Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Pain Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

9,188Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 44

$1.27M Total Retail Price of All Prescriptions

Rank: 1 out of 44

447 Patients Receiving at Least One Drug in Part D
53% Patients 65 Years and Older

48% 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 North Carolina
lower than average

Antipsychotics

0% of this provider’s 235 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

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

44 of this provider’s 235 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

93% of this provider’s 447 patients filled at least one prescription for an opioid, compared to an average of 79%.

More resources »

Brand Name Drugs

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

Prescription Price

$138 was the average price of a prescription from this provider, compared to $95 among peers.

Prescriptions per Patient

21 is the average number of prescriptions (including refills) per patient, compared to an average of 6.


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

$1.39M

2012

$1.48M

2013

$1.53M

2014

$1.27M

2015

Number of Claims

10,146

2012

10,807

2013

10,283

2014

9,188

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

2,225

prescriptions, 24% of all prescriptions

977

prescriptions.

235

patients, 53% of all patients

O 1 1
MORPHINE SULFATE ER

Morphine (extended release)... +

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

844

prescriptions, 9% of all prescriptions

254

prescriptions.

99

patients, 22% of all patients

O 2 5
OXYCONTIN

Oxycodone is used to reliev... +

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

542

prescriptions, 6% of all prescriptions

257

prescriptions.

64

patients, 14% of all patients

O 3 7
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

454

prescriptions, 5% of all prescriptions

306

prescriptions.

70

patients, 16% of all patients

O 4 3
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

436

prescriptions, 5% of all prescriptions

246

prescriptions.

45

patients, 10% of all patients

O 5 6
GABAPENTIN

Treats certain types of sei... +

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

351

prescriptions, 4% of all prescriptions

139

prescriptions.

56

patients, 13% of all patients

6 4
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

332

prescriptions, 4% of all prescriptions

120

prescriptions.

45

patients, 10% of all patients

O 7 16
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

293

prescriptions, 3% of all prescriptions

196

prescriptions.

45

patients, 10% of all patients

O 8 2
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

286

prescriptions, 3% of all prescriptions

60

prescriptions.

62

patients, 14% of all patients

R 9 13
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

286

prescriptions, 3% of all prescriptions

62

prescriptions.

44

patients, 10% of all patients

9 8
MORPHINE SULFATE

Morphine is used to relieve... +

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

250

prescriptions, 3% of all prescriptions

149

prescriptions.

41

patients, 9% of all patients

O 11 19
METHADONE HCL

Methadone is used to reliev... +

Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. Source: National Library of Medicine

230

prescriptions, 3% of all prescriptions

56

prescriptions.

22

patients, 5% of all patients

O 12 11
DIAZEPAM

Treats anxiety, muscle spas... +

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

224

prescriptions, 2% of all prescriptions

55

prescriptions.

27

patients, 6% of all patients

13 20
MELOXICAM

Treats symptoms of osteoart... +

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

200

prescriptions, 2% of all prescriptions

89

prescriptions.

35

patients, 8% of all patients

14 12
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

181

prescriptions, 2% of all prescriptions

73

prescriptions.

26

patients, 6% of all patients

15 26
ALPRAZOLAM

Treats anxiety, panic disor... +

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

169

prescriptions, 2% of all prescriptions

74

prescriptions.

23

patients, 5% of all patients

16 21
OPANA ER

Used to relieve moderate to... +

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

127

prescriptions, 1% of all prescriptions

34

prescriptions.

13

patients, 3% of all patients

O 17 18
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

126

prescriptions, 1% of all prescriptions

73

prescriptions.

26

patients, 6% of all patients

18 34
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

125

prescriptions, 1% of all prescriptions

73

prescriptions.

29

patients, 6% of all patients

19 10
LIDOCAINE-PRILOCAINE

This is used on the skin or... +

This is used on the skin or in the genital area to cause numbness or loss of feeling before certain medical procedures. Source: National Library of Medicine

123

prescriptions, 1% of all prescriptions

62

prescriptions.

52

patients, 12% of all patients

20 35
CARISOPRODOL

Treats pain and stiffness o... +

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

105

prescriptions, 1% of all prescriptions

45

prescriptions.

17

patients, 4% of all patients

R 21 37
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

35

prescriptions.

21

patients, 5% of all patients

22 38
ORPHENADRINE CITRATE 83

prescriptions, 1% of all prescriptions

53

prescriptions.

20

patients, 4% of all patients

R 23 39
OXYMORPHONE HCL 72

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 O 24 40
ROPINIROLE HCL

Ropinirole is used alone or... +

Ropinirole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

22

prescriptions.

12

patients, 3% of all patients

25 43
CELECOXIB

Treats mild to moderate pai... +

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

59

prescriptions, 1% of all prescriptions

27

prescriptions.

12

patients, 3% of all patients

26 29
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

Amitriptyline is used to treat symptoms of depression. Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 R 27 25
VOLTAREN

Treats pain caused by arthr... +

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

51

prescriptions, 1% of all prescriptions

21

prescriptions.

28

patients, 6% of all patients

28 14
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?

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 May 20, 2010.
  • 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.