Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Physician Assistant, Medical

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

13,620Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 432

$860K Total Retail Price of All Prescriptions

Rank: 8 out of 432

528 Patients Receiving at Least One Drug in Part D
86% Patients 65 Years and Older

87% Subsidized Claims for Low-Income Patients

How Does This Prescriber Compare to Peers?

In the same specialty and state. Caveats »

Drugs That Present Special Risks
Costs of Prescribing
higher than average Average for
this specialty
in Texas
lower than average

Antipsychotics

This provider prescribed antipsychotics to at least one but fewer than 11 patients who are 65 and older, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Antibiotics

39% of this provider’s 528 patients filled at least one prescription for an antibiotic drug, compared to an average of 31%.

More resources »

Risky Drugs for Seniors

21% of this provider’s 452 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

32% of this provider’s 528 patients filled at least one prescription for an opioid, compared to an average of 9%.

More resources »

Brand Name Drugs

23% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$63 was the average price of a prescription from this provider, compared to $156 among peers.

Prescriptions per Patient

26 is the average number of prescriptions (including refills) per patient, compared to an average of 7.


How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all patients.

This Provider's History

A comparison of this provider’s prescribing in Part D since 2012. All years may not be shown if there is insufficient data.

Cost of Claims

2012

2013

$192K

2014

$860K

2015

Number of Claims

2012

2013

2,779

2014

13,620

2015

This Prescriber's Drugs

The table below list this provider’s drugs, the number of prescriptions and how many went to seniors. Drugs are ranked by volume and compared with the rank for all providers in the same specialty and state. The list below includes only those drugs for which this provider wrote 50 or more prescriptions.

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O

An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.

A

An antibiotic drug. More » Used to treat bacterial infections but are often prescribed incorrectly to treat viral infections, such as chest colds or the flu.

P

An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.

R

A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.

10

This provider is among the top 10 prescribers of this drug in the country.

This provider’s prescriptions for this drug were for more days than those of peers. More » Because of this, his or her prescription count may be lower.

This provider’s prescriptions for this drug were for fewer days than those of peers. More » Because of this, his or her prescription count may be higher.

This Drug's Rank
Drug Name Total Prescriptions Filled with Refills Prescriptions
to 65+
Patients Receiving this Drug Category For this Prescriber For this Prescriber's Peers
LEVOTHYROXINE SODIUM

Levothyroxine, a thyroid ho... +

Levothyroxine, a thyroid hormone, is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. Source: National Library of Medicine

729

prescriptions, 5% of all prescriptions

653

prescriptions.

156

patients, 30% of all patients

1 1
METOPROLOL TARTRATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

457

prescriptions, 3% of all prescriptions

415

prescriptions.

104

patients, 20% of all patients

2 11
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

452

prescriptions, 3% of all prescriptions

362

prescriptions.

95

patients, 18% of all patients

3 23
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

415

prescriptions, 3% of all prescriptions

369

prescriptions.

89

patients, 17% of all patients

4 6
PRAVASTATIN SODIUM

Pravastatin is used with di... +

Pravastatin is used with diet, weight-loss, and exercise to reduce the risk of heart attack and stroke and to decrease the chance that heart surgery will be needed in people who have heart disease or who are at risk of developing heart disease. Source: National Library of Medicine

391

prescriptions, 3% of all prescriptions

315

prescriptions.

86

patients, 16% of all patients

5 13
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels. Source: National Library of Medicine

387

prescriptions, 3% of all prescriptions

349

prescriptions.

97

patients, 18% of all patients

6 5
NEXIUM

Treats heartburn, gastroeso... +

Treats heartburn, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid. Source: National Library of Medicine

378

prescriptions, 3% of all prescriptions

325

prescriptions.

83

patients, 16% of all patients

7 31
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

This drug is used to treat high blood pressure. Source: National Library of Medicine

374

prescriptions, 3% of all prescriptions

338

prescriptions.

