Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Neurology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

3,768Medicare Part D Prescriptions Filled, Including Refills

Rank: 79 out of 535

$2.93M Total Retail Price of All Prescriptions

Rank: 13 out of 535

323 Patients Receiving at Least One Drug in Part D
83% Patients 65 Years and Older

19% 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

8% of this provider’s 269 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 5%.

More resources »

Antibiotics

0% of this provider’s 323 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

10% of this provider’s 269 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

4% of this provider’s 323 patients filled at least one prescription for an opioid, compared to an average of 7%.

More resources »

Brand Name Drugs *

25% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

* This is an estimate, see our methodology.

Prescription Price

$778 was the average price of a prescription from this provider, compared to $328 among peers.

Prescriptions per Patient

12 is the average number of prescriptions (including refills) per patient, compared to an average of 8.


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

$2.61M

2012

$2.93M

2013

$3.51M

2014

$2.93M

2015

Number of Claims

3,159

2012

3,794

2013

4,182

2014

3,768

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
CARBIDOPA-LEVODOPA

The combination of levodopa... +

The combination of levodopa and carbidopa is used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

621

prescriptions, 16% of all prescriptions

583

prescriptions.

162

patients, 50% of all patients

1 3
AMANTADINE

Treats or prevents the flu ... +

Treats or prevents the flu (influenza type A). Source: National Library of Medicine

153

prescriptions, 4% of all prescriptions

117

prescriptions.

37

patients, 11% of all patients

2 35
XENAZINE 151

prescriptions, 4% of all prescriptions

87

prescriptions.

23

patients, 7% of all patients

10 3 96
CARBIDOPA-LEVODOPA ER

Used to treat the symptoms ... +

Used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

123

prescriptions, 3% of all prescriptions

110

prescriptions.

30

patients, 9% of all patients

4 16
CLONAZEPAM

Treats seizures, panic diso... +

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

114

prescriptions, 3% of all prescriptions

74

prescriptions.

28

patients, 9% of all patients

5 7
ROPINIROLE HCL

Ropinirole is used alone or... +

Ropinirole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

107

prescriptions, 3% of all prescriptions

96

prescriptions.

27

patients, 8% of all patients

6 18
EXELON

Rivastigmine is used to tre... +

Rivastigmine is used to treat mild to moderate dementia (memory loss) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine

106

prescriptions, 3% of all prescriptions

101

prescriptions.

22

patients, 7% of all patients

7 17
GABAPENTIN

Treats certain types of sei... +

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

105

prescriptions, 3% of all prescriptions

79

prescriptions.

30

patients, 9% of all patients

8 1
AZILECT

Used alone or together with... +

Used alone or together with levodopa for the treatment of Parkinson's disease. Source: National Library of Medicine

93

prescriptions, 2% of all prescriptions

88

prescriptions.

22

patients, 7% of all patients

9 13
PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

91

prescriptions, 2% of all prescriptions

77

prescriptions.

25

patients, 8% of all patients

10 14
ESCITALOPRAM OXALATE

Escitalopram is used to tre... +

Escitalopram is used to treat depression and generalized anxiety disorder (excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

83

prescriptions, 2% of all prescriptions

78

prescriptions.

20

patients, 6% of all patients

11 24
QUETIAPINE FUMARATE

Quetiapine is used to treat... +

Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

82

prescriptions, 2% of all prescriptions

68

prescriptions.

20

patients, 6% of all patients

P 12 21
ROPINIROLE ER 82

prescriptions, 2% of all prescriptions

60

prescriptions.

21

patients, 7% of all patients

12 67
CARBIDOPA-LEVODOPA-ENTACAPONE 81

prescriptions, 2% of all prescriptions

49

prescriptions.

21

patients, 7% of all patients

14 44
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

80

prescriptions, 2% of all prescriptions

75

prescriptions.

26

patients, 8% of all patients

15 2
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine

61

prescriptions, 2% of all prescriptions

61

prescriptions.

22

patients, 7% of all patients

16 15
SELEGILINE HCL 58

prescriptions, 2% of all prescriptions

47

prescriptions.

15

patients, 5% of all patients

17 72
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

58

prescriptions, 2% of all prescriptions

31

prescriptions.

19

patients, 6% of all patients

17 25
ZOLPIDEM TARTRATE

Zolpidem is used to treat i... +

Zolpidem is used to treat insomnia (difficulty falling asleep or staying asleep). Source: National Library of Medicine

58

prescriptions, 2% of all prescriptions

34

prescriptions.

<11 R 17 45
NAMENDA XR

Used to treat the symptoms ... +

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

53

prescriptions, 1% of all prescriptions

48

prescriptions.

16

patients, 5% of all patients

20 5
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 P 21 63
TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

27

prescriptions.

14

patients, 4% of all patients

21 6
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. 3, 2010.
  • 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.