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 »

3,475Medicare Part D Prescriptions Filled, Including Refills

Rank: 48 out of 436

$1.46M Total Retail Price of All Prescriptions

Rank: 21 out of 436

390 Patients Receiving at Least One Drug in Part D
81% Patients 65 Years and Older

71% 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

0% of this provider’s 315 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

28% of this provider’s 390 patients filled at least one prescription for an antibiotic drug, compared to an average of 29%.

More resources »

Risky Drugs for Seniors

This provider prescribed potentially inappropriate drugs 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 »

Opioids

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

More resources »

Brand Name Drugs

64% of this provider’s prescriptions were for brand-name drugs, compared to an average of 53%.

Prescription Price

$420 was the average price of a prescription from this provider, compared to $291 among peers.

Prescriptions per Patient

9 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

$358K

2012

$518K

2013

$770K

2014

$1.46M

2015

Number of Claims

1,786

2012

2,267

2013

2,974

2014

3,475

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
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

308

prescriptions, 9% of all prescriptions

273

prescriptions.

79

patients, 20% of all patients

1 1
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

300

prescriptions, 9% of all prescriptions

253

prescriptions.

77

patients, 20% of all patients

2 4
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

216

prescriptions, 6% of all prescriptions

166

prescriptions.

57

patients, 15% of all patients

3 5
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

171

prescriptions, 5% of all prescriptions

132

prescriptions.

67

patients, 17% of all patients

4 6
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

151

prescriptions, 4% of all prescriptions

105

prescriptions.

39

patients, 10% of all patients

5 3
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

142

prescriptions, 4% of all prescriptions

106

prescriptions.

34

patients, 9% of all patients

6 12
PREDNISONE

Treats inflammation (swelli... +

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

136

prescriptions, 4% of all prescriptions

118

prescriptions.

60

patients, 15% of all patients

7 2
TUDORZA PRESSAIR

Used as a long term treatme... +

Used as a long term treatment to prevent wheezing, shortness of breath, coughing, and chest tightness in patients with chronic obstructive pulmonary disease (COPD, a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to air sacs in the lungs). Source: National Library of Medicine

128

prescriptions, 4% of all prescriptions

84

prescriptions.

35

patients, 9% of all patients

8 36
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

121

prescriptions, 3% of all prescriptions

94

prescriptions.

53

patients, 14% of all patients

9 8
SPIRIVA RESPIMAT

Treats chronic obstructive ... +

Treats chronic obstructive pulmonary disease (COPD). Source: National Library of Medicine

120

prescriptions, 3% of all prescriptions

90

prescriptions.

41

patients, 11% of all patients

10 28
FAMOTIDINE*

Treats ulcers, gastroesopha... +

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

94

prescriptions, 3% of all prescriptions

65

prescriptions.

22

patients, 6% of all patients

11 89
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

90

prescriptions, 3% of all prescriptions

73

prescriptions.

25

patients, 6% of all patients

12 69
THEOPHYLLINE ANHYDROUS

Theophylline is used to pre... +

Theophylline is used to prevent and treat wheezing, shortness of breath, and chest tightness caused by asthma, chronic bronchitis, emphysema, and other lung diseases. Source: National Library of Medicine

89

prescriptions, 3% of all prescriptions

84

prescriptions.

27

patients, 7% of all patients

13 26
AZELASTINE HCL

Used to treat hay fever and... +

Used to treat hay fever and allergy symptoms including runny nose, sneezing, and itchy nose. Source: National Library of Medicine

89

prescriptions, 3% of all prescriptions

84

prescriptions.

40

patients, 10% of all patients

13 72
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

82

prescriptions, 2% of all prescriptions

63

prescriptions.

17

patients, 4% of all patients

15 27
BREO ELLIPTA

Treats asthma in patients n... +

Treats asthma in patients not adequately controlled a long-term asthma medicine and chronic obstructive pulmonary disease (COPD). Source: National Library of Medicine

69

prescriptions, 2% of all prescriptions

53

prescriptions.

25

patients, 6% of all patients

16 17
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

67

prescriptions, 2% of all prescriptions

37

prescriptions.

18

patients, 5% of all patients

17 54
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

62

prescriptions, 2% of all prescriptions

57

prescriptions.

23

patients, 6% of all patients

18 15
AZITHROMYCIN

Treats infections caused by... +

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

60

prescriptions, 2% of all prescriptions

55

prescriptions.

40

patients, 10% of all patients

A 19 7
DYMISTA 59

prescriptions, 2% of all prescriptions

54

prescriptions.

19

patients, 5% of all patients

20 132
STIOLTO RESPIMAT 52

prescriptions, 1% of all prescriptions

47

prescriptions.

31

patients, 8% of all patients

10 21 284
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

50

prescriptions, 1% of all prescriptions

45

prescriptions.

18

patients, 5% of all patients

22 19
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 19, 2015.
  • 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.