Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Anesthesiology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

23,568Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 32

$1.62M Total Retail Price of All Prescriptions

Rank: 1 out of 32

950 Patients Receiving at Least One Drug in Part D
30% Patients 65 Years and Older

76% 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 Alabama
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

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

57 of this provider’s 950 patients filled at least one prescription for an antibiotic drug.

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.

42 of this provider’s 288 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

92% of this provider’s 950 patients filled at least one prescription for an opioid, compared to an average of 78%.

More resources »

Brand Name Drugs

9% of this provider’s prescriptions were for brand-name drugs, compared to an average of 12%.

Prescription Price

$69 was the average price of a prescription from this provider, compared to $66 among peers.

Prescriptions per Patient

25 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 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

2012

$33.1K

2013

$828K

2014

$1.62M

2015

Number of Claims

2012

669

2013

12,715

2014

23,568

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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

3,453

prescriptions, 15% of all prescriptions

1,205

prescriptions.

486

patients, 51% of all patients

O 1 1
GABAPENTIN

Treats certain types of sei... +

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

3,230

prescriptions, 14% of all prescriptions

738

prescriptions.

506

patients, 53% of all patients

10 2 2
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

2,163

prescriptions, 9% of all prescriptions

432

prescriptions.

333

patients, 35% of all patients

10 3 4
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

1,635

prescriptions, 7% of all prescriptions

394

prescriptions.

254

patients, 27% of all patients

O 4 3
OXYCODONE HCL

Oxycodone is used to reliev... +

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

1,458

prescriptions, 6% of all prescriptions

223

prescriptions.

188

patients, 20% of all patients

O 5 5
TRAMADOL HCL

Tramadol is used to relieve... +

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

1,143

prescriptions, 5% of all prescriptions

402

prescriptions.

178

patients, 19% of all patients

O 6 8
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

810

prescriptions, 3% of all prescriptions

145

prescriptions.

108

patients, 11% of all patients

O 7 7
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

751

prescriptions, 3% of all prescriptions

89

prescriptions.

100

patients, 11% of all patients

8 17
FENTANYL

Treats severe, ongoing pain... +

Treats severe, ongoing pain (during and after surgery, cancer pain) that cannot be controlled with other medicines. Source: National Library of Medicine

663

prescriptions, 3% of all prescriptions

161

prescriptions.

86

patients, 9% of all patients

O 9 12
CLONAZEPAM

Treats seizures, panic diso... +

Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine

654

prescriptions, 3% of all prescriptions

85

prescriptions.

88

patients, 9% of all patients

10 15
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

606

prescriptions, 3% of all prescriptions

60

prescriptions.

99

patients, 10% of all patients

11 11
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine

544

prescriptions, 2% of all prescriptions

142

prescriptions.

98

patients, 10% of all patients

12 14
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

503

prescriptions, 2% of all prescriptions

61

prescriptions.

97

patients, 10% of all patients

R 13 13
OXYCONTIN

Oxycodone is used to reliev... +

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

462

prescriptions, 2% of all prescriptions

126

prescriptions.

62

patients, 7% of all patients

O 14 10
ALPRAZOLAM

Treats anxiety, panic disor... +

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

370

prescriptions, 2% of all prescriptions

91

prescriptions.

54

patients, 6% of all patients

15 20
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

359

prescriptions, 2% of all prescriptions

65

prescriptions.

81

patients, 9% of all patients

16 16
METHADONE HCL

Methadone is used to reliev... +

Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. Source: National Library of Medicine

357

prescriptions, 2% of all prescriptions

47

prescriptions.

39

patients, 4% of all patients

O 17 9
LIDOCAINE-PRILOCAINE

This is used on the skin or... +

This is used on the skin or in the genital area to cause numbness or loss of feeling before certain medical procedures. Source: National Library of Medicine

350

prescriptions, 1% of all prescriptions

82

prescriptions.

114

patients, 12% of all patients

18 6
DULOXETINE HCL

Duloxetine is used to treat... +

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

243

prescriptions, 1% of all prescriptions

71

prescriptions.

41

patients, 4% of all patients

19 21
MORPHINE SULFATE

Morphine is used to relieve... +

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

224

prescriptions, 1% of all prescriptions

40

prescriptions.

