DR. SCOTT KEOLA MIYAKE M.D.
Prescription History 1013022425
Internal Medicine - Nephrology in Clackamas, OR
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. SCOTT KEOLA MIYAKE M.D., an active Nephrology specialist practicing in Clackamas, OR. Our medical registry currently tracks 34 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,222 documented patient claims. Among these therapy options, the most frequently utilized medication is Losartan Potassium, which accounts for 112 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2024)Rx (2024) | Avg Cost per FillCost / Fill | Vs. Other OR PrescribersVs. OR Avg |
|---|---|---|---|
| Losartan Potassium | 112 | $14.98 | ≈ Typical |
About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II. In 2024, this provider wrote 112 Medicare prescriptions for Losartan Potassium, about the same volume as the typical Oregon prescriber of this medication (107.5). Medicare paid an average of $14.98 per fill, versus $11.59 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 336 30-Day Fills standardized to 30-day supplies 10,080 Days of Medication total across all patients in 2024 | |||
| Amlodipine Besylate | 105 | $13.33 | ≈ Typical |
About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION. In 2024, this provider wrote 105 Medicare prescriptions for Amlodipine Besylate, about the same volume as the typical Oregon prescriber of this medication (109.2). Medicare paid an average of $13.33 per fill, versus $8.23 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 314 30-Day Fills standardized to 30-day supplies 9,420 Days of Medication total across all patients in 2024 | |||
| Lisinopril | 99 | $12.06 | ≈ Typical |
About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure. In 2024, this provider wrote 99 Medicare prescriptions for Lisinopril, about 89% of the volume of the typical Oregon prescriber of this medication (110.7). Medicare paid an average of $12.06 per fill, versus $8.73 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 297 30-Day Fills standardized to 30-day supplies 8,910 Days of Medication total across all patients in 2024 | |||
| Furosemide | 77 | $13.73 | ▲ More than typical |
About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a "water pill" (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY. In 2024, this provider wrote 77 Medicare prescriptions for Furosemide, about 1.3 times the volume of the typical Oregon prescriber of this medication (61). Medicare paid an average of $13.73 per fill, versus $6.84 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 227 30-Day Fills standardized to 30-day supplies 6,810 Days of Medication total across all patients in 2024 | |||
| JardianceEmpagliflozin | 77 | $490.72▼ below OR avg | ▲ More than typical |
About Jardiance: Empagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Empagliflozin is also used in patients with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Empagliflozin works by increasing the removal of sugar by your kidneys. Empagliflozin is also used to treat heart failure and kidney disease. It helps to lower the risk of death from heart disease and reduces the need of going to a hospital to treat heart failure or kidney disease. It also helps to lower the risk of dialysis in people with kidney disease. Empagliflozin works by increasing the removal of sodium by your kidneys. In 2024, this provider wrote 77 Medicare prescriptions for Jardiance, about 1.8 times the volume of the typical Oregon prescriber of this medication (43.2). Medicare paid an average of $490.72 per fill, versus $999.12 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OR average for this medication. 229 30-Day Fills standardized to 30-day supplies 6,870 Days of Medication total across all patients in 2024 | |||
| Carvedilol | 59 | $14.60 | ≈ Typical |
About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾ It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION. In 2024, this provider wrote 59 Medicare prescriptions for Carvedilol, about the same volume as the typical Oregon prescriber of this medication (51.3). Medicare paid an average of $14.60 per fill, versus $11.00 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 177 30-Day Fills standardized to 30-day supplies 5,310 Days of Medication total across all patients in 2024 | |||
| Hydralazine Hcl | 54 | $25.18 | ▲ More than typical |