72

patients, 14% of all patients

8 41
OMEPRAZOLE

Treats heartburn, stomach u... +

Treats heartburn, stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome, endocrine tumors, and systemic mastocytosis. Source: National Library of Medicine

365

prescriptions, 3% of all prescriptions

299

prescriptions.

101

patients, 19% of all patients

9 7
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine

334

prescriptions, 2% of all prescriptions

301

prescriptions.

84

patients, 16% of all patients

10 26
HYDRALAZINE HCL

Hydralazine is used to trea... +

Hydralazine is used to treat high blood pressure. Source: National Library of Medicine

307

prescriptions, 2% of all prescriptions

269

prescriptions.

83

patients, 16% of all patients

11 89
DOXAZOSIN MESYLATE

Doxazosin (Cardura, Cardura... +

Doxazosin (Cardura, Cardura XL) is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH), which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Source: National Library of Medicine

290

prescriptions, 2% of all prescriptions

259

prescriptions.

54

patients, 10% of all patients

12 94
LOSARTAN POTASSIUM

Losartan is used alone or i... +

Losartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

284

prescriptions, 2% of all prescriptions

252

prescriptions.

74

patients, 14% of all patients

13 12
PANTOPRAZOLE SODIUM

Pantoprazole is used to tre... +

Pantoprazole is used to treat gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the esophagus (the tube between the throat and stomach). Source: National Library of Medicine

284

prescriptions, 2% of all prescriptions

262

prescriptions.

76

patients, 14% of all patients

13 19
TAMSULOSIN HCL

Tamsulosin is used in men t... +

Tamsulosin is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH) which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Source: National Library of Medicine

276

prescriptions, 2% of all prescriptions

262

prescriptions.

74

patients, 14% of all patients

15 17
METFORMIN HCL

Metformin is used alone or ... +

Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Source: National Library of Medicine

266

prescriptions, 2% of all prescriptions

227

prescriptions.

61

patients, 12% of all patients

16 4
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

241

prescriptions, 2% of all prescriptions

199

prescriptions.

70

patients, 13% of all patients

17 99
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

241

prescriptions, 2% of all prescriptions

219

prescriptions.

72

patients, 14% of all patients

17 33
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). Source: National Library of Medicine

237

prescriptions, 2% of all prescriptions

208

prescriptions.

75

patients, 14% of all patients

19 10
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

224

prescriptions, 2% of all prescriptions

196

prescriptions.

91

patients, 17% of all patients

O 20 25
TRAMADOL HCL

Tramadol is used to relieve... +

Tramadol is used to relieve moderate to moderately severe pain. Source: National Library of Medicine

211

prescriptions, 2% of all prescriptions

162

prescriptions.

84

patients, 16% of all patients

O 21 9
GABAPENTIN

Treats certain types of sei... +

Treats certain types of seizures. Source: National Library of Medicine

207

prescriptions, 2% of all prescriptions

168

prescriptions.

70

patients, 13% of all patients

22 8
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

202

prescriptions, 1% of all prescriptions

197

prescriptions.

47

patients, 9% of all patients

23 68
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

182

prescriptions, 1% of all prescriptions

163

prescriptions.

45

patients, 9% of all patients

24 27
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

166

prescriptions, 1% of all prescriptions

143

prescriptions.

124

patients, 23% of all patients

A 25 29
CLOPIDOGREL

Helps prevent stroke, heart... +

Helps prevent stroke, heart attack, and other heart problems. Source: National Library of Medicine

165

prescriptions, 1% of all prescriptions

140

prescriptions.

41

patients, 8% of all patients

26 30
ALPRAZOLAM

Treats anxiety, panic disor... +

Treats anxiety, panic disorder, insomnia (trouble sleeping), and anxiety caused by depression. Source: National Library of Medicine

156

prescriptions, 1% of all prescriptions

134

prescriptions.

60

patients, 11% of all patients

27 21
VALSARTAN-HYDROCHLOROTHIAZIDE

Treats high blood pressure. +

Treats high blood pressure. Source: National Library of Medicine

145

prescriptions, 1% of all prescriptions

140

prescriptions.

