Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Physician Assistant

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

6,608Medicare Part D Prescriptions Filled, Including Refills

Rank: 12 out of 457

$468K Total Retail Price of All Prescriptions

Rank: 22 out of 457

548 Patients Receiving at Least One Drug in Part D
36% Patients 65 Years and Older

63% 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 Washington
lower than average

Antipsychotics

0% of this provider’s 199 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 1%.

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

15% of this provider’s 199 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

96% of this provider’s 548 patients filled at least one prescription for an opioid, compared to an average of 27%.

More resources »

Brand Name Drugs

13% of this provider’s prescriptions were for brand-name drugs, compared to an average of 15%.

Prescription Price

$71 was the average price of a prescription from this provider, compared to $110 among peers.

Prescriptions per Patient

12 is the average number of prescriptions (including refills) per patient, compared to an average of 7.


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

$102K

2012

$218K

2013

$382K

2014

$468K

2015

Number of Claims

1,740

2012

3,234

2013

5,368

2014

6,608

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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

1,034

prescriptions, 16% of all prescriptions

457

prescriptions.

218

patients, 40% of all patients

O 1 1
OXYCODONE HCL

Oxycodone is used to reliev... +

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

869

prescriptions, 13% of all prescriptions

237

prescriptions.

171

patients, 31% of all patients

O 2 5
MORPHINE SULFATE ER

Morphine (extended release)... +

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

458

prescriptions, 7% of all prescriptions

132

prescriptions.

95

patients, 17% of all patients

O 3 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

419

prescriptions, 6% of all prescriptions

167

prescriptions.

82

patients, 15% of all patients

O 4 38
GABAPENTIN

Treats certain types of sei... +

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

410

prescriptions, 6% of all prescriptions

170

prescriptions.

104

patients, 19% of all patients

5 8
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

305

prescriptions, 5% of all prescriptions

102

prescriptions.

95

patients, 17% of all patients

O 6 16
OXYCONTIN

Oxycodone is used to reliev... +

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

245

prescriptions, 4% of all prescriptions

63

prescriptions.

42

patients, 8% of all patients

O 7 56
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

244

prescriptions, 4% of all prescriptions

47

prescriptions.

52

patients, 9% of all patients

O 8 34
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

204

prescriptions, 3% of all prescriptions

84

prescriptions.

45

patients, 8% of all patients

O 9 42
CLONAZEPAM

Treats seizures, panic diso... +

Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine

158

prescriptions, 2% of all prescriptions

48

prescriptions.

31

patients, 6% of all patients

10 41
BACLOFEN

Treats muscle spasms caused... +

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

147

prescriptions, 2% of all prescriptions

13

prescriptions.

34

patients, 6% of all patients

11 46
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

146

prescriptions, 2% of all prescriptions

29

prescriptions.

35

patients, 6% of all patients

12 65
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

137

prescriptions, 2% of all prescriptions

5

prescriptions.

37

patients, 7% of all patients

R 13 69
TRAMADOL HCL

Tramadol is used to relieve... +

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

127

prescriptions, 2% of all prescriptions

68

prescriptions.

31

patients, 6% of all patients

O 14 21
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

122

prescriptions, 2% of all prescriptions

37

prescriptions.

29

patients, 5% of all patients

R 15 98
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

106

prescriptions, 2% of all prescriptions

30

prescriptions.

29

patients, 5% of all patients

16 57
CARISOPRODOL

Treats pain and stiffness o... +

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

93

prescriptions, 1% of all prescriptions

19

prescriptions.

22

patients, 4% of all patients

R 17 111
MORPHINE SULFATE

Morphine is used to relieve... +

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

92

prescriptions, 1% of all prescriptions

26

prescriptions.

17

patients, 3% of all patients

O 18 97
METHOCARBAMOL

Treats muscle pain and spas... +

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

86

prescriptions, 1% of all prescriptions

11

prescriptions.

27

patients, 5% of all patients

R 19 119
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

83

prescriptions, 1% of all prescriptions

25

prescriptions.

33

patients, 6% of all patients

20 122
ALPRAZOLAM

Treats anxiety, panic disor... +

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

71

prescriptions, 1% of all prescriptions

17

prescriptions.

17

patients, 3% of all patients

21 44
DIAZEPAM

Treats anxiety, muscle spas... +

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

68

prescriptions, 1% of all prescriptions

12

prescriptions.

19

patients, 3% of all patients

22 86
MELOXICAM

Treats symptoms of osteoart... +

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

60

prescriptions, 1% of all prescriptions

15

prescriptions.

23

patients, 4% of all patients

23 43
VOLTAREN

Treats pain caused by arthr... +

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

59

prescriptions, 1% of all prescriptions

35

prescriptions.

25

patients, 5% of all patients

24 93
ZOLPIDEM TARTRATE

Zolpidem is used to treat i... +

Zolpidem is used to treat insomnia (difficulty falling asleep or staying asleep). Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

22

prescriptions.

<11 R 25 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 Oct. 30, 2015.
  • 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.