About Hydralazine Hcl: Hydralazine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydralazine is called a vasodilator. It works by relaxing blood vessels so blood can flow through the body more easily. A direct-acting vasodilator that is used as an antihypertensive agent. In 2024, this provider wrote 54 Medicare prescriptions for Hydralazine Hcl, about 2 times the volume of the typical Oregon prescriber of this medication (27.2). Medicare paid an average of $25.18 per fill, versus $15.71 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 152 30-Day Fills standardized to 30-day supplies 4,560 Days of Medication total across all patients in 2024 | |||
| Torsemide | 50 | $29.15 | ▲ More than typical |
About Torsemide: Torsemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Torsemide is a "water pill" (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A pyridine and sulfonamide derivative that acts as a sodium-potassium chloride symporter inhibitor (loop diuretic). It is used for the treatment of EDEMA associated with CONGESTIVE HEART FAILURE; CHRONIC RENAL INSUFFICIENCY; and LIVER DISEASES. It is also used for the management of HYPERTENSION. In 2024, this provider wrote 50 Medicare prescriptions for Torsemide, about 1.4 times the volume of the typical Oregon prescriber of this medication (36.8). Medicare paid an average of $29.15 per fill, versus $22.68 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 143.1 30-Day Fills standardized to 30-day supplies 4,294 Days of Medication total across all patients in 2024 | |||
| Potassium Chloride | 40 | $40.16 | ▼ Less than typical |
About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with "water pills"/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2024, this provider wrote 40 Medicare prescriptions for Potassium Chloride, about 71% of the volume of the typical Oregon prescriber of this medication (56.2). Medicare paid an average of $40.16 per fill, versus $23.50 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 104.3 30-Day Fills standardized to 30-day supplies 3,129 Days of Medication total across all patients in 2024 | |||
| Nifedipine ErNifedipine | 40 | $34.56 | ▲ More than typical |
About Nifedipine Er: Nifedipine is used alone or in combination with other drugs to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used for certain types of chest pain (angina). It may help increase your ability to exercise and decrease the frequency of chest pain attacks. It should not be used to treat chest pain when it occurs. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. Consult your doctor or pharmacist for more details. This medication is known as a calcium channel blocker. It works by relaxing and widening blood vessels so blood can flow more easily. A potent vasodilator agent with calcium antagonistic action. It is a useful anti-anginal agent that also lowers blood pressure. In 2024, this provider wrote 40 Medicare prescriptions for Nifedipine Er, about 1.8 times the volume of the typical Oregon prescriber of this medication (22.8). Medicare paid an average of $34.56 per fill, versus $26.58 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 104 30-Day Fills standardized to 30-day supplies 3,120 Days of Medication total across all patients in 2024 | |||
| Prednisone | 39 | $10.30 | ≈ Typical |
About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾ Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver. In 2024, this provider wrote 39 Medicare prescriptions for Prednisone, about the same volume as the typical Oregon prescriber of this medication (38). Medicare paid an average of $10.30 per fill, versus $5.66 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 101 30-Day Fills standardized to 30-day supplies 2,916 Days of Medication total across all patients in 2024 | |||
| Allopurinol | 38 | $10.53▼ below OR avg | ≈ Typical |
About Allopurinol: Allopurinol is used to treat gout and certain types of kidney stones. Show more ▾ It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have increased uric acid levels due to release of uric acid from the dying cancer cells. Allopurinol works by reducing the amount of uric acid made by the body. Increased uric acid levels can cause gout and kidney problems. A XANTHINE OXIDASE inhibitor that decreases URIC ACID production. It also acts as an antimetabolite on some simpler organisms. In 2024, this provider wrote 38 Medicare prescriptions for Allopurinol, about the same volume as the typical Oregon prescriber of this medication (40.1). Medicare paid an average of $10.53 per fill, versus $12.52 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OR average for this medication. 110 30-Day Fills standardized to 30-day supplies 3,300 Days of Medication total across all patients in 2024 | |||
| Metoprolol Tartrate | 35 | $11.85 | ▼ Less than typical |
