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 »

6,750Medicare Part D Prescriptions Filled, Including Refills

Rank: 12 out of 432

$343K Total Retail Price of All Prescriptions

Rank: 50 out of 432

409 Patients Receiving at Least One Drug in Part D
70% Patients 65 Years and Older

60% 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

25% of this provider’s 409 patients filled at least one prescription for an antibiotic drug, compared to an average of 31%.

More resources »

Risky Drugs for Seniors

8% of this provider’s 287 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 409 patients filled at least one prescription for an opioid, compared to an average of 9%.

More resources »

Brand Name Drugs

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$51 was the average price of a prescription from this provider, compared to $156 among peers.

Prescriptions per Patient

17 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

$256K

2012

$284K

2013

$349K

2014

$343K

2015

Number of Claims

4,690

2012

5,612

2013

7,403

2014

6,750

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

437

prescriptions, 6% of all prescriptions

382

prescriptions.

98

patients, 24% of all patients

1 1
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

280

prescriptions, 4% of all prescriptions

191

prescriptions.

62

patients, 15% of all patients

2 4
SIMVASTATIN

Treats high cholesterol and... +

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

280

prescriptions, 4% of all prescriptions

211

prescriptions.

64

patients, 16% of all patients

2 6
METOPROLOL SUCCINATE

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

253

prescriptions, 4% of all prescriptions

199

prescriptions.

56

patients, 14% of all patients

4 20
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

233

prescriptions, 3% of all prescriptions

164

prescriptions.

61

patients, 15% of all patients

5 13
BENAZEPRIL HCL

Benazepril is used alone or... +

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

222

prescriptions, 3% of all prescriptions

165

prescriptions.

47

patients, 11% of all patients

6 88
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

213

prescriptions, 3% of all prescriptions

172

prescriptions.

50

patients, 12% of all patients

7 3
HYDROCHLOROTHIAZIDE

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). Source: National Library of Medicine

201

prescriptions, 3% of all prescriptions

131

prescriptions.

52

patients, 13% of all patients

8 15
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

186

prescriptions, 3% of all prescriptions

96

prescriptions.

45

patients, 11% of all patients

9 7
PIOGLITAZONE HCL

Pioglitazone is used to tre... +

Pioglitazone 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). Source: National Library of Medicine

159

prescriptions, 2% of all prescriptions

99

prescriptions.

34

patients, 8% of all patients

10 73
MELOXICAM

Treats symptoms of osteoart... +

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

154

prescriptions, 2% of all prescriptions

107

prescriptions.

49

patients, 12% of all patients

11 18
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

138

prescriptions, 2% of all prescriptions

119

prescriptions.

30

patients, 7% of all patients

12 5
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

132

prescriptions, 2% of all prescriptions

98

prescriptions.

29

patients, 7% of all patients

13 11
CLOPIDOGREL

Helps prevent stroke, heart... +

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

127

prescriptions, 2% of all prescriptions

106

prescriptions.

28

patients, 7% of all patients

14 30
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

114

prescriptions, 2% of all prescriptions

109

prescriptions.

30

patients, 7% of all patients

15 19
GABAPENTIN

Treats certain types of sei... +

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

107

prescriptions, 2% of all prescriptions

63

prescriptions.

30

patients, 7% of all patients

16 8
GLIPIZIDE-METFORMIN

Treats type 2 diabetes. +

Treats type 2 diabetes. Source: National Library of Medicine

101

prescriptions, 1% of all prescriptions

85

prescriptions.

25

patients, 6% of all patients

17 97
LISINOPRIL

Treats high blood pressure ... +

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

99

prescriptions, 1% of all prescriptions

53

prescriptions.

31

patients, 8% of all patients

18 2
PAROXETINE HCL

Paroxetine tablets, suspens... +

Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), 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

96

prescriptions, 1% of all prescriptions

73

prescriptions.

19

patients, 5% of all patients

19 102
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

62

prescriptions.

33

patients, 8% of all patients

20 147
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

65

prescriptions.

27

patients, 7% of all patients

21 37
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

79

prescriptions, 1% of all prescriptions

56

prescriptions.

18

patients, 4% of all patients

22 31
FUROSEMIDE

Treats fluid retention (ede... +

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

74

prescriptions, 1% of all prescriptions

55

prescriptions.

22

patients, 5% of all patients

23 10
CRESTOR

Lowers high levels of chole... +

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

74

prescriptions, 1% of all prescriptions

52

prescriptions.

15

patients, 4% of all patients

23 27
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

53

prescriptions.

17

patients, 4% of all patients

25 23
BENAZEPRIL-HYDROCHLOROTHIAZIDE

The combination of benazepr... +

The combination of benazepril and hydrochlorothiazide is used to treat high blood pressure. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

50

prescriptions.

19

patients, 5% of all patients

26 195
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

65

prescriptions, 1% of all prescriptions

54

prescriptions.

12

patients, 3% of all patients

27 22
VALSARTAN-HYDROCHLOROTHIAZIDE

Treats high blood pressure. +

Treats high blood pressure. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

44

prescriptions.

12

patients, 3% of all patients

28 62
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

57

prescriptions, 1% of all prescriptions

52

prescriptions.

15

patients, 4% of all patients

29 53
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

54

prescriptions, 1% of all prescriptions

31

prescriptions.

31

patients, 8% of all patients

30 39
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

53

prescriptions.

<11 31 33
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

53

prescriptions, 1% of all prescriptions

38

prescriptions.

11

patients, 3% of all patients

31 17
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

11

prescriptions.

19

patients, 5% of all patients

R 33 63
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

51

prescriptions, 1% of all prescriptions

34

prescriptions.

<11 34 50
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

51

prescriptions, 1% of all prescriptions

51

prescriptions.

<11 34 40
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

50

prescriptions, 1% of all prescriptions

45

prescriptions.

12

patients, 3% of all patients

36 24
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 April 2, 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.