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 »

10,237Medicare Part D Prescriptions Filled, Including Refills

Rank: 6 out of 849

$2.65M Total Retail Price of All Prescriptions

Rank: 6 out of 849

532 Patients Receiving at Least One Drug in Part D
70% Patients 65 Years and Older

98% 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 Florida
lower than average

Antipsychotics

41% of this provider’s 374 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

10% of this provider’s 374 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 6%.

More resources »

Opioids

0% of this provider’s 532 patients filled at least one prescription for an opioid, compared to an average of 2%.

More resources »

Brand Name Drugs

63% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%. This is far more than peers.

Prescription Price

$259 was the average price of a prescription from this provider, compared to $108 among peers.

Prescriptions per Patient

19 is the average number of prescriptions (including refills) per patient, compared to an average of 5.


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

$100K

2012

$367K

2013

$1.49M

2014

$2.65M

2015

Number of Claims

1,084

2012

1,977

2013

5,178

2014

10,237

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
OMEGA-3 ACID ETHYL ESTERS

Omega-3 fatty acids are use... +

Omega-3 fatty acids are used together with lifestyle changes (diet, weight-loss, exercise) to reduce the amount of triglycerides (a fat-like substance) in the blood in people with very high triglycerides. Source: National Library of Medicine

601

prescriptions, 6% of all prescriptions

447

prescriptions.

265

patients, 50% of all patients

1 100
RESTASIS

Treats chronic dry eye dise... +

Treats chronic dry eye disease by increasing the amount of tears in your eyes. Source: National Library of Medicine

595

prescriptions, 6% of all prescriptions

434

prescriptions.

283

patients, 53% of all patients

2 107
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

485

prescriptions, 5% of all prescriptions

348

prescriptions.

195

patients, 37% of all patients

3 88
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

456

prescriptions, 4% of all prescriptions

314

prescriptions.

217

patients, 41% of all patients

4 28
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

437

prescriptions, 4% of all prescriptions

297

prescriptions.

204

patients, 38% of all patients

5 74
NASONEX

Treats or prevents the symp... +

Treats or prevents the symptoms of seasonal (short-term) and perennial (year-round) allergies (hay fever), such as stuffy or runny nose, sneezing, and watery eyes. Source: National Library of Medicine

416

prescriptions, 4% of all prescriptions

286

prescriptions.

198

patients, 37% of all patients

6 134
CALCIPOTRIENE 334

prescriptions, 3% of all prescriptions

219

prescriptions.

220

patients, 41% of all patients

10 7 153
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

332

prescriptions, 3% of all prescriptions

262

prescriptions.

143

patients, 27% of all patients

8 94
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

325

prescriptions, 3% of all prescriptions

246

prescriptions.

172

patients, 32% of all patients

9 78
AMITIZA

Treats certain types of lon... +

Treats certain types of long-term constipation by helping you have a bowel movement. Source: National Library of Medicine

297

prescriptions, 3% of all prescriptions

237

prescriptions.

154

patients, 29% of all patients

10 157
EXELON

Rivastigmine is used to tre... +

Rivastigmine is used to treat mild to moderate dementia (memory loss) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine

273

prescriptions, 3% of all prescriptions

209

prescriptions.

127

patients, 24% of all patients

11 166
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

270

prescriptions, 3% of all prescriptions

178

prescriptions.

134

patients, 25% of all patients

12 49
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

230

prescriptions, 2% of all prescriptions

142

prescriptions.

108

patients, 20% of all patients

13 29
LUMIGAN

The eyedrop reduces pressur... +

The eyedrop reduces pressure inside the eye that is caused by glaucoma or ocular (eye) hypertension. Source: National Library of Medicine

202

prescriptions, 2% of all prescriptions

151

prescriptions.

99

patients, 19% of all patients

14 172
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

200

prescriptions, 2% of all prescriptions

148

prescriptions.

91

patients, 17% of all patients

15 115
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

188

prescriptions, 2% of all prescriptions

124

prescriptions.

95

patients, 18% of all patients

16 2
ABILIFY

Treats schizophrenia, bipol... +

Treats schizophrenia, bipolar disorder, and depression. Source: National Library of Medicine

184

prescriptions, 2% of all prescriptions

136

prescriptions.

115

patients, 22% of all patients

P 17 167
NEXIUM

Treats heartburn, gastroeso... +

Treats heartburn, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid. Source: National Library of Medicine

182

prescriptions, 2% of all prescriptions

131

prescriptions.

107

patients, 20% of all patients

18 76
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine

162

prescriptions, 2% of all prescriptions

138

prescriptions.

101

patients, 19% of all patients

19 139
SYMBICORT

This is a combination of bu... +

This is a combination of budesonide and formoterol used to help control the symptoms of asthma and improve lung function. Source: National Library of Medicine

157

prescriptions, 2% of all prescriptions

119

prescriptions.

