Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

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Prescriber Checkup » California » Sacramento

JESSE KRAMER MD

3000 Q ST

Sacramento | California | 95816

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At A Glance: This Prescriber in 2015

Dermatology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

2,029Medicare Part D Prescriptions Filled, Including Refills

Rank: 20 out of 769

$205K Total Retail Price of All Prescriptions

Rank: 139 out of 769

664 Patients Receiving at Least One Drug in Part D
80% Patients 65 Years and Older

36% 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 533 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

10% of this provider’s 664 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

0% of this provider’s 664 patients filled at least one prescription for an opioid, compared to an average of 2%.

More resources »

Brand Name Drugs *

12% of this provider’s prescriptions were for brand-name drugs, compared to an average of 17%.

* This is an estimate, see our methodology.

Prescription Price

$101 was the average price of a prescription from this provider, compared to $187 among peers.

Prescriptions per Patient

3 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

$134K

2012

$175K

2013

$144K

2014

$205K

2015

Number of Claims

1,567

2012

2,000

2013

1,621

2014

2,029

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
FLUOCINONIDE

Treats many skin disorders.... +

Treats many skin disorders. Source: National Library of Medicine

258

prescriptions, 13% of all prescriptions

 178

prescriptions.

 121

patients, 18% of all patients

 1 3
CLOBETASOL PROPIONATE

Treats psoriasis, skin irri... +

Treats psoriasis, skin irritation, allergic reactions, and other types of skin problems. Source: National Library of Medicine

140

prescriptions, 7% of all prescriptions

 107

prescriptions.

 81

patients, 12% of all patients

 2 1
TRIAMCINOLONE ACETONIDE

Triamcinolone is used to tr... +

Triamcinolone is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions. Source: National Library of Medicine

132

prescriptions, 7% of all prescriptions

 98

prescriptions.

 86

patients, 13% of all patients

 3 2
HYDROCORTISONE

Hydrocortisone provides rel... +

Hydrocortisone provides relief for inflamed areas of the body. Source: National Library of Medicine

131

prescriptions, 6% of all prescriptions

 96

prescriptions.

 71

patients, 11% of all patients

 4 8
BETAMETHASONE DIPROPIONATE*

Treats skin irritation, all... +

Treats skin irritation, allergic reactions, and other types of skin problems. Source: National Library of Medicine

108

prescriptions, 5% of all prescriptions

 93

prescriptions.

 48

patients, 7% of all patients

 5 18
ECONAZOLE NITRATE

Econazole is used to treat ... +

Econazole is used to treat skin infections such as athlete's foot, jock itch, and ringworm. Source: National Library of Medicine

98

prescriptions, 5% of all prescriptions

 86

prescriptions.

 58

patients, 9% of all patients

 6 10
MUPIROCIN*

Treats skin infections and ... +

Treats skin infections and bacterial infections in your nose. Source: National Library of Medicine

90

prescriptions, 4% of all prescriptions

 74

prescriptions.

 51

patients, 8% of all patients

 7 6
METHOTREXATE

Treats several kinds of can... +

Treats several kinds of cancer, including cancer of the blood, bone, lung, breast, head, or neck. Source: National Library of Medicine

78

prescriptions, 4% of all prescriptions

 53

prescriptions.

 12

patients, 2% of all patients

 8 25
CLINDAMYCIN PHOSPHATE

Topical clindamycin is used... +

Topical clindamycin is used to treat acne. Source: National Library of Medicine

62

prescriptions, 3% of all prescriptions

 39

prescriptions.

 38

patients, 6% of all patients

 A 9 17
MINOCYCLINE HCL

Minocycline is used to trea... +

Minocycline is used to treat bacterial infections including pneumonia and other respiratory tract infections; acne; and infections of skin, genital, and urinary systems. Source: National Library of Medicine

59

prescriptions, 3% of all prescriptions

 28

prescriptions.

 20

patients, 3% of all patients

 A 10 14
DOXYCYCLINE HYCLATE

Doxycycline is used to trea... +

Doxycycline is used to treat bacterial infections, including pneumonia and other respiratory tract infections; Lyme disease; acne; infections of skin, genital, and urinary systems; and anthrax (after inhalational exposure). Source: National Library of Medicine

59

prescriptions, 3% of all prescriptions

 46

prescriptions.

 29

patients, 4% of all patients

 A 10 9
MOMETASONE FUROATE

Mometasone is used to relie... +

Mometasone is used to relieve the itching and inflammation of numerous skin conditions. Source: National Library of Medicine

53

prescriptions, 3% of all prescriptions

 41

prescriptions.

 29

patients, 4% of all patients

 12 12
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 Feb. 23, 2012.
  • 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.