Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nurse Practitioner

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

12,101Medicare Part D Prescriptions Filled, Including Refills

Rank: 3 out of 850

$590K Total Retail Price of All Prescriptions

Rank: 69 out of 850

657 Patients Receiving at Least One Drug in Part D
57% Patients 65 Years and Older

94% 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

5% of this provider’s 373 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.

More resources »

Antibiotics

19% of this provider’s 657 patients filled at least one prescription for an antibiotic drug, compared to an average of 17%.

More resources »

Risky Drugs for Seniors

6% of this provider’s 373 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 7%.

More resources »

Opioids

24% of this provider’s 657 patients filled at least one prescription for an opioid, compared to an average of 18%.

More resources »

Brand Name Drugs

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$49 was the average price of a prescription from this provider, compared to $223 among peers.

Prescriptions per Patient

18 is the average number of prescriptions (including refills) per patient, compared to an average of 8.


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

$172K

2012

$245K

2013

$328K

2014

$590K

2015

Number of Claims

4,660

2012

5,630

2013

7,741

2014

12,101

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

935

prescriptions, 8% of all prescriptions

586

prescriptions.

236

patients, 36% of all patients

1 4
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

488

prescriptions, 4% of all prescriptions

308

prescriptions.

119

patients, 18% of all patients

2 81
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

429

prescriptions, 4% of all prescriptions

202

prescriptions.

116

patients, 18% of all patients

3 36
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

427

prescriptions, 4% of all prescriptions

186

prescriptions.

78

patients, 12% of all patients

4 21
SIMVASTATIN

Treats high cholesterol and... +

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

356

prescriptions, 3% of all prescriptions

135

prescriptions.

62

patients, 9% of all patients

5 8
FUROSEMIDE

Treats fluid retention (ede... +

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

354

prescriptions, 3% of all prescriptions

266

prescriptions.

93

patients, 14% of all patients

6 11
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

346

prescriptions, 3% of all prescriptions

195

prescriptions.

92

patients, 14% of all patients

7 6
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

332

prescriptions, 3% of all prescriptions

177

prescriptions.

100

patients, 15% of all patients

8 23
VOLTAREN

Treats pain caused by arthr... +

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

326

prescriptions, 3% of all prescriptions

219

prescriptions.

178

patients, 27% of all patients

9 112
LIDOCAINE HCL*

Lidocaine viscous, a local ... +

Lidocaine viscous, a local anesthetic, is used to treat the pain of a sore or irritated mouth and throat often associated with cancer chemotherapy and certain medical procedures. Source: National Library of Medicine

325

prescriptions, 3% of all prescriptions

198

prescriptions.

216

patients, 33% of all patients

10 10 189
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

310

prescriptions, 3% of all prescriptions

230

prescriptions.

79

patients, 12% of all patients

11 56
GABAPENTIN

Treats certain types of sei... +

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

294

prescriptions, 2% of all prescriptions

158

prescriptions.

98

patients, 15% of all patients

12 9
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

267

prescriptions, 2% of all prescriptions

119

prescriptions.

55

patients, 8% of all patients

13 7
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

266

prescriptions, 2% of all prescriptions

151

prescriptions.

72

patients, 11% of all patients

14 97
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

262

prescriptions, 2% of all prescriptions

134

prescriptions.

57

patients, 9% of all patients

15 5
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

237

prescriptions, 2% of all prescriptions

142

prescriptions.

60

patients, 9% of all patients

16 33
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

227

prescriptions, 2% of all prescriptions

144

prescriptions.

72

patients, 11% of all patients

17 202
ATENOLOL

Treats high blood pressure ... +

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

209

prescriptions, 2% of all prescriptions

119

prescriptions.

53

patients, 8% of all patients

18 19
LISINOPRIL

Treats high blood pressure ... +

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

189

prescriptions, 2% of all prescriptions

84

prescriptions.

38

patients, 6% of all patients

19 2
OXYBUTYNIN CHLORIDE

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

172

prescriptions, 1% of all prescriptions

103

prescriptions.

42

patients, 6% of all patients

20 122
GEMFIBROZIL

Lowers high triglyceride an... +

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

167

prescriptions, 1% of all prescriptions

82

prescriptions.

46

patients, 7% of all patients

21 149
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

163

prescriptions, 1% of all prescriptions

89

prescriptions.

105

patients, 16% of all patients

22 37
TRAMADOL HCL

Tramadol is used to relieve... +

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

156

prescriptions, 1% of all prescriptions

61

prescriptions.

51

patients, 8% of all patients

O 23 27
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

141

prescriptions, 1% of all prescriptions

93

prescriptions.

34

patients, 5% of all patients

24 57
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

121

prescriptions, 1% of all prescriptions

65

prescriptions.

