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 »

11,575Medicare Part D Prescriptions Filled, Including Refills

Rank: 24 out of 808

$1.06M Total Retail Price of All Prescriptions

Rank: 69 out of 808

770 Patients Receiving at Least One Drug in Part D
95% Patients 65 Years and Older

81% 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

27% of this provider’s 770 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 734 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

8% of this provider’s 770 patients filled at least one prescription for an opioid, compared to an average of 8%.

More resources »

Brand Name Drugs

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 28%.

Prescription Price

$92 was the average price of a prescription from this provider, compared to $184 among peers.

Prescriptions per Patient

15 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

$594K

2012

$787K

2013

$979K

2014

$1.06M

2015

Number of Claims

6,221

2012

8,985

2013

10,128

2014

11,575

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
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

629

prescriptions, 5% of all prescriptions

606

prescriptions.

195

patients, 25% of all patients

1 4
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

613

prescriptions, 5% of all prescriptions

583

prescriptions.

180

patients, 23% of all patients

2 1
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

447

prescriptions, 4% of all prescriptions

442

prescriptions.

121

patients, 16% of all patients

3 6
ALENDRONATE SODIUM

Alendronate is used to trea... +

Alendronate is used to treat and prevent osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause (''change of life,'' end of menstrual periods) and to treat osteoporosis in men. Source: National Library of Medicine

439

prescriptions, 4% of all prescriptions

439

prescriptions.

110

patients, 14% of all patients

4 44
SIMVASTATIN

Treats high cholesterol and... +

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

406

prescriptions, 4% of all prescriptions

391

prescriptions.

115

patients, 15% of all patients

5 11
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

289

prescriptions, 2% of all prescriptions

289

prescriptions.

81

patients, 11% of all patients

6 20
GABAPENTIN

Treats certain types of sei... +

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

282

prescriptions, 2% of all prescriptions

267

prescriptions.

111

patients, 14% of all patients

7 18
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

267

prescriptions, 2% of all prescriptions

262

prescriptions.

60

patients, 8% of all patients

8 14
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

267

prescriptions, 2% of all prescriptions

248

prescriptions.

98

patients, 13% of all patients

8 12
FUROSEMIDE

Treats fluid retention (ede... +

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

262

prescriptions, 2% of all prescriptions

244

prescriptions.

96

patients, 12% of all patients

10 2
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

249

prescriptions, 2% of all prescriptions

244

prescriptions.

63

patients, 8% of all patients

11 19
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

222

prescriptions, 2% of all prescriptions

217

prescriptions.

56

patients, 7% of all patients

12 31
ULORIC

Used to treat hyperuricemia... +

Used to treat hyperuricemia (high uric acid in the blood) in patients with gout. Source: National Library of Medicine

216

prescriptions, 2% of all prescriptions

205

prescriptions.

44

patients, 6% of all patients

13 51
LORAZEPAM

Treats anxiety, anxiety wit... +

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

215

prescriptions, 2% of all prescriptions

210

prescriptions.

83

patients, 11% of all patients

14 49
ALLOPURINOL

Treats gout and some kinds ... +

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

213

prescriptions, 2% of all prescriptions

213

prescriptions.

69

patients, 9% of all patients

15 9
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

212

prescriptions, 2% of all prescriptions

207

prescriptions.

102

patients, 13% of all patients

16 64
CARVEDILOL

Treats high blood pressure ... +

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

203

prescriptions, 2% of all prescriptions

198

prescriptions.

47

patients, 6% of all patients

17 10
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

195

prescriptions, 2% of all prescriptions

172

prescriptions.

54

patients, 7% of all patients

18 8
CLOPIDOGREL

Helps prevent stroke, heart... +

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

180

prescriptions, 2% of all prescriptions

175

prescriptions.

45

patients, 6% of all patients

19 29
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

178

prescriptions, 2% of all prescriptions

165

prescriptions.

41

patients, 5% of all patients

20 55
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

138

prescriptions, 1% of all prescriptions

138

prescriptions.

37

patients, 5% of all patients

21 22
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

124

prescriptions, 1% of all prescriptions

124

prescriptions.

34

patients, 4% of all patients

22 65
AMOXICILLIN

Treats infections. Also use... +

Treats infections. Source: National Library of Medicine

107

prescriptions, 1% of all prescriptions

102

prescriptions.

92

patients, 12% of all patients

A 23 111
RENVELA

Lowers the amount of phosph... +

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

104

prescriptions, 1% of all prescriptions

65

prescriptions.

22

patients, 3% of all patients

24 3
CALCITRIOL

Treats low blood calcium in... +

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

102

prescriptions, 1% of all prescriptions

97

prescriptions.

34

patients, 4% of all patients

25 15
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

101

prescriptions, 1% of all prescriptions

67

prescriptions.

39

patients, 5% of all patients

26 23
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

Treats stuffy nose caused by hay fever and other allergies. Source: National Library of Medicine

98

prescriptions, 1% of all prescriptions

98

prescriptions.

42

patients, 5% of all patients

27 59
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

98

prescriptions, 1% of all prescriptions

93

prescriptions.

