SANDY NIEHM FNP
Prescription History 1215979430
Nurse Practitioner - Family in Vancouver, WA
What does Sandy Niehm prescribe?
In 2024, Sandy Niehm wrote 9,524 Medicare prescriptions for 152 medications. The most prescribed was Levothyroxine Sodium, with 469 prescriptions for 117 patients.
Medicare Part D only. These are prescriptions filled by people with Medicare drug coverage in 2024, from the CMS data released in 2026, the most recent year available. CMS does not publish medications with fewer than 11 prescriptions, so this is not a full list of what Sandy Niehm prescribes.
Medications 152 medications
Prescriptions filled under Medicare Part D in 2024. Select a medication to see what it is used for and how it compares with other Washington prescribers.
What it is used for
Levothyroxine is used to treat an underactive thyroid (hypothyroidism).
Compared with Washington prescribers
Sandy Niehm wrote 469 prescriptions for Levothyroxine Sodium, about 4.1 times as often as the typical Washington prescriber of it (116). Medicare paid $9.86 per fill, versus $11.18 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This combination medication is used to relieve moderate to severe pain.
Compared with Washington prescribers
Sandy Niehm wrote 448 prescriptions for Hydrocodone-Acetaminophen, about 7.4 times as often as the typical Washington prescriber of it (60). Medicare paid $15.80 per fill, versus $20.62 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
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.
Compared with Washington prescribers
Sandy Niehm wrote 353 prescriptions for Atorvastatin Calcium, about 2.1 times as often as the typical Washington prescriber of it (166). Medicare paid $10.14 per fill, versus $11.43 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to help relieve moderate to severe pain.
Compared with Washington prescribers
Sandy Niehm wrote 345 prescriptions for Oxycodone Hcl, about 6.9 times as often as the typical Washington prescriber of it (50). Medicare paid $14.98 per fill, versus $14.22 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Lisinopril is used to treat high blood pressure.
Compared with Washington prescribers
Sandy Niehm wrote 337 prescriptions for Lisinopril, about 3.2 times as often as the typical Washington prescriber of it (105). Medicare paid $8.14 per fill, versus $8.60 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes.
Compared with Washington prescribers
Sandy Niehm wrote 328 prescriptions for Losartan Potassium, about 3.2 times as often as the typical Washington prescriber of it (102). Medicare paid $11.24 per fill, versus $10.71 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This combination medication is used to help relieve moderate to severe pain.
Compared with Washington prescribers
Sandy Niehm wrote 230 prescriptions for Oxycodone-Acetaminophen, about 5.6 times as often as the typical Washington prescriber of it (41). Medicare paid $17.42 per fill, versus $25.07 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers).
Compared with Washington prescribers
Sandy Niehm wrote 225 prescriptions for Omeprazole, about 2.9 times as often as the typical Washington prescriber of it (78). Medicare paid $19.13 per fill, versus $15.28 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, anxiety).
Compared with Washington prescribers
Sandy Niehm wrote 214 prescriptions for Escitalopram Oxalate, about 5.8 times as often as the typical Washington prescriber of it (37). Medicare paid $20.81 per fill, versus $13.03 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Amlodipine is used with or without other medications to treat high blood pressure.
Compared with Washington prescribers
Sandy Niehm wrote 208 prescriptions for Amlodipine Besylate, about 2 times as often as the typical Washington prescriber of it (106). Medicare paid $6.07 per fill, versus $7.92 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat high blood pressure.
Compared with Washington prescribers
Sandy Niehm wrote 181 prescriptions for Hydrochlorothiazide, about 3.2 times as often as the typical Washington prescriber of it (57). Medicare paid $5.81 per fill, versus $5.34 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with Washington prescribers
Sandy Niehm wrote 168 prescriptions for Trazodone Hcl, about 2.8 times as often as the typical Washington prescriber of it (61). Medicare paid $9.20 per fill, versus $10.78 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure.
Compared with Washington prescribers
Sandy Niehm wrote 164 prescriptions for Metoprolol Succinate, about 1.8 times as often as the typical Washington prescriber of it (91). Medicare paid $12.98 per fill, versus $14.75 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, anxiety).
Compared with Washington prescribers
Sandy Niehm wrote 158 prescriptions for Duloxetine Hcl, about 3.6 times as often as the typical Washington prescriber of it (44). Medicare paid $22.48 per fill, versus $26.10 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Gabapentin is used with other medications to prevent and control seizures.
Compared with Washington prescribers
Sandy Niehm wrote 158 prescriptions for Gabapentin, about 2.2 times as often as the typical Washington prescriber of it (72). Medicare paid $27.71 per fill, versus $19.65 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury).
Compared with Washington prescribers
Sandy Niehm wrote 153 prescriptions for Tizanidine Hcl, about 4.5 times as often as the typical Washington prescriber of it (34). Medicare paid $8.81 per fill, versus $12.55 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Alprazolam is used to treat anxiety and panic disorders.
Compared with Washington prescribers
Sandy Niehm wrote 139 prescriptions for Alprazolam, about 4.1 times as often as the typical Washington prescriber of it (34). Medicare paid $2.97 per fill, versus $4.76 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Cyclobenzaprine is used short-term to treat muscle spasms.