78

patients, 12% of all patients

25 20
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

118

prescriptions, 1% of all prescriptions

69

prescriptions.

78

patients, 12% of all patients

O 26 132
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

117

prescriptions, 1% of all prescriptions

19

prescriptions.

46

patients, 7% of all patients

R 27 95
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

107

prescriptions, 1% of all prescriptions

64

prescriptions.

31

patients, 5% of all patients

28 90
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

107

prescriptions, 1% of all prescriptions

92

prescriptions.

26

patients, 4% of all patients

28 16
LIDOCAINE

Causes numbness or loss of ... +

Causes numbness or loss of feeling in an area of your body. Source: National Library of Medicine

99

prescriptions, 1% of all prescriptions

69

prescriptions.

46

patients, 7% of all patients

30 174
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

97

prescriptions, 1% of all prescriptions

57

prescriptions.

37

patients, 6% of all patients

31 114
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

94

prescriptions, 1% of all prescriptions

68

prescriptions.

23

patients, 4% of all patients

32 10
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

93

prescriptions, 1% of all prescriptions

58

prescriptions.

51

patients, 8% of all patients

O 33 1
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

85

prescriptions, 1% of all prescriptions

32

prescriptions.

17

patients, 3% of all patients

34 12
COMBIVENT RESPIMAT

Used to help control the sy... +

Used to help control the symptoms of lung diseases, such as asthma, chronic bronchitis, and emphysema. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

34

prescriptions.

37

patients, 6% of all patients

35 281
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

55

prescriptions.

26

patients, 4% of all patients

36 69
CITALOPRAM HBR

Citalopram is used to treat... +

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

75

prescriptions, 1% of all prescriptions

52

prescriptions.

22

patients, 3% of all patients

37 39
TRAZODONE HCL

Trazodone is used to treat ... +

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

73

prescriptions, 1% of all prescriptions

45

prescriptions.

17

patients, 3% of all patients

38 17
CLONIDINE HCL

Clonidine is used alone or ... +

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

71

prescriptions, 1% of all prescriptions

27

prescriptions.

18

patients, 3% of all patients

39 72
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

70

prescriptions, 1% of all prescriptions

34

prescriptions.

24

patients, 4% of all patients

40 42
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, 1% of all prescriptions

35

prescriptions.

50

patients, 8% of all patients

41 26
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

66

prescriptions, 1% of all prescriptions

39

prescriptions.

30

patients, 5% of all patients

42 125
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

65

prescriptions, 1% of all prescriptions

36

prescriptions.

32

patients, 5% of all patients

43 68
QUETIAPINE FUMARATE

Quetiapine is used to treat... +

Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

44

prescriptions.

12

patients, 2% of all patients

P 44 30
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

61

prescriptions, 1% of all prescriptions

37

prescriptions.

24

patients, 4% of all patients

45 66
PHENYTOIN SODIUM EXTENDED

Phenytoin is used to contro... +

Phenytoin is used to control certain type of seizures, and to treat and prevent seizures that may begin during or after surgery to the brain or nervous system. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

26

prescriptions.

<11 46 268
AZITHROMYCIN

Treats infections caused by... +

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

58

prescriptions, 0% of all prescriptions

25

prescriptions.

50

patients, 8% of all patients

A 47 45
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

56

prescriptions, 0% of all prescriptions

36

prescriptions.

48

patients, 7% of all patients

A 48 110
XOPENEX HFA

Treats asthma and other lun... +

Treats asthma and other lung problems such as chronic bronchitis. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

33

prescriptions.

36

patients, 5% of all patients

49 265
BUPROPION HCL

Bupropion (Aplenzin, Wellbu... +

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

33

prescriptions.

16

patients, 2% of all patients

50 219
SUMATRIPTAN SUCCINATE

Sumatriptan is used to trea... +

Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light). Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

25

prescriptions.

27

patients, 4% of all patients

50 191
PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole 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

52

prescriptions, 0% of all prescriptions

35

prescriptions.

<11 50 162
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

50

prescriptions, 0% of all prescriptions

29

prescriptions.

<11 53 111
METOCLOPRAMIDE HCL

Metoclopramide is used to r... +

Metoclopramide is used to relieve heartburn and speed the healing of ulcers and sores in the esophagus (tube that connects the mouth to the stomach) in people who have gastroesophageal reflux disease (GERD; condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus) that did not get better with other treatments. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

30

patients, 5% of all patients

53 186
FLUOXETINE HCL

Fluoxetine is used to treat... +

Fluoxetine 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), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

36

prescriptions.

11

patients, 2% of all patients

53 49
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

50

prescriptions, 0% of all prescriptions

19

prescriptions.

18

patients, 3% of all patients

53 32
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 May 25, 2010.
  • 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.