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 »

9,132Medicare Part D Prescriptions Filled, Including Refills

Rank: 10 out of 60

$1.3M Total Retail Price of All Prescriptions

Rank: 15 out of 60

795 Patients Receiving at Least One Drug in Part D
62% Patients 65 Years and Older

2% 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 Puerto Rico
lower than average

Antipsychotics

0% of this provider’s 494 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

3% of this provider’s 795 patients filled at least one prescription for an antibiotic drug, compared to an average of 5%.

More resources »

Risky Drugs for Seniors

10% of this provider’s 494 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 5%.

More resources »

Opioids

10% of this provider’s 795 patients filled at least one prescription for an opioid, compared to an average of 20%.

More resources »

Brand Name Drugs

15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$142 was the average price of a prescription from this provider, compared to $193 among peers.

Prescriptions per Patient

11 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

$738K

2012

$985K

2013

$1.13M

2014

$1.3M

2015

Number of Claims

5,502

2012

6,594

2013

7,959

2014

9,132

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
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

1,511

prescriptions, 17% of all prescriptions

777

prescriptions.

525

patients, 66% of all patients

10 1 7
PREDNISONE

Treats inflammation (swelli... +

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

886

prescriptions, 10% of all prescriptions

560

prescriptions.

332

patients, 42% of all patients

2 3
GABAPENTIN

Treats certain types of sei... +

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

829

prescriptions, 9% of all prescriptions

353

prescriptions.

211

patients, 27% of all patients

3 1
MELOXICAM

Treats symptoms of osteoart... +

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

494

prescriptions, 5% of all prescriptions

231

prescriptions.

195

patients, 25% of all patients

4 9
SULINDAC

Treats pain caused by arthr... +

Treats pain caused by arthritis, gout, or sore tendons. Source: National Library of Medicine

455

prescriptions, 5% of all prescriptions

301

prescriptions.

169

patients, 21% of all patients

10 5 14
IBANDRONATE SODIUM

Used to prevent and treat o... +

Used to prevent and treat osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause. Source: National Library of Medicine

437

prescriptions, 5% of all prescriptions

357

prescriptions.

93

patients, 12% of all patients

6 15
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

248

prescriptions, 3% of all prescriptions

193

prescriptions.

64

patients, 8% of all patients

7 4
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

221

prescriptions, 2% of all prescriptions

127

prescriptions.

42

patients, 5% of all patients

8 2
DICLOFENAC POTASSIUM

Diclofenac is a nonsteroida... +

Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild-to-moderate pain, and helps to relieve symptoms of arthritis (eg, osteoarthritis or rheumatoid arthritis), such as inflammation, swelling, stiffness, and joint pain. Source: National Library of Medicine

216

prescriptions, 2% of all prescriptions

64

prescriptions.

64

patients, 8% of all patients

9 8
HYDROXYCHLOROQUINE SULFATE

Hydroxychloroquine is in a ... +

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

200

prescriptions, 2% of all prescriptions

95

prescriptions.

42

patients, 5% of all patients

10 5
NABUMETONE

Treats pain caused by arthr... +

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

193

prescriptions, 2% of all prescriptions

86

prescriptions.

56

patients, 7% of all patients

11 6
VOLTAREN

Treats pain caused by arthr... +

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

151

prescriptions, 2% of all prescriptions

91

prescriptions.

85

patients, 11% of all patients

12 44
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

147

prescriptions, 2% of all prescriptions

92

prescriptions.

14

patients, 2% of all patients

13 25
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

147

prescriptions, 2% of all prescriptions

80

prescriptions.

46

patients, 6% of all patients

13 11
SIMVASTATIN

Treats high cholesterol and... +

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

121

prescriptions, 1% of all prescriptions

55

prescriptions.

27

patients, 3% of all patients

15 20
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

118

prescriptions, 1% of all prescriptions

96

prescriptions.

24

patients, 3% of all patients

16 45
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

107

prescriptions, 1% of all prescriptions

68

prescriptions.

24

patients, 3% of all patients

17 24
ENBREL

Treats rheumatoid arthritis... +

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

105

prescriptions, 1% of all prescriptions

64

prescriptions.

11

patients, 1% of all patients

18 18
ORPHENADRINE CITRATE 105

prescriptions, 1% of all prescriptions

58

prescriptions.

77

patients, 10% of all patients

R 10 18 79
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

103

prescriptions, 1% of all prescriptions

43

prescriptions.

22

patients, 3% of all patients

20 12
TRAMADOL HCL

Tramadol is used to relieve... +

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

100

prescriptions, 1% of all prescriptions

54

prescriptions.

63

patients, 8% of all patients

O 21 10
ETODOLAC

Treats pain caused by arthr... +

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

99

prescriptions, 1% of all prescriptions

37

prescriptions.

40

patients, 5% of all patients

22 29
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

94

prescriptions, 1% of all prescriptions

69

prescriptions.

21

patients, 3% of all patients

23 36
CELECOXIB

Treats mild to moderate pai... +

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

82

prescriptions, 1% of all prescriptions

49

prescriptions.

25

patients, 3% of all patients

24 34
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

76

prescriptions, 1% of all prescriptions

54

prescriptions.

14

patients, 2% of all patients

25 38
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

76

prescriptions, 1% of all prescriptions

11

prescriptions.

21

patients, 3% of all patients

R 25 37
KETOROLAC TROMETHAMINE

Ketorolac is used to reliev... +

Ketorolac is used to relieve moderately severe pain, usually after surgery. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

37

prescriptions.

56

patients, 7% of all patients

R 27 114
FORTEO 65

prescriptions, 1% of all prescriptions

49

prescriptions.

13

patients, 2% of all patients

28 52
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

60

prescriptions, 1% of all prescriptions

5

prescriptions.

15

patients, 2% of all patients

29 16
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

46

prescriptions.

15

patients, 2% of all patients

29 123
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

59

prescriptions, 1% of all prescriptions

40

prescriptions.

19

patients, 2% of all patients

31 27
METHYLPREDNISOLONE ACETATE 58

prescriptions, 1% of all prescriptions

29

prescriptions.

52

patients, 7% of all patients

32 53
DEPO-MEDROL 52

prescriptions, 1% of all prescriptions

36

prescriptions.

45

patients, 6% of all patients

10 33 133
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 July 8, 2007.
  • 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.