Compared with Washington prescribers
Sandy Niehm wrote 139 prescriptions for Cyclobenzaprine Hcl, about 4.6 times as often as the typical Washington prescriber of it (30). Medicare paid $10.32 per fill, versus $10.11 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Rosuvastatin 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.
Compared with Washington prescribers
Sandy Niehm wrote 139 prescriptions for Rosuvastatin Calcium, about 1.7 times as often as the typical Washington prescriber of it (81). Medicare paid $13.61 per fill, versus $14.43 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Albuterol (also known as salbutamol) is used to prevent and treat wheezing and shortness of breath caused by breathing problems (such as asthma, chronic obstructive pulmonary disease).
Compared with Washington prescribers
Sandy Niehm wrote 131 prescriptions for Albuterol Sulfate Hfa, about 2.6 times as often as the typical Washington prescriber of it (51). Medicare paid $34.47 per fill, versus $29.37 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with Washington prescribers
Sandy Niehm wrote 127 prescriptions for Metformin Hcl, about 2 times as often as the typical Washington prescriber of it (63). Medicare paid $9.04 per fill, versus $9.63 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood.
Compared with Washington prescribers
Sandy Niehm wrote 120 prescriptions for Potassium Chloride, about 2.4 times as often as the typical Washington prescriber of it (50). Medicare paid $17.04 per fill, versus $21.39 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy.
Compared with Washington prescribers
Sandy Niehm wrote 117 prescriptions for Ondansetron Odt, about 4.5 times as often as the typical Washington prescriber of it (26). Medicare paid $11.37 per fill, versus $15.16 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery.
Compared with Washington prescribers
Sandy Niehm wrote 112 prescriptions for Eliquis, about 1.7 times as often as the typical Washington prescriber of it (67). Medicare paid $986.72 per fill, versus $994.95 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Metoprolol is used with or without other medications to treat high blood pressure (hypertension).
Compared with Washington prescribers
Sandy Niehm wrote 109 prescriptions for Metoprolol Tartrate, about 2.5 times as often as the typical Washington prescriber of it (43). Medicare paid $6.60 per fill, versus $8.03 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux).
Compared with Washington prescribers
Sandy Niehm wrote 107 prescriptions for Pantoprazole Sodium, about 2.2 times as often as the typical Washington prescriber of it (49). Medicare paid $15.72 per fill, versus $14.19 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease.
Compared with Washington prescribers
Sandy Niehm wrote 105 prescriptions for Furosemide, about 1.8 times as often as the typical Washington prescriber of it (59). Medicare paid $6.72 per fill, versus $6.29 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat anxiety.
Compared with Washington prescribers
Sandy Niehm wrote 103 prescriptions for Lorazepam, about 3.1 times as often as the typical Washington prescriber of it (33). Medicare paid $3.67 per fill, versus $7.19 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder).
Compared with Washington prescribers
Sandy Niehm wrote 103 prescriptions for Sertraline Hcl, about 2 times as often as the typical Washington prescriber of it (50). Medicare paid $13.23 per fill, versus $11.19 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury.
Compared with Washington prescribers
Sandy Niehm wrote 102 prescriptions for Pregabalin, about 2.9 times as often as the typical Washington prescriber of it (35). Medicare paid $12.89 per fill, versus $26.03 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults.
Compared with Washington prescribers
Sandy Niehm wrote 100 prescriptions for Zolpidem Tartrate, about 2.9 times as often as the typical Washington prescriber of it (34). Medicare paid $7.40 per fill, versus $7.22 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with Washington prescribers
Sandy Niehm wrote 88 prescriptions for Metformin Hcl Er, about 1.7 times as often as the typical Washington prescriber of it (51). Medicare paid $7.74 per fill, versus $10.77 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with Washington prescribers
Sandy Niehm wrote 86 prescriptions for Tramadol Hcl, about 2.2 times as often as the typical Washington prescriber of it (40). Medicare paid $7.47 per fill, versus $8.40 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Clonazepam is used to prevent and control seizures.
Compared with Washington prescribers
Sandy Niehm wrote 85 prescriptions for Clonazepam, about 2.4 times as often as the typical Washington prescriber of it (35). Medicare paid $5.79 per fill, versus $9.50 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a hormone.
Compared with Washington prescribers
Sandy Niehm wrote 81 prescriptions for Estradiol, about 2.6 times as often as the typical Washington prescriber of it (31). Medicare paid $40.78 per fill, versus $64.71 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
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.
Compared with Washington prescribers
Sandy Niehm wrote 79 prescriptions for Simvastatin, about 1.5 times as often as the typical Washington prescriber of it (52). Medicare paid $8.44 per fill, versus $9.61 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Pravastatin 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.
Compared with Washington prescribers
Sandy Niehm wrote 76 prescriptions for Pravastatin Sodium, about 2 times as often as the typical Washington prescriber of it (38). Medicare paid $12.74 per fill, versus $14.07 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH).
Compared with Washington prescribers
Sandy Niehm wrote 74 prescriptions for Tamsulosin Hcl, about as often as the typical Washington prescriber of it (70). Medicare paid $10.62 per fill, versus $16.56 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Diazepam is used to treat anxiety, alcohol withdrawal, and seizures.
