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 »

17,345Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 535

$3.75M Total Retail Price of All Prescriptions

Rank: 6 out of 535

1,452 Patients Receiving at Least One Drug in Part D
79% Patients 65 Years and Older

31% 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

6% of this provider’s 1,153 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 5%.

More resources »

Antibiotics

2% of this provider’s 1,452 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

7% of this provider’s 1,153 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

7% of this provider’s 1,452 patients filled at least one prescription for an opioid, compared to an average of 7%.

More resources »

Brand Name Drugs

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

Prescription Price

$216 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

$1.92M

2012

$2.61M

2013

$3.15M

2014

$3.75M

2015

Number of Claims

10,787

2012

14,578

2013

16,230

2014

17,345

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
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

1,049

prescriptions, 6% of all prescriptions

946

prescriptions.

192

patients, 13% of all patients

1 2
GABAPENTIN

Treats certain types of sei... +

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

924

prescriptions, 5% of all prescriptions

762

prescriptions.

182

patients, 13% of all patients

2 1
GALANTAMINE HBR

Galantamine is used to trea... +

Galantamine is used to treat the symptoms of 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

871

prescriptions, 5% of all prescriptions

811

prescriptions.

139

patients, 10% of all patients

10 3 49
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

822

prescriptions, 5% of all prescriptions

716

prescriptions.

158

patients, 11% of all patients

10 4 8
TOPIRAMATE

Helps control and prevent c... +

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

712

prescriptions, 4% of all prescriptions

462

prescriptions.

145

patients, 10% of all patients

5 6
ZONISAMIDE

Treats partial seizures in ... +

Treats partial seizures in adults with epilepsy. Source: National Library of Medicine

689

prescriptions, 4% of all prescriptions

402

prescriptions.

141

patients, 10% of all patients

10 6 31
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

560

prescriptions, 3% of all prescriptions

497

prescriptions.

92

patients, 6% of all patients

7 3
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

524

prescriptions, 3% of all prescriptions

346

prescriptions.

106

patients, 7% of all patients

8 50
DULOXETINE HCL

Duloxetine is used to treat... +

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

509

prescriptions, 3% of all prescriptions

346

prescriptions.

94

patients, 6% of all patients

9 11
CLONAZEPAM

Treats seizures, panic diso... +

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

444

prescriptions, 3% of all prescriptions

300

prescriptions.

89

patients, 6% of all patients

10 7
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

440

prescriptions, 3% of all prescriptions

316

prescriptions.

87

patients, 6% of all patients

11 34
NAMENDA XR

Used to treat the symptoms ... +

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

384

prescriptions, 2% of all prescriptions

379

prescriptions.

67

patients, 5% of all patients

12 5
CLOPIDOGREL

Helps prevent stroke, heart... +

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

378

prescriptions, 2% of all prescriptions

308

prescriptions.

78

patients, 5% of all patients

13 19
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

350

prescriptions, 2% of all prescriptions

249

prescriptions.

60

patients, 4% of all patients

14 10
TRAZODONE HCL

Trazodone is used to treat ... +

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

324

prescriptions, 2% of all prescriptions

218

prescriptions.

66

patients, 5% of all patients

15 33
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

311

prescriptions, 2% of all prescriptions

295

prescriptions.

75

patients, 5% of all patients

16 15
CITALOPRAM HBR

Citalopram is used to treat... +

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

299

prescriptions, 2% of all prescriptions

185

prescriptions.

52

patients, 4% of all patients

17 29
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

274

prescriptions, 2% of all prescriptions

218

prescriptions.

64

patients, 4% of all patients

P 18 21
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

242

prescriptions, 1% of all prescriptions

228

prescriptions.

49

patients, 3% of all patients

19 30
ALPRAZOLAM

Treats anxiety, panic disor... +

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

238

prescriptions, 1% of all prescriptions

192

prescriptions.

58

patients, 4% of all patients

20 23
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

222

prescriptions, 1% of all prescriptions

113

prescriptions.

50

patients, 3% of all patients

R 21 20
OXCARBAZEPINE

Used alone or together with... +

Used alone or together with other medicines to treat seizures caused by epilepsy in adults and children 2 years of age and older. Source: National Library of Medicine

217

prescriptions, 1% of all prescriptions

117

prescriptions.

44

patients, 3% of all patients

22 32
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

214

prescriptions, 1% of all prescriptions

202

prescriptions.

41

patients, 3% of all patients

23 59
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

202

prescriptions, 1% of all prescriptions

183

prescriptions.

39

patients, 3% of all patients

24 14
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

190

prescriptions, 1% of all prescriptions

108

prescriptions.

42

patients, 3% of all patients

25 4
MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

182

prescriptions, 1% of all prescriptions

177

prescriptions.

62

patients, 4% of all patients

26 37
SUMATRIPTAN SUCCINATE

Sumatriptan is used to trea... +

Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light). Source: National Library of Medicine

170

prescriptions, 1% of all prescriptions

68

prescriptions.

44

patients, 3% of all patients

27 43
TRAMADOL HCL

Tramadol is used to relieve... +

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

165

prescriptions, 1% of all prescriptions

133

prescriptions.

55

patients, 4% of all patients

O 28 26
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

164

prescriptions, 1% of all prescriptions

58

prescriptions.

40

patients, 3% of all patients

29 27
RIZATRIPTAN

Rizatriptan is used to trea... +

Rizatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes are accompanied by nausea and sensitivity to sound and light). Source: National Library of Medicine

140

prescriptions, 1% of all prescriptions

53

prescriptions.

45

patients, 3% of all patients

10 30 104
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

138

prescriptions, 1% of all prescriptions

133

prescriptions.