31

patients, 4% of all patients

27 27
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

97

prescriptions, 1% of all prescriptions

83

prescriptions.

29

patients, 4% of all patients

29 16
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

93

prescriptions, 1% of all prescriptions

77

prescriptions.

28

patients, 4% of all patients

30 140
OMEGA-3 ACID ETHYL ESTERS

Omega-3 fatty acids are use... +

Omega-3 fatty acids are used together with lifestyle changes (diet, weight-loss, exercise) to reduce the amount of triglycerides (a fat-like substance) in the blood in people with very high triglycerides. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

89

prescriptions.

18

patients, 2% of all patients

31 52
LISINOPRIL

Treats high blood pressure ... +

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

88

prescriptions, 1% of all prescriptions

83

prescriptions.

31

patients, 4% of all patients

32 5
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

84

prescriptions, 1% of all prescriptions

84

prescriptions.

21

patients, 3% of all patients

33 40
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

82

prescriptions, 1% of all prescriptions

77

prescriptions.

21

patients, 3% of all patients

34 24
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

79

prescriptions.

11

patients, 1% of all patients

35 35
SENSIPAR

Lowers the amount of calciu... +

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

78

prescriptions, 1% of all prescriptions

38

prescriptions.

14

patients, 2% of all patients

36 7
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

77

prescriptions.

13

patients, 2% of all patients

37 39
FINASTERIDE

Treats an enlarged prostate... +

Treats an enlarged prostate (benign prostatic hyperplasia or BPH) in men and causes hair growth in male pattern baldness. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

77

prescriptions.

21

patients, 3% of all patients

37 78
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

76

prescriptions, 1% of all prescriptions

71

prescriptions.

34

patients, 4% of all patients

R 39 42
LEVOFLOXACIN

Levofloxacin is used to tre... +

Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

71

prescriptions.

63

patients, 8% of all patients

A 39 72
DONEPEZIL HCL

Donepezil is used to treat ... +

Donepezil is used to treat dementia (a brain disorder that affects the ability to remember, think clearly, communicate, and perform daily activities and may cause changes in mood and personality) associated with Alzheimer's disease (AD; a brain disease that slowly destroys the memory and the ability to think, learn, communicate and handle daily activities). Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

69

prescriptions.

23

patients, 3% of all patients

41 45
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

68

prescriptions.

17

patients, 2% of all patients

42 48
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

72

prescriptions, 1% of all prescriptions

72

prescriptions.

26

patients, 3% of all patients

43 28
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

72

prescriptions, 1% of all prescriptions

67

prescriptions.

16

patients, 2% of all patients

43 34
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

70

prescriptions, 1% of all prescriptions

70

prescriptions.

17

patients, 2% of all patients

45 81
PATADAY

Treats itching or watering ... +

Treats itching or watering of eyes caused by allergies. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

65

prescriptions.

19

patients, 2% of all patients

45 135
RALOXIFENE HCL

Raloxifene is used to preve... +

Raloxifene is used to prevent and treat osteoporosis (condition in which the bones become thin and weak and break easily) in women who have undergone menopause (change of life; end of menstrual periods). Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

70

prescriptions.

16

patients, 2% of all patients

45 158
AVODART

Treats problems with urinat... +

Treats problems with urination caused by an enlarged prostate (benign prostatic hyperplasia or BPH). Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

69

prescriptions.

<11 48 106
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

64

prescriptions.

21

patients, 3% of all patients

48 26
KETOCONAZOLE

Treats fungal infections in... +

Treats fungal infections in the skin, throat, urinary tract, and lungs. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

62

prescriptions.

40

patients, 5% of all patients

50 235
AZITHROMYCIN

Treats infections caused by... +

Treats infections caused by certain bacteria. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

62

prescriptions.

58

patients, 8% of all patients

A 50 58
ESCITALOPRAM OXALATE

Escitalopram is used to tre... +

Escitalopram is used to treat depression and generalized anxiety disorder (excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

60

prescriptions.

14

patients, 2% of all patients

52 67
MECLIZINE HCL

Meclizine is used to preven... +

Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

58

prescriptions.

36

patients, 5% of all patients

53 96
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

55

prescriptions, 0% of all prescriptions

44

prescriptions.

16

patients, 2% of all patients

54 13
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

55

prescriptions, 0% of all prescriptions

50

prescriptions.

41

patients, 5% of all patients

54 92
LOVASTATIN

Lowers high cholesterol and... +

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

54

prescriptions, 0% of all prescriptions

49

prescriptions.

15

patients, 2% of all patients

56 69
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

28

prescriptions.

12

patients, 2% of all patients

57 80
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

26

prescriptions.

11

patients, 1% of all patients

58 118
PROCRIT 51

prescriptions, 0% of all prescriptions

51

prescriptions.

13

patients, 2% of all patients

58 75
WARFARIN SODIUM

Warfarin is used to prevent... +

Warfarin is used to prevent blood clots from forming or growing larger in your blood and blood vessels. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 60 36
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 May 20, 2014.
  • 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.