About Metoprolol Tartrate: Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2024, this provider wrote 35 Medicare prescriptions for Metoprolol Tartrate, about 74% of the volume of the typical Oregon prescriber of this medication (47.5). Medicare paid an average of $11.85 per fill, versus $8.41 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 81 30-Day Fills standardized to 30-day supplies 2,430 Days of Medication total across all patients in 2024 | |||
| Doxazosin Mesylate | 34 | $21.20 | ▲ More than typical |
About Doxazosin Mesylate: Doxazosin is used alone or with other drugs to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication works by relaxing blood vessels so blood can flow more easily. Doxazosin is also used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It does not shrink the prostate, but it works by relaxing the muscles in the prostate and part of the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Doxazosin belongs to a class of drugs known as alpha blockers. A prazosin-related compound that is a selective alpha-1-adrenergic blocker. In 2024, this provider wrote 34 Medicare prescriptions for Doxazosin Mesylate, about 1.4 times the volume of the typical Oregon prescriber of this medication (23.5). Medicare paid an average of $21.20 per fill, versus $16.75 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 78.2 30-Day Fills standardized to 30-day supplies 2,339 Days of Medication total across all patients in 2024 | |||
| LokelmaSodium Zirconium Cyclosilicate | 30 | $1,480.50 | ≈ Typical |
About Lokelma: This medication is used to treat high levels of potassium in the blood. Show more ▾ It works by binding to potassium in the gut. This medication does not work right away, and should not be used to treat life-threatening high levels of potassium. High potassium levels can cause symptoms such as nausea, muscle weakness/tiredness, irregular heartbeats, or paralysis. Used to treat hyperkalemia. In 2024, this provider wrote 30 Medicare prescriptions for Lokelma, about 1.2 times the volume of the typical Oregon prescriber of this medication (24.1). Medicare paid an average of $1,480.50 per fill, versus $741.95 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 54.5 30-Day Fills standardized to 30-day supplies 1,598 Days of Medication total across all patients in 2024 | |||
| Midodrine Hcl | 27 | $11.84▼ below OR avg | ▲ More than typical |
About Midodrine Hcl: This medication is used for certain patients who have symptoms of low blood pressure when standing. Show more ▾ This condition is also known as orthostatic hypotension. Midodrine is used in people whose daily activities are severely affected by this condition, even after other treatments are used (such as support stockings). It is known as a sympathomimetic (alpha receptor agonist) that acts on the blood vessels to raise blood pressure. An ethanolamine derivative that is an adrenergic alpha-1 agonist. It is used as a vasoconstrictor agent in the treatment of HYPOTENSION. In 2024, this provider wrote 27 Medicare prescriptions for Midodrine Hcl, about 1.4 times the volume of the typical Oregon prescriber of this medication (19.9). Medicare paid an average of $11.84 per fill, versus $55.09 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OR average for this medication. 27 30-Day Fills standardized to 30-day supplies 648 Days of Medication total across all patients in 2024 | |||
| Sevelamer Carbonate | 24 | $287.50 | ▼ Less than typical |
About Sevelamer Carbonate: Sevelamer is used to lower high blood phosphorus (phosphate) levels in patients who are on dialysis due to severe kidney disease. Show more ▾ Dialysis removes some phosphate from your blood, but it is difficult to remove enough to keep your phosphate levels balanced. Decreasing blood phosphate levels can help keep your bones strong, prevent unsafe buildup of minerals in your body, and possibly decrease the risk of heart disease and strokes that can result from high phosphate levels. Sevelamer works by holding onto phosphate from the diet so that it can pass out of your body. A polymeric amine that binds phosphate and is used to treat HYPERPHOSPHATEMIA in patients with kidney disease. In 2024, this provider wrote 24 Medicare prescriptions for Sevelamer Carbonate, about half the volume of the typical Oregon prescriber of this medication (42.8). Medicare paid an average of $287.50 per fill, versus $168.46 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 68.6 30-Day Fills standardized to 30-day supplies 2,059 Days of Medication total across all patients in 2024 | |||
| Sodium Polystyrene Sulfonate | 23 | $132.12 | – No State Data |