Compared with Washington prescribers
Sandy Niehm wrote 71 prescriptions for Diazepam, about 3.1 times as often as the typical Washington prescriber of it (23). Medicare paid $3.40 per fill, versus $6.80 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders.
Compared with Washington prescribers
Sandy Niehm wrote 64 prescriptions for Prednisone, about 1.7 times as often as the typical Washington prescriber of it (38). Medicare paid $3.00 per fill, versus $5.30 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat anxiety.
Compared with Washington prescribers
Sandy Niehm wrote 61 prescriptions for Buspirone Hcl, about 1.8 times as often as the typical Washington prescriber of it (34). Medicare paid $11.75 per fill, versus $17.37 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Atenolol is used with or without other medications to treat high blood pressure (hypertension).
Compared with Washington prescribers
Sandy Niehm wrote 60 prescriptions for Atenolol, about 1.9 times as often as the typical Washington prescriber of it (32). Medicare paid $9.48 per fill, versus $8.83 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a nonsteroidal anti-inflammatory drug (NSAID), specifically a COX-2 inhibitor, which relieves pain and swelling (inflammation).
Compared with Washington prescribers
Sandy Niehm wrote 59 prescriptions for Celecoxib, about 2.1 times as often as the typical Washington prescriber of it (28). Medicare paid $22.14 per fill, versus $27.42 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Lovastatin 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.
Compared with Washington prescribers
Sandy Niehm wrote 59 prescriptions for Lovastatin, about 2.2 times as often as the typical Washington prescriber of it (27). Medicare paid $8.47 per fill, versus $11.20 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Carvedilol is used to treat high blood pressure and heart failure.
Compared with Washington prescribers
Sandy Niehm wrote 58 prescriptions for Carvedilol, about 1.2 times as often as the typical Washington prescriber of it (48). Medicare paid $8.69 per fill, versus $10.02 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Hydroxyzine is used to treat itching caused by allergies.
Compared with Washington prescribers
Sandy Niehm wrote 58 prescriptions for Hydroxyzine Hcl, about 2.2 times as often as the typical Washington prescriber of it (26). Medicare paid $13.86 per fill, versus $18.29 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder).
Compared with Washington prescribers
Sandy Niehm wrote 52 prescriptions for Fluoxetine Hcl, about 1.5 times as often as the typical Washington prescriber of it (34). Medicare paid $18.22 per fill, versus $12.85 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath).
Compared with Washington prescribers
Sandy Niehm wrote 52 prescriptions for Montelukast Sodium, about 1.4 times as often as the typical Washington prescriber of it (38). Medicare paid $9.62 per fill, versus $12.60 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This combination medication is used to treat attention deficit hyperactivity disorder - ADHD.
Compared with Washington prescribers
Sandy Niehm wrote 49 prescriptions for Dextroamphetamine-Amphet Er, about 2.5 times as often as the typical Washington prescriber of it (19). Medicare paid $36.37 per fill, versus $59.89 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults.
Compared with Washington prescribers
Sandy Niehm wrote 48 prescriptions for Alendronate Sodium, about as often as the typical Washington prescriber of it (42). Medicare paid $13.03 per fill, versus $10.30 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Dulaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Washington prescribers
Sandy Niehm wrote 48 prescriptions for Trulicity, about 1.6 times as often as the typical Washington prescriber of it (29). Medicare paid $1,304.22 per fill, versus $1,264.12 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with Washington prescribers
Sandy Niehm wrote 47 prescriptions for Citalopram Hbr, about 1.4 times as often as the typical Washington prescriber of it (35). Medicare paid $8.23 per fill, versus $9.43 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease).
Compared with Washington prescribers
Sandy Niehm wrote 47 prescriptions for Clopidogrel, about 1.2 times as often as the typical Washington prescriber of it (39). Medicare paid $10.32 per fill, versus $13.50 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Donepezil is used to treat confusion (dementia) related to Alzheimer's disease.
Compared with Washington prescribers
Sandy Niehm wrote 47 prescriptions for Donepezil Hcl, about as often as the typical Washington prescriber of it (41). Medicare paid $11.03 per fill, versus $14.15 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Fluconazole is used to treat vaginal yeast infections.
Compared with Washington prescribers
Sandy Niehm wrote 46 prescriptions for Fluconazole, about 2.5 times as often as the typical Washington prescriber of it (18). Medicare paid $9.99 per fill, versus $11.98 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Pramipexole is used alone or with other medications to treat Parkinson's disease.
Compared with Washington prescribers
Sandy Niehm wrote 46 prescriptions for Pramipexole Dihydrochloride, about 2 times as often as the typical Washington prescriber of it (23). Medicare paid $20.80 per fill, versus $17.93 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to help relieve severe ongoing pain (such as due to cancer).
Compared with Washington prescribers
Sandy Niehm wrote 45 prescriptions for Morphine Sulfate Er, about 1.2 times as often as the typical Washington prescriber of it (39). Medicare paid $22.02 per fill, versus $30.89 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Glipizide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Washington prescribers
Sandy Niehm wrote 44 prescriptions for Glipizide, about 1.5 times as often as the typical Washington prescriber of it (30). Medicare paid $9.23 per fill, versus $10.39 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with Washington prescribers
Sandy Niehm wrote 42 prescriptions for Mirtazapine, about 1.2 times as often as the typical Washington prescriber of it (35). Medicare paid $14.26 per fill, versus $22.38 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a certain sleep problem (insomnia).
