Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

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Prescriber Checkup » Virginia » Lynchburg

R. CLOWER M.D.

2542 LANGHORNE RD

Lynchburg | Virginia | 24501

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At A Glance: This Prescriber in 2015

Urology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

2,827Medicare Part D Prescriptions Filled, Including Refills

Rank: 11 out of 192

$255K Total Retail Price of All Prescriptions

Rank: 21 out of 192

502 Patients Receiving at Least One Drug in Part D
89% Patients 65 Years and Older

25% 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 Virginia lower than average

Antipsychotics

0% of this provider’s 445 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

23% of this provider’s 502 patients filled at least one prescription for an antibiotic drug, compared to an average of 40%.

More resources »

Risky Drugs for Seniors

5% of this provider’s 445 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

7% of this provider’s 502 patients filled at least one prescription for an opioid, compared to an average of 12%.

More resources »

Brand Name Drugs *

31% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

* This is an estimate, see our methodology.

Prescription Price

$90 was the average price of a prescription from this provider, compared to $114 among peers.

Prescriptions per Patient

6 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 2012. All years may not be shown if there is insufficient data.

Cost of Claims

$161K

2012

$184K

2013

$223K

2014

$255K

2015

Number of Claims

2,454

2012

2,545

2013

2,825

2014

2,827

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
FINASTERIDE

Treats an enlarged prostate... +

Treats an enlarged prostate (benign prostatic hyperplasia or BPH) in men and causes hair growth in male pattern baldness. Source: National Library of Medicine

725

prescriptions, 26% of all prescriptions

 712

prescriptions.

 147

patients, 29% of all patients

 1 2
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

517

prescriptions, 18% of all prescriptions

 477

prescriptions.

 114

patients, 23% of all patients

 2 1
MYRBETRIQ

Used to treat overactive bl... +

Used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

216

prescriptions, 8% of all prescriptions

 173

prescriptions.

 55

patients, 11% of all patients

 3 9
VESICARE

Solifenacin is used to trea... +

Solifenacin is used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

215

prescriptions, 8% of all prescriptions

 166

prescriptions.

 53

patients, 11% of all patients

 4 8
OXYBUTYNIN CHLORIDE ER

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

191

prescriptions, 7% of all prescriptions

 122

prescriptions.

 39

patients, 8% of all patients

 5 5
TRIMETHOPRIM

Treats urinary tract infect... +

Treats urinary tract infections. Source: National Library of Medicine

130

prescriptions, 5% of all prescriptions

 103

prescriptions.

 37

patients, 7% of all patients

 A 6 14
TOLTERODINE TARTRATE

Tolterodine is used treat o... +

Tolterodine is used treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination) to relieve urinary difficulties, including frequent urination and inability to control urination. Source: National Library of Medicine

89

prescriptions, 3% of all prescriptions

 76

prescriptions.

 28

patients, 6% of all patients

 7 31
AVODART

Treats problems with urinat... +

Treats problems with urination caused by an enlarged prostate (benign prostatic hyperplasia or BPH). Source: National Library of Medicine

81

prescriptions, 3% of all prescriptions

 81

prescriptions.

 18

patients, 4% of all patients

 8 4
BICALUTAMIDE

Used together with other me... +

Used together with other medicines (such as a luteinizing hormone-releasing hormone or LHRH analog) to treat prostate cancer. Source: National Library of Medicine

78

prescriptions, 3% of all prescriptions

 78

prescriptions.

 20

patients, 4% of all patients

 9 18
OXYBUTYNIN CHLORIDE

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

65

prescriptions, 2% of all prescriptions

 45

prescriptions.

 23

patients, 5% of all patients

 10 11
DOXAZOSIN MESYLATE

Doxazosin (Cardura, Cardura... +

Doxazosin (Cardura, Cardura XL) 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

59

prescriptions, 2% of all prescriptions

 54

prescriptions.

 <11 11 13
TOVIAZ

Used to treat symptoms of a... +

Used to treat symptoms of an overactive bladder, such as incontinence (loss of bladder control) or a frequent need to urinate. Source: National Library of Medicine

54

prescriptions, 2% of all prescriptions

 42

prescriptions.

 11

patients, 2% of all patients

 12 22
RAPAFLO

Treats problems caused by a... +

Treats problems caused by an enlarged prostate (benign prostatic hyperplasia, or BPH). Source: National Library of Medicine

54

prescriptions, 2% of all prescriptions

 54

prescriptions.

 <11 12 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 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 Oct. 3, 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.