About Sodium Polystyrene Sulfonate: This medication is used to treat a high level of potassium in your blood. Show more ▾ Too much potassium in your blood can sometimes cause heart rhythm problems. Sodium polystyrene sulfonate works by helping your body get rid of extra potassium. Ca salt is potassium absorbing resin administered orally for treatment of hyperkalemia. In 2024, this provider wrote 23 Medicare prescriptions for Sodium Polystyrene Sulfonate. Medicare paid an average of $132.12 per fill. No state comparison is available for this medication. How often this provider prescribes it No state benchmark is available for this medication. What Medicare paid per fill $132.12 Cost per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 36.8 30-Day Fills standardized to 30-day supplies 1,074 Days of Medication total across all patients in 2024 | |||
| Simvastatin | 23 | $11.00 | ▼ Less than typical |
About Simvastatin: Simvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A derivative of LOVASTATIN and potent competitive inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It may also interfere with steroid hormone production. Due to the induction of hepatic LDL RECEPTORS, it increases breakdown of LDL CHOLESTEROL. In 2024, this provider wrote 23 Medicare prescriptions for Simvastatin, about a third of the volume of the typical Oregon prescriber of this medication (55.7). Medicare paid an average of $11.00 per fill, versus $9.99 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 69 30-Day Fills standardized to 30-day supplies 2,070 Days of Medication total across all patients in 2024 | |||
| Atorvastatin Calcium | 22 | $11.00▼ below OR avg | ▼ Less than typical |
About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors. In 2024, this provider wrote 22 Medicare prescriptions for Atorvastatin Calcium, about 13% of the volume of the typical Oregon prescriber of this medication (168.4). Medicare paid an average of $11.00 per fill, versus $12.77 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OR average for this medication. 66 30-Day Fills standardized to 30-day supplies 1,980 Days of Medication total across all patients in 2024 | |||
| Terazosin Hcl | 21 | $89.45 | ≈ Typical |
About Terazosin Hcl: Terazosin is used alone or with other drugs to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication works by relaxing blood vessels so blood can flow more easily. Terazosin is also used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It does not shrink the prostate, but it works by relaxing the muscles in the prostate and part of the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Terazosin belongs to a class of drugs known as alpha blockers. Induces decreased blood pressure; used in the treatment of benign prostatic hyperplasia. In 2024, this provider wrote 21 Medicare prescriptions for Terazosin Hcl, about 89% of the volume of the typical Oregon prescriber of this medication (23.6). Medicare paid an average of $89.45 per fill, versus $32.17 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 63 30-Day Fills standardized to 30-day supplies 1,890 Days of Medication total across all patients in 2024 | |||
| Chlorthalidone | 21 | $11.97▼ below OR avg | ≈ Typical |
About Chlorthalidone: Chlorthalidone is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to reduce extra salt and water in the body caused by conditions such as heart failure, liver disease, and kidney disease. Decreasing extra salt and water in the body helps to decrease swelling (edema) and breathing problems caused by fluid in the lungs. Chlorthalidone is a "water pill" (diuretic). It increases the amount of urine you make, especially when you first start the medication. It also helps to relax the blood vessels so that blood can flow more easily. A benzenesulfonamide-phthalimidine that tautomerizes to a BENZOPHENONES form. It is considered a thiazide-like diuretic. In 2024, this provider wrote 21 Medicare prescriptions for Chlorthalidone, about 85% of the volume of the typical Oregon prescriber of this medication (24.8). Medicare paid an average of $11.97 per fill, versus $17.85 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OR average for this medication. 63 30-Day Fills standardized to 30-day supplies 1,890 Days of Medication total across all patients in 2024 | |||
| Ondansetron Hcl | 20 | $9.86▼ below OR avg | ▼ Less than typical |
