Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Rheumatology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,041Medicare Part D Prescriptions Filled, Including Refills

Rank: 11 out of 166

$1.35M Total Retail Price of All Prescriptions

Rank: 8 out of 166

702 Patients Receiving at Least One Drug in Part D
67% Patients 65 Years and Older

57% 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 Massachusetts
lower than average

Antipsychotics

0% of this provider’s 467 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

This provider prescribed antibiotics to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Risky Drugs for Seniors

6% of this provider’s 467 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 7%.

More resources »

Opioids

36% of this provider’s 702 patients filled at least one prescription for an opioid, compared to an average of 16%.

More resources »

Brand Name Drugs

16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$192 was the average price of a prescription from this provider, compared to $297 among peers.

Prescriptions per Patient

10 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$665K

2012

$943K

2013

$1.14M

2014

$1.35M

2015

Number of Claims

5,563

2012

6,244

2013

6,652

2014

7,041

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
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Source: National Library of Medicine

714

prescriptions, 10% of all prescriptions

564

prescriptions.

147

patients, 21% of all patients

1 1
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

575

prescriptions, 8% of all prescriptions

408

prescriptions.

89

patients, 13% of all patients

2 2
HYDROXYCHLOROQUINE SULFATE

Hydroxychloroquine is in a ... +

Hydroxychloroquine is in a class of drugs called antimalarials. Source: National Library of Medicine

515

prescriptions, 7% of all prescriptions

386

prescriptions.

85

patients, 12% of all patients

3 3
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

514

prescriptions, 7% of all prescriptions

231

prescriptions.

101

patients, 14% of all patients

O 4 11
CELECOXIB

Treats mild to moderate pai... +

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

353

prescriptions, 5% of all prescriptions

257

prescriptions.

75

patients, 11% of all patients

5 15
MELOXICAM

Treats symptoms of osteoart... +

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

290

prescriptions, 4% of all prescriptions

181

prescriptions.

59

patients, 8% of all patients

6 7
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

273

prescriptions, 4% of all prescriptions

146

prescriptions.

56

patients, 8% of all patients

O 7 16
ALLOPURINOL

Treats gout and some kinds ... +

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

232

prescriptions, 3% of all prescriptions

176

prescriptions.

39

patients, 6% of all patients

8 6
TRAMADOL HCL

Tramadol is used to relieve... +

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

196

prescriptions, 3% of all prescriptions

109

prescriptions.

63

patients, 9% of all patients

O 9 5
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

173

prescriptions, 2% of all prescriptions

148

prescriptions.

28

patients, 4% of all patients

10 8
GABAPENTIN

Treats certain types of sei... +

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

163

prescriptions, 2% of all prescriptions

50

prescriptions.

38

patients, 5% of all patients

11 4
ETODOLAC

Treats pain caused by arthr... +

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

163

prescriptions, 2% of all prescriptions

110

prescriptions.

32

patients, 5% of all patients

11 47
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

162

prescriptions, 2% of all prescriptions

102

prescriptions.

32

patients, 5% of all patients

O 13 52
NABUMETONE

Treats pain caused by arthr... +

Treats pain caused by arthritis. Source: National Library of Medicine

162

prescriptions, 2% of all prescriptions

121

prescriptions.

38

patients, 5% of all patients

13 29
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. Source: National Library of Medicine

156

prescriptions, 2% of all prescriptions

87

prescriptions.

38

patients, 5% of all patients

15 34
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

150

prescriptions, 2% of all prescriptions

17

prescriptions.

24

patients, 3% of all patients

R 16 18
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

132

prescriptions, 2% of all prescriptions

19

prescriptions.

21

patients, 3% of all patients

17 28
DIFLUNISAL 118

prescriptions, 2% of all prescriptions

81

prescriptions.

26

patients, 4% of all patients

18 61
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

116

prescriptions, 2% of all prescriptions

43

prescriptions.

28

patients, 4% of all patients

19 39
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

113

prescriptions, 2% of all prescriptions

65

prescriptions.

23

patients, 3% of all patients

20 9
HUMIRA PEN

Treats the symptoms and pre... +

Treats the symptoms and prevent the progression of active rheumatoid arthritis and ankylosing spondylitis. Source: National Library of Medicine

98

prescriptions, 1% of all prescriptions

39

prescriptions.

<11 21 37
SAVELLA 91

prescriptions, 1% of all prescriptions

20

prescriptions.

14

patients, 2% of all patients

22 75
ENBREL

Treats rheumatoid arthritis... +

Treats rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and plaque psoriasis in adults. Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

44

prescriptions.

13

patients, 2% of all patients

23 10
CARISOPRODOL

Treats pain and stiffness o... +

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

81

prescriptions, 1% of all prescriptions

16

prescriptions.

12

patients, 2% of all patients

R 24 67
LEFLUNOMIDE

Treats rheumatoid arthritis... +

Treats rheumatoid arthritis in adults. Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

62

prescriptions.

14

patients, 2% of all patients

25 19
PIROXICAM 73

prescriptions, 1% of all prescriptions

27

prescriptions.

13

patients, 2% of all patients

26 88
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

69

prescriptions, 1% of all prescriptions

34

prescriptions.

15

patients, 2% of all patients

R 27 35
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

64

prescriptions, 1% of all prescriptions

38

prescriptions.

<11 R 28 62
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

63

prescriptions, 1% of all prescriptions

31

prescriptions.

11

patients, 2% of all patients

29 27
LEUCOVORIN CALCIUM 63

prescriptions, 1% of all prescriptions

42

prescriptions.

<11 29 23
OXYCODONE HCL

Oxycodone is used to reliev... +

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

59

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 2% of all patients

O 31 24
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

57

prescriptions, 1% of all prescriptions

22

prescriptions.

<11 O 32 72
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

53

prescriptions, 1% of all prescriptions

48

prescriptions.

11

patients, 2% of all patients

33 26
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?

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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, 2011.
  • 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.