Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Pain Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

19,259Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 177

$1.26M Total Retail Price of All Prescriptions

Rank: 5 out of 177

1,286 Patients Receiving at Least One Drug in Part D
60% Patients 65 Years and Older

44% 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

2% of this provider’s 1,286 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

17% of this provider’s 774 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

85% of this provider’s 1,286 patients filled at least one prescription for an opioid, compared to an average of 85%.

More resources »

Brand Name Drugs *

7% of this provider’s prescriptions were for brand-name drugs, compared to an average of 12%.

* This is an estimate, see our methodology.

Prescription Price

$65 was the average price of a prescription from this provider, compared to $92 among peers.

Prescriptions per Patient

15 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$891K

2012

$1.16M

2013

$1.4M

2014

$1.26M

2015

Number of Claims

17,122

2012

20,757

2013

22,443

2014

19,259

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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

5,567

prescriptions, 29% of all prescriptions

2,720

prescriptions.

762

patients, 59% of all patients

O 1 1
GABAPENTIN

Treats certain types of sei... +

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

1,675

prescriptions, 9% of all prescriptions

914

prescriptions.

323

patients, 25% of all patients

2 2
BACLOFEN

Treats muscle spasms caused... +

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

1,477

prescriptions, 8% of all prescriptions

717

prescriptions.

345

patients, 27% of all patients

10 3 11
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

896

prescriptions, 5% of all prescriptions

319

prescriptions.

195

patients, 15% of all patients

4 5
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

798

prescriptions, 4% of all prescriptions

323

prescriptions.

186

patients, 14% of all patients

O 5 7
TRAMADOL HCL

Tramadol is used to relieve... +

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

713

prescriptions, 4% of all prescriptions

557

prescriptions.

136

patients, 11% of all patients

O 6 6
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

658

prescriptions, 3% of all prescriptions

442

prescriptions.

174

patients, 14% of all patients

O 7 13
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

609

prescriptions, 3% of all prescriptions

368

prescriptions.

115

patients, 9% of all patients

8 9
OXYCODONE HCL

Oxycodone is used to reliev... +

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

586

prescriptions, 3% of all prescriptions

248

prescriptions.

100

patients, 8% of all patients

O 9 8
FENTANYL

Treats severe, ongoing pain... +

Treats severe, ongoing pain (during and after surgery, cancer pain) that cannot be controlled with other medicines. Source: National Library of Medicine

394

prescriptions, 2% of all prescriptions

240

prescriptions.

66

patients, 5% of all patients

O 10 4
LEVETIRACETAM

Used to help control certai... +

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

393

prescriptions, 2% of all prescriptions

192

prescriptions.

85

patients, 7% of all patients

11 47
MELOXICAM

Treats symptoms of osteoart... +

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

327

prescriptions, 2% of all prescriptions

147

prescriptions.

100

patients, 8% of all patients

12 16
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

318

prescriptions, 2% of all prescriptions

148

prescriptions.

263

patients, 20% of all patients

13 41
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

312

prescriptions, 2% of all prescriptions

63

prescriptions.

85

patients, 7% of all patients

R 14 15
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

285

prescriptions, 1% of all prescriptions

68

prescriptions.

53

patients, 4% of all patients

R 15 29
ETODOLAC ER 284

prescriptions, 1% of all prescriptions

148

prescriptions.

80

patients, 6% of all patients

10 16 52
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

283

prescriptions, 1% of all prescriptions

66

prescriptions.

45

patients, 3% of all patients

R 17 20
METHOCARBAMOL

Treats muscle pain and spas... +

Treats muscle pain and spasms. Source: National Library of Medicine

265

prescriptions, 1% of all prescriptions

127

prescriptions.

94

patients, 7% of all patients

R 18 22
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

231

prescriptions, 1% of all prescriptions

118

prescriptions.

52

patients, 4% of all patients

O 19 3
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

208

prescriptions, 1% of all prescriptions

100

prescriptions.

44

patients, 3% of all patients

20 17
CHLORZOXAZONE 207

prescriptions, 1% of all prescriptions

86

prescriptions.

69

patients, 5% of all patients

R 10 21 42
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

205

prescriptions, 1% of all prescriptions

73

prescriptions.

50

patients, 4% of all patients

O 22 12
NABUMETONE

Treats pain caused by arthr... +

Treats pain caused by arthritis. Source: National Library of Medicine

152

prescriptions, 1% of all prescriptions

78

prescriptions.

29

patients, 2% of all patients

23 50
ZONISAMIDE

Treats partial seizures in ... +

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

135

prescriptions, 1% of all prescriptions

52

prescriptions.

32

patients, 2% of all patients

24 54
TEMAZEPAM

Treats insomnia (trouble sl... +

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

123

prescriptions, 1% of all prescriptions

16

prescriptions.

19

patients, 1% of all patients

25 39
OXYCONTIN

Oxycodone is used to reliev... +

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

110

prescriptions, 1% of all prescriptions

58

prescriptions.

16

patients, 1% of all patients

O 26 14
CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

109

prescriptions, 1% of all prescriptions

63

prescriptions.

36

patients, 3% of all patients

27 24
TOPIRAMATE

Helps control and prevent c... +

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

99

prescriptions, 1% of all prescriptions

51

prescriptions.

24

patients, 2% of all patients

28 34
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

94

prescriptions, 0% of all prescriptions

30

prescriptions.

20

patients, 2% of all patients

29 76
CLONAZEPAM

Treats seizures, panic diso... +

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

90

prescriptions, 0% of all prescriptions

48

prescriptions.

14

patients, 1% of all patients

30 31
ETODOLAC

Treats pain caused by arthr... +

Treats pain caused by arthritis and other medical problems. Source: National Library of Medicine

78

prescriptions, 0% of all prescriptions

24

prescriptions.

22

patients, 2% of all patients

31 64
MORPHINE SULFATE

Morphine is used to relieve... +

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

71

prescriptions, 0% of all prescriptions

18

prescriptions.

<11 O 32 18
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

70

prescriptions, 0% of all prescriptions

23

prescriptions.

13

patients, 1% of all patients

33 58
VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine

66

prescriptions, 0% of all prescriptions

26

prescriptions.

31

patients, 2% of all patients

34 23
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

61

prescriptions, 0% of all prescriptions

31

prescriptions.

14

patients, 1% of all patients

35 86
HYDROCODONE-IBUPROFEN 60

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 O 36 53
LIDOCAINE

Causes numbness or loss of ... +

Causes numbness or loss of feeling in an area of your body. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

28

prescriptions.

23

patients, 2% of all patients

37 26
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

50

prescriptions, 0% of all prescriptions

24

prescriptions.

20

patients, 2% of all patients

38 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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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 July 8, 2007.
  • 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.