About Ondansetron Hcl: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾ It is also used to prevent and treat nausea and vomiting after surgery. It works by blocking one of the body's natural substances (serotonin) that causes vomiting. A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. In 2024, this provider wrote 20 Medicare prescriptions for Ondansetron Hcl, about 72% of the volume of the typical Oregon prescriber of this medication (27.9). Medicare paid an average of $9.86 per fill, versus $13.27 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OR average for this medication. 20 30-Day Fills standardized to 30-day supplies 328 Days of Medication total across all patients in 2024 | |||
| Tamsulosin Hcl | 17 | $12.27▼ below OR avg | ▼ Less than typical |
About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. A sulfonamide derivative and adrenergic alpha-1 receptor antagonist that is used to relieve symptoms of urinary obstruction caused by BENIGN PROSTATIC HYPERPLASIA. In 2024, this provider wrote 17 Medicare prescriptions for Tamsulosin Hcl, about a quarter of the volume of the typical Oregon prescriber of this medication (72.3). Medicare paid an average of $12.27 per fill, versus $17.43 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OR average for this medication. 43 30-Day Fills standardized to 30-day supplies 1,290 Days of Medication total across all patients in 2024 | |||
| Atenolol | 15 | $17.81 | ▼ Less than typical |
About Atenolol: Atenolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Atenolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A cardioselective beta-1 adrenergic blocker possessing properties and potency similar to PROPRANOLOL, but without a negative inotropic effect. In 2024, this provider wrote 15 Medicare prescriptions for Atenolol, about half the volume of the typical Oregon prescriber of this medication (35.1). Medicare paid an average of $17.81 per fill, versus $9.61 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 45 30-Day Fills standardized to 30-day supplies 1,350 Days of Medication total across all patients in 2024 | |||
| Spironolactone | 15 | $14.04 | ▼ Less than typical |
About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a "water pill" (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) In 2024, this provider wrote 15 Medicare prescriptions for Spironolactone, about a third of the volume of the typical Oregon prescriber of this medication (41). Medicare paid an average of $14.04 per fill, versus $10.75 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 45 30-Day Fills standardized to 30-day supplies 1,350 Days of Medication total across all patients in 2024 | |||
| Gabapentin | 15 | $17.65▼ below OR avg | ▼ Less than typical |
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2024, this provider wrote 15 Medicare prescriptions for Gabapentin, about 20% of the volume of the typical Oregon prescriber of this medication (76.7). Medicare paid an average of $17.65 per fill, versus $20.58 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OR average for this medication. 39 30-Day Fills standardized to 30-day supplies 1,170 Days of Medication total across all patients in 2024 | |||
| KerendiaFinerenone | 14 | $1,383.63 | ▼ Less than typical |
About Kerendia: Finerenone is used by people with type 2 diabetes and kidney disease to lower the risk of dialysis, death from heart disease, heart attacks, and the need to go to the hospital for heart failure. Show more ▾ It works by blocking a chemical (aldosterone) in your body which in turn lowers the amount of sodium and water the body retains. A potent, selective, and orally available nonsteroidal mineralocorticoid receptor antagonist. In 2024, this provider wrote 14 Medicare prescriptions for Kerendia, about half the volume of the typical Oregon prescriber of this medication (26.4). Medicare paid an average of $1,383.63 per fill, versus $887.87 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 32 30-Day Fills standardized to 30-day supplies 960 Days of Medication total across all patients in 2024 | |||
| EliquisApixaban | 14 | $1,401.43 | ▼ Less than typical |
About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾ With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood. An antithrombotic agent. In 2024, this provider wrote 14 Medicare prescriptions for Eliquis, about 20% of the volume of the typical Oregon prescriber of this medication (70.1). Medicare paid an average of $1,401.43 per fill, versus $1,003.37 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 42 30-Day Fills standardized to 30-day supplies 1,260 Days of Medication total across all patients in 2024 | |||
| Finasteride | 13 | $10.17▼ below OR avg | ▼ Less than typical |
