Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Internal Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

9,241Medicare Part D Prescriptions Filled, Including Refills

Rank: 1059 out of 6974

$1.53M Total Retail Price of All Prescriptions

Rank: 229 out of 6974

594 Patients Receiving at Least One Drug in Part D
96% Patients 65 Years and Older

66% 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

34% of this provider’s 594 patients filled at least one prescription for an antibiotic drug, compared to an average of 24%.

More resources »

Risky Drugs for Seniors

5% of this provider’s 568 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

22% of this provider’s 594 patients filled at least one prescription for an opioid, compared to an average of 16%.

More resources »

Brand Name Drugs

39% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%. This is far more than peers.

Prescription Price

$165 was the average price of a prescription from this provider, compared to $86 among peers.

Prescriptions per Patient

16 is the average number of prescriptions (including refills) per patient, compared to an average of 15.


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

$1.26M

2012

$1.37M

2013

$1.5M

2014

$1.53M

2015

Number of Claims

10,122

2012

11,373

2013

10,265

2014

9,241

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
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels. Source: National Library of Medicine

294

prescriptions, 3% of all prescriptions

289

prescriptions.

80

patients, 13% of all patients

1 1
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

292

prescriptions, 3% of all prescriptions

248

prescriptions.

90

patients, 15% of all patients

O 2 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

279

prescriptions, 3% of all prescriptions

274

prescriptions.

82

patients, 14% of all patients

3 15
BENICAR

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

249

prescriptions, 3% of all prescriptions

244

prescriptions.

63

patients, 11% of all patients

4 84
PROAIR HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

200

prescriptions, 2% of all prescriptions

176

prescriptions.

67

patients, 11% of all patients

5 28
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

198

prescriptions, 2% of all prescriptions

193

prescriptions.

57

patients, 10% of all patients

6 6
LOSARTAN POTASSIUM

Losartan is used alone or i... +

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

164

prescriptions, 2% of all prescriptions

159

prescriptions.

53

patients, 9% of all patients

7 7
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

160

prescriptions, 2% of all prescriptions

155

prescriptions.

45

patients, 8% of all patients

8 2
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

160

prescriptions, 2% of all prescriptions

155

prescriptions.

38

patients, 6% of all patients

8 46
CRESTOR

Lowers high levels of chole... +

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

157

prescriptions, 2% of all prescriptions

152

prescriptions.

44

patients, 7% of all patients

10 37
PATADAY

Treats itching or watering ... +

Treats itching or watering of eyes caused by allergies. Source: National Library of Medicine

156

prescriptions, 2% of all prescriptions

151

prescriptions.

56

patients, 9% of all patients

11 159
LEVOTHYROXINE SODIUM

Levothyroxine, a thyroid ho... +

Levothyroxine, a thyroid hormone, is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. Source: National Library of Medicine

152

prescriptions, 2% of all prescriptions

147

prescriptions.

40

patients, 7% of all patients

12 3
ALLOPURINOL

Treats gout and some kinds ... +

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

149

prescriptions, 2% of all prescriptions

149

prescriptions.

40

patients, 7% of all patients

13 32
TRIAMCINOLONE ACETONIDE

Triamcinolone is used to tr... +

Triamcinolone is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions. Source: National Library of Medicine

148

prescriptions, 2% of all prescriptions

143

prescriptions.

84

patients, 14% of all patients

14 51
METFORMIN HCL

Metformin is used alone or ... +

Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Source: National Library of Medicine

144

prescriptions, 2% of all prescriptions

129

prescriptions.

38

patients, 6% of all patients

15 8
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

134

prescriptions, 1% of all prescriptions

129

prescriptions.

33

patients, 6% of all patients

16 4
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

123

prescriptions, 1% of all prescriptions

118

prescriptions.

31

patients, 5% of all patients

17 40
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). Source: National Library of Medicine

121

prescriptions, 1% of all prescriptions

116

prescriptions.

33

patients, 6% of all patients

18 11
PIOGLITAZONE HCL

Pioglitazone is used to tre... +

Pioglitazone is used to treat type 2 diabetes (condition in which the body does not use insulin normally and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

118

prescriptions, 1% of all prescriptions

113

prescriptions.

27

patients, 5% of all patients

19 66
NAMENDA XR

Used to treat the symptoms ... +

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

109

prescriptions, 1% of all prescriptions

109

prescriptions.

39

patients, 7% of all patients

20 75
FAMOTIDINE*

Treats ulcers, gastroesopha... +

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

103

prescriptions, 1% of all prescriptions

103

prescriptions.

31

patients, 5% of all patients

21 35
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

99

prescriptions, 1% of all prescriptions

94

prescriptions.

27

patients, 5% of all patients

22 16
LISINOPRIL

Treats high blood pressure ... +

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

95

prescriptions, 1% of all prescriptions

90

prescriptions.

23

patients, 4% of all patients

23 5
PRAVASTATIN SODIUM

Pravastatin is used with di... +

Pravastatin is used with diet, weight-loss, and exercise to reduce the risk of heart attack and stroke and to decrease the chance that heart surgery will be needed in people who have heart disease or who are at risk of developing heart disease. Source: National Library of Medicine

93

prescriptions, 1% of all prescriptions

88

prescriptions.

