Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nurse Practitioner, Family

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,975Medicare Part D Prescriptions Filled, Including Refills

Rank: 24 out of 1252

$858K Total Retail Price of All Prescriptions

Rank: 38 out of 1252

419 Patients Receiving at Least One Drug in Part D
75% Patients 65 Years and Older

97% 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

50% of this provider’s 419 patients filled at least one prescription for an antibiotic drug, compared to an average of 20%.

More resources »

Risky Drugs for Seniors

15% of this provider’s 314 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

50% of this provider’s 419 patients filled at least one prescription for an opioid, compared to an average of 20%.

More resources »

Brand Name Drugs

31% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$108 was the average price of a prescription from this provider, compared to $94 among peers.

Prescriptions per Patient

19 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

$351K

2012

$572K

2013

$744K

2014

$858K

2015

Number of Claims

6,059

2012

7,645

2013

7,738

2014

7,975

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

368

prescriptions, 5% of all prescriptions

236

prescriptions.

141

patients, 34% of all patients

1 6
M-M-R II VACCINE 334

prescriptions, 4% of all prescriptions

277

prescriptions.

173

patients, 41% of all patients

10 2 194
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

295

prescriptions, 4% of all prescriptions

203

prescriptions.

109

patients, 26% of all patients

O 3 1
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

220

prescriptions, 3% of all prescriptions

203

prescriptions.

72

patients, 17% of all patients

O 4 112
PROAIR HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

201

prescriptions, 3% of all prescriptions

165

prescriptions.

95

patients, 23% of all patients

5 17
LISINOPRIL

Treats high blood pressure ... +

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

198

prescriptions, 2% of all prescriptions

115

prescriptions.

67

patients, 16% of all patients

6 2
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

186

prescriptions, 2% of all prescriptions

154

prescriptions.

58

patients, 14% of all patients

7 4
NEXIUM

Treats heartburn, gastroeso... +

Treats heartburn, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid. Source: National Library of Medicine

179

prescriptions, 2% of all prescriptions

124

prescriptions.

93

patients, 22% of all patients

8 76
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

154

prescriptions, 2% of all prescriptions

89

prescriptions.

39

patients, 9% of all patients

9 3
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

147

prescriptions, 2% of all prescriptions

110

prescriptions.

84

patients, 20% of all patients

10 84
GABAPENTIN

Treats certain types of sei... +

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

137

prescriptions, 2% of all prescriptions

80

prescriptions.

53

patients, 13% of all patients

11 9
METOPROLOL SUCCINATE

Metoprolol is used alone or... +

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

131

prescriptions, 2% of all prescriptions

112

prescriptions.

43

patients, 10% of all patients

12 23
HYDROCHLOROTHIAZIDE

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). Source: National Library of Medicine

129

prescriptions, 2% of all prescriptions

72

prescriptions.

45

patients, 11% of all patients

13 10
ALLOPURINOL

Treats gout and some kinds ... +

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

128

prescriptions, 2% of all prescriptions

107

prescriptions.

55

patients, 13% of all patients

14 72
UNIFINE PENTIPS

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

116

prescriptions, 1% of all prescriptions

102

prescriptions.

44

patients, 11% of all patients

15 270
AZELASTINE HCL

Used to treat hay fever and... +

Used to treat hay fever and allergy symptoms including runny nose, sneezing, and itchy nose. Source: National Library of Medicine

102

prescriptions, 1% of all prescriptions

81

prescriptions.

57

patients, 14% of all patients

16 176
AZITHROMYCIN

Treats infections caused by... +

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

97

prescriptions, 1% of all prescriptions

66

prescriptions.

78

patients, 19% of all patients

A 17 56
PANTOPRAZOLE SODIUM

Pantoprazole is used to tre... +

Pantoprazole is used to treat gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the esophagus (the tube between the throat and stomach). Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

65

prescriptions.

44

patients, 11% of all patients

18 31
VALSARTAN

Valsartan is used alone or ... +

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

91

prescriptions, 1% of all prescriptions

86

prescriptions.

40

patients, 10% of all patients

19 106
SYMBICORT

This is a combination of bu... +

This is a combination of budesonide and formoterol used to help control the symptoms of asthma and improve lung function. Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

79

prescriptions.

42

patients, 10% of all patients

20 97
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

84

prescriptions, 1% of all prescriptions

45

prescriptions.

31

patients, 7% of all patients

20 7
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

82

prescriptions, 1% of all prescriptions

64

prescriptions.

36

patients, 9% of all patients

22 5
QVAR

Prevents asthma attacks. +

Prevents asthma attacks. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

38

prescriptions.

21

patients, 5% of all patients

23 198
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

76

prescriptions, 1% of all prescriptions

40

prescriptions.

36

patients, 9% of all patients

24 67
ADACEL TDAP 74

prescriptions, 1% of all prescriptions

56

prescriptions.

74

patients, 18% of all patients

25 308
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

68

prescriptions.

30

patients, 7% of all patients

26 63
TRAMADOL HCL

Tramadol is used to relieve... +

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

71

prescriptions, 1% of all prescriptions

49

prescriptions.

36

patients, 9% of all patients

O 27 19
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

70

prescriptions, 1% of all prescriptions

65

prescriptions.

61

patients, 15% of all patients

A 28 123
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

52

prescriptions.

30

patients, 7% of all patients

28 42
ZOSTAVAX

Prevents shingles (herpes z... +

Prevents shingles (herpes zoster virus). Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

54

prescriptions.

70

patients, 17% of all patients

28 316
SUMATRIPTAN SUCCINATE

Sumatriptan is used to trea... +

Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light). Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

49

prescriptions.

27

patients, 6% of all patients

31 246
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

66

prescriptions, 1% of all prescriptions

36

prescriptions.

55

patients, 13% of all patients

A 32 77
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

65

prescriptions, 1% of all prescriptions

12

prescriptions.

11

patients, 3% of all patients

33 33
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

64

prescriptions, 1% of all prescriptions

46

prescriptions.

24

patients, 6% of all patients

34 12
SPIRIVA RESPIMAT

Treats chronic obstructive ... +

Treats chronic obstructive pulmonary disease (COPD). Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

59

prescriptions.

30

patients, 7% of all patients

34 326
FUROSEMIDE

Treats fluid retention (ede... +

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

63

prescriptions, 1% of all prescriptions

44

prescriptions.

31

patients, 7% of all patients

36 11
SIMVASTATIN

Treats high cholesterol and... +

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

62

prescriptions, 1% of all prescriptions

49

prescriptions.

28

patients, 7% of all patients

37 8
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

61

prescriptions, 1% of all prescriptions

42

prescriptions.

21

patients, 5% of all patients

38 95
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

57

prescriptions, 1% of all prescriptions

33

prescriptions.

20

patients, 5% of all patients

39 24
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

50

prescriptions.

25

patients, 6% of all patients

40 53
LEVEMIR FLEXTOUCH

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

48

prescriptions.

22

patients, 5% of all patients

41 208
ROPINIROLE HCL

Ropinirole is used alone or... +

Ropinirole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

47

prescriptions.

26

patients, 6% of all patients

42 204
PIROXICAM 51

prescriptions, 1% of all prescriptions

21

prescriptions.

19

patients, 5% of all patients

43 371
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 Sept. 23, 2008.
  • 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.