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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