22

patients, 4% of all patients

24 27
POTASSIUM CHLORIDE

Potassium is needed to main... +

Potassium is needed to maintain good health. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

85

prescriptions.

22

patients, 4% of all patients

25 23
VASCEPA 86

prescriptions, 1% of all prescriptions

81

prescriptions.

29

patients, 5% of all patients

26 125
LORAZEPAM

Treats anxiety, anxiety wit... +

Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine

85

prescriptions, 1% of all prescriptions

85

prescriptions.

33

patients, 6% of all patients

27 26
METOPROLOL SUCCINATE

Metoprolol is used alone or... +

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

83

prescriptions, 1% of all prescriptions

83

prescriptions.

24

patients, 4% of all patients

28 18
BINOSTO 77

prescriptions, 1% of all prescriptions

77

prescriptions.

38

patients, 6% of all patients

10 29 689
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

76

prescriptions, 1% of all prescriptions

76

prescriptions.

18

patients, 3% of all patients

30 38
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

74

prescriptions.

20

patients, 3% of all patients

31 10
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

66

prescriptions.

36

patients, 6% of all patients

O 32 78
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

This drug is used to treat high blood pressure. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

65

prescriptions.

28

patients, 5% of all patients

33 50
METOPROLOL TARTRATE

Metoprolol is used alone or... +

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

69

prescriptions, 1% of all prescriptions

64

prescriptions.

15

patients, 3% of all patients

34 13
BENICAR HCT

Used alone or together with... +

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

69

prescriptions, 1% of all prescriptions

69

prescriptions.

18

patients, 3% of all patients

34 139
CELECOXIB

Treats mild to moderate pai... +

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

67

prescriptions, 1% of all prescriptions

67

prescriptions.

26

patients, 4% of all patients

36 72
TRADJENTA

Used with proper diet and e... +

Used with proper diet and exercise to treat high blood sugar levels caused by type 2 diabetes. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

59

prescriptions.

16

patients, 3% of all patients

37 101
CLOPIDOGREL

Helps prevent stroke, heart... +

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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

19

patients, 3% of all patients

38 21
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

62

prescriptions, 1% of all prescriptions

57

prescriptions.

19

patients, 3% of all patients

39 110
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

56

prescriptions.

16

patients, 3% of all patients

40 24
AMLODIPINE BESYLATE-BENAZEPRIL

The combination of amlodipi... +

The combination of amlodipine and benazepril is used to treat high blood pressure. Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

60

prescriptions.

17

patients, 3% of all patients

41 129
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

60

prescriptions, 1% of all prescriptions

60

prescriptions.

18

patients, 3% of all patients

41 12
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

Treats stuffy nose caused by hay fever and other allergies. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

59

prescriptions.

29

patients, 5% of all patients

43 17
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

58

prescriptions, 1% of all prescriptions

58

prescriptions.

23

patients, 4% of all patients

44 68
LEVOFLOXACIN

Levofloxacin is used to tre... +

Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

52

prescriptions.

42

patients, 7% of all patients

A 45 79
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

57

prescriptions, 1% of all prescriptions

57

prescriptions.

11

patients, 2% of all patients

45 62
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

57

prescriptions, 1% of all prescriptions

57

prescriptions.

30

patients, 5% of all patients

45 83
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

51

prescriptions.

13

patients, 2% of all patients

48 22
AZOR

This is a combination of am... +

This is a combination of amlodipine and olmesartan is a combination of medicines that may be used alone or with other medicines to treat high blood pressure (hypertension). Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

56

prescriptions.

16

patients, 3% of all patients

48 174
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

55

prescriptions.

12

patients, 2% of all patients

50 64
AMOXICILLIN

Treats infections. Also use... +

Treats infections. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

50

prescriptions.

40

patients, 7% of all patients

A 50 105
MELOXICAM

Treats symptoms of osteoart... +

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

54

prescriptions, 1% of all prescriptions

49

prescriptions.

27

patients, 5% of all patients

52 39
INVOKANA

Used along with diet and ex... +

Used along with diet and exercise, and sometimes with other medications, to lower blood sugar levels in patients with type 2 diabetes (condition in which blood sugar is too high because the body does not produce or use insulin normally). Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

48

prescriptions.

14

patients, 2% of all patients

53 146
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

53

prescriptions, 1% of all prescriptions

53

prescriptions.

17

patients, 3% of all patients

53 82
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

53

prescriptions, 1% of all prescriptions

53

prescriptions.

<11 53 58
DICYCLOMINE HCL

Dicyclomine is used to trea... +

Dicyclomine is used to treat the symptoms of irritable bowel syndrome. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

48

prescriptions.

28

patients, 5% of all patients

53 204
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

52

prescriptions, 1% of all prescriptions

47

prescriptions.

18

patients, 3% of all patients

R 57 34
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

52

prescriptions.

29

patients, 5% of all patients

57 89
BYSTOLIC

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

51

prescriptions.

13

patients, 2% of all patients

59 107
DOXYCYCLINE HYCLATE

Doxycycline is used to trea... +

Doxycycline is used to treat bacterial infections, including pneumonia and other respiratory tract infections; Lyme disease; acne; infections of skin, genital, and urinary systems; and anthrax (after inhalational exposure). Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

46

prescriptions.

41

patients, 7% of all patients

A 59 237
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 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.