MS. KARLA L BIRKHOLZ MD
Prescription History 1386620821
Family Medicine in Glendale, AZ
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MS. KARLA L BIRKHOLZ MD, an active Family Medicine specialist practicing in Glendale, AZ. Our medical registry currently tracks 13 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 270 documented patient claims. Among these therapy options, the most frequently utilized medication is Oxycodone Hcl, which accounts for 50 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 (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other AZ PrescribersVs. AZ Avg |
|---|---|---|---|
| Oxycodone Hcl | 50 | $31.55 | ▼ Less than typical |
About Oxycodone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾ Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A semisynthetic derivative of CODEINE. In 2023, this provider wrote 50 Medicare prescriptions for Oxycodone Hcl, about 68% of the volume of the typical Arizona prescriber of this medication (74). Medicare paid an average of $31.55 per fill, versus $26.60 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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. 50 30-Day Fills standardized to 30-day supplies 1,129 Days of Medication total across all patients in 2023 | |||
| Tramadol Hcl | 43 | $12.38 | ≈ Typical |
About Tramadol Hcl: See also Warning section. Show more ▾ This medication is used to help relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A narcotic analgesic proposed for severe pain. It may be habituating. In 2023, this provider wrote 43 Medicare prescriptions for Tramadol Hcl, about 90% of the volume of the typical Arizona prescriber of this medication (48). Medicare paid an average of $12.38 per fill, versus $8.49 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AZ 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. 43 30-Day Fills standardized to 30-day supplies 1,067 Days of Medication total across all patients in 2023 | |||
| ProgesteroneProgesterone, Micronized | 25 | $130.57 | ≈ Typical |
About Progesterone: This medication is used to treat infertility in women who do not make enough of a certain natural hormone called progesterone. Show more ▾ This hormone is needed to maintain pregnancy. This medication is also used to restore menstrual cycles in women whose cycles have stopped. Progesterone is needed to keep menstrual periods regular. In 2023, this provider wrote 25 Medicare prescriptions for Progesterone, about the same volume as the typical Arizona prescriber of this medication (27). Medicare paid an average of $130.57 per fill, versus $69.97 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AZ 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. 69.6 30-Day Fills standardized to 30-day supplies 2,090 Days of Medication total across all patients in 2023 | |||
| Estradiol | 24 | $26.97▼ below AZ avg | ▼ Less than typical |
About Estradiol: This medication is a female hormone (estrogen). Show more ▾ It is used by women to help reduce symptoms of menopause (such as hot flashes, vaginal dryness). These symptoms are caused by the body making less estrogen. If you are using this medication to treat symptoms only in and around the vagina, products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. This medication may also be used by women who are not able to produce enough estrogen (for example, due to hypogonadism, primary ovarian failure). Certain estrogen products may also be used by women after menopause to prevent bone loss (osteoporosis). However, there are other medications (such as raloxifene, bisphosphonates including alendronate) that are also effective in preventing bone loss and may be safer. These medications should be considered for use before estrogen treatment. The 17-beta-isomer of estradiol, an aromatized C18 steroid with hydroxyl group at 3-beta- and 17-beta-position. Estradiol-17-beta is the most potent form of mammalian estrogenic steroids. In 2023, this provider wrote 24 Medicare prescriptions for Estradiol, about 73% of the volume of the typical Arizona prescriber of this medication (33). Medicare paid an average of $26.97 per fill, versus $61.29 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 68.6 30-Day Fills standardized to 30-day supplies 2,058 Days of Medication total across all patients in 2023 | |||
| Cyclobenzaprine Hcl | 20 | $6.51▼ below AZ avg | ▼ Less than typical |
About Cyclobenzaprine Hcl: Cyclobenzaprine is used short-term to treat muscle spasms. Show more ▾ It is usually used along with rest and physical therapy. It works by helping to relax the muscles. This medication is not recommended for use in older adults because they may be at greater risk for side effects while using this drug. Ask the doctor or pharmacist for details. In 2023, this provider wrote 20 Medicare prescriptions for Cyclobenzaprine Hcl, about 61% of the volume of the typical Arizona prescriber of this medication (33). Medicare paid an average of $6.51 per fill, versus $14.49 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 20 30-Day Fills standardized to 30-day supplies 530 Days of Medication total across all patients in 2023 | |||
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 20 | $32.41 | ▼ Less than typical |