Compared with Washington prescribers
Sandy Niehm wrote 42 prescriptions for Temazepam, about 2.2 times as often as the typical Washington prescriber of it (19). Medicare paid $4.80 per fill, versus $14.56 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Nystatin is used to treat fungal skin infections.
Compared with Washington prescribers
Sandy Niehm wrote 41 prescriptions for Nystatin, about 1.9 times as often as the typical Washington prescriber of it (21). Medicare paid $23.44 per fill, versus $20.29 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Semaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Washington prescribers
Sandy Niehm wrote 39 prescriptions for Ozempic, about as often as the typical Washington prescriber of it (42). Medicare paid $1,351.42 per fill, versus $1,270.49 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood.
Compared with Washington prescribers
Sandy Niehm wrote 38 prescriptions for Ezetimibe, about as often as the typical Washington prescriber of it (40). Medicare paid $14.88 per fill, versus $22.63 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed.
Compared with Washington prescribers
Sandy Niehm wrote 38 prescriptions for Famotidine, about as often as the typical Washington prescriber of it (39). Medicare paid $13.07 per fill, versus $16.42 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Methocarbamol is used to treat muscle spasms/pain.
Compared with Washington prescribers
Sandy Niehm wrote 38 prescriptions for Methocarbamol, about 1.4 times as often as the typical Washington prescriber of it (27). Medicare paid $7.59 per fill, versus $14.08 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Glipizide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Washington prescribers
Sandy Niehm wrote 37 prescriptions for Glipizide Er, about 1.3 times as often as the typical Washington prescriber of it (29). Medicare paid $17.92 per fill, versus $14.57 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a wide variety of bacterial infections.
Compared with Washington prescribers
Sandy Niehm wrote 36 prescriptions for Cephalexin, about 1.3 times as often as the typical Washington prescriber of it (27). Medicare paid $10.96 per fill, versus $8.96 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a variety of bacterial infections.
Compared with Washington prescribers
Sandy Niehm wrote 36 prescriptions for Ciprofloxacin Hcl, about 1.4 times as often as the typical Washington prescriber of it (26). Medicare paid $13.07 per fill, versus $7.99 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Fluticasone is used to relieve seasonal and year-round allergic and non-allergic nasal symptoms, such as stuffy/runny nose, itching, and sneezing.
Compared with Washington prescribers
Sandy Niehm wrote 36 prescriptions for Fluticasone Propionate, about as often as the typical Washington prescriber of it (35). Medicare paid $10.75 per fill, versus $18.06 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Azithromycin is used to treat a wide variety of bacterial infections.
Compared with Washington prescribers
Sandy Niehm wrote 35 prescriptions for Azithromycin, about 1.3 times as often as the typical Washington prescriber of it (27). Medicare paid $3.88 per fill, versus $7.46 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Ketoconazole is used to treat skin infections such as athlete's foot, jock itch, ringworm, and certain kinds of dandruff.
Compared with Washington prescribers
Sandy Niehm wrote 35 prescriptions for Ketoconazole, about 90% as often as the typical Washington prescriber of it (39). Medicare paid $21.97 per fill, versus $17.79 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, anxiety, panic attacks, and social anxiety disorder).
Compared with Washington prescribers
Sandy Niehm wrote 35 prescriptions for Venlafaxine Hcl Er, about 1.2 times as often as the typical Washington prescriber of it (29). Medicare paid $21.16 per fill, versus $24.61 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with Washington prescribers
Sandy Niehm wrote 34 prescriptions for Bupropion Hcl Sr, about 1.6 times as often as the typical Washington prescriber of it (22). Medicare paid $35.07 per fill, versus $23.20 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, irritability associated with autistic disorder).
Compared with Washington prescribers
Sandy Niehm wrote 34 prescriptions for Risperidone, about 81% as often as the typical Washington prescriber of it (42). Medicare paid $28.89 per fill, versus $17.56 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder).
Compared with Washington prescribers
Sandy Niehm wrote 32 prescriptions for Quetiapine Fumarate, about 65% as often as the typical Washington prescriber of it (49). Medicare paid $19.93 per fill, versus $19.76 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Latanoprost is used to treat high pressure inside the eye due to glaucoma (open angle type) or other eye diseases (such as ocular hypertension).
Compared with Washington prescribers
Sandy Niehm wrote 31 prescriptions for Latanoprost, about 25% as often as the typical Washington prescriber of it (126). Medicare paid $9.21 per fill, versus $13.05 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This combination medication is used to treat tension headaches.
Compared with Washington prescribers
Sandy Niehm wrote 30 prescriptions for Butalbital-Acetaminophen-Caffe, about 1.6 times as often as the typical Washington prescriber of it (19). Medicare paid $5.21 per fill, versus $29.66 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Meloxicam is used to treat arthritis.
Compared with Washington prescribers
Sandy Niehm wrote 30 prescriptions for Meloxicam, about 86% as often as the typical Washington prescriber of it (35). Medicare paid $6.58 per fill, versus $5.45 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Memantine is used to treat moderate to severe confusion (dementia) related to Alzheimer's disease.
