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Table 5 Number of standardized 30-day fills of PPIs, benzodiazepines, or antipsychotics for patients over 65 years per specialtya,b

From: Prescribing trends of proton pump inhibitors, antipsychotics and benzodiazepines of medicare part d providers

Specialty 2013 2014 2015 2016 2017 2018 2019
PPI
 Gastroenterologists 3,809,834 (317.0) 4,129,780 (322.6) 4,310,201 (323.0) 4,436,205 (316.0) 4,635,020 (313.9) 4,926,534 (315.5) 5,313,923 (325.2)
 General Practitioners 35,600,347 (34.2) 38,426,638 (35.1) 39,671,508 (35.0) 40,235,945 (34.1) 40,498,511 (33.3) 40,460,395 (32.3) 41,045,190 (31.9)
 Specialists 2,898,758 (9.5) 3,024,364 (9.3) 2,973,763 (8.8) 2,886,237 (8.0) 2,758,802 (7.3) 2,620,119 (6.6) 2,560,219 (6.1)
 Surgeons 234,553 (16.9) 233,795 (16.9) 232,863 (17.1) 224,062 (16.5) 231,727 (17.1) 223,396 (16.8) 228,458 (17.2)
 Mid-level Practitioners 3,324,054 (25.0) 4,118,378 (26.2) 4,861,636 (26.3) 5,579,009 (25.8) 6,360,759 (25.2) 7,261,332 (24.7) 8,336,150 (24.5)
 Alternative 962 (11.3) 583 (7.7) 578 (8.1) 680 (8.5) 740 (8.1) 1041 (9.7) 843 (7.3)
Totalc 45,868,508 (30.4) 49,933,537 (31.1) 52,050,549 (30.9) 53,362,138 (29.9) 54,485,559 (29.0) 55,492,818 (28.1) 57,484,783 (27.7)
Benzodiazepines
 Psychiatrists 2,449,554 (142.7) 2,714,820 (145.3) 2,854,814 (144.8) 3,010,030 (142.7) 3,082,937 (137.9) 3,129,415 (133.2) 3,125,584 (126.8)
 Sleep Medicine 2992 (63.2) 6554 (82.6) 8236 (69.8) 9682 (64.0) 12,294 (65.5) 13,472 (66.2) 15,070.1 (60.6)
 General Practitioners 17,974,008 (17.2) 18,472,821 (16.9) 18,113,106 (16.0) 17,769,214 (15.1) 17,284,683 (14.2) 16,440,117 (13.1) 15,268,445 (11.9)
 Specialists 2,019,714 (6.7) 2,054,486 (6.4) 1,934,717 (5.8) 1,876,413 (5.3) 1,802,349 (4.9) 1,708,778 (4.4) 1,560,540 (3.8)
 Surgeons 105,522 (7.6) 100,279 (7.2) 91,213 (6.7) 81,479 (6.0) 74,245 (5.5) 62,284 (4.7) 55,910 (4.2)
 Mid-level Practitioners 1,478,593 (11.1) 1,757,280 (11.2) 2,010,916 (10.9) 2,247,605 (10.4) 2,481,210 (9.8) 2,793,525 (9.5) 3,051,384 (9.0)
 Alternative 549 (6.5) 540 (7.1) 424 (5.9) 577 (7.2) 794 (8.7) 831 (7.8) 833 (7.2)
Totalc 24,030,931 (15.9) 25,106,780 (15.7) 25,013,425 (14.8) 24,995,000 (14.0) 24,738,511 (13.2) 24,148,423 (12.2) 23,077,765 (11.1)
Antipsychotics
 Psychiatrists 1,984,676 (115.6) 2,139,090 (114.7) 2,183,912 (110.8) 2,400,792 (113.8) 2,534,682 (113.4) 2,665,446 (113.4) 2,779,925 (112.8)
 Sleep Medicine 111 (2.3) 318 (4.0) 431 (3.7) 746 (4.9) 784 (4.2) 677 (3.3) 914 (3.7)
 General Practitioners 4,016,517 (3.9) 670,946 (4.3) 3,755,552 (3.3) 3,775,936 (3.2) 3,736,693 (3.1) 3,728,373 (3.0) 3,622,783 (2.8)
 Specialists 355,425 (1.2) 367,238 (1.2) 357,839 (1.0) 379,348 (1.1) 375,167 (1.0) 396,176 (1.0) 401,214 (1.0)
 Surgeons 21,892 (1.6) 20,283 (1.5) 16,967 (1.2) 13,896 (1.0) 12,528 (0.9) 10,848 (0.8) 10,012 (1.0)
 Mid-level Practitioners 540,960 (4.1) 670,946 (4.3) 786,836 (4.3) 993,415 (4.6) 1,205,733 (4.8) 1,475,046 (5.0) 1,764,213 (5.2)
 Alternative 87 (1.0) 116 (1.5) 105 (1.5) 171 (2.1) 90 (1.0) 191 (1.8) 91 (0.8)
Totalc 6,919,668 (4.6) 7,172,717 (4.5) 7,101,642 (4.2) 7,564,302 (4.2) 7,865,678 (4.2) 8,276,758 (4.2) 8,579,151 (4.1)
  1. aNumber of standardized 30-day fills per 1000 standardized 30-day fills in parentheses bDenominators are not shown because they are specific to year and specialty, which are different for PPIs vs BZRA/APs cPer Cochran-Armitage trend test, p-value was < 0.0001 for all class level yearly trends