84

patients, 16% of all patients

20 114
CICLOPIROX*

Treats skin infections caus... +

Treats skin infections caused by fungus, such as ringworm, athlete's foot, or dandruff. Source: National Library of Medicine

153

prescriptions, 1% of all prescriptions

123

prescriptions.

85

patients, 16% of all patients

21 109
BENICAR

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

152

prescriptions, 1% of all prescriptions

100

prescriptions.

78

patients, 15% of all patients

22 206
AVODART

Treats problems with urinat... +

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

149

prescriptions, 1% of all prescriptions

102

prescriptions.

85

patients, 16% of all patients

23 144
CELECOXIB

Treats mild to moderate pai... +

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

144

prescriptions, 1% of all prescriptions

114

prescriptions.

90

patients, 17% of all patients

24 180
AMMONIUM LACTATE

Treats dry, scaly skin cond... +

Treats dry, scaly skin conditions called xerosis and ichthyosis. Source: National Library of Medicine

143

prescriptions, 1% of all prescriptions

101

prescriptions.

82

patients, 15% of all patients

25 71
FLUOCINONIDE

Treats many skin disorders.... +

Treats many skin disorders. Source: National Library of Medicine

143

prescriptions, 1% of all prescriptions

121

prescriptions.

69

patients, 13% of all patients

25 62
CLOBETASOL PROPIONATE

Treats psoriasis, skin irri... +

Treats psoriasis, skin irritation, allergic reactions, and other types of skin problems. Source: National Library of Medicine

141

prescriptions, 1% of all prescriptions

88

prescriptions.

85

patients, 16% of all patients

27 18
RALOXIFENE HCL

Raloxifene is used to preve... +

Raloxifene is used to prevent and treat osteoporosis (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). Source: National Library of Medicine

116

prescriptions, 1% of all prescriptions

87

prescriptions.

70

patients, 13% of all patients

28 253
NAFTIN 113

prescriptions, 1% of all prescriptions

71

prescriptions.

86

patients, 16% of all patients

10 29 259
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

112

prescriptions, 1% of all prescriptions

78

prescriptions.

75

patients, 14% of all patients

30 58
KETOCONAZOLE

Treats fungal infections in... +

Treats fungal infections in the skin, throat, urinary tract, and lungs. Source: National Library of Medicine

110

prescriptions, 1% of all prescriptions

88

prescriptions.

82

patients, 15% of all patients

31 16
LISINOPRIL

Treats high blood pressure ... +

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

102

prescriptions, 1% of all prescriptions

73

prescriptions.

51

patients, 10% of all patients

32 1
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

101

prescriptions, 1% of all prescriptions

59

prescriptions.

56

patients, 11% of all patients

33 11
SEROQUEL XR

Treats schizophrenia and sy... +

Treats schizophrenia and symptoms of bipolar disorder (manic-depressive illness). Source: National Library of Medicine

96

prescriptions, 1% of all prescriptions

64

prescriptions.

53

patients, 10% of all patients

P 34 271
BENICAR HCT

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

72

prescriptions.

48

patients, 9% of all patients

35 275
DEXILANT

Treats erosive esophagitis,... +

Treats erosive esophagitis, heartburn, gastroesophageal reflux disease (GERD), and other conditions caused by too much stomach acid. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

51

prescriptions.

34

patients, 6% of all patients

36 169
LATUDA

Used to treat the symptoms ... +

Used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

41

prescriptions.

62

patients, 12% of all patients

P 37 232
ESOMEPRAZOLE MAGNESIUM

Treats gastroesophageal ref... +

Treats gastroesophageal reflux disease (GERD) and a damaged esophagus. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

50

prescriptions.

60

patients, 11% of all patients

38 283
CLOPIDOGREL

Helps prevent stroke, heart... +

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

74

prescriptions, 1% of all prescriptions

50

prescriptions.

30

patients, 6% of all patients

39 24
ACITRETIN 72

prescriptions, 1% of all prescriptions

46

prescriptions.

53

patients, 10% of all patients

10 40 288
VALSARTAN

Valsartan is used alone or ... +

Valsartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

51

prescriptions.

26

patients, 5% of all patients

41 200
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

60

prescriptions, 1% of all prescriptions

47

prescriptions.

28

patients, 5% of all patients

42 60
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

57

prescriptions, 1% of all prescriptions

40

prescriptions.

33

patients, 6% of all patients

43 3
MEGACE ES 54

prescriptions, 1% of all prescriptions

42

prescriptions.

40

patients, 8% of all patients

R 10 44 329
XARELTO

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung). Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

37

prescriptions.

28

patients, 5% of all patients

44 112
BUDESONIDE EC 51

prescriptions, 0% of all prescriptions

34

prescriptions.

37

patients, 7% of all patients

46 337
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 July 8, 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.