35

patients, 2% of all patients

31 17
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

130

prescriptions, 1% of all prescriptions

79

prescriptions.

31

patients, 2% of all patients

32 119
WARFARIN SODIUM

Warfarin is used to prevent... +

Warfarin is used to prevent blood clots from forming or growing larger in your blood and blood vessels. Source: National Library of Medicine

118

prescriptions, 1% of all prescriptions

97

prescriptions.

19

patients, 1% of all patients

33 121
PREDNISONE

Treats inflammation (swelli... +

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

116

prescriptions, 1% of all prescriptions

95

prescriptions.

19

patients, 1% of all patients

34 51
AMANTADINE

Treats or prevents the flu ... +

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

112

prescriptions, 1% of all prescriptions

82

prescriptions.

23

patients, 2% of all patients

35 35
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

112

prescriptions, 1% of all prescriptions

112

prescriptions.

22

patients, 2% of all patients

35 16
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

111

prescriptions, 1% of all prescriptions

63

prescriptions.

23

patients, 2% of all patients

37 41
LAMOTRIGINE

Treats certain types of sei... +

Treats certain types of seizures and mood disorders. Source: National Library of Medicine

109

prescriptions, 1% of all prescriptions

24

prescriptions.

19

patients, 1% of all patients

38 12
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

106

prescriptions, 1% of all prescriptions

77

prescriptions.

20

patients, 1% of all patients

39 62
PYRIDOSTIGMINE BROMIDE 100

prescriptions, 1% of all prescriptions

79

prescriptions.

21

patients, 1% of all patients

40 47
BUSPIRONE HCL

Buspirone is used to treat ... +

Buspirone is used to treat anxiety disorders or in the short-term treatment of symptoms of anxiety. Source: National Library of Medicine

99

prescriptions, 1% of all prescriptions

46

prescriptions.

15

patients, 1% of all patients

41 86
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

95

prescriptions, 1% of all prescriptions

90

prescriptions.

20

patients, 1% of all patients

42 24
MELOXICAM

Treats symptoms of osteoart... +

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

93

prescriptions, 1% of all prescriptions

56

prescriptions.

26

patients, 2% of all patients

43 46
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

92

prescriptions, 1% of all prescriptions

87

prescriptions.

21

patients, 1% of all patients

44 18
PHENYTOIN SODIUM EXTENDED

Phenytoin is used to contro... +

Phenytoin is used to control certain type of seizures, and to treat and prevent seizures that may begin during or after surgery to the brain or nervous system. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

36

prescriptions.

16

patients, 1% of all patients

45 28
PROPRANOLOL HCL

Propranolol is used to trea... +

Propranolol is used to treat high blood pressure, abnormal heart rhythms, heart disease, pheochromocytoma (tumor on a small gland near the kidneys), and certain types of tremor. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

61

prescriptions.

20

patients, 1% of all patients

45 42
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

85

prescriptions, 0% of all prescriptions

28

prescriptions.

22

patients, 2% of all patients

R 47 57
VIMPAT

Used to control partial sei... +

Used to control partial seizures (convulsions) in the treatment of epilepsy. Source: National Library of Medicine

83

prescriptions, 0% of all prescriptions

13

prescriptions.

<11 48 22
TECFIDERA 80

prescriptions, 0% of all prescriptions

26

prescriptions.

11

patients, 1% of all patients

49 56
BACLOFEN

Treats muscle spasms caused... +

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

78

prescriptions, 0% of all prescriptions

34

prescriptions.

23

patients, 2% of all patients

50 25
FLUOXETINE HCL

Fluoxetine is used to treat... +

Fluoxetine 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), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Source: National Library of Medicine

75

prescriptions, 0% of all prescriptions

43

prescriptions.

17

patients, 1% of all patients

51 78
LORAZEPAM

Treats anxiety, anxiety wit... +

Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine

74

prescriptions, 0% of all prescriptions

37

prescriptions.

18

patients, 1% of all patients

52 39
AGGRENOX

Used to prevent strokes in ... +

Used to prevent strokes in patients with blood flow disorders or a history of blood clots. Source: National Library of Medicine

73

prescriptions, 0% of all prescriptions

51

prescriptions.

17

patients, 1% of all patients

53 136
GILENYA 69

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 54 84
CARBAMAZEPINE

Treats different types of s... +

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

67

prescriptions, 0% of all prescriptions

49

prescriptions.

15

patients, 1% of all patients

55 40
XARELTO

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung). Source: National Library of Medicine

67

prescriptions, 0% of all prescriptions

62

prescriptions.

<11 55 134
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

65

prescriptions, 0% of all prescriptions

39

prescriptions.

53

patients, 4% of all patients

57 174
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

60

prescriptions.

11

patients, 1% of all patients

57 203
AUBAGIO 64

prescriptions, 0% of all prescriptions

14

prescriptions.

<11 59 91
TOPAMAX 63

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 60 123
AMPYRA 63

prescriptions, 0% of all prescriptions

5

prescriptions.

11

patients, 1% of all patients

60 75
SELEGILINE HCL 56

prescriptions, 0% of all prescriptions

51

prescriptions.

<11 62 72
AZATHIOPRINE

Prevents your body from rej... +

Prevents your body from rejecting a kidney transplant. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 63 98
NADOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

21

prescriptions.

<11 64 168
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

53

prescriptions, 0% of all prescriptions

22

prescriptions.

13

patients, 1% of all patients

O 65 48
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

40

prescriptions.

22

patients, 2% of all patients

O 66 9
COPAXONE

This is used to reduce the ... +

This is used to reduce the frequency of relapses (flare-ups) in patients with relapsing-remitting multiple sclerosis (RMMS). Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

31

prescriptions.

<11 67 38
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 6, 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.