Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Dermatology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

2,287Medicare Part D Prescriptions Filled, Including Refills

Rank: 4 out of 218

$398K Total Retail Price of All Prescriptions

Rank: 12 out of 218

766 Patients Receiving at Least One Drug in Part D
96% Patients 65 Years and Older

11% 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 North Carolina
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

14% of this provider’s 766 patients filled at least one prescription for an antibiotic drug, compared to an average of 17%.

More resources »

Risky Drugs for Seniors

This provider prescribed potentially inappropriate drugs 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 »

Opioids

3% of this provider’s 766 patients filled at least one prescription for an opioid, compared to an average of 3%.

More resources »

Brand Name Drugs

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

Prescription Price

$174 was the average price of a prescription from this provider, compared to $180 among peers.

Prescriptions per Patient

3 is the average number of prescriptions (including refills) per patient, compared to an average of 3.


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

$235K

2012

$405K

2013

$346K

2014

$398K

2015

Number of Claims

1,264

2012

1,990

2013

2,043

2014

2,287

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
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

260

prescriptions, 11% of all prescriptions

255

prescriptions.

151

patients, 20% of all patients

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

199

prescriptions, 9% of all prescriptions

187

prescriptions.

43

patients, 6% of all patients

2 18
TERBINAFINE HCL

Terbinafine is used to trea... +

Terbinafine is used to treat fungal infections of the toenail and fingernail. Source: National Library of Medicine

192

prescriptions, 8% of all prescriptions

187

prescriptions.

106

patients, 14% of all patients

3 34
DOXYCYCLINE HYCLATE

Doxycycline is used to trea... +

Doxycycline is used to treat bacterial infections, including pneumonia and other respiratory tract infections; Lyme disease; acne; infections of skin, genital, and urinary systems; and anthrax (after inhalational exposure). Source: National Library of Medicine

117

prescriptions, 5% of all prescriptions

106

prescriptions.

44

patients, 6% of all patients

A 4 4
PREDNISONE

Treats inflammation (swelli... +

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

116

prescriptions, 5% of all prescriptions

111

prescriptions.

80

patients, 10% of all patients

5 16
BETAMETHASONE DIPROPIONATE*

Treats skin irritation, all... +

Treats skin irritation, allergic reactions, and other types of skin problems. Source: National Library of Medicine

110

prescriptions, 5% of all prescriptions

105

prescriptions.

76

patients, 10% of all patients

6 35
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

97

prescriptions, 4% of all prescriptions

72

prescriptions.

16

patients, 2% of all patients

7 56
FLUCONAZOLE

Prevents and treats certain... +

Prevents and treats certain fungus infections. Source: National Library of Medicine

73

prescriptions, 3% of all prescriptions

68

prescriptions.

57

patients, 7% of all patients

8 22
CLOBETASOL PROPIONATE

Treats psoriasis, skin irri... +

Treats psoriasis, skin irritation, allergic reactions, and other types of skin problems. Source: National Library of Medicine

64

prescriptions, 3% of all prescriptions

59

prescriptions.

40

patients, 5% of all patients

9 2
GENTAMICIN SULFATE

Ophthalmic gentamicin is us... +

Ophthalmic gentamicin is used to treat certain eye infections. Source: National Library of Medicine

58

prescriptions, 3% of all prescriptions

53

prescriptions.

43

patients, 6% of all patients

A 10 37
LEVOCETIRIZINE DIHYDROCHLORIDE

Levocetirizine is an antihi... +

Levocetirizine is an antihistamine used to relieve the symptoms of hay fever and hives of the skin. Source: National Library of Medicine

57

prescriptions, 2% of all prescriptions

52

prescriptions.

26

patients, 3% of all patients

11 43
METRONIDAZOLE*

Used to treat serious bacte... +

Used to treat serious bacterial infections in different areas of the body. Source: National Library of Medicine

54

prescriptions, 2% of all prescriptions

49

prescriptions.

38

patients, 5% of all patients

A 12 11
SILVER SULFADIAZINE

Treats skin infections in p... +

Treats skin infections in patients with severe burns. Source: National Library of Medicine

52

prescriptions, 2% of all prescriptions

47

prescriptions.

20

patients, 3% of all patients

13 44
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?

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 checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org.

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 Aug. 23, 2012.
  • 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.