Compared with Washington prescribers
Sandy Niehm wrote 29 prescriptions for Memantine Hcl, about 65% as often as the typical Washington prescriber of it (45). Medicare paid $26.97 per fill, versus $32.88 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Amoxicillin/clavulanic acid is a combination penicillin-type antibiotic used to treat a wide variety of bacterial infections.
Compared with Washington prescribers
Sandy Niehm wrote 28 prescriptions for Amoxicillin-Clavulanate Potass, about 1.2 times as often as the typical Washington prescriber of it (23). Medicare paid $8.46 per fill, versus $10.74 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim.
Compared with Washington prescribers
Sandy Niehm wrote 28 prescriptions for Sulfamethoxazole-Trimethoprim, about 1.3 times as often as the typical Washington prescriber of it (22). Medicare paid $4.50 per fill, versus $6.49 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and/or to prevent new clots from forming in your body.
Compared with Washington prescribers
Sandy Niehm wrote 27 prescriptions for Warfarin Sodium, about half as often as the typical Washington prescriber of it (58). Medicare paid $21.21 per fill, versus $11.35 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Spironolactone is used to treat high blood pressure and heart failure.
Compared with Washington prescribers
Sandy Niehm wrote 26 prescriptions for Spironolactone, about 63% as often as the typical Washington prescriber of it (41). Medicare paid $6.32 per fill, versus $9.91 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This drug is used to treat high blood pressure.
Compared with Washington prescribers
Sandy Niehm wrote 26 prescriptions for Triamterene-Hydrochlorothiazid, about as often as the typical Washington prescriber of it (25). Medicare paid $5.92 per fill, versus $9.54 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Carisoprodol is used short-term to treat muscle pain and discomfort.
Compared with Washington prescribers
Sandy Niehm wrote 25 prescriptions for Carisoprodol, about 1.3 times as often as the typical Washington prescriber of it (19). Medicare paid $9.55 per fill, versus $13.67 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with Washington prescribers
Sandy Niehm wrote 25 prescriptions for Diclofenac Sodium, about 82% as often as the typical Washington prescriber of it (30). Medicare paid $20.28 per fill, versus $27.14 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This drug is used to treat high blood pressure.
Compared with Washington prescribers
Sandy Niehm wrote 25 prescriptions for Losartan-Hydrochlorothiazide, about as often as the typical Washington prescriber of it (28). Medicare paid $13.80 per fill, versus $13.73 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions.
Compared with Washington prescribers
Sandy Niehm wrote 25 prescriptions for Propranolol Hcl, about as often as the typical Washington prescriber of it (24). Medicare paid $12.96 per fill, versus $18.70 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Allopurinol is used to treat gout and certain types of kidney stones.
Compared with Washington prescribers
Sandy Niehm wrote 24 prescriptions for Allopurinol, about 61% as often as the typical Washington prescriber of it (39). Medicare paid $16.30 per fill, versus $11.44 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Dicyclomine is used to treat a certain type of intestinal problem called irritable bowel syndrome.
Compared with Washington prescribers
Sandy Niehm wrote 24 prescriptions for Dicyclomine Hcl, about as often as the typical Washington prescriber of it (22). Medicare paid $29.51 per fill, versus $20.24 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Sumatriptan is used to treat migraines.
Compared with Washington prescribers
Sandy Niehm wrote 24 prescriptions for Sumatriptan Succinate, about as often as the typical Washington prescriber of it (21). Medicare paid $4.03 per fill, versus $21.66 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This combination medication is used to treat attention deficit hyperactivity disorder - ADHD.
Compared with Washington prescribers
Sandy Niehm wrote 23 prescriptions for Dextroamphetamine-Amphetamine, about as often as the typical Washington prescriber of it (24). Medicare paid $15.01 per fill, versus $31.40 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Mupirocin is used to treat certain skin infections (such as impetigo).
Compared with Washington prescribers
Sandy Niehm wrote 23 prescriptions for Mupirocin, about 86% as often as the typical Washington prescriber of it (27). Medicare paid $10.73 per fill, versus $9.81 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This is a long-acting form of oxybutynin that is used to treat overactive bladder and urinary conditions.
Compared with Washington prescribers
Sandy Niehm wrote 23 prescriptions for Oxybutynin Chloride Er, about 84% as often as the typical Washington prescriber of it (27). Medicare paid $11.58 per fill, versus $21.53 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Acyclovir is used to treat infections caused by certain types of viruses.
Compared with Washington prescribers
Sandy Niehm wrote 22 prescriptions for Acyclovir, about as often as the typical Washington prescriber of it (22). Medicare paid $9.29 per fill, versus $15.07 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy.
Compared with Washington prescribers
Sandy Niehm wrote 22 prescriptions for Ondansetron Hcl, about 76% as often as the typical Washington prescriber of it (29). Medicare paid $10.24 per fill, versus $11.67 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, anxiety disorders, post-traumatic stress disorder).
Compared with Washington prescribers
Sandy Niehm wrote 21 prescriptions for Paroxetine Hcl, about as often as the typical Washington prescriber of it (21). Medicare paid $14.24 per fill, versus $16.84 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with Washington prescribers
Sandy Niehm wrote 20 prescriptions for Dropsafe Prep Pads, about 1.3 times as often as the typical Washington prescriber of it (16). Medicare paid $3.34 per fill, versus $2.88 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to help relieve moderate to severe pain.
