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 »

14,187Medicare Part D Prescriptions Filled, Including Refills

Rank: 16 out of 808

$1.31M Total Retail Price of All Prescriptions

Rank: 37 out of 808

871 Patients Receiving at Least One Drug in Part D
91% Patients 65 Years and Older

61% 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

3% of this provider’s 790 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

12% of this provider’s 871 patients filled at least one prescription for an antibiotic drug, compared to an average of 16%.

More resources »

Risky Drugs for Seniors

8% of this provider’s 790 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

14% of this provider’s 871 patients filled at least one prescription for an opioid, compared to an average of 8%.

More resources »

Brand Name Drugs

26% 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

16 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

$1.27M

2012

$1.47M

2013

$1.5M

2014

$1.31M

2015

Number of Claims

16,558

2012

17,593

2013

16,580

2014

14,187

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
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

760

prescriptions, 5% of all prescriptions

673

prescriptions.

187

patients, 21% of all patients

1 1
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

711

prescriptions, 5% of all prescriptions

646

prescriptions.

160

patients, 18% of all patients

2 14
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

652

prescriptions, 5% of all prescriptions

630

prescriptions.

176

patients, 20% of all patients

3 6
SIMVASTATIN

Treats high cholesterol and... +

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

644

prescriptions, 5% of all prescriptions

538

prescriptions.

166

patients, 19% of all patients

4 11
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

511

prescriptions, 4% of all prescriptions

459

prescriptions.

133

patients, 15% of all patients

5 19
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

491

prescriptions, 3% of all prescriptions

403

prescriptions.

124

patients, 14% of all patients

6 12
LISINOPRIL

Treats high blood pressure ... +

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

439

prescriptions, 3% of all prescriptions

391

prescriptions.

111

patients, 13% of all patients

7 5
FUROSEMIDE

Treats fluid retention (ede... +

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

396

prescriptions, 3% of all prescriptions

370

prescriptions.

100

patients, 11% of all patients

8 2
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

382

prescriptions, 3% of all prescriptions

361

prescriptions.

89

patients, 10% of all patients

9 22
RENVELA

Lowers the amount of phosph... +

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

221

prescriptions, 2% of all prescriptions

92

prescriptions.

40

patients, 5% of all patients

10 3
CARVEDILOL

Treats high blood pressure ... +

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

204

prescriptions, 1% of all prescriptions

164

prescriptions.

43

patients, 5% of all patients

11 10
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

195

prescriptions, 1% of all prescriptions

190

prescriptions.

45

patients, 5% of all patients

12 28
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

192

prescriptions, 1% of all prescriptions

170

prescriptions.

54

patients, 6% of all patients

O 13 21
TRAMADOL HCL

Tramadol is used to relieve... +

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

191

prescriptions, 1% of all prescriptions

143

prescriptions.

55

patients, 6% of all patients

O 14 43
CLOPIDOGREL

Helps prevent stroke, heart... +

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

190

prescriptions, 1% of all prescriptions

177

prescriptions.

48

patients, 6% of all patients

15 29
CRESTOR

Lowers high levels of chole... +

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

189

prescriptions, 1% of all prescriptions

178

prescriptions.

45

patients, 5% of all patients

16 39
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

183

prescriptions, 1% of all prescriptions

178

prescriptions.

47

patients, 5% of all patients

17 4
GABAPENTIN

Treats certain types of sei... +

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

182

prescriptions, 1% of all prescriptions

132

prescriptions.

47

patients, 5% of all patients

18 18
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

177

prescriptions, 1% of all prescriptions

156

prescriptions.

47

patients, 5% of all patients

19 40
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

159

prescriptions, 1% of all prescriptions

125

prescriptions.

34

patients, 4% of all patients

20 55
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

152

prescriptions, 1% of all prescriptions

133

prescriptions.

32

patients, 4% of all patients

21 35
ALLOPURINOL

Treats gout and some kinds ... +

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

136

prescriptions, 1% of all prescriptions

121

prescriptions.

35

patients, 4% of all patients

22 9
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

136

prescriptions, 1% of all prescriptions

125

prescriptions.

43

patients, 5% of all patients

22 27
LORAZEPAM

Treats anxiety, anxiety wit... +

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

134

prescriptions, 1% of all prescriptions

112

prescriptions.

32

patients, 4% of all patients

24 49
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

133

prescriptions, 1% of all prescriptions

128

prescriptions.

