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 »

9,898Medicare Part D Prescriptions Filled, Including Refills

Rank: 32 out of 808

$2.45M Total Retail Price of All Prescriptions

Rank: 8 out of 808

544 Patients Receiving at Least One Drug in Part D
53% Patients 65 Years and Older

70% 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

12% of this provider’s 544 patients filled at least one prescription for an antibiotic drug, compared to an average of 16%.

More resources »

Risky Drugs for Seniors

7% of this provider’s 288 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

9% of this provider’s 544 patients filled at least one prescription for an opioid, compared to an average of 8%.

More resources »

Brand Name Drugs

29% of this provider’s prescriptions were for brand-name drugs, compared to an average of 28%.

Prescription Price

$247 was the average price of a prescription from this provider, compared to $184 among peers.

Prescriptions per Patient

18 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

$1.71M

2012

$1.91M

2013

$2.14M

2014

$2.45M

2015

Number of Claims

11,592

2012

11,544

2013

10,618

2014

9,898

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
RENVELA

Lowers the amount of phosph... +

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

710

prescriptions, 7% of all prescriptions

286

prescriptions.

120

patients, 22% of all patients

10 1 3
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

600

prescriptions, 6% of all prescriptions

258

prescriptions.

114

patients, 21% of all patients

2 1
SENSIPAR

Lowers the amount of calciu... +

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

577

prescriptions, 6% of all prescriptions

120

prescriptions.

104

patients, 19% of all patients

3 7
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

343

prescriptions, 3% of all prescriptions

233

prescriptions.

67

patients, 12% of all patients

4 6
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

338

prescriptions, 3% of all prescriptions

120

prescriptions.

71

patients, 13% of all patients

5 17
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

302

prescriptions, 3% of all prescriptions

58

prescriptions.

54

patients, 10% of all patients

6 8
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

252

prescriptions, 3% of all prescriptions

31

prescriptions.

46

patients, 8% of all patients

7 12
CALCIUM ACETATE

Used to treat hyperphosphat... +

Used to treat hyperphosphatemia (too much phosphate in the blood) in patients with end stage kidney disease who are on dialysis. Source: National Library of Medicine

236

prescriptions, 2% of all prescriptions

94

prescriptions.

56

patients, 10% of all patients

8 13
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, 2% of all prescriptions

102

prescriptions.

40

patients, 7% of all patients

9 4
FUROSEMIDE

Treats fluid retention (ede... +

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

229

prescriptions, 2% of all prescriptions

169

prescriptions.

66

patients, 12% of all patients

10 2
PROSOL 227

prescriptions, 2% of all prescriptions

90

prescriptions.

<11 11 30
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

208

prescriptions, 2% of all prescriptions

126

prescriptions.

45

patients, 8% of all patients

12 38
GABAPENTIN

Treats certain types of sei... +

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

190

prescriptions, 2% of all prescriptions

68

prescriptions.

38

patients, 7% of all patients

13 18
LISINOPRIL

Treats high blood pressure ... +

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

166

prescriptions, 2% of all prescriptions

59

prescriptions.

40

patients, 7% of all patients

14 5
PANTOPRAZOLE SODIUM

Pantoprazole is used to tre... +

Pantoprazole is used to treat gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the esophagus (the tube between the throat and stomach). Source: National Library of Medicine

143

prescriptions, 1% of all prescriptions

49

prescriptions.

23

patients, 4% of all patients

15 23
CARVEDILOL

Treats high blood pressure ... +

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

138

prescriptions, 1% of all prescriptions

64

prescriptions.

25

patients, 5% of all patients

16 10
TORSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) caused by congestive heart failure, kidney disease, or liver disease. Source: National Library of Medicine

137

prescriptions, 1% of all prescriptions

75

prescriptions.

27

patients, 5% of all patients

17 97
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

136

prescriptions, 1% of all prescriptions

62

prescriptions.

35

patients, 6% of all patients

18 16
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

128

prescriptions, 1% of all prescriptions

81

prescriptions.

22

patients, 4% of all patients

19 14
SIMVASTATIN

Treats high cholesterol and... +

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

122

prescriptions, 1% of all prescriptions

46

prescriptions.

19

patients, 3% of all patients

20 11
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

122

prescriptions, 1% of all prescriptions

52

prescriptions.

