 162
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 April 12, 2013.
  • 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.