Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Pain Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

9,744Medicare Part D Prescriptions Filled, Including Refills

Rank: 5 out of 73

$1.04M Total Retail Price of All Prescriptions

Rank: 5 out of 73

448 Patients Receiving at Least One Drug in Part D
30% Patients 65 Years and Older

68% 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

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

7% of this provider’s 448 patients filled at least one prescription for an antibiotic drug, compared to an average of 5%.

More resources »

Risky Drugs for Seniors

10% of this provider’s 135 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

90% of this provider’s 448 patients filled at least one prescription for an opioid, compared to an average of 74%.

More resources »

Brand Name Drugs

14% of this provider’s prescriptions were for brand-name drugs, compared to an average of 13%.

Prescription Price

$106 was the average price of a prescription from this provider, compared to $81 among peers.

Prescriptions per Patient

22 is the average number of prescriptions (including refills) per patient, compared to an average of 10.


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

$611K

2012

$819K

2013

$884K

2014

$1.04M

2015

Number of Claims

5,544

2012

7,884

2013

9,673

2014

9,744

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
MORPHINE SULFATE ER

Morphine (extended release)... +

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

1,069

prescriptions, 11% of all prescriptions

210

prescriptions.

133

patients, 30% of all patients

O 1 3
OXYCODONE HCL

Oxycodone is used to reliev... +

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

946

prescriptions, 10% of all prescriptions

202

prescriptions.

112

patients, 25% of all patients

O 2 5
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

725

prescriptions, 7% of all prescriptions

192

prescriptions.

99

patients, 22% of all patients

O 3 1
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

636

prescriptions, 7% of all prescriptions

174

prescriptions.

93

patients, 21% of all patients

O 4 2
METHADONE HCL

Methadone is used to reliev... +

Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. Source: National Library of Medicine

508

prescriptions, 5% of all prescriptions

94

prescriptions.

58

patients, 13% of all patients

O 5 11
ALPRAZOLAM

Treats anxiety, panic disor... +

Treats anxiety, panic disorder, insomnia (trouble sleeping), and anxiety caused by depression. Source: National Library of Medicine

476

prescriptions, 5% of all prescriptions

60

prescriptions.

66

patients, 15% of all patients

6 16
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

472

prescriptions, 5% of all prescriptions

55

prescriptions.

95

patients, 21% of all patients

7 7
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

434

prescriptions, 4% of all prescriptions

76

prescriptions.

56

patients, 13% of all patients

O 8 13
MORPHINE SULFATE

Morphine is used to relieve... +

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

382

prescriptions, 4% of all prescriptions

81

prescriptions.

51

patients, 11% of all patients

O 9 12
GABAPENTIN

Treats certain types of sei... +

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

375

prescriptions, 4% of all prescriptions

85

prescriptions.

79

patients, 18% of all patients

10 4
FENTANYL

Treats severe, ongoing pain... +

Treats severe, ongoing pain (during and after surgery, cancer pain) that cannot be controlled with other medicines. Source: National Library of Medicine

310

prescriptions, 3% of all prescriptions

83

prescriptions.

51

patients, 11% of all patients

O 11 6
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

240

prescriptions, 2% of all prescriptions

43

prescriptions.

51

patients, 11% of all patients

12 10
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

224

prescriptions, 2% of all prescriptions

32

prescriptions.

33

patients, 7% of all patients

R 13 19
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

Amitriptyline is used to treat symptoms of depression. Source: National Library of Medicine

215

prescriptions, 2% of all prescriptions

23

prescriptions.

36

patients, 8% of all patients

R 14 35
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

199

prescriptions, 2% of all prescriptions

29

prescriptions.

42

patients, 9% of all patients

15 22
OXYCONTIN

Oxycodone is used to reliev... +

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

194

prescriptions, 2% of all prescriptions

47

prescriptions.

26

patients, 6% of all patients

O 16 14
CLONAZEPAM

Treats seizures, panic diso... +

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

163

prescriptions, 2% of all prescriptions

20

prescriptions.

18

patients, 4% of all patients

17 23
CITALOPRAM HBR

Citalopram is used to treat... +

Citalopram is used to treat depression. Source: National Library of Medicine

120

prescriptions, 1% of all prescriptions

29

prescriptions.

18

patients, 4% of all patients

18 43
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

105

prescriptions, 1% of all prescriptions

5

prescriptions.

25

patients, 6% of all patients

19 15
OPANA ER

Used to relieve moderate to... +

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

93

prescriptions, 1% of all prescriptions

5

prescriptions.

18

patients, 4% of all patients

O 20 29
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

90

prescriptions, 1% of all prescriptions

26

prescriptions.

19

patients, 4% of all patients

21 21
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

12

prescriptions.

24

patients, 5% of all patients

22 18
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

27

prescriptions.

60

patients, 13% of all patients

23 51
TRAMADOL HCL

Tramadol is used to relieve... +

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

80

prescriptions, 1% of all prescriptions

49

prescriptions.

17

patients, 4% of all patients

O 24 8
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

79

prescriptions, 1% of all prescriptions

13

prescriptions.

16

patients, 4% of all patients

R 25 17
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

68

prescriptions, 1% of all prescriptions

0

prescriptions.

18

patients, 4% of all patients

R 26 50
BUPRENORPHINE HCL 63

prescriptions, 1% of all prescriptions

5

prescriptions.

13

patients, 3% of all patients

O 27 52
SUBOXONE

Treats an addiction to or d... +

Treats an addiction to or dependence on narcotic medicine. Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 28 26
METHOCARBAMOL

Treats muscle pain and spas... +

Treats muscle pain and spasms. Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

5

prescriptions.

15

patients, 3% of all patients

R 29 25
SUMATRIPTAN SUCCINATE

Sumatriptan is used to trea... +

Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light). Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 30 88
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

51

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 31 30
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 Feb. 14, 2017.
  • 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.