26

patients, 5% of all patients

28 62
ALLOPURINOL

Treats gout and some kinds ... +

Treats gout and some kinds of kidney stones. Source: National Library of Medicine

135

prescriptions, 1% of all prescriptions

120

prescriptions.

48

patients, 9% of all patients

29 58
DONEPEZIL HCL

Donepezil is used to treat ... +

Donepezil is used to treat dementia (a brain disorder that affects the ability to remember, think clearly, communicate, and perform daily activities and may cause changes in mood and personality) associated with Alzheimer's disease (AD; a brain disease that slowly destroys the memory and the ability to think, learn, communicate and handle daily activities). Source: National Library of Medicine

135

prescriptions, 1% of all prescriptions

130

prescriptions.

36

patients, 7% of all patients

29 36
AVODART

Treats problems with urinat... +

Treats problems with urination caused by an enlarged prostate (benign prostatic hyperplasia or BPH). Source: National Library of Medicine

130

prescriptions, 1% of all prescriptions

125

prescriptions.

36

patients, 7% of all patients

31 108
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine

125

prescriptions, 1% of all prescriptions

107

prescriptions.

40

patients, 8% of all patients

32 18
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Source: National Library of Medicine

121

prescriptions, 1% of all prescriptions

95

prescriptions.

68

patients, 13% of all patients

33 28
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

Amitriptyline is used to treat symptoms of depression. Source: National Library of Medicine

115

prescriptions, 1% of all prescriptions

85

prescriptions.

22

patients, 4% of all patients

R 34 132
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

111

prescriptions, 1% of all prescriptions

106

prescriptions.

26

patients, 5% of all patients

35 82
CILOSTAZOL

Treats a circulation proble... +

Treats a circulation problem in which too little blood flows into your leg muscles (intermittent claudication). Source: National Library of Medicine

106

prescriptions, 1% of all prescriptions

101

prescriptions.

27

patients, 5% of all patients

36 147
GLIPIZIDE-METFORMIN

Treats type 2 diabetes. +

Treats type 2 diabetes. Source: National Library of Medicine

99

prescriptions, 1% of all prescriptions

99

prescriptions.

27

patients, 5% of all patients

37 97
SERTRALINE HCL

Sertraline is used to treat... +

Sertraline is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks), posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine

99

prescriptions, 1% of all prescriptions

82

prescriptions.

37

patients, 7% of all patients

37 34
ALENDRONATE SODIUM

Alendronate is used to trea... +

Alendronate is used to treat and prevent osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause (''change of life,'' end of menstrual periods) and to treat osteoporosis in men. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

81

prescriptions.

27

patients, 5% of all patients

39 40
ENALAPRIL MALEATE

Enalapril is used alone or ... +

Enalapril is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

66

prescriptions.

21

patients, 4% of all patients

40 53
MECLIZINE HCL

Meclizine is used to preven... +

Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

72

prescriptions.

28

patients, 5% of all patients

41 161
VALSARTAN

Valsartan is used alone or ... +

Valsartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

76

prescriptions.

17

patients, 3% of all patients

42 72
LEVEMIR FLEXTOUCH

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

69

prescriptions.

21

patients, 4% of all patients

43 92
CLONIDINE HCL

Clonidine is used alone or ... +

Clonidine is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

69

prescriptions.

11

patients, 2% of all patients

43 87
FINASTERIDE

Treats an enlarged prostate... +

Treats an enlarged prostate (benign prostatic hyperplasia or BPH) in men and causes hair growth in male pattern baldness. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

74

prescriptions.

17

patients, 3% of all patients

43 43
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

60

prescriptions.

25

patients, 5% of all patients

46 142
TRAMADOL HCL-ACETAMINOPHEN

Treats short-term, medium t... +

Treats short-term, medium to medium-severe pain. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

57

prescriptions.

40

patients, 8% of all patients

O 47 106
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

65

prescriptions.

