Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nephrology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,156Medicare Part D Prescriptions Filled, Including Refills

Rank: 6 out of 130

$572K Total Retail Price of All Prescriptions

Rank: 33 out of 130

752 Patients Receiving at Least One Drug in Part D
83% Patients 65 Years and Older

54% 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 Tennessee
lower than average

Antipsychotics

0% of this provider’s 622 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

11% of this provider’s 752 patients filled at least one prescription for an antibiotic drug, compared to an average of 16%.

More resources »

Risky Drugs for Seniors

2% of this provider’s 622 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 4%.

More resources »

Opioids

1% of this provider’s 752 patients filled at least one prescription for an opioid, compared to an average of 6%.

More resources »

Brand Name Drugs *

15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

* This is an estimate, see our methodology.

Prescription Price

$80 was the average price of a prescription from this provider, compared to $187 among peers.

Prescriptions per Patient

10 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

$475K

2012

$476K

2013

$523K

2014

$572K

2015

Number of Claims

8,290

2012

9,129

2013

8,309

2014

7,156

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
CALCITRIOL

Treats low blood calcium in... +

Treats low blood calcium in kidney dialysis patients and other patients. Source: National Library of Medicine

643

prescriptions, 9% of all prescriptions

589

prescriptions.

117

patients, 16% of all patients

1 2
METOPROLOL TARTRATE

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

628

prescriptions, 9% of all prescriptions

560

prescriptions.

122

patients, 16% of all patients

2 10
NIFEDIPINE ER

Used for the treatment of v... +

Used for the treatment of vasospastic angina, chronic stable angina and hypertension. Source: National Library of Medicine

578

prescriptions, 8% of all prescriptions

407

prescriptions.

127

patients, 17% of all patients

3 14
FUROSEMIDE

Treats fluid retention (ede... +

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

408

prescriptions, 6% of all prescriptions

340

prescriptions.

107

patients, 14% of all patients

4 1
CLONIDINE HCL

Clonidine is used alone or ... +

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

348

prescriptions, 5% of all prescriptions

257

prescriptions.

80

patients, 11% of all patients

5 12
BUMETANIDE

Treats fluid retention (ede... +

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

328

prescriptions, 5% of all prescriptions

265

prescriptions.

75

patients, 10% of all patients

6 21
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

269

prescriptions, 4% of all prescriptions

199

prescriptions.

58

patients, 8% of all patients

7 41
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

258

prescriptions, 4% of all prescriptions

225

prescriptions.

59

patients, 8% of all patients

8 15
NITROGLYCERIN PATCH

Prevents chest pain (angina... +

Prevents chest pain (angina). Source: National Library of Medicine

257

prescriptions, 4% of all prescriptions

238

prescriptions.

46

patients, 6% of all patients

9 64
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

242

prescriptions, 3% of all prescriptions

224

prescriptions.

61

patients, 8% of all patients

10 7
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

226

prescriptions, 3% of all prescriptions

221

prescriptions.

53

patients, 7% of all patients

11 3
RENVELA

Lowers the amount of phosph... +

Lowers the amount of phosphorus in blood of patients receiving kidney dialysis. Source: National Library of Medicine

212

prescriptions, 3% of all prescriptions

103

prescriptions.

44

patients, 6% of all patients

12 6
CARVEDILOL

Treats high blood pressure ... +

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

197

prescriptions, 3% of all prescriptions

155

prescriptions.

45

patients, 6% of all patients

13 11
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

181

prescriptions, 3% of all prescriptions

157

prescriptions.

38

patients, 5% of all patients

14 26
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

153

prescriptions, 2% of all prescriptions

133

prescriptions.

31

patients, 4% of all patients

15 9
CALCIUM ACETATE

Used to treat hyperphosphat... +

Used to treat hyperphosphatemia (too much phosphate in the blood) in patients with end stage kidney disease who are on dialysis. Source: National Library of Medicine

140

prescriptions, 2% of all prescriptions

110

prescriptions.

31

patients, 4% of all patients

16 13
METOLAZONE

Treats high blood pressure ... +

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

118

prescriptions, 2% of all prescriptions

96

prescriptions.

41

patients, 5% of all patients

17 52
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

89

prescriptions, 1% of all prescriptions

73

prescriptions.

19

patients, 3% of all patients

18 92
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

85

prescriptions, 1% of all prescriptions

68

prescriptions.

21

patients, 3% of all patients

19 29
SENSIPAR

Lowers the amount of calciu... +

Lowers the amount of calcium in your blood. Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

31

prescriptions.

18

patients, 2% of all patients

20 5
ALLOPURINOL

Treats gout and some kinds ... +

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

81

prescriptions, 1% of all prescriptions

76

prescriptions.

16

patients, 2% of all patients

20 8
TORSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) caused by congestive heart failure, kidney disease, or liver disease. Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

71

prescriptions.

25

patients, 3% of all patients

22 27
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

70

prescriptions, 1% of all prescriptions

59

prescriptions.

13

patients, 2% of all patients

23 23
NIFEDICAL XL

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

64

prescriptions.

19

patients, 3% of all patients

24 36
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

69

prescriptions, 1% of all prescriptions

51

prescriptions.

22

patients, 3% of all patients

24 22
MINOXIDIL

Treats high blood pressure ... +

Treats high blood pressure that has not been controlled with other medicines. Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

27

prescriptions.

16

patients, 2% of all patients

26 47
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

61

prescriptions, 1% of all prescriptions

61

prescriptions.

14

patients, 2% of all patients

26 32
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

59

prescriptions, 1% of all prescriptions

44

prescriptions.

52

patients, 7% of all patients

A 28 81
LISINOPRIL

Treats high blood pressure ... +

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

56

prescriptions, 1% of all prescriptions

37

prescriptions.

15

patients, 2% of all patients

29 4
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 June 18, 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.