Compared with Washington prescribers
Sandy Niehm wrote 20 prescriptions for Hydromorphone Hcl, about 66% as often as the typical Washington prescriber of it (30). Medicare paid $15.40 per fill, versus $18.08 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with Washington prescribers
Sandy Niehm wrote 20 prescriptions for Lantus, about as often as the typical Washington prescriber of it (21). Medicare paid $145.23 per fill, versus $133.99 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat and prevent ulcers in the intestines.
Compared with Washington prescribers
Sandy Niehm wrote 20 prescriptions for Sucralfate, about as often as the typical Washington prescriber of it (21). Medicare paid $39.26 per fill, versus $55.13 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Torsemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease.
Compared with Washington prescribers
Sandy Niehm wrote 20 prescriptions for Torsemide, about half as often as the typical Washington prescriber of it (38). Medicare paid $18.45 per fill, versus $21.27 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with Washington prescribers
Sandy Niehm wrote 19 prescriptions for Bupropion Xl, about half as often as the typical Washington prescriber of it (34). Medicare paid $25.09 per fill, versus $27.11 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Esomeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers).
Compared with Washington prescribers
Sandy Niehm wrote 19 prescriptions for Esomeprazole Magnesium, about as often as the typical Washington prescriber of it (20). Medicare paid $30.93 per fill, versus $49.86 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Ipratropium is used to treat a runny nose caused by the common cold or seasonal allergies.
Compared with Washington prescribers
Sandy Niehm wrote 19 prescriptions for Ipratropium Bromide, about 61% as often as the typical Washington prescriber of it (31). Medicare paid $31.33 per fill, versus $28.49 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with Washington prescribers
Sandy Niehm wrote 19 prescriptions for Naproxen, about as often as the typical Washington prescriber of it (21). Medicare paid $20.70 per fill, versus $14.05 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease).
Compared with Washington prescribers
Sandy Niehm wrote 18 prescriptions for Baclofen, about half as often as the typical Washington prescriber of it (32). Medicare paid $20.39 per fill, versus $21.15 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Diltiazem is used to treat high blood pressure (hypertension) and prevent chest pain (angina).
Compared with Washington prescribers
Sandy Niehm wrote 18 prescriptions for Diltiazem 24hr Er (Cd), about 67% as often as the typical Washington prescriber of it (27). Medicare paid $14.50 per fill, versus $29.42 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with Washington prescribers
Sandy Niehm wrote 18 prescriptions for Venlafaxine Hcl, about as often as the typical Washington prescriber of it (17). Medicare paid $32.46 per fill, versus $26.25 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a wide variety of bacterial infections, including those that cause acne.
Compared with Washington prescribers
Sandy Niehm wrote 17 prescriptions for Doxycycline Hyclate, about 66% as often as the typical Washington prescriber of it (26). Medicare paid $22.07 per fill, versus $16.76 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Empagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Washington prescribers
Sandy Niehm wrote 17 prescriptions for Jardiance, about 39% as often as the typical Washington prescriber of it (44). Medicare paid $841.20 per fill, versus $1,041.39 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used in men who do not make enough of a natural substance called testosterone.
Compared with Washington prescribers
Sandy Niehm wrote 17 prescriptions for Testosterone Cypionate, about 74% as often as the typical Washington prescriber of it (23). Medicare paid $63.69 per fill, versus $34.50 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Valacyclovir is used to treat infections caused by certain types of viruses.
Compared with Washington prescribers
Sandy Niehm wrote 17 prescriptions for Valacyclovir, about 85% as often as the typical Washington prescriber of it (20). Medicare paid $28.70 per fill, versus $37.88 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery.
Compared with Washington prescribers
Sandy Niehm wrote 17 prescriptions for Xarelto, about half as often as the typical Washington prescriber of it (39). Medicare paid $1,029.63 per fill, versus $1,017.77 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with Washington prescribers
Sandy Niehm wrote 16 prescriptions for Acetaminophen-Codeine, about 72% as often as the typical Washington prescriber of it (22). Medicare paid $65.72 per fill, versus $17.06 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a wide variety of bacterial infections, including those that cause acne.
Compared with Washington prescribers
Sandy Niehm wrote 16 prescriptions for Doxycycline Monohydrate, about 66% as often as the typical Washington prescriber of it (24). Medicare paid $8.83 per fill, versus $19.72 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Ibuprofen is used to relieve pain from various conditions such as headache, dental pain, menstrual cramps, muscle aches, or arthritis.
Compared with Washington prescribers
Sandy Niehm wrote 16 prescriptions for Ibuprofen, about half as often as the typical Washington prescriber of it (27). Medicare paid $6.91 per fill, versus $9.00 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with Washington prescribers
Sandy Niehm wrote 15 prescriptions for Bupropion Hcl, about 85% as often as the typical Washington prescriber of it (18). Medicare paid $23.20 per fill, versus $25.25 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a variety of skin conditions (such as insect bites, poison oak/ivy, eczema, dermatitis, allergies, rash, itching of the outer female genitals, anal itching).
