RYAN MITCHELL BRINK DO
Prescription History 1861925521
Internal Medicine in Temple Terrace, FL

Active since April 09, 2017PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637(813) 779-6303 Get Directions

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2022, Jul 16, 2020 (2 updates tracked since 2020).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for RYAN MITCHELL BRINK DO, an active Internal Medicine specialist practicing in Temple Terrace, FL. Our medical registry currently tracks 19 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 349 documented patient claims. Among these therapy options, the most frequently utilized medication is Prednisone, which accounts for 32 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.

19
Medications
349
Total Claims
367
30-Day Fills
Prednisone
Most Prescribed · 32 claims
View details
19 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by RYAN MITCHELL BRINK DO in 2023, with prescription volumes, average cost per fill, and FL state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other FL PrescribersVs. FL Avg

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 2023, this provider wrote 32 Medicare prescriptions for Prednisone, about 63% of the volume of the typical Florida prescriber of this medication (51). Medicare paid an average of $3.26 per fill, versus $6.71 statewide.

How often this provider prescribes it

This provider
32
FL average
51.0

This provider prescribes this medication less often than the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$3.26
FL average
$6.71

This provider's average cost per fill is below the FL average for this medication.

32
30-Day Fills
standardized to 30-day supplies
315
Days of Medication
total across all patients in 2023

About Amoxicillin-Clavulanate Potass: Amoxicillin/clavulanic acid is a combination penicillin-type antibiotic used to treat a wide variety of bacterial infections. Show more ▾

It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A fixed-ratio combination of amoxicillin trihydrate and potassium clavulanate.

In 2023, this provider wrote 29 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about the same volume as the typical Florida prescriber of this medication (28). Medicare paid an average of $7.44 per fill, versus $12.97 statewide.

How often this provider prescribes it

This provider
29
FL average
28.0

This provider's prescribing volume for this medication is in line with the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$7.44
FL average
$12.97

This provider's average cost per fill is below the FL average for this medication.

29
30-Day Fills
standardized to 30-day supplies
221
Days of Medication
total across all patients in 2023

About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾

It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER.

In 2023, this provider wrote 28 Medicare prescriptions for Pantoprazole Sodium, about a third of the volume of the typical Florida prescriber of this medication (80). Medicare paid an average of $8.79 per fill, versus $16.03 statewide.

How often this provider prescribes it

This provider
28
FL average
80.0

This provider prescribes this medication less often than the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$8.79
FL average
$16.03

This provider's average cost per fill is below the FL average for this medication.

28
30-Day Fills
standardized to 30-day supplies
840
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 21 Medicare prescriptions for Furosemide, about a third of the volume of the typical Florida prescriber of this medication (72). Medicare paid an average of $2.83 per fill, versus $5.58 statewide.

How often this provider prescribes it

This provider
21
FL average
72.0

This provider prescribes this medication less often than the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$2.83
FL average
$5.58

This provider's average cost per fill is below the FL average for this medication.

21
30-Day Fills
standardized to 30-day supplies
614
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 19 Medicare prescriptions for Eliquis, about a quarter of the volume of the typical Florida prescriber of this medication (79). Medicare paid an average of $878.35 per fill, versus $852.21 statewide.

How often this provider prescribes it

This provider
19
FL average
79.0

This provider prescribes this medication less often than the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$878.35
FL average
$852.21

Gross Part D cost per fill; not the patient's out-of-pocket price.

27
30-Day Fills
standardized to 30-day supplies
808
Days of Medication
total across all patients in 2023

About Oxycodone-Acetaminophen: This combination medication is used to help relieve moderate to severe pain. Show more ▾

It contains an opioid pain reliever (oxycodone) and a non-opioid pain reliever (acetaminophen). Oxycodone 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 19 Medicare prescriptions for Oxycodone-Acetaminophen, about 19% of the volume of the typical Florida prescriber of this medication (101). Medicare paid an average of $4.45 per fill, versus $33.99 statewide.

How often this provider prescribes it

This provider
19
FL average
101.0

This provider prescribes this medication less often than the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$4.45
FL average
$33.99

This provider's average cost per fill is below the FL average for this medication.

