Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Physician Assistant, Medical

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

8,866Medicare Part D Prescriptions Filled, Including Refills

Rank: 4 out of 94

$368K Total Retail Price of All Prescriptions

Rank: 7 out of 94

1,076 Patients Receiving at Least One Drug in Part D
90% Patients 65 Years and Older

23% 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 Iowa
lower than average

Antipsychotics

0% of this provider’s 972 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.

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

3% of this provider’s 972 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 7%.

More resources »

Opioids

This provider prescribed opioids to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Brand Name Drugs *

15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%.

* This is an estimate, see our methodology.

Prescription Price

$42 was the average price of a prescription from this provider, compared to $67 among peers.

Prescriptions per Patient

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


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

$63K

2012

$139K

2013

$269K

2014

$368K

2015

Number of Claims

2,341

2012

4,473

2013

6,795

2014

8,866

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
FUROSEMIDE

Treats fluid retention (ede... +

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

605

prescriptions, 7% of all prescriptions

567

prescriptions.

137

patients, 13% of all patients

1 7
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

541

prescriptions, 6% of all prescriptions

500

prescriptions.

126

patients, 12% of all patients

2 10
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

523

prescriptions, 6% of all prescriptions

449

prescriptions.

124

patients, 12% of all patients

3 9
WARFARIN SODIUM

Warfarin is used to prevent... +

Warfarin is used to prevent blood clots from forming or growing larger in your blood and blood vessels. Source: National Library of Medicine

427

prescriptions, 5% of all prescriptions

392

prescriptions.

91

patients, 8% of all patients

4 8
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

398

prescriptions, 4% of all prescriptions

367

prescriptions.

99

patients, 9% of all patients

5 5
SIMVASTATIN

Treats high cholesterol and... +

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

395

prescriptions, 4% of all prescriptions

348

prescriptions.

93

patients, 9% of all patients

6 4
LISINOPRIL

Treats high blood pressure ... +

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

383

prescriptions, 4% of all prescriptions

332

prescriptions.

99

patients, 9% of all patients

7 3
SOTALOL

Treats an irregular heartbe... +

Treats an irregular heartbeat. Source: National Library of Medicine

350

prescriptions, 4% of all prescriptions

336

prescriptions.

72

patients, 7% of all patients

8 42
CARVEDILOL

Treats high blood pressure ... +

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

347

prescriptions, 4% of all prescriptions

290

prescriptions.

69

patients, 6% of all patients

9 21
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

291

prescriptions, 3% of all prescriptions

227

prescriptions.

58

patients, 5% of all patients

10 36
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

249

prescriptions, 3% of all prescriptions

237

prescriptions.

73

patients, 7% of all patients

11 13
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

239

prescriptions, 3% of all prescriptions

216

prescriptions.

56

patients, 5% of all patients

12 39
PRADAXA

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) in patients who have been treated with an injectable anticoagulant (''blood thinner''). Source: National Library of Medicine

225

prescriptions, 3% of all prescriptions

214

prescriptions.

36

patients, 3% of all patients

13 84
AMIODARONE HCL

Amiodarone is used to treat... +

Amiodarone is used to treat and prevent certain types of serious, life-threatening ventricular arrhythmias (a certain type of abnormal heart rhythm when other medications did not help or could not be tolerated. Source: National Library of Medicine

224

prescriptions, 3% of all prescriptions

183

prescriptions.

53

patients, 5% of all patients

14 56
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

219

prescriptions, 2% of all prescriptions

206

prescriptions.

51

patients, 5% of all patients

15 14
CLOPIDOGREL

Helps prevent stroke, heart... +

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

213

prescriptions, 2% of all prescriptions

188

prescriptions.

54

patients, 5% of all patients

16 30
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

212

prescriptions, 2% of all prescriptions

182

prescriptions.

55

patients, 5% of all patients

17 6
ATENOLOL

Treats high blood pressure ... +

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

173

prescriptions, 2% of all prescriptions

130

prescriptions.