About Finasteride: Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men. Show more ▾ It may be used alone or taken in combination with other medications to reduce symptoms of BPH and may also reduce the need for surgery. Finasteride may improve symptoms of BPH and provide benefits such as decreased urge to urinate, better urine flow with less straining, less of a feeling that the bladder is not completely emptied, and decreased nighttime urination. This medication works by decreasing the amount of a natural body hormone (DHT) that causes growth of the prostate. Finasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. Women and children should not use this medication. An orally active 3-OXO-5-ALPHA-STEROID 4-DEHYDROGENASE inhibitor. It is used as a surgical alternative for treatment of benign PROSTATIC HYPERPLASIA. In 2024, this provider wrote 13 Medicare prescriptions for Finasteride, about a third of the volume of the typical Oregon prescriber of this medication (45.4). Medicare paid an average of $10.17 per fill, versus $14.08 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OR average for this medication. 21 30-Day Fills standardized to 30-day supplies 630 Days of Medication total across all patients in 2024 | |||
| Clonidine Hcl | 13 | $14.13 | ▼ Less than typical |
About Clonidine Hcl: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Clonidine belongs to a class of drugs (central alpha agonists) that act in the brain to lower blood pressure. It works by relaxing blood vessels so blood can flow more easily. An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION. In 2024, this provider wrote 13 Medicare prescriptions for Clonidine Hcl, about half the volume of the typical Oregon prescriber of this medication (24.4). Medicare paid an average of $14.13 per fill, versus $7.55 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 39 30-Day Fills standardized to 30-day supplies 1,170 Days of Medication total across all patients in 2024 | |||
| Valsartan | 13 | $85.67 | ▼ Less than typical |
About Valsartan: Valsartan is used to treat high blood pressure and heart failure. Show more ▾ It is also used to improve the chance of living longer after a heart attack. In people with heart failure, it may also lower the chance of having to go to the hospital for heart failure. Valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. A tetrazole derivative and ANGIOTENSIN II TYPE 1 RECEPTOR BLOCKER that is used to treat HYPERTENSION. In 2024, this provider wrote 13 Medicare prescriptions for Valsartan, about half the volume of the typical Oregon prescriber of this medication (26.7). Medicare paid an average of $85.67 per fill, versus $29.30 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 39 30-Day Fills standardized to 30-day supplies 1,170 Days of Medication total across all patients in 2024 | |||
| Calcium Acetate | 12 | $81.80▼ below OR avg | ▼ Less than typical |
About Calcium Acetate: Calcium acetate is used to prevent high blood phosphate levels in patients who are on dialysis due to severe kidney disease. Show more ▾ Dialysis removes some phosphate from your blood, but it is difficult to remove enough to keep your phosphate levels balanced. Decreasing blood phosphate levels can help keep your bones strong, prevent unsafe buildup of minerals in your body, and possibly decrease the risk of heart disease and strokes that can result from high phosphate levels. Calcium acetate is a natural mineral that works by holding onto phosphate from the diet so that it can pass out of your body. A principal compound used as phosphate binders in patients with chronic renal failure; used like sevelamer. In 2024, this provider wrote 12 Medicare prescriptions for Calcium Acetate, about a third of the volume of the typical Oregon prescriber of this medication (32.5). Medicare paid an average of $81.80 per fill, versus $82.21 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OR average for this medication. 25.7 30-Day Fills standardized to 30-day supplies 770 Days of Medication total across all patients in 2024 | |||
| Hydrochlorothiazide | 11 | $12.09 | ▼ Less than typical |
About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/"water pills." It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism. In 2024, this provider wrote 11 Medicare prescriptions for Hydrochlorothiazide, about 18% of the volume of the typical Oregon prescriber of this medication (60). Medicare paid an average of $12.09 per fill, versus $5.66 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for DR. SCOTT KEOLA MIYAKE M.D. is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Nephrology prescribing approach at this Clackamas, OR practice.
Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average among OR prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.
About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.
