Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

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Prescriber Checkup » Kentucky » Louisville

SHAY MITCHELL MSN, ACNPC, APRN

140 WHITTINGTON PKWY SUITE 100

Louisville | Kentucky | 40222

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At A Glance: This Prescriber in 2015

Nurse Practitioner, Acute Care

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

3,275Medicare Part D Prescriptions Filled, Including Refills

Rank: 7 out of 34

$194K Total Retail Price of All Prescriptions

Rank: 12 out of 34

274 Patients Receiving at Least One Drug in Part D
68% 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 Kentucky lower than average

Antipsychotics

7% of this provider’s 187 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.

More resources »

Antibiotics

28% of this provider’s 274 patients filled at least one prescription for an antibiotic drug, compared to an average of 21%.

More resources »

Risky Drugs for Seniors

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

20 of this provider’s 187 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

22% of this provider’s 274 patients filled at least one prescription for an opioid, compared to an average of 18%.

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Brand Name Drugs

20% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$59 was the average price of a prescription from this provider, compared to $183 among peers.

Prescriptions per Patient

12 is the average number of prescriptions (including refills) per patient, compared to an average of 7.


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 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
LISINOPRIL

Treats high blood pressure ... +

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

215

prescriptions, 7% of all prescriptions

 104

prescriptions.

 57

patients, 21% of all patients

 1 2
FUROSEMIDE

Treats fluid retention (ede... +

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

163

prescriptions, 5% of all prescriptions

 126

prescriptions.

 47

patients, 17% of all patients

 2 5
GABAPENTIN

Treats certain types of sei... +

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

119

prescriptions, 4% of all prescriptions

 51

prescriptions.

 37

patients, 14% of all patients

 3 3
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

110

prescriptions, 3% of all prescriptions

 62

prescriptions.

 52

patients, 19% of all patients

 O 4 1
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

91

prescriptions, 3% of all prescriptions

 70

prescriptions.

 27

patients, 10% of all patients

 5 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

89

prescriptions, 3% of all prescriptions

 61

prescriptions.

 22

patients, 8% of all patients

 6 6
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

80

prescriptions, 2% of all prescriptions

 66

prescriptions.

 20

patients, 7% of all patients

 7 33
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

65

prescriptions, 2% of all prescriptions

 49

prescriptions.

 19

patients, 7% of all patients

 8 7
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

58

prescriptions, 2% of all prescriptions

 29

prescriptions.

 20

patients, 7% of all patients

 9 15
PAROXETINE HCL

Paroxetine tablets, suspens... +

Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine

53

prescriptions, 2% of all prescriptions

 53

prescriptions.

 12

patients, 4% of all patients

 10 51
SIMVASTATIN

Treats high cholesterol and... +

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

51

prescriptions, 2% of all prescriptions

 46

prescriptions.

 12

patients, 4% of all patients

 11 14
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 Jan. 26, 2015.
  • 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.