Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Urology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

20,348Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 772

$1.78M Total Retail Price of All Prescriptions

Rank: 1 out of 772

3,132 Patients Receiving at Least One Drug in Part D
97% Patients 65 Years and Older

79% 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

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

38% of this provider’s 3,132 patients filled at least one prescription for an antibiotic drug, compared to an average of 38%.

More resources »

Risky Drugs for Seniors

3% of this provider’s 3,033 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

3% of this provider’s 3,132 patients filled at least one prescription for an opioid, compared to an average of 10%.

More resources »

Brand Name Drugs

32% of this provider’s prescriptions were for brand-name drugs, compared to an average of 17%.

Prescription Price

$87 was the average price of a prescription from this provider, compared to $97 among peers.

Prescriptions per Patient

6 is the average number of prescriptions (including refills) per patient, compared to an average of 4.


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

$1.86M

2012

$2.04M

2013

$1.76M

2014

$1.78M

2015

Number of Claims

21,455

2012

23,754

2013

19,739

2014

20,348

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
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

4,453

prescriptions, 22% of all prescriptions

4,281

prescriptions.

959

patients, 31% of all patients

10 1 1
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

4,018

prescriptions, 20% of all prescriptions

3,950

prescriptions.

819

patients, 26% of all patients

10 2 2
RAPAFLO

Treats problems caused by a... +

Treats problems caused by an enlarged prostate (benign prostatic hyperplasia, or BPH). Source: National Library of Medicine

2,977

prescriptions, 15% of all prescriptions

2,921

prescriptions.

571

patients, 18% of all patients

10 3 9
AVODART

Treats problems with urinat... +

Treats problems with urination caused by an enlarged prostate (benign prostatic hyperplasia or BPH). Source: National Library of Medicine

1,616

prescriptions, 8% of all prescriptions

1,611

prescriptions.

335

patients, 11% of all patients

10 4 7
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

1,206

prescriptions, 6% of all prescriptions

1,161

prescriptions.

974

patients, 31% of all patients

A 10 5 3
TERAZOSIN HCL

Terazosin is used in men to... +

Terazosin 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

816

prescriptions, 4% of all prescriptions

811

prescriptions.

141

patients, 5% of all patients

10 6 5
MYRBETRIQ

Used to treat overactive bl... +

Used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

667

prescriptions, 3% of all prescriptions

662

prescriptions.

151

patients, 5% of all patients

10 7 8
OXYBUTYNIN CHLORIDE ER

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

422

prescriptions, 2% of all prescriptions

399

prescriptions.

125

patients, 4% of all patients

8 4
PREMARIN

Estrogens are female hormon... +

Estrogens are female hormones. Source: National Library of Medicine

409

prescriptions, 2% of all prescriptions

398

prescriptions.

245

patients, 8% of all patients

R 10 9 25
BETHANECHOL CHLORIDE

Bethanechol is used to reli... +

Bethanechol is used to relieve difficulties in urinating caused by surgery, drugs, or other factors. Source: National Library of Medicine

322

prescriptions, 2% of all prescriptions

307

prescriptions.

77

patients, 2% of all patients

10 28
BICALUTAMIDE

Used together with other me... +

Used together with other medicines (such as a luteinizing hormone-releasing hormone or LHRH analog) to treat prostate cancer. Source: National Library of Medicine

229

prescriptions, 1% of all prescriptions

224

prescriptions.

74

patients, 2% of all patients

11 15
ALFUZOSIN HCL ER

Alfuzosin is used in men to... +

Alfuzosin is used in men to treat 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

225

prescriptions, 1% of all prescriptions

220

prescriptions.

48

patients, 2% of all patients

12 12
DESMOPRESSIN ACETATE 204

prescriptions, 1% of all prescriptions

204

prescriptions.

38

patients, 1% of all patients

10 13 37
CEPHALEXIN

Treats bacterial infections... +

Treats bacterial infections. Source: National Library of Medicine

199

prescriptions, 1% of all prescriptions

194

prescriptions.

154

patients, 5% of all patients

A 14 13
VESICARE

Solifenacin is used to trea... +

Solifenacin is used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

194

prescriptions, 1% of all prescriptions

189

prescriptions.

50

patients, 2% of all patients

15 6
ESTRACE

Estrogens are female hormones. +

Estrogens are female hormones. Source: National Library of Medicine

165

prescriptions, 1% of all prescriptions

160

prescriptions.

96

patients, 3% of all patients

R 16 31
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

148

prescriptions, 1% of all prescriptions

136

prescriptions.

42

patients, 1% of all patients

17 11
JALYN 146

prescriptions, 1% of all prescriptions

146

prescriptions.

27

patients, 1% of all patients

18 19
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

133

prescriptions, 1% of all prescriptions

128

prescriptions.

118

patients, 4% of all patients

19 61
DOXAZOSIN MESYLATE

Doxazosin (Cardura, Cardura... +

Doxazosin (Cardura, Cardura XL) 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

124

prescriptions, 1% of all prescriptions

119

prescriptions.

25

patients, 1% of all patients

20 14
TOVIAZ

Used to treat symptoms of a... +

Used to treat symptoms of an overactive bladder, such as incontinence (loss of bladder control) or a frequent need to urinate. Source: National Library of Medicine

114

prescriptions, 1% of all prescriptions

109

prescriptions.

24

patients, 1% of all patients

21 22
CEFTRIAXONE*

Treats infections caused by... +

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

98

prescriptions, 0% of all prescriptions

93

prescriptions.

95

patients, 3% of all patients

A 22 111
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

88

prescriptions, 0% of all prescriptions

83

prescriptions.

76

patients, 2% of all patients

O 23 17
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

77

prescriptions, 0% of all prescriptions

72

prescriptions.

71

patients, 2% of all patients

A 24 16
NITROFURANTOIN MONO-MACRO

Nitrofurantoinis used to tr... +

Nitrofurantoinis used to treat urinary tract infections. Source: National Library of Medicine

75

prescriptions, 0% of all prescriptions

70

prescriptions.

54

patients, 2% of all patients

A R 25 18
DUTASTERIDE 73

prescriptions, 0% of all prescriptions

73

prescriptions.

55

patients, 2% of all patients

26 44
TRIAMCINOLONE ACETONIDE

Triamcinolone is used to tr... +

Triamcinolone is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions. Source: National Library of Medicine

70

prescriptions, 0% of all prescriptions

65

prescriptions.

43

patients, 1% of all patients

27 79
IMIPRAMINE HCL

Imipramine tablets and caps... +

Imipramine tablets and capsules are used to treat depression. Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

56

prescriptions.

16

patients, 1% of all patients

R 28 29
PROCTOZONE-HC

Hydrocortisone is available... +

Hydrocortisone is available with or without a prescription. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

59

prescriptions.

20

patients, 1% of all patients

29 134
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

55

prescriptions, 0% of all prescriptions

55

prescriptions.

13

patients, 0% of all patients

R 30 78
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 March 7, 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.