25

patients, 5% of all patients

20 22
PREDNISONE

Treats inflammation (swelli... +

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

121

prescriptions, 1% of all prescriptions

45

prescriptions.

26

patients, 5% of all patients

22 25
IRBESARTAN

Used alone or in combinatio... +

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

108

prescriptions, 1% of all prescriptions

70

prescriptions.

23

patients, 4% of all patients

23 167
CLOPIDOGREL

Helps prevent stroke, heart... +

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

104

prescriptions, 1% of all prescriptions

53

prescriptions.

17

patients, 3% of all patients

24 29
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

100

prescriptions, 1% of all prescriptions

31

prescriptions.

17

patients, 3% of all patients

25 24
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

65

prescriptions.

15

patients, 3% of all patients

26 20
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

97

prescriptions, 1% of all prescriptions

22

prescriptions.

16

patients, 3% of all patients

27 33
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

87

prescriptions, 1% of all prescriptions

49

prescriptions.

14

patients, 3% of all patients

28 40
CALCITRIOL

Treats low blood calcium in... +

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

85

prescriptions, 1% of all prescriptions

56

prescriptions.

27

patients, 5% of all patients

29 15
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

44

prescriptions.

27

patients, 5% of all patients

30 140
BENAZEPRIL HCL

Benazepril is used alone or... +

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

77

prescriptions, 1% of all prescriptions

39

prescriptions.

16

patients, 3% of all patients

30 32
DEXTROSE IN WATER* 75

prescriptions, 1% of all prescriptions

52

prescriptions.

<11 32 95
MIDODRINE HCL

Midodrine hydrochloride tab... +

Midodrine hydrochloride tablets are indicated for the treatment of symptomatic orthostatic hypotension. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

31

prescriptions.

25

patients, 5% of all patients

33 144
ROPINIROLE HCL

Ropinirole is used alone or... +

Ropinirole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

28

prescriptions.

12

patients, 2% of all patients

33 112
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

71

prescriptions, 1% of all prescriptions

32

prescriptions.

12

patients, 2% of all patients

35 27
VALSARTAN

Valsartan is used alone or ... +

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

70

prescriptions, 1% of all prescriptions

13

prescriptions.

14

patients, 3% of all patients

36 31
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

70

prescriptions, 1% of all prescriptions

29

prescriptions.

<11 36 37
CHLORTHALIDONE

Treats high blood pressure ... +

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

65

prescriptions, 1% of all prescriptions

60

prescriptions.

18

patients, 3% of all patients

38 76
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

30

prescriptions.

16

patients, 3% of all patients

39 89
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

63

prescriptions, 1% of all prescriptions

19

prescriptions.

20

patients, 4% of all patients

R 39 42
LORAZEPAM

Treats anxiety, anxiety wit... +

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

60

prescriptions, 1% of all prescriptions

37

prescriptions.

17

patients, 3% of all patients

41 49
ALPRAZOLAM

Treats anxiety, panic disor... +

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

57

prescriptions, 1% of all prescriptions

23

prescriptions.

18

patients, 3% of all patients

42 47
FOSRENOL 56

prescriptions, 1% of all prescriptions

11

prescriptions.

12

patients, 2% of all patients

43 142
ALLOPURINOL

Treats gout and some kinds ... +

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

55

prescriptions, 1% of all prescriptions

50

prescriptions.

15

patients, 3% of all patients

44 9
METOCLOPRAMIDE HCL

Metoclopramide is used to r... +

Metoclopramide is used to relieve heartburn and speed the healing of ulcers and sores in the esophagus (tube that connects the mouth to the stomach) in people who have gastroesophageal reflux disease (GERD; condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus) that did not get better with other treatments. Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

5

prescriptions.

13

patients, 2% of all patients

45 119
METOLAZONE

Treats high blood pressure ... +

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

53

prescriptions, 1% of all prescriptions

30

prescriptions.

14

patients, 3% of all patients

46 109
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

53

prescriptions, 1% of all prescriptions

38

prescriptions.

<11 46 81
FLUCONAZOLE

Prevents and treats certain... +

Prevents and treats certain fungus infections. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 48 208
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 Sept. 3, 2010.
  • 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.