Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Internal Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

6,941Medicare Part D Prescriptions Filled, Including Refills

Rank: 120 out of 410

$761K Total Retail Price of All Prescriptions

Rank: 39 out of 410

470 Patients Receiving at Least One Drug in Part D
94% Patients 65 Years and Older

15% 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 Nevada
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

20% of this provider’s 470 patients filled at least one prescription for an antibiotic drug, compared to an average of 26%.

More resources »

Risky Drugs for Seniors

15% of this provider’s 444 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

12% of this provider’s 470 patients filled at least one prescription for an opioid, compared to an average of 20%.

More resources »

Brand Name Drugs

26% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$110 was the average price of a prescription from this provider, compared to $74 among peers.

Prescriptions per Patient

15 is the average number of prescriptions (including refills) per patient, compared to an average of 14.


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

$463K

2012

$624K

2013

$677K

2014

$761K

2015

Number of Claims

5,240

2012

6,426

2013

6,526

2014

6,941

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
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

424

prescriptions, 6% of all prescriptions

419

prescriptions.

115

patients, 24% of all patients

1 4
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

268

prescriptions, 4% of all prescriptions

253

prescriptions.

67

patients, 14% of all patients

2 1
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

210

prescriptions, 3% of all prescriptions

210

prescriptions.

58

patients, 12% of all patients

3 3
LISINOPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure. Source: National Library of Medicine

207

prescriptions, 3% of all prescriptions

202

prescriptions.

58

patients, 12% of all patients

4 2
SIMVASTATIN

Treats high cholesterol and... +

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

206

prescriptions, 3% of all prescriptions

195

prescriptions.

63

patients, 13% of all patients

5 5
BISOPROLOL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

205

prescriptions, 3% of all prescriptions

200

prescriptions.

61

patients, 13% of all patients

6 156
LOVASTATIN

Lowers high cholesterol and... +

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

179

prescriptions, 3% of all prescriptions

162

prescriptions.

54

patients, 11% of all patients

7 21
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

162

prescriptions, 2% of all prescriptions

157

prescriptions.

39

patients, 8% of all patients

8 49
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

153

prescriptions, 2% of all prescriptions

148

prescriptions.

47

patients, 10% of all patients

9 38
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). Source: National Library of Medicine

130

prescriptions, 2% of all prescriptions

125

prescriptions.

30

patients, 6% of all patients

10 12
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

126

prescriptions, 2% of all prescriptions

121

prescriptions.

34

patients, 7% of all patients

11 6
LOSARTAN POTASSIUM

Losartan is used alone or i... +

Losartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

115

prescriptions, 2% of all prescriptions

110

prescriptions.

35

patients, 7% of all patients

12 9
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

110

prescriptions, 2% of all prescriptions

105

prescriptions.

20

patients, 4% of all patients

13 63
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

104

prescriptions, 1% of all prescriptions

99

prescriptions.

35

patients, 7% of all patients

14 7
PREDNISONE

Treats inflammation (swelli... +

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

101

prescriptions, 1% of all prescriptions

96

prescriptions.

58

patients, 12% of all patients

15 54
WARFARIN SODIUM

Warfarin is used to prevent... +

Warfarin is used to prevent blood clots from forming or growing larger in your blood and blood vessels. Source: National Library of Medicine

93

prescriptions, 1% of all prescriptions

88

prescriptions.

19

patients, 4% of all patients

16 26
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

86

prescriptions.

25

patients, 5% of all patients

17 46
POTASSIUM CHLORIDE

Potassium is needed to main... +

Potassium is needed to maintain good health. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

85

prescriptions.

28

patients, 6% of all patients

18 18
TRAMADOL HCL

Tramadol is used to relieve... +

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

89

prescriptions, 1% of all prescriptions

68

prescriptions.

21

patients, 4% of all patients

O 19 28
LORAZEPAM

Treats anxiety, anxiety wit... +

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

84

prescriptions, 1% of all prescriptions

54

prescriptions.

17

patients, 4% of all patients

20 45
ALLOPURINOL

Treats gout and some kinds ... +

Treats gout and some kinds of kidney stones. Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

77

prescriptions.

19

patients, 4% of all patients

21 27
SERTRALINE HCL

Sertraline is used to treat... +

Sertraline is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks), posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine

80

prescriptions, 1% of all prescriptions

68

prescriptions.

17

patients, 4% of all patients

22 29
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

74

prescriptions, 1% of all prescriptions

61

prescriptions.

23

patients, 5% of all patients

O 23 8
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

73

prescriptions, 1% of all prescriptions

73

prescriptions.

20

patients, 4% of all patients

R 24 30
GABAPENTIN

Treats certain types of sei... +

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

67

prescriptions, 1% of all prescriptions

50

prescriptions.

18

patients, 4% of all patients

25 10
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

59

prescriptions.

19

patients, 4% of all patients

26 20
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

This drug is used to treat high blood pressure. Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

57

prescriptions.

21

patients, 4% of all patients

27 34
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

Treats stuffy nose caused by hay fever and other allergies. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

58

prescriptions.

25

patients, 5% of all patients

28 24
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

57

prescriptions, 1% of all prescriptions

42

prescriptions.

12

patients, 3% of all patients

29 59
PIOGLITAZONE HCL

Pioglitazone is used to tre... +

Pioglitazone is used 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

56

prescriptions, 1% of all prescriptions

45

prescriptions.

14

patients, 3% of all patients

30 85
MELOXICAM

Treats symptoms of osteoart... +

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

55

prescriptions, 1% of all prescriptions

41

prescriptions.

12

patients, 3% of all patients

31 44
XARELTO

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung). Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

41

prescriptions.

11

patients, 2% of all patients

32 97
VYTORIN

Lowers high cholesterol and... +

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

53

prescriptions, 1% of all prescriptions

53

prescriptions.

<11 33 249
DIAZEPAM

Treats anxiety, muscle spas... +

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

53

prescriptions, 1% of all prescriptions

48

prescriptions.

22

patients, 5% of all patients

33 66
DONEPEZIL HCL

Donepezil is used to treat ... +

Donepezil is used to treat dementia (a brain disorder that affects the ability to remember, think clearly, communicate, and perform daily activities and may cause changes in mood and personality) associated with Alzheimer's disease (AD; a brain disease that slowly destroys the memory and the ability to think, learn, communicate and handle daily activities). Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

52

prescriptions.

<11 35 39
ALPRAZOLAM

Treats anxiety, panic disor... +

Treats anxiety, panic disorder, insomnia (trouble sleeping), and anxiety caused by depression. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

50

prescriptions.

12

patients, 3% of all patients

36 13
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 [email protected] 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 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.