About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2023, this provider wrote 20 Medicare prescriptions for Hydrocodone-Acetaminophen, about a third of the volume of the typical Arizona prescriber of this medication (69). Medicare paid an average of $32.41 per fill, versus $20.80 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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. 24 30-Day Fills standardized to 30-day supplies 531 Days of Medication total across all patients in 2023 | |||
| Metformin Hcl ErMetformin Hcl | 15 | $11.69▼ below AZ avg | ▼ Less than typical |
About Metformin Hcl Er: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289) In 2023, this provider wrote 15 Medicare prescriptions for Metformin Hcl Er, about a third of the volume of the typical Arizona prescriber of this medication (43). Medicare paid an average of $11.69 per fill, versus $11.77 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 43 30-Day Fills standardized to 30-day supplies 1,290 Days of Medication total across all patients in 2023 | |||
| Zolpidem Tartrate | 15 | $2.77▼ below AZ avg | ▼ Less than typical |
About Zolpidem Tartrate: Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults. Show more ▾ If you have trouble falling asleep, it helps you fall asleep faster, so you can get a better night's rest. Zolpidem belongs to a class of drugs called sedative-hypnotics. It acts on your brain to produce a calming effect. An imidazopyridine derivative and short-acting GABA-A receptor agonist that is used for the treatment of INSOMNIA. In 2023, this provider wrote 15 Medicare prescriptions for Zolpidem Tartrate, about a third of the volume of the typical Arizona prescriber of this medication (40). Medicare paid an average of $2.77 per fill, versus $9.22 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 15 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2023 | |||
| Levothyroxine Sodium | 13 | $14.27▼ below AZ avg | ▼ Less than typical |
About Levothyroxine Sodium: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾ It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism. In 2023, this provider wrote 13 Medicare prescriptions for Levothyroxine Sodium, about 9% of the volume of the typical Arizona prescriber of this medication (150). Medicare paid an average of $14.27 per fill, versus $16.89 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 39 30-Day Fills standardized to 30-day supplies 1,170 Days of Medication total across all patients in 2023 | |||
| Temazepam | 12 | $8.87▼ below AZ avg | ▼ Less than typical |
About Temazepam: This medication is used to treat a certain sleep problem (insomnia). Show more ▾ It may help you fall asleep faster, stay asleep longer, and lessen how often you wake up during the night, so you can get a better night's rest. Temazepam belongs to a class of drugs called benzodiazepines. It acts on your brain to produce a calming effect. Use of this medication is usually limited to short treatment periods of 1 to 2 weeks or less. If your insomnia continues for a longer time, talk to your doctor to see if you need other treatment. A benzodiazepine that acts as a GAMMA-AMINOBUTYRIC ACID modulator and anti-anxiety agent. In 2023, this provider wrote 12 Medicare prescriptions for Temazepam, about half the volume of the typical Arizona prescriber of this medication (24). Medicare paid an average of $8.87 per fill, versus $14.09 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| Clonidine | 11 | $114.72▼ below AZ avg | ▼ Less than typical |
About Clonidine: 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 2023, this provider wrote 11 Medicare prescriptions for Clonidine, about half the volume of the typical Arizona prescriber of this medication (19). Medicare paid an average of $114.72 per fill, versus $175.04 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 14.6 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2023 | |||
| Hydroxyzine Hcl | 11 | $55.15 | ▼ Less than typical |
About Hydroxyzine Hcl: Hydroxyzine is used to treat itching caused by allergies. Show more ▾ It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. In 2023, this provider wrote 11 Medicare prescriptions for Hydroxyzine Hcl, about a third of the volume of the typical Arizona prescriber of this medication (30). Medicare paid an average of $55.15 per fill, versus $21.61 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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. 11 30-Day Fills standardized to 30-day supplies 255 Days of Medication total across all patients in 2023 | |||
| Tizanidine Hcl | 11 | $19.58 | ▼ Less than typical |
About Tizanidine Hcl: This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury). Show more ▾ It works by helping to relax the muscles. In 2023, this provider wrote 11 Medicare prescriptions for Tizanidine Hcl, about a quarter of the volume of the typical Arizona prescriber of this medication (47). Medicare paid an average of $19.58 per fill, versus $16.85 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for MS. KARLA L BIRKHOLZ MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, 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 Family Medicine prescribing approach at this Glendale, AZ 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 volume among AZ prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
