Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Rheumatology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

6,889Medicare Part D Prescriptions Filled, Including Refills

Rank: 28 out of 437

$2.03M Total Retail Price of All Prescriptions

Rank: 35 out of 437

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

74% 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

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

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

3% of this provider’s 639 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 7%.

More resources »

Opioids

41% of this provider’s 784 patients filled at least one prescription for an opioid, compared to an average of 18%.

More resources »

Brand Name Drugs

30% of this provider’s prescriptions were for brand-name drugs, compared to an average of 25%.

Prescription Price

$295 was the average price of a prescription from this provider, compared to $344 among peers.

Prescriptions per Patient

9 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$898K

2012

$1.13M

2013

$1.65M

2014

$2.03M

2015

Number of Claims

5,125

2012

6,339

2013

7,196

2014

6,889

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
TRAMADOL HCL

Tramadol is used to relieve... +

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

791

prescriptions, 11% of all prescriptions

674

prescriptions.

219

patients, 28% of all patients

O 1 6
HYDROXYCHLOROQUINE SULFATE

Hydroxychloroquine is in a ... +

Hydroxychloroquine is in a class of drugs called antimalarials. Source: National Library of Medicine

695

prescriptions, 10% of all prescriptions

511

prescriptions.

131

patients, 17% of all patients

2 3
METHOTREXATE

Treats several kinds of can... +

Treats several kinds of cancer, including cancer of the blood, bone, lung, breast, head, or neck. Source: National Library of Medicine

522

prescriptions, 8% of all prescriptions

462

prescriptions.

99

patients, 13% of all patients

3 1
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Source: National Library of Medicine

401

prescriptions, 6% of all prescriptions

349

prescriptions.

114

patients, 15% of all patients

4 2
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

388

prescriptions, 6% of all prescriptions

256

prescriptions.

116

patients, 15% of all patients

O 5 4
GABAPENTIN

Treats certain types of sei... +

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

386

prescriptions, 6% of all prescriptions

271

prescriptions.

95

patients, 12% of all patients

6 5
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine

253

prescriptions, 4% of all prescriptions

213

prescriptions.

72

patients, 9% of all patients

7 9
ALENDRONATE SODIUM

Alendronate is used to trea... +

Alendronate is used to treat and prevent osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause (''change of life,'' end of menstrual periods) and to treat osteoporosis in men. Source: National Library of Medicine

207

prescriptions, 3% of all prescriptions

189

prescriptions.

43

patients, 5% of all patients

8 7
VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine

166

prescriptions, 2% of all prescriptions

126

prescriptions.

44

patients, 6% of all patients

9 14
ULORIC

Used to treat hyperuricemia... +

Used to treat hyperuricemia (high uric acid in the blood) in patients with gout. Source: National Library of Medicine

145

prescriptions, 2% of all prescriptions

140

prescriptions.

32

patients, 4% of all patients

10 45
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

137

prescriptions, 2% of all prescriptions

82

prescriptions.

42

patients, 5% of all patients

11 23
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

137

prescriptions, 2% of all prescriptions

65

prescriptions.

34

patients, 4% of all patients

11 12
CELECOXIB

Treats mild to moderate pai... +

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

121

prescriptions, 2% of all prescriptions

107

prescriptions.

33

patients, 4% of all patients

13 15
ALLOPURINOL

Treats gout and some kinds ... +

Treats gout and some kinds of kidney stones. Source: National Library of Medicine

118

prescriptions, 2% of all prescriptions

104

prescriptions.

28

patients, 4% of all patients

14 13
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

91

prescriptions, 1% of all prescriptions

45

prescriptions.

26

patients, 3% of all patients

15 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

90

prescriptions, 1% of all prescriptions

51

prescriptions.

16

patients, 2% of all patients

16 11
ATELVIA 89

prescriptions, 1% of all prescriptions

84

prescriptions.

19

patients, 2% of all patients

17 134
SULFASALAZINE

Treats ulcerative colitis. ... +

Treats ulcerative colitis. Source: National Library of Medicine

88

prescriptions, 1% of all prescriptions

68

prescriptions.

17

patients, 2% of all patients

18 17
COLCRYS

Used to prevent gout attack... +

Used to prevent gout attacks (sudden, severe pain in one or more joints caused by abnormally high levels of a substance called uric acid in the blood) in adults, and to relieve the pain of gout attacks when they occur. Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

77

prescriptions.

23

patients, 3% of all patients

19 73
HUMIRA PEN

Treats the symptoms and pre... +

Treats the symptoms and prevent the progression of active rheumatoid arthritis and ankylosing spondylitis. Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

63

prescriptions.

14

patients, 2% of all patients

20 22
LEFLUNOMIDE

Treats rheumatoid arthritis... +

Treats rheumatoid arthritis in adults. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

72

prescriptions.

14

patients, 2% of all patients

21 8
ENBREL

Treats rheumatoid arthritis... +

Treats rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and plaque psoriasis in adults. Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

47

prescriptions.

13

patients, 2% of all patients

22 10
PROLIA 70

prescriptions, 1% of all prescriptions

65

prescriptions.

46

patients, 6% of all patients

23 42
IBANDRONATE SODIUM

Used to prevent and treat o... +

Used to prevent and treat osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

64

prescriptions.

20

patients, 3% of all patients

24 65
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

63

prescriptions, 1% of all prescriptions

31

prescriptions.

20

patients, 3% of all patients

O 25 48
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

60

prescriptions, 1% of all prescriptions

31

prescriptions.

15

patients, 2% of all patients

R 26 33
COLCHICINE

Prevent or treat attacks of... +

Prevent or treat attacks of gout. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

45

prescriptions.

17

patients, 2% of all patients

27 69
BACLOFEN

Treats muscle spasms caused... +

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

56

prescriptions, 1% of all prescriptions

31

prescriptions.

11

patients, 1% of all patients

28 28
RISEDRONATE SODIUM DR 56

prescriptions, 1% of all prescriptions

51

prescriptions.

16

patients, 2% of all patients

28 274
SAVELLA 54

prescriptions, 1% of all prescriptions

36

prescriptions.

<11 30 111
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

34

prescriptions.

13

patients, 2% of all patients

31 30
REMICADE 52

prescriptions, 1% of all prescriptions

47

prescriptions.

11

patients, 1% of all patients

32 95
MYCOPHENOLATE MOFETIL

Used with other medications... +

Used with other medications to help prevent transplant organ rejection (attack of the transplanted organ by the immune system of the person receiving the organ) in people who have received organ transplants. Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

32

prescriptions.

<11 33 61
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 March 5, 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.