29

patients, 3% of all patients

25 34
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

131

prescriptions, 1% of all prescriptions

131

prescriptions.

30

patients, 3% of all patients

26 23
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

127

prescriptions, 1% of all prescriptions

122

prescriptions.

35

patients, 4% of all patients

27 66
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

116

prescriptions, 1% of all prescriptions

104

prescriptions.

26

patients, 3% of all patients

28 31
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

110

prescriptions, 1% of all prescriptions

105

prescriptions.

38

patients, 4% of all patients

29 20
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

108

prescriptions, 1% of all prescriptions

96

prescriptions.

25

patients, 3% of all patients

30 8
SERTRALINE HCL

Sertraline is used to treat... +

Sertraline is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks), posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience), 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

106

prescriptions, 1% of all prescriptions

80

prescriptions.

33

patients, 4% of all patients

31 74
ALPRAZOLAM

Treats anxiety, panic disor... +

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

106

prescriptions, 1% of all prescriptions

101

prescriptions.

34

patients, 4% of all patients

31 47
CALCITRIOL

Treats low blood calcium in... +

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

101

prescriptions, 1% of all prescriptions

90

prescriptions.

22

patients, 3% of all patients

33 15
CHLORTHALIDONE

Treats high blood pressure ... +

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

96

prescriptions, 1% of all prescriptions

91

prescriptions.

26

patients, 3% of all patients

34 76
SYMBICORT

This is a combination of bu... +

This is a combination of budesonide and formoterol used to help control the symptoms of asthma and improve lung function. Source: National Library of Medicine

93

prescriptions, 1% of all prescriptions

88

prescriptions.

28

patients, 3% of all patients

35 170
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

89

prescriptions, 1% of all prescriptions

71

prescriptions.

24

patients, 3% of all patients

36 36
VALSARTAN-HYDROCHLOROTHIAZIDE

Treats high blood pressure. +

Treats high blood pressure. Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

84

prescriptions.

24

patients, 3% of all patients

37 82
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

79

prescriptions, 1% of all prescriptions

79

prescriptions.

20

patients, 2% of all patients

38 67
CITALOPRAM HBR

Citalopram is used to treat... +

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

77

prescriptions, 1% of all prescriptions

72

prescriptions.

14

patients, 2% of all patients

39 129
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

76

prescriptions, 1% of all prescriptions

76

prescriptions.

20

patients, 2% of all patients

40 32
RAMIPRIL

Treats high blood pressure ... +

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

73

prescriptions, 1% of all prescriptions

73

prescriptions.

17

patients, 2% of all patients

41 136
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

49

prescriptions.

20

patients, 2% of all patients

42 54
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

71

prescriptions, 1% of all prescriptions

57

prescriptions.

15

patients, 2% of all patients

43 37
INDAPAMIDE

Treats high blood pressure ... +

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

70

prescriptions, 0% of all prescriptions

43

prescriptions.

16

patients, 2% of all patients

44 351
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

69

prescriptions, 0% of all prescriptions

69

prescriptions.

20

patients, 2% of all patients

45 44
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

69

prescriptions, 0% of all prescriptions

64

prescriptions.

22

patients, 3% of all patients

45 102
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

68

prescriptions, 0% of all prescriptions

68

prescriptions.

32

patients, 4% of all patients

47 70
METFORMIN HCL ER

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

67

prescriptions, 0% of all prescriptions

67

prescriptions.

14

patients, 2% of all patients

48 128
ATENOLOL

Treats high blood pressure ... +

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

65

prescriptions, 0% of all prescriptions

60

prescriptions.

18

patients, 2% of all patients

49 26
ENALAPRIL MALEATE

Enalapril is used alone or ... +

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

63

prescriptions, 0% of all prescriptions

58

prescriptions.

13

patients, 1% of all patients

50 113
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

58

prescriptions.

14

patients, 2% of all patients

51 41
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

56

prescriptions, 0% of all prescriptions

56

prescriptions.

17

patients, 2% of all patients

52 138
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

54

prescriptions, 0% of all prescriptions

34

prescriptions.

13

patients, 1% of all patients

53 13
FENOFIBRIC ACID*

Lowers high cholesterol and... +

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

52

prescriptions, 0% of all prescriptions

52

prescriptions.

<11 54 166
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 Dec. 19, 2016.
  • 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.