Compared with Washington prescribers
Sandy Niehm wrote 15 prescriptions for Hydrocortisone, about half as often as the typical Washington prescriber of it (28). Medicare paid $22.21 per fill, versus $19.05 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is an antibiotic used to treat bladder infections (acute cystitis).
Compared with Washington prescribers
Sandy Niehm wrote 15 prescriptions for Nitrofurantoin Mono-Macro, about 69% as often as the typical Washington prescriber of it (22). Medicare paid $19.53 per fill, versus $17.76 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Tiotropium is used to control and prevent symptoms (such as wheezing, shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema).
Compared with Washington prescribers
Sandy Niehm wrote 15 prescriptions for Spiriva Handihaler, about 70% as often as the typical Washington prescriber of it (21). Medicare paid $581.66 per fill, versus $775.70 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat an overactive bladder.
Compared with Washington prescribers
Sandy Niehm wrote 15 prescriptions for Tolterodine Tartrate Er, about 77% as often as the typical Washington prescriber of it (20). Medicare paid $70.86 per fill, versus $75.28 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Topiramate is used alone or with other medications to prevent and control seizures (epilepsy).
Compared with Washington prescribers
Sandy Niehm wrote 15 prescriptions for Topiramate, about half as often as the typical Washington prescriber of it (28). Medicare paid $2.44 per fill, versus $13.97 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, allergies, rash).
Compared with Washington prescribers
Sandy Niehm wrote 15 prescriptions for Triamcinolone Acetonide, about half as often as the typical Washington prescriber of it (31). Medicare paid $10.12 per fill, versus $9.90 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Amoxicillin is used to treat a wide variety of bacterial infections.
Compared with Washington prescribers
Sandy Niehm wrote 14 prescriptions for Amoxicillin, about 41% as often as the typical Washington prescriber of it (34). Medicare paid $4.33 per fill, versus $3.30 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men.
Compared with Washington prescribers
Sandy Niehm wrote 14 prescriptions for Finasteride, about 33% as often as the typical Washington prescriber of it (43). Medicare paid $22.21 per fill, versus $13.77 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Fluticasone is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma.
Compared with Washington prescribers
Sandy Niehm wrote 14 prescriptions for Fluticasone Propionate Hfa, about as often as the typical Washington prescriber of it (15). Medicare paid $211.96 per fill, versus $288.94 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease).
Compared with Washington prescribers
Sandy Niehm wrote 14 prescriptions for Isosorbide Mononitrate Er, about 36% as often as the typical Washington prescriber of it (39). Medicare paid $15.27 per fill, versus $14.95 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Olmesartan is used to treat high blood pressure (hypertension).
Compared with Washington prescribers
Sandy Niehm wrote 14 prescriptions for Olmesartan Medoxomil, about half as often as the typical Washington prescriber of it (27). Medicare paid $14.24 per fill, versus $18.25 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat fungal infections of the fingernails and toenails.
Compared with Washington prescribers
Sandy Niehm wrote 13 prescriptions for Ciclopirox, about half as often as the typical Washington prescriber of it (22). Medicare paid $22.20 per fill, versus $32.42 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with Washington prescribers
Sandy Niehm wrote 13 prescriptions for Lantus Solostar, about 39% as often as the typical Washington prescriber of it (34). Medicare paid $121.21 per fill, versus $136.88 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with Washington prescribers
Sandy Niehm wrote 13 prescriptions for Loperamide, about 61% as often as the typical Washington prescriber of it (21). Medicare paid $11.35 per fill, versus $21.70 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to relieve chest pain (angina) in people that have a certain heart condition (coronary artery disease).
Compared with Washington prescribers
Sandy Niehm wrote 13 prescriptions for Nitroglycerin, about half as often as the typical Washington prescriber of it (30). Medicare paid $10.43 per fill, versus $13.75 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with Washington prescribers
Sandy Niehm wrote 13 prescriptions for Nortriptyline Hcl, about 63% as often as the typical Washington prescriber of it (21). Medicare paid $26.56 per fill, versus $17.18 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with Washington prescribers
Sandy Niehm wrote 13 prescriptions for Promethazine Hcl, about 69% as often as the typical Washington prescriber of it (19). Medicare paid $1.27 per fill, versus $14.10 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Tiotropium is used to treat lung diseases such as asthma and COPD (bronchitis, emphysema).
Compared with Washington prescribers
Sandy Niehm wrote 13 prescriptions for Spiriva Respimat, about half as often as the typical Washington prescriber of it (29). Medicare paid $567.32 per fill, versus $686.53 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema).
Compared with Washington prescribers
Sandy Niehm wrote 13 prescriptions for Symbicort, about half as often as the typical Washington prescriber of it (26). Medicare paid $268.53 per fill, versus $316.30 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Ursodiol is used to dissolve certain types of gallstones, to prevent gallstones from forming in obese patients who are losing weight rapidly, and to treat a certain type of liver disease (primary biliary cholangitis).
Compared with Washington prescribers
Sandy Niehm wrote 13 prescriptions for Ursodiol, about half as often as the typical Washington prescriber of it (24). Medicare paid $201.04 per fill, versus $143.95 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with Washington prescribers
Sandy Niehm wrote 12 prescriptions for Autoshield Duo Pen Needle, about half as often as the typical Washington prescriber of it (23). Medicare paid $98.62 per fill, versus $103.95 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Calcitriol is a man-made active form of vitamin D.