31

patients, 3% of all patients

O 20 18
TRAZODONE HCL

Trazodone is used to treat ... +

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

184

prescriptions, 1% of all prescriptions

25

prescriptions.

39

patients, 4% of all patients

21 24
METHOCARBAMOL

Treats muscle pain and spas... +

Treats muscle pain and spasms. Source: National Library of Medicine

177

prescriptions, 1% of all prescriptions

49

prescriptions.

45

patients, 5% of all patients

R 22 26
OXYMORPHONE HCL ER 162

prescriptions, 1% of all prescriptions

23

prescriptions.

30

patients, 3% of all patients

O 23 29
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

150

prescriptions, 1% of all prescriptions

37

prescriptions.

29

patients, 3% of all patients

R 24 22
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

147

prescriptions, 1% of all prescriptions

5

prescriptions.

45

patients, 5% of all patients

25 23
ETODOLAC

Treats pain caused by arthr... +

Treats pain caused by arthritis and other medical problems. Source: National Library of Medicine

137

prescriptions, 1% of all prescriptions

17

prescriptions.

18

patients, 2% of all patients

26 31
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

126

prescriptions, 1% of all prescriptions

19

prescriptions.

18

patients, 2% of all patients

R 27 25
CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

121

prescriptions, 1% of all prescriptions

5

prescriptions.

23

patients, 2% of all patients

28 35
TEMAZEPAM

Treats insomnia (trouble sl... +

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

117

prescriptions, 0% of all prescriptions

5

prescriptions.

21

patients, 2% of all patients

29 37
OPANA ER

Used to relieve moderate to... +

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

117

prescriptions, 0% of all prescriptions

21

prescriptions.

31

patients, 3% of all patients

O 29 28
ONDANSETRON HCL*

Ondansetron is used to prev... +

Ondansetron is used to prevent nausea and vomiting caused by cancer chemotherapy, radiation therapy, and surgery. Source: National Library of Medicine

116

prescriptions, 0% of all prescriptions

22

prescriptions.

19

patients, 2% of all patients

31 38
TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Source: National Library of Medicine

107

prescriptions, 0% of all prescriptions

19

prescriptions.

33

patients, 3% of all patients

32 40
PROMETHAZINE HCL

Promethazine is used to rel... +

Promethazine is used to relieve the symptoms of allergic reactions such as allergic rhinitis (runny nose and watery eyes caused by allergy to pollen, mold or dust), allergic conjunctivitis (red, watery eyes caused by allergies), allergic skin reactions, and allergic reactions to blood or plasma products. Source: National Library of Medicine

104

prescriptions, 0% of all prescriptions

13

prescriptions.

22

patients, 2% of all patients

R 33 27
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

75

prescriptions, 0% of all prescriptions

11

prescriptions.

14

patients, 1% of all patients

34 45
VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine

70

prescriptions, 0% of all prescriptions

20

prescriptions.

20

patients, 2% of all patients

35 30
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

68

prescriptions, 0% of all prescriptions

12

prescriptions.

15

patients, 2% of all patients

36 46
ENDOCET

Treats moderate to moderate... +

Treats moderate to moderately severe pain. Source: National Library of Medicine

68

prescriptions, 0% of all prescriptions

20

prescriptions.

21

patients, 2% of all patients

O 36 46
LORAZEPAM

Treats anxiety, anxiety wit... +

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

64

prescriptions, 0% of all prescriptions

21

prescriptions.

17

patients, 2% of all patients

38 33
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

63

prescriptions, 0% of all prescriptions

15

prescriptions.

11

patients, 1% of all patients

39 48
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

57

prescriptions, 0% of all prescriptions

24

prescriptions.

<11 40 53
CITALOPRAM HBR

Citalopram is used to treat... +

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

53

prescriptions, 0% of all prescriptions

5

prescriptions.

19

patients, 2% of all patients

41 57
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

52

prescriptions, 0% of all prescriptions

12

prescriptions.

<11 42 34
BUTALBITAL-ACETAMINOPHEN-CAFFE

This combination of drugs i... +

This combination of drugs is used to relieve tension headaches. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

5

prescriptions.

12

patients, 1% of all patients

R 43 59
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 Oct. 16, 2013.
  • 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.