18

patients, 3% of all patients

47 107
AZITHROMYCIN

Treats infections caused by... +

Treats infections caused by certain bacteria. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

54

prescriptions.

59

patients, 11% of all patients

A 49 14
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

66

prescriptions, 0% of all prescriptions

48

prescriptions.

23

patients, 4% of all patients

50 22
MEGESTROL ACETATE

Megestrol tablets treat bre... +

Megestrol tablets treat breast and uterine cancer. Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

60

prescriptions.

23

patients, 4% of all patients

R 51 205
POTASSIUM CHLORIDE

Potassium is needed to main... +

Potassium is needed to maintain good health. Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

60

prescriptions.

23

patients, 4% of all patients

51 24
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

64

prescriptions, 0% of all prescriptions

44

prescriptions.

20

patients, 4% of all patients

53 64
GLYBURIDE-METFORMIN HCL

The combination of glyburid... +

The combination of glyburide and metformin is used to treat type 2 diabetes (condition in which the body does not use insulin normally and therefore cannot control the amount of sugar in the blood) in people whose diabetes cannot be controlled by diet and exercise alone. Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

57

prescriptions.

22

patients, 4% of all patients

R 54 210
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

43

prescriptions.

17

patients, 3% of all patients

55 138
LEVEMIR

Helps control blood sugar l... +

Helps control blood sugar levels. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

48

prescriptions.

15

patients, 3% of all patients

56 214
SUCRALFATE

Treats ulcers and other sto... +

Treats ulcers and other stomach problems. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

55

prescriptions.

19

patients, 4% of all patients

56 140
AMITIZA

Treats certain types of lon... +

Treats certain types of long-term constipation by helping you have a bowel movement. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

46

prescriptions.

22

patients, 4% of all patients

58 126
JANUMET

This is a combination drug ... +

This is a combination drug containing metformin and sitagliptin and is used to treat high blood sugar levels caused by type 2 diabetes. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

59

prescriptions.

12

patients, 2% of all patients

58 121
LISINOPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure. Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

53

prescriptions.

16

patients, 3% of all patients

60 2
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

32

prescriptions.

17

patients, 3% of all patients

61 65
VESICARE

Solifenacin is used to trea... +

Solifenacin is used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

48

prescriptions.

15

patients, 3% of all patients

62 101
OXYBUTYNIN CHLORIDE ER

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

48

prescriptions.

11

patients, 2% of all patients

62 109
AMLODIPINE BESYLATE

Amlodipine is used alone or... +

Amlodipine is used alone or in combination with other medications to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

46

prescriptions.

17

patients, 3% of all patients

64 3
ELIQUIS

Used to help prevent stroke... +

Used to help prevent strokes or blood clots in people who have atrial fibrillation (a condition in which the heart beats irregularly, increasing the chance of clots forming in the body and possibly causing strokes) that is not caused by heart valve disease. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

50

prescriptions.

17

patients, 3% of all patients

65 130
About This Data

Prescribing data from Medicare’s prescription drug benefit, known as Part D, was compiled and released by the Centers for Medicare and Medicaid Services, the federal agency that oversees the program. The data for 2015 includes more than 1.4 billion prescriptions written by nearly 1.4 million doctors, nurses and other providers. This database lists about 447,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. More than three-fourths of these prescriptions went to patients 65 and older; the rest were for disabled patients. Methodology »

Incorrect Info?

If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org.

Caveats
  • No comparisons are shown if there are fewer than 20 prescribers in the state share this specialty.
  • Comparisons do not take into account the medical conditions of patients. Medications for certain conditions do not have generic alternatives, so patients would receive more expensive brand name drugs.
  • This provider's address and specialty information was last updated on Nov. 2, 2013.
  • Comparisons are based on each provider’s current address, not necessarily where he or she worked during the time period covered in this database.
  • In rare circumstances, providers' prescription tallies may be inflated. Sometimes providers are credited with prescriptions written by colleagues (this happens in long-term care facilities) or are victims of fraud involving theft of their provider number.