Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2016

Rheumatology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

11,431Medicare Part D Prescriptions Filled, Including Refills

Rank: 5 out of 92 providers in this state and specialty

$1.46M Total Retail Price of All Prescriptions

Rank: 21 out of 92 providers in this state and specialty

638 Patients Receiving at Least One Drug in Part D
82% Patients 65 Years and Older

13% 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 Missouri
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

25% of this provider’s 638 patients filled at least one prescription for an antibiotic drug, compared to an average of 7%.

More resources »

Opioids

42% of this provider’s 638 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$128 was the average price of a prescription from this provider, compared to $292 among peers.

Prescriptions per Patient

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


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 2014. All years may not be shown if there is insufficient data.

Cost of Claims

$1.25M

2014

$1.44M

2015

$1.46M

2016

Number of Claims

10,147

2014

10,770

2015

11,431

2016

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.

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 792

prescriptions, 7% of all prescriptions

553

prescriptions.

126

patients, 20% of all patients

O 1 5
OXYCODONE HCL 442

prescriptions, 4% of all prescriptions

228

prescriptions.

53

patients, 8% of all patients

O 2 28
PREDNISONE 315

prescriptions, 3% of all prescriptions

287

prescriptions.

97

patients, 15% of all patients

3 2
TRAMADOL HCL 310

prescriptions, 3% of all prescriptions

265

prescriptions.

93

patients, 15% of all patients

O 4 4
LEVOTHYROXINE SODIUM 292

prescriptions, 3% of all prescriptions

214

prescriptions.

57

patients, 9% of all patients

5 12
METHOTREXATE 278

prescriptions, 2% of all prescriptions

222

prescriptions.

55

patients, 9% of all patients

6 1
GABAPENTIN 266

prescriptions, 2% of all prescriptions

181

prescriptions.

51

patients, 8% of all patients

7 7
LEFLUNOMIDE 247

prescriptions, 2% of all prescriptions

194

prescriptions.

51

patients, 8% of all patients

8 6
MELOXICAM 223

prescriptions, 2% of all prescriptions

186

prescriptions.

53

patients, 8% of all patients

9 8
OMEPRAZOLE 213

prescriptions, 2% of all prescriptions

178

prescriptions.

47

patients, 7% of all patients

10 11
ALPRAZOLAM 198

prescriptions, 2% of all prescriptions

122

prescriptions.

47

patients, 7% of all patients

11 20
ATORVASTATIN CALCIUM 197

prescriptions, 2% of all prescriptions

192

prescriptions.

42

patients, 7% of all patients

12 13
LISINOPRIL 194

prescriptions, 2% of all prescriptions

156

prescriptions.

40

patients, 6% of all patients

13 19
LOSARTAN POTASSIUM 186

prescriptions, 2% of all prescriptions

152

prescriptions.

33

patients, 5% of all patients

14 36
TEMAZEPAM 178

prescriptions, 2% of all prescriptions

104

prescriptions.

28

patients, 4% of all patients

15 85
ATENOLOL 176

prescriptions, 2% of all prescriptions

157

prescriptions.

37

patients, 6% of all patients

16 43
POTASSIUM CHLORIDE 176

prescriptions, 2% of all prescriptions

156

prescriptions.

31

patients, 5% of all patients

16 23
SIMVASTATIN 166

prescriptions, 1% of all prescriptions

146

prescriptions.

36

patients, 6% of all patients

18 25
HYDROCHLOROTHIAZIDE 156

prescriptions, 1% of all prescriptions

143

prescriptions.

33

patients, 5% of all patients

19 37
FENTANYL 147

prescriptions, 1% of all prescriptions

66

prescriptions.

17

patients, 3% of all patients

O 20 40
HYDROXYCHLOROQUINE SULFATE 140

prescriptions, 1% of all prescriptions

117

prescriptions.

32

patients, 5% of all patients

21 3
METHYLPREDNISOLONE 133

prescriptions, 1% of all prescriptions

114

prescriptions.

82

patients, 13% of all patients

22 35
PRAVASTATIN SODIUM 130

prescriptions, 1% of all prescriptions

114

prescriptions.

27

patients, 4% of all patients

23 49
AMLODIPINE BESYLATE 129

prescriptions, 1% of all prescriptions

105

prescriptions.

23

patients, 4% of all patients

24 14
AZITHROMYCIN 125

prescriptions, 1% of all prescriptions

107

prescriptions.

83

patients, 13% of all patients

A 25 51
FUROSEMIDE 124

prescriptions, 1% of all prescriptions

85

prescriptions.