37

patients, 3% of all patients

18 18
RAMIPRIL

Treats high blood pressure ... +

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

165

prescriptions, 2% of all prescriptions

152

prescriptions.

33

patients, 3% of all patients

19 53
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

153

prescriptions, 2% of all prescriptions

126

prescriptions.

39

patients, 4% of all patients

20 24
DILTIAZEM 24HR CD

Diltiazem is used to treat ... +

Diltiazem is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine

139

prescriptions, 2% of all prescriptions

134

prescriptions.

28

patients, 3% of all patients

21 85
BISOPROLOL FUMARATE

Bisoprolol is used alone or... +

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

120

prescriptions, 1% of all prescriptions

99

prescriptions.

25

patients, 2% of all patients

22 68
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

109

prescriptions, 1% of all prescriptions

94

prescriptions.

26

patients, 2% of all patients

23 97
NIFEDIPINE ER

Used for the treatment of v... +

Used for the treatment of vasospastic angina, chronic stable angina and hypertension. Source: National Library of Medicine

97

prescriptions, 1% of all prescriptions

92

prescriptions.

26

patients, 2% of all patients

24 136
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

95

prescriptions, 1% of all prescriptions

90

prescriptions.

25

patients, 2% of all patients

25 80
CARTIA XT

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

86

prescriptions.

23

patients, 2% of all patients

26 140
ENALAPRIL MALEATE

Enalapril is used alone or ... +

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

80

prescriptions, 1% of all prescriptions

63

prescriptions.

23

patients, 2% of all patients

27 58
NITROSTAT

Treats or prevents angina (... +

Treats or prevents angina (chest pain). Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

60

prescriptions.

61

patients, 6% of all patients

28 147
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

78

prescriptions, 1% of all prescriptions

66

prescriptions.

22

patients, 2% of all patients

29 15
DIGOXIN

Treats certain heart rhythm... +

Treats certain heart rhythm problems (atrial fibrillation). Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

57

prescriptions.

21

patients, 2% of all patients

R 30 152
CRESTOR

Lowers high levels of chole... +

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

67

prescriptions, 1% of all prescriptions

44

prescriptions.

15

patients, 1% of all patients

31 48
ELIQUIS

Used to help prevent stroke... +

Used to help prevent strokes or blood clots in people who have atrial fibrillation (a condition in which the heart beats irregularly, increasing the chance of clots forming in the body and possibly causing strokes) that is not caused by heart valve disease. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

51

prescriptions.

15

patients, 1% of all patients

31 155
PROPAFENONE HCL

Propafenone is used to trea... +

Propafenone is used to treat arrhythmia (irregular heartbeat) and to maintain a normal heart rate. Source: National Library of Medicine

66

prescriptions, 1% of all prescriptions

61

prescriptions.

14

patients, 1% of all patients

33 111
DIGOX

Digox (digoxin) is used to ... +

Digox (digoxin) is used to treat heart failure and abnormal heart rhythms (arrhythmias). Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

52

prescriptions.

17

patients, 2% of all patients

R 34 161
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

60

prescriptions, 1% of all prescriptions

55

prescriptions.

16

patients, 1% of all patients

35 124
ZETIA

Lowers cholesterol in your ... +

Lowers cholesterol in your blood. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

32

prescriptions.

<11 36 98
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

52

prescriptions.

11

patients, 1% of all patients

37 45
ISOSORBIDE DINITRATE

Treats and prevents angina ... +

Treats and prevents angina (chest pain). Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

46

prescriptions.

11

patients, 1% of all patients

38 185
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

50

prescriptions, 1% of all prescriptions

37

prescriptions.

14

patients, 1% of all patients

39 2
DILT-XR

Treats high blood pressure,... +

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

50

prescriptions, 1% of all prescriptions

45

prescriptions.

16

patients, 1% of all patients

39 135
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 23, 2016.
  • 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.