Compared with Washington prescribers
Sandy Niehm wrote 12 prescriptions for Calcitriol, about 27% as often as the typical Washington prescriber of it (44). Medicare paid $37.76 per fill, versus $21.10 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a wide variety of bacterial infections.
Compared with Washington prescribers
Sandy Niehm wrote 12 prescriptions for Cefpodoxime Proxetil, about 61% as often as the typical Washington prescriber of it (20). Medicare paid $39.16 per fill, versus $45.70 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Hydroxychloroquine is used to prevent or treat malaria caused by mosquito bites.
Compared with Washington prescribers
Sandy Niehm wrote 12 prescriptions for Hydroxychloroquine Sulfate, about 15% as often as the typical Washington prescriber of it (79). Medicare paid $117.56 per fill, versus $42.45 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Chlorthalidone is used to treat high blood pressure (hypertension).
Compared with Washington prescribers
Sandy Niehm wrote 11 prescriptions for Chlorthalidone, about half as often as the typical Washington prescriber of it (25). Medicare paid $11.05 per fill, versus $17.83 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat fungal skin infections such as athlete's foot, jock itch, and ringworm.
Compared with Washington prescribers
Sandy Niehm wrote 11 prescriptions for Ciclopirox, about 31% as often as the typical Washington prescriber of it (36). Medicare paid $25.57 per fill, versus $21.73 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Cyanocobalamin is a man-made form of vitamin B12 used to treat low levels (deficiency) of this vitamin.
Compared with Washington prescribers
Sandy Niehm wrote 11 prescriptions for Cyanocobalamin Injection, about 69% as often as the typical Washington prescriber of it (16). Medicare paid $27.98 per fill, versus $13.48 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Glyburide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Washington prescribers
Sandy Niehm wrote 11 prescriptions for Glyburide, about 77% as often as the typical Washington prescriber of it (14). Medicare paid $28.35 per fill, versus $13.26 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain conditions of the stomach and intestines.
Compared with Washington prescribers
Sandy Niehm wrote 11 prescriptions for Metoclopramide Hcl, about half as often as the typical Washington prescriber of it (21). Medicare paid $6.20 per fill, versus $9.31 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Metronidazole is an antibiotic that is used to treat a wide variety of infections.
Compared with Washington prescribers
Sandy Niehm wrote 11 prescriptions for Metronidazole, about half as often as the typical Washington prescriber of it (24). Medicare paid $36.12 per fill, versus $40.33 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Tirzepatide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Washington prescribers
Sandy Niehm wrote 11 prescriptions for Mounjaro, about 31% as often as the typical Washington prescriber of it (35). Medicare paid $1,445.63 per fill, versus $1,255.77 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Oxybutynin is used to treat certain bladder and urinary conditions (such as overactive bladder).
Compared with Washington prescribers
Sandy Niehm wrote 11 prescriptions for Oxybutynin Chloride, about half as often as the typical Washington prescriber of it (23). Medicare paid $6.64 per fill, versus $18.75 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat severe nausea and vomiting from certain causes (for example, after surgery or cancer treatment).
Compared with Washington prescribers
Sandy Niehm wrote 11 prescriptions for Prochlorperazine Maleate, about 33% as often as the typical Washington prescriber of it (34). Medicare paid $8.81 per fill, versus $14.14 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Valsartan is used to treat high blood pressure and heart failure.
Compared with Washington prescribers
Sandy Niehm wrote 11 prescriptions for Valsartan, about half as often as the typical Washington prescriber of it (25). Medicare paid $27.02 per fill, versus $25.65 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Questions about Sandy Niehm’s prescriptions
What does Sandy Niehm prescribe most?
In 2024 Medicare Part D data, Sandy Niehm's most prescribed medications were Levothyroxine Sodium (469), Hydrocodone-Acetaminophen (448) and Atorvastatin Calcium (353).
How does Sandy Niehm's prescribing compare with other Washington prescribers?
Of the 152 medications with a state comparison, Sandy Niehm prescribes 64 more often than the typical Washington prescriber, 38 about as often and 50 less often. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Sandy Niehm prescribes?
No. It covers prescriptions filled by people with Medicare Part D drug coverage in 2024, and CMS leaves out any medication with fewer than 11 prescriptions.
About this data
This page shows one provider’s slice of public Medicare files. NPI Profile does not receive prescriptions or patient records.
| Source | What it provides here | Data year |
|---|---|---|
| CMS Medicare Part D Prescribers by Provider and Drug | Each medication, prescriptions, patients, 30-day fills, days of medication and cost. State comparisons average the Washington prescribers of the same medication and form, where at least five wrote it. | 2024 (released 2026, the most recent available) |
| CMS Medicare Part D Drug Spending Dashboard | What each medication is used for. | 2024 |
- Only prescriptions filled by people with Medicare Part D drug coverage are counted. Private insurance, Medicaid and cash purchases are not.
- CMS leaves out medications with fewer than 11 prescriptions and hides patient counts under 11.
- Cost per fill is what the plan and the patient paid the pharmacy together, not what you pay at the counter.
- Medication descriptions are summaries from CMS. They are not medical advice; ask a health care professional about any medication.