19
30-Day Fills
standardized to 30-day supplies
56
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 19 Medicare prescriptions for Metoprolol Tartrate, about a quarter of the volume of the typical Florida prescriber of this medication (78). Medicare paid an average of $5.34 per fill, versus $7.36 statewide.

How often this provider prescribes it

This provider
19
FL average
78.0

This provider prescribes this medication less often than the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$5.34
FL average
$7.36

This provider's average cost per fill is below the FL average for this medication.

27
30-Day Fills
standardized to 30-day supplies
810
Days of Medication
total across all patients in 2023

About Sulfamethoxazole-Trimethoprim: This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. Show more ▾

It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used by children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A drug combination with broad-spectrum antibacterial activity against both gram-positive and gram-negative organisms. It is effective in the treatment of many infections, including PNEUMOCYSTIS PNEUMONIA in AIDS.

In 2023, this provider wrote 18 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about 64% of the volume of the typical Florida prescriber of this medication (28). Medicare paid an average of $3.51 per fill, versus $5.70 statewide.

How often this provider prescribes it

This provider
18
FL average
28.0

This provider prescribes this medication less often than the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$3.51
FL average
$5.70

This provider's average cost per fill is below the FL average for this medication.

18
30-Day Fills
standardized to 30-day supplies
126
Days of Medication
total across all patients in 2023

About Cefdinir: Cefdinir is used to treat a wide variety of bacterial infections. Show more ▾

This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A third-generation oral cephalosporin antibacterial agent that is used to treat bacterial infections of the respiratory tract and skin.

In 2023, this provider wrote 18 Medicare prescriptions for Cefdinir, about 62% of the volume of the typical Florida prescriber of this medication (29). Medicare paid an average of $15.18 per fill, versus $21.46 statewide.

How often this provider prescribes it

This provider
18
FL average
29.0

This provider prescribes this medication less often than the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$15.18
FL average
$21.46

This provider's average cost per fill is below the FL average for this medication.

18
30-Day Fills
standardized to 30-day supplies
131
Days of Medication
total across all patients in 2023

About Ciprofloxacin Hcl: This medication is used to treat eye infections. Show more ▾

Ciprofloxacin belongs to a class of drugs called quinolone antibiotics. It works by stopping the growth of bacteria. This medication treats only bacterial eye infections. It will not work for other types of eye infections. Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness. A broad-spectrum antimicrobial carboxyfluoroquinoline.

In 2023, this provider wrote 17 Medicare prescriptions for Ciprofloxacin Hcl, about half the volume of the typical Florida prescriber of this medication (35). Medicare paid an average of $7.89 per fill, versus $8.04 statewide.

How often this provider prescribes it

This provider
17
FL average
35.0

This provider prescribes this medication less often than the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$7.89
FL average
$8.04

This provider's average cost per fill is below the FL average for this medication.

17
30-Day Fills
standardized to 30-day supplies
157
Days of Medication
total across all patients in 2023

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 17 Medicare prescriptions for Hydrocodone-Acetaminophen, about 17% of the volume of the typical Florida prescriber of this medication (100). Medicare paid an average of $3.36 per fill, versus $20.21 statewide.

How often this provider prescribes it

This provider
17
FL average
100.0

This provider prescribes this medication less often than the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$3.36
FL average
$20.21

This provider's average cost per fill is below the FL average for this medication.

17
30-Day Fills
standardized to 30-day supplies
51
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 17 Medicare prescriptions for Lisinopril, about 14% of the volume of the typical Florida prescriber of this medication (124). Medicare paid an average of $2.83 per fill, versus $6.04 statewide.

How often this provider prescribes it

This provider
17
FL average
124.0

This provider prescribes this medication less often than the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$2.83
FL average
$6.04

This provider's average cost per fill is below the FL average for this medication.

17
30-Day Fills
standardized to 30-day supplies
510
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 16 Medicare prescriptions for Atorvastatin Calcium, about 8% of the volume of the typical Florida prescriber of this medication (192). Medicare paid an average of $5.72 per fill, versus $11.76 statewide.

