Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Pulmonary Disease

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,919Medicare Part D Prescriptions Filled, Including Refills

Rank: 13 out of 436

$676K Total Retail Price of All Prescriptions

Rank: 87 out of 436

803 Patients Receiving at Least One Drug in Part D
85% Patients 65 Years and Older

75% 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

45% of this provider’s 803 patients filled at least one prescription for an antibiotic drug, compared to an average of 29%.

More resources »

Risky Drugs for Seniors

4% of this provider’s 685 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 5%.

More resources »

Opioids

4% of this provider’s 803 patients filled at least one prescription for an opioid, compared to an average of 4%.

More resources »

Brand Name Drugs

33% of this provider’s prescriptions were for brand-name drugs, compared to an average of 53%.

Prescription Price

$85 was the average price of a prescription from this provider, compared to $291 among peers.

Prescriptions per Patient

10 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

$620K

2012

$715K

2013

$623K

2014

$676K

2015

Number of Claims

7,249

2012

8,281

2013

7,313

2014

7,919

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
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

942

prescriptions, 12% of all prescriptions

747

prescriptions.

235

patients, 29% of all patients

1 3
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

633

prescriptions, 8% of all prescriptions

538

prescriptions.

178

patients, 22% of all patients

2 1
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

464

prescriptions, 6% of all prescriptions

396

prescriptions.

146

patients, 18% of all patients

3 12
PREDNISONE

Treats inflammation (swelli... +

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

369

prescriptions, 5% of all prescriptions

325

prescriptions.

248

patients, 31% of all patients

4 2
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

Treats stuffy nose caused by hay fever and other allergies. Source: National Library of Medicine

244

prescriptions, 3% of all prescriptions

213

prescriptions.

108

patients, 13% of all patients

5 8
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

240

prescriptions, 3% of all prescriptions

215

prescriptions.

80

patients, 10% of all patients

6 5
CEFDINIR

Treats certain types of ski... +

Treats certain types of skin infections, throat infections, and lung infections, such as pneumonia, bronchitis, sinusitis, pharyngitis, or tonsillitis. Source: National Library of Medicine

219

prescriptions, 3% of all prescriptions

189

prescriptions.

169

patients, 21% of all patients

A 7 82
FUROSEMIDE

Treats fluid retention (ede... +

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

205

prescriptions, 3% of all prescriptions

167

prescriptions.

49

patients, 6% of all patients

8 9
SYMBICORT

This is a combination of bu... +

This is a combination of budesonide and formoterol used to help control the symptoms of asthma and improve lung function. Source: National Library of Medicine

198

prescriptions, 3% of all prescriptions

172

prescriptions.

75

patients, 9% of all patients

9 4
LEVOFLOXACIN

Levofloxacin is used to tre... +

Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine

187

prescriptions, 2% of all prescriptions

157

prescriptions.

149

patients, 19% of all patients

A 10 11
ALPRAZOLAM

Treats anxiety, panic disor... +

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

160

prescriptions, 2% of all prescriptions

148

prescriptions.

31

patients, 4% of all patients

11 25
METHYLPREDNISOLONE

Treats asthma, allergic rea... +

Treats asthma, allergic reactions, inflammation, flare-ups of ongoing illnesses, and many other medical problems. Source: National Library of Medicine

157

prescriptions, 2% of all prescriptions

128

prescriptions.

135

patients, 17% of all patients

12 33
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

152

prescriptions, 2% of all prescriptions

128

prescriptions.

40

patients, 5% of all patients

13 54
PROAIR HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

149

prescriptions, 2% of all prescriptions

114

prescriptions.

60

patients, 7% of all patients

14 6
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

127

prescriptions, 2% of all prescriptions

122

prescriptions.

20

patients, 2% of all patients

15 10
AZITHROMYCIN

Treats infections caused by... +

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

121

prescriptions, 2% of all prescriptions

98

prescriptions.

102

patients, 13% of all patients

A 16 7
NASONEX

Treats or prevents the symp... +

Treats or prevents the symptoms of seasonal (short-term) and perennial (year-round) allergies (hay fever), such as stuffy or runny nose, sneezing, and watery eyes. Source: National Library of Medicine

112

prescriptions, 1% of all prescriptions

89

prescriptions.

56

patients, 7% of all patients

17 69
SIMVASTATIN

Treats high cholesterol and... +

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

99

prescriptions, 1% of all prescriptions

84

prescriptions.

11

patients, 1% of all patients

18 14
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

98

prescriptions, 1% of all prescriptions

98

prescriptions.

16

patients, 2% of all patients

19 20
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

97

prescriptions, 1% of all prescriptions

92

prescriptions.

16

patients, 2% of all patients

20 41
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

96

prescriptions, 1% of all prescriptions

91

prescriptions.

26

patients, 3% of all patients

21 15
CLOPIDOGREL

Helps prevent stroke, heart... +

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

95

prescriptions, 1% of all prescriptions

90

prescriptions.

17

patients, 2% of all patients

22 37
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

91

prescriptions, 1% of all prescriptions

79

prescriptions.

15

patients, 2% of all patients

23 18
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

83

prescriptions, 1% of all prescriptions

56

prescriptions.

17

patients, 2% of all patients

24 63
DULERA

Used to treat asthma and im... +

Used to treat asthma and improve lung function. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

66

prescriptions.

20

patients, 2% of all patients

25 30
DALIRESP

Used to prevent the symptom... +

Used to prevent the symptoms (flare-ups) of chronic obstructive pulmonary disease (COPD) from getting worse. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

62

prescriptions.

12

patients, 1% of all patients

26 27
VERAPAMIL ER

Verapamil is used to treat ... +

Verapamil is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

60

prescriptions.

<11 27 260
VENTOLIN HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

52

prescriptions.

20

patients, 2% of all patients

28 19
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

53

prescriptions, 1% of all prescriptions

42

prescriptions.

12

patients, 1% of all patients

29 22
CLONAZEPAM

Treats seizures, panic diso... +

Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

47

prescriptions.

12

patients, 1% of all patients

30 75
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

50

prescriptions, 1% of all prescriptions

50

prescriptions.

<11 31 13
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?

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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 May 8, 2014.
  • 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.