Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nephrology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

3,042Medicare Part D Prescriptions Filled, Including Refills

Rank: 265 out of 808

$332K Total Retail Price of All Prescriptions

Rank: 456 out of 808

467 Patients Receiving at Least One Drug in Part D
83% Patients 65 Years and Older

17% 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

0% of this provider’s 389 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

6% of this provider’s 467 patients filled at least one prescription for an antibiotic drug, compared to an average of 16%.

More resources »

Risky Drugs for Seniors

This provider prescribed potentially inappropriate drugs 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 »

Opioids

3% of this provider’s 467 patients filled at least one prescription for an opioid, compared to an average of 8%.

More resources »

Brand Name Drugs

34% of this provider’s prescriptions were for brand-name drugs, compared to an average of 28%.

Prescription Price

$109 was the average price of a prescription from this provider, compared to $184 among peers.

Prescriptions per Patient

7 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

$293K

2012

$312K

2013

$276K

2014

$332K

2015

Number of Claims

3,272

2012

3,198

2013

2,979

2014

3,042

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

239

prescriptions, 8% of all prescriptions

234

prescriptions.

96

patients, 21% of all patients

1 2
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

234

prescriptions, 8% of all prescriptions

200

prescriptions.

97

patients, 21% of all patients

2 4
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

204

prescriptions, 7% of all prescriptions

190

prescriptions.

78

patients, 17% of all patients

3 1
ROCALTROL 185

prescriptions, 6% of all prescriptions

180

prescriptions.

86

patients, 18% of all patients

10 4 86
LISINOPRIL

Treats high blood pressure ... +

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

166

prescriptions, 5% of all prescriptions

149

prescriptions.

66

patients, 14% of all patients

5 5
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

102

prescriptions, 3% of all prescriptions

97

prescriptions.

44

patients, 9% of all patients

6 16
ALLOPURINOL

Treats gout and some kinds ... +

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

97

prescriptions, 3% of all prescriptions

92

prescriptions.

30

patients, 6% of all patients

7 9
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

96

prescriptions, 3% of all prescriptions

76

prescriptions.

27

patients, 6% of all patients

8 6
CALCITRIOL

Treats low blood calcium in... +

Treats low blood calcium in kidney dialysis patients and other patients. Source: National Library of Medicine

93

prescriptions, 3% of all prescriptions

88

prescriptions.

66

patients, 14% of all patients

9 15
ATENOLOL

Treats high blood pressure ... +

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

89

prescriptions, 3% of all prescriptions

84

prescriptions.

35

patients, 7% of all patients

10 26
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

87

prescriptions, 3% of all prescriptions

82

prescriptions.

31

patients, 7% of all patients

11 33
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

87

prescriptions, 3% of all prescriptions

71

prescriptions.

39

patients, 8% of all patients

11 8
ELIPHOS 86

prescriptions, 3% of all prescriptions

69

prescriptions.

39

patients, 8% of all patients

10 13 245
SENSIPAR

Lowers the amount of calciu... +

Lowers the amount of calcium in your blood. Source: National Library of Medicine

59

prescriptions, 2% of all prescriptions

35

prescriptions.

21

patients, 4% of all patients

14 7
SIMVASTATIN

Treats high cholesterol and... +

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

58

prescriptions, 2% of all prescriptions

53

prescriptions.

21

patients, 4% of all patients

15 11
RENVELA

Lowers the amount of phosph... +

Lowers the amount of phosphorus in blood of patients receiving kidney dialysis. Source: National Library of Medicine

58

prescriptions, 2% of all prescriptions

38

prescriptions.

28

patients, 6% of all patients

15 3
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

55

prescriptions, 2% of all prescriptions

41

prescriptions.

23

patients, 5% of all patients

17 12
SODIUM CITRATE & CITRIC ACID 51

prescriptions, 2% of all prescriptions

46

prescriptions.

12

patients, 3% of all patients

10 18 307
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 checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org.

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 Sept. 23, 2008.
  • 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.