27

patients, 4% of all patients

26 29
ALLOPURINOL 118

prescriptions, 1% of all prescriptions

105

prescriptions.

26

patients, 4% of all patients

27 10
CLOPIDOGREL 116

prescriptions, 1% of all prescriptions

94

prescriptions.

18

patients, 3% of all patients

28 57
SERTRALINE HCL 115

prescriptions, 1% of all prescriptions

81

prescriptions.

20

patients, 3% of all patients

29 58
MORPHINE SULFATE ER 115

prescriptions, 1% of all prescriptions

25

prescriptions.

14

patients, 2% of all patients

O 29 38
OXYCONTIN 113

prescriptions, 1% of all prescriptions

82

prescriptions.

14

patients, 2% of all patients

O 31 58
SULFASALAZINE 104

prescriptions, 1% of all prescriptions

85

prescriptions.

22

patients, 3% of all patients

32 27
OXYCODONE-ACETAMINOPHEN 93

prescriptions, 1% of all prescriptions

54

prescriptions.

16

patients, 3% of all patients

O 33 17
NABUMETONE 92

prescriptions, 1% of all prescriptions

69

prescriptions.

18

patients, 3% of all patients

34 53
CITALOPRAM HBR 91

prescriptions, 1% of all prescriptions

80

prescriptions.

18

patients, 3% of all patients

35 50
ZOLPIDEM TARTRATE 89

prescriptions, 1% of all prescriptions

65

prescriptions.

22

patients, 3% of all patients

36 42
METOPROLOL TARTRATE 83

prescriptions, 1% of all prescriptions

78

prescriptions.

15

patients, 2% of all patients

37 46
DULOXETINE HCL 82

prescriptions, 1% of all prescriptions

60

prescriptions.

17

patients, 3% of all patients

38 9
TRAZODONE HCL 80

prescriptions, 1% of all prescriptions

65

prescriptions.

15

patients, 2% of all patients

39 31
METFORMIN HCL 79

prescriptions, 1% of all prescriptions

64

prescriptions.

17

patients, 3% of all patients

40 44
DEXTROAMPHETAMINE-AMPHETAMINE 76

prescriptions, 1% of all prescriptions

18

prescriptions.

<11 41 102
PANTOPRAZOLE SODIUM 74

prescriptions, 1% of all prescriptions

54

prescriptions.

18

patients, 3% of all patients

42 41
FLUTICASONE PROPIONATE 73

prescriptions, 1% of all prescriptions

62

prescriptions.

13

patients, 2% of all patients

43 69
CYCLOBENZAPRINE HCL 69

prescriptions, 1% of all prescriptions

22

prescriptions.

20

patients, 3% of all patients

44 30
ETODOLAC 68

prescriptions, 1% of all prescriptions

63

prescriptions.

19

patients, 3% of all patients

45 95
CELECOXIB 67

prescriptions, 1% of all prescriptions

62

prescriptions.

17

patients, 3% of all patients

46 22
METOPROLOL SUCCINATE 65

prescriptions, 1% of all prescriptions

53

prescriptions.

<11 47 34
TAMSULOSIN HCL 63

prescriptions, 1% of all prescriptions

63

prescriptions.

11

patients, 2% of all patients

48 72
ALENDRONATE SODIUM 62

prescriptions, 1% of all prescriptions

57

prescriptions.

13

patients, 2% of all patients

49 15
PAROXETINE HCL 58

prescriptions, 1% of all prescriptions

47

prescriptions.

12

patients, 2% of all patients

50 75
DIAZEPAM 58

prescriptions, 1% of all prescriptions

44

prescriptions.

12

patients, 2% of all patients

50 81
TIZANIDINE HCL 57

prescriptions, 0% of all prescriptions

52

prescriptions.

24

patients, 4% of all patients

52 24
HUMIRA PEN 56

prescriptions, 0% of all prescriptions

41

prescriptions.

<11 53 26
CARVEDILOL 55

prescriptions, 0% of all prescriptions

42

prescriptions.

13

patients, 2% of all patients

54 68
ENBREL 55

prescriptions, 0% of all prescriptions

23

prescriptions.

<11 54 16
SPIRONOLACTONE 53

prescriptions, 0% of all prescriptions

41

prescriptions.

<11 56 98
DONEPEZIL HCL 50

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 57 74
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 2016 includes more than 1.5 billion prescriptions written by 1.1 million doctors, nurses and other providers. This database lists over 460,000 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]publica.org 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 Jan. 8, 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.