Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Emergency Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

9,100Medicare Part D Prescriptions Filled, Including Refills

Rank: 5 out of 274

$1.28M Total Retail Price of All Prescriptions

Rank: 1 out of 274

286 Patients Receiving at Least One Drug in Part D
27% Patients 65 Years and Older

90% 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 Michigan
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

19% of this provider’s 286 patients filled at least one prescription for an antibiotic drug, compared to an average of 37%.

More resources »

Risky Drugs for Seniors

Comparisons are not shown because this provider has fewer than 100 patients who are 65 and older.

12 of this provider’s 78 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

94% of this provider’s 286 patients filled at least one prescription for an opioid, compared to an average of 40%.

More resources »

Brand Name Drugs

23% of this provider’s prescriptions were for brand-name drugs, compared to an average of 8%.

Prescription Price

$140 was the average price of a prescription from this provider, compared to $21 among peers.

Prescriptions per Patient

32 is the average number of prescriptions (including refills) per patient, compared to an average of 3.


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

$31.2K

2012

$178K

2013

$678K

2014

$1.28M

2015

Number of Claims

650

2012

3,239

2013

7,011

2014

9,100

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
OXYCODONE HCL

Oxycodone is used to reliev... +

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

2,164

prescriptions, 24% of all prescriptions

603

prescriptions.

243

patients, 85% of all patients

O 1 2
OPANA ER

Used to relieve moderate to... +

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

676

prescriptions, 7% of all prescriptions

141

prescriptions.

104

patients, 36% of all patients

O 10 2 31
OXYMORPHONE HCL ER 486

prescriptions, 5% of all prescriptions

100

prescriptions.

76

patients, 27% of all patients

O 10 3 42
MORPHINE SULFATE ER

Morphine (extended release)... +

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

403

prescriptions, 4% of all prescriptions

134

prescriptions.

68

patients, 24% of all patients

O 4 46
CLONAZEPAM

Treats seizures, panic diso... +

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

351

prescriptions, 4% of all prescriptions

96

prescriptions.

55

patients, 19% of all patients

5 32
LISINOPRIL

Treats high blood pressure ... +

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

281

prescriptions, 3% of all prescriptions

105

prescriptions.

45

patients, 16% of all patients

6 3
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

188

prescriptions, 2% of all prescriptions

39

prescriptions.

34

patients, 12% of all patients

7 21
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

183

prescriptions, 2% of all prescriptions

33

prescriptions.

26

patients, 9% of all patients

8 4
OXYCONTIN

Oxycodone is used to reliev... +

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

163

prescriptions, 2% of all prescriptions

27

prescriptions.

22

patients, 8% of all patients

O 9 83
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

159

prescriptions, 2% of all prescriptions

59

prescriptions.

28

patients, 10% of all patients

10 8
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

154

prescriptions, 2% of all prescriptions

20

prescriptions.

31

patients, 11% of all patients

11 17
LIDOCAINE

Causes numbness or loss of ... +

Causes numbness or loss of feeling in an area of your body. Source: National Library of Medicine

154

prescriptions, 2% of all prescriptions

5

prescriptions.

28

patients, 10% of all patients

11 49
CLONIDINE HCL

Clonidine is used alone or ... +

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

137

prescriptions, 2% of all prescriptions

18

prescriptions.

21

patients, 7% of all patients

13 57
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

128

prescriptions, 1% of all prescriptions

5

prescriptions.

29

patients, 10% of all patients

R 14 28
SIMVASTATIN

Treats high cholesterol and... +

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

115

prescriptions, 1% of all prescriptions

49

prescriptions.

19

patients, 7% of all patients

15 7
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

110

prescriptions, 1% of all prescriptions

12

prescriptions.

15

patients, 5% of all patients

16 41
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

101

prescriptions, 1% of all prescriptions

40

prescriptions.

16

patients, 6% of all patients

17 14
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

101

prescriptions, 1% of all prescriptions

23

prescriptions.

16

patients, 6% of all patients

17 25
FUROSEMIDE

Treats fluid retention (ede... +

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

97

prescriptions, 1% of all prescriptions

31

prescriptions.

11

patients, 4% of all patients

19 9
VOLTAREN

Treats pain caused by arthr... +

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

91

prescriptions, 1% of all prescriptions

11

prescriptions.

13

patients, 5% of all patients

20 88
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, 1% of all prescriptions

19

prescriptions.

15

patients, 5% of all patients

21 15
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

83

prescriptions, 1% of all prescriptions

15

prescriptions.

12

patients, 4% of all patients

22 53
GABAPENTIN

Treats certain types of sei... +

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

68

prescriptions, 1% of all prescriptions

20

prescriptions.

14

patients, 5% of all patients

23 19
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

66

prescriptions, 1% of all prescriptions

5

prescriptions.

13

patients, 5% of all patients

24 18
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

65

prescriptions, 1% of all prescriptions

21

prescriptions.

13

patients, 5% of all patients

25 13
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

65

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 25 125
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

65

prescriptions, 1% of all prescriptions

24

prescriptions.

<11 25 86
PROMETHAZINE HCL

Promethazine is used to rel... +

Promethazine is used to relieve the symptoms of allergic reactions such as allergic rhinitis (runny nose and watery eyes caused by allergy to pollen, mold or dust), allergic conjunctivitis (red, watery eyes caused by allergies), allergic skin reactions, and allergic reactions to blood or plasma products. Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

5

prescriptions.

22

patients, 8% of all patients

R 28 61
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

62

prescriptions, 1% of all prescriptions

22

prescriptions.

<11 28 20
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

59

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 O 30 1
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

56

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 31 68
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

54

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 32 75
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 Jan. 8, 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.