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 »

13,653Medicare Part D Prescriptions Filled, Including Refills

Rank: 3 out of 535

$2.06M Total Retail Price of All Prescriptions

Rank: 33 out of 535

1,599 Patients Receiving at Least One Drug in Part D
79% Patients 65 Years and Older

80% 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

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

More resources »

Risky Drugs for Seniors

3% of this provider’s 1,265 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

1% of this provider’s 1,599 patients filled at least one prescription for an opioid, compared to an average of 7%.

More resources »

Brand Name Drugs

18% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$151 was the average price of a prescription from this provider, compared to $328 among peers.

Prescriptions per Patient

9 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

$1.19M

2012

$1.44M

2013

$1.7M

2014

$2.06M

2015

Number of Claims

7,813

2012

10,831

2013

12,007

2014

13,653

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
GABAPENTIN

Treats certain types of sei... +

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

1,893

prescriptions, 14% of all prescriptions

1,589

prescriptions.

456

patients, 29% of all patients

1 1
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

1,327

prescriptions, 10% of all prescriptions

1,213

prescriptions.

231

patients, 14% of all patients

2 3
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

1,059

prescriptions, 8% of all prescriptions

1,037

prescriptions.

326

patients, 20% of all patients

3 2
NAMENDA XR

Used to treat the symptoms ... +

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

646

prescriptions, 5% of all prescriptions

641

prescriptions.

174

patients, 11% of all patients

4 5
LEVETIRACETAM

Used to help control certai... +

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

595

prescriptions, 4% of all prescriptions

273

prescriptions.

117

patients, 7% of all patients

5 4
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

588

prescriptions, 4% of all prescriptions

268

prescriptions.

112

patients, 7% of all patients

10 6 28
CARBAMAZEPINE

Treats different types of s... +

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

543

prescriptions, 4% of all prescriptions

276

prescriptions.

111

patients, 7% of all patients

10 7 40
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

414

prescriptions, 3% of all prescriptions

340

prescriptions.

132

patients, 8% of all patients

8 10
CLONAZEPAM

Treats seizures, panic diso... +

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

395

prescriptions, 3% of all prescriptions

248

prescriptions.

105

patients, 7% of all patients

9 7
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

372

prescriptions, 3% of all prescriptions

372

prescriptions.

132

patients, 8% of all patients

10 15
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

281

prescriptions, 2% of all prescriptions

220

prescriptions.

106

patients, 7% of all patients

11 11
TOPIRAMATE

Helps control and prevent c... +

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

278

prescriptions, 2% of all prescriptions

50

prescriptions.

83

patients, 5% of all patients

12 6
CLOPIDOGREL

Helps prevent stroke, heart... +

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

267

prescriptions, 2% of all prescriptions

219

prescriptions.

95

patients, 6% of all patients

13 19
TRAZODONE HCL

Trazodone is used to treat ... +

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

261

prescriptions, 2% of all prescriptions

246

prescriptions.

86

patients, 5% of all patients

14 33
AZILECT

Used alone or together with... +

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

255

prescriptions, 2% of all prescriptions

238

prescriptions.

50

patients, 3% of all patients

15 13
LAMOTRIGINE

Treats certain types of sei... +

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

255

prescriptions, 2% of all prescriptions

70

prescriptions.

45

patients, 3% of all patients

15 12
PHENOBARBITAL

Used to control seizures. P... +

Used to control seizures. Source: National Library of Medicine

242

prescriptions, 2% of all prescriptions

65

prescriptions.

40

patients, 3% of all patients

R 17 53
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

236

prescriptions, 2% of all prescriptions

197

prescriptions.

45

patients, 3% of all patients

18 14
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

216

prescriptions, 2% of all prescriptions

186

prescriptions.

48

patients, 3% of all patients

19 18
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

195

prescriptions, 1% of all prescriptions

165

prescriptions.

50

patients, 3% of all patients

20 8
CITALOPRAM HBR

Citalopram is used to treat... +

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

179

prescriptions, 1% of all prescriptions

160

prescriptions.

61

patients, 4% of all patients

21 29
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

155

prescriptions, 1% of all prescriptions

61

prescriptions.

32

patients, 2% of all patients

22 32
ALPRAZOLAM

Treats anxiety, panic disor... +

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

145

prescriptions, 1% of all prescriptions

109

prescriptions.

41

patients, 3% of all patients

23 23
MECLIZINE HCL

Meclizine is used to preven... +

Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Source: National Library of Medicine

142

prescriptions, 1% of all prescriptions

119

prescriptions.

60

patients, 4% of all patients

24 89
BACLOFEN

Treats muscle spasms caused... +

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

132

prescriptions, 1% of all prescriptions

68

prescriptions.

26

patients, 2% of all patients

25 25
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

129

prescriptions, 1% of all prescriptions

97

prescriptions.

47

patients, 3% of all patients

26 30
MEMANTINE HCL

Treats moderate to severe ... +

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

124

prescriptions, 1% of all prescriptions

124

prescriptions.

51

patients, 3% of all patients

27 37
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

118

prescriptions, 1% of all prescriptions

44

prescriptions.

34

patients, 2% of all patients

28 133
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

115

prescriptions, 1% of all prescriptions

97

prescriptions.

46

patients, 3% of all patients

29 36
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

106

prescriptions, 1% of all prescriptions

12

prescriptions.

19

patients, 1% of all patients

30 41
AMANTADINE

Treats or prevents the flu ... +

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

100

prescriptions, 1% of all prescriptions

60

prescriptions.

20

patients, 1% of all patients

31 35
ENTACAPONE 96

prescriptions, 1% of all prescriptions

79

prescriptions.

16

patients, 1% of all patients

32 65
EPITOL 93

prescriptions, 1% of all prescriptions

47

prescriptions.

22

patients, 1% of all patients

10 33 186
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

87

prescriptions, 1% of all prescriptions

69

prescriptions.

31

patients, 2% of all patients

R 34 20
PYRIDOSTIGMINE BROMIDE 72

prescriptions, 1% of all prescriptions

67

prescriptions.

14

patients, 1% of all patients

35 47
VALPROIC ACID* 72

prescriptions, 1% of all prescriptions

14

prescriptions.

18

patients, 1% of all patients

35 196
NEUPRO 71

prescriptions, 1% of all prescriptions

66

prescriptions.

21

patients, 1% of all patients

37 64
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

69

prescriptions, 1% of all prescriptions

64

prescriptions.

15

patients, 1% of all patients

38 42
CARBAMAZEPINE ER

Treats certain types of se... +

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

68

prescriptions, 0% of all prescriptions

30

prescriptions.

15

patients, 1% of all patients

39 55
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

64

prescriptions, 0% of all prescriptions

64

prescriptions.

14

patients, 1% of all patients

40 17
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

64

prescriptions, 0% of all prescriptions

59

prescriptions.

22

patients, 1% