Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Pain Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

6,338Medicare Part D Prescriptions Filled, Including Refills

Rank: 14 out of 73

$353K Total Retail Price of All Prescriptions

Rank: 20 out of 73

543 Patients Receiving at Least One Drug in Part D
68% Patients 65 Years and Older

51% 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 Florida
lower than average

Antipsychotics

0% of this provider’s 368 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 1%.

More resources »

Antibiotics

9% of this provider’s 543 patients filled at least one prescription for an antibiotic drug, compared to an average of 5%.

More resources »

Risky Drugs for Seniors

4% of this provider’s 368 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

57% of this provider’s 543 patients filled at least one prescription for an opioid, compared to an average of 74%.

More resources »

Brand Name Drugs *

9% of this provider’s prescriptions were for brand-name drugs, compared to an average of 13%.

* This is an estimate, see our methodology.

Prescription Price

$56 was the average price of a prescription from this provider, compared to $81 among peers.

Prescriptions per Patient

12 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 2012. All years may not be shown if there is insufficient data.

Cost of Claims

$266K

2012

$291K

2013

$336K

2014

$353K

2015

Number of Claims

5,103

2012

6,238

2013

6,209

2014

6,338

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
GABAPENTIN

Treats certain types of sei... +

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

741

prescriptions, 12% of all prescriptions

457

prescriptions.

221

patients, 41% of all patients

1 4
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

601

prescriptions, 9% of all prescriptions

274

prescriptions.

82

patients, 15% of all patients

O 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

544

prescriptions, 9% of all prescriptions

242

prescriptions.

131

patients, 24% of all patients

3 7
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

501

prescriptions, 8% of all prescriptions

288

prescriptions.

83

patients, 15% of all patients

O 4 1
MORPHINE SULFATE ER

Morphine (extended release)... +

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

453

prescriptions, 7% of all prescriptions

176

prescriptions.

68

patients, 13% of all patients

O 5 3
BACLOFEN

Treats muscle spasms caused... +

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

374

prescriptions, 6% of all prescriptions

217

prescriptions.

115

patients, 21% of all patients

6 10
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

275

prescriptions, 4% of all prescriptions

170

prescriptions.

73

patients, 13% of all patients

7 34
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

267

prescriptions, 4% of all prescriptions

127

prescriptions.

48

patients, 9% of all patients

O 8 6
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

231

prescriptions, 4% of all prescriptions

155

prescriptions.

72

patients, 13% of all patients

O 9 65
MORPHINE SULFATE

Morphine is used to relieve... +

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

199

prescriptions, 3% of all prescriptions

40

prescriptions.

35

patients, 6% of all patients

O 10 12
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

191

prescriptions, 3% of all prescriptions

61

prescriptions.

40

patients, 7% of all patients

11 15
TRAMADOL HCL

Tramadol is used to relieve... +

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

189

prescriptions, 3% of all prescriptions

119

prescriptions.

56

patients, 10% of all patients

O 12 8
TOPIRAMATE

Helps control and prevent c... +

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

124

prescriptions, 2% of all prescriptions

43

prescriptions.

30

patients, 6% of all patients

13 32
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

105

prescriptions, 2% of all prescriptions

30

prescriptions.

16

patients, 3% of all patients

O 14 11
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

96

prescriptions, 2% of all prescriptions

47

prescriptions.

31

patients, 6% of all patients

15 21
DIAZEPAM

Treats anxiety, muscle spas... +

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

68

prescriptions, 1% of all prescriptions

15

prescriptions.

27

patients, 5% of all patients

16 18
LIDOCAINE

Causes numbness or loss of ... +

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

64

prescriptions, 1% of all prescriptions

59

prescriptions.

23

patients, 4% of all patients

17 38
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

63

prescriptions, 1% of all prescriptions

35

prescriptions.

21

patients, 4% of all patients

18 67
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

60

prescriptions, 1% of all prescriptions

17

prescriptions.

<11 R 19 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

59

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 R 20 19
TRAZODONE HCL

Trazodone is used to treat ... +

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

57

prescriptions, 1% of all prescriptions

17

prescriptions.

12

patients, 2% of all patients

21 41
LORAZEPAM

Treats anxiety, anxiety wit... +

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

50

prescriptions, 1% of all prescriptions

26

prescriptions.

<11 22 42
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. 29, 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.