How often this provider prescribes it

This provider
16
FL average
192.0

This provider prescribes this medication less often than the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$5.72
FL average
$11.76

This provider's average cost per fill is below the FL average for this medication.

16
30-Day Fills
standardized to 30-day supplies
480
Days of Medication
total across all patients in 2023

About Doxycycline Hyclate: This medication is used to treat a wide variety of bacterial infections, including those that cause acne. Show more ▾

This medication is also used to prevent malaria. This medication is known as a tetracycline antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A synthetic tetracycline derivative with similar antimicrobial activity.

In 2023, this provider wrote 15 Medicare prescriptions for Doxycycline Hyclate, about half the volume of the typical Florida prescriber of this medication (34). Medicare paid an average of $16.81 per fill, versus $24.49 statewide.

How often this provider prescribes it

This provider
15
FL average
34.0

This provider prescribes this medication less often than the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$16.81
FL average
$24.49

This provider's average cost per fill is below the FL average for this medication.

15
30-Day Fills
standardized to 30-day supplies
121
Days of Medication
total across all patients in 2023

About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers 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 2023, this provider wrote 14 Medicare prescriptions for Metoprolol Succinate, about 14% of the volume of the typical Florida prescriber of this medication (99). Medicare paid an average of $5.29 per fill, versus $20.16 statewide.

How often this provider prescribes it

This provider
14
FL average
99.0

This provider prescribes this medication less often than the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$5.29
FL average
$20.16

This provider's average cost per fill is below the FL average for this medication.

14
30-Day Fills
standardized to 30-day supplies
405
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 14 Medicare prescriptions for Carvedilol, about a quarter of the volume of the typical Florida prescriber of this medication (67). Medicare paid an average of $3.49 per fill, versus $11.39 statewide.

How often this provider prescribes it

This provider
14
FL average
67.0

This provider prescribes this medication less often than the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$3.49
FL average
$11.39

This provider's average cost per fill is below the FL average for this medication.

14
30-Day Fills
standardized to 30-day supplies
420
Days of Medication
total across all patients in 2023

About Clopidogrel: 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). Show more ▾

It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION.

In 2023, this provider wrote 13 Medicare prescriptions for Clopidogrel, about a quarter of the volume of the typical Florida prescriber of this medication (64). Medicare paid an average of $5.53 per fill, versus $15.02 statewide.

How often this provider prescribes it

This provider
13
FL average
64.0

This provider prescribes this medication less often than the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$5.53
FL average
$15.02

This provider's average cost per fill is below the FL average for this medication.

13
30-Day Fills
standardized to 30-day supplies
380
Days of Medication
total across all patients in 2023

About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾

This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms.

In 2023, this provider wrote 12 Medicare prescriptions for Cephalexin, about a third of the volume of the typical Florida prescriber of this medication (32). Medicare paid an average of $5.10 per fill, versus $8.60 statewide.

How often this provider prescribes it

This provider
12
FL average
32.0

This provider prescribes this medication less often than the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$5.10
FL average
$8.60

This provider's average cost per fill is below the FL average for this medication.

12
30-Day Fills
standardized to 30-day supplies
81
Days of Medication
total across all patients in 2023

About Amiodarone Hcl: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as recurrent ventricular fibrillation/tachycardia). Show more ▾

It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. Amiodarone is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat.

In 2023, this provider wrote 11 Medicare prescriptions for Amiodarone Hcl, about a third of the volume of the typical Florida prescriber of this medication (33). Medicare paid an average of $15.68 per fill, versus $33.56 statewide.

How often this provider prescribes it

This provider
11
FL average
33.0

This provider prescribes this medication less often than the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$15.68
FL average
$33.56

This provider's average cost per fill is below the FL average for this medication.

13.1
30-Day Fills
standardized to 30-day supplies
367
Days of Medication
total across all patients in 2023
No medications match the current filters.
= the 5 medications this provider prescribes most. More than typical Typical Less than typical= prescription volume vs the average FL prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the FL average cost per fill.

About this data. The prescription history for RYAN MITCHELL BRINK DO 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 Internal Medicine prescribing approach at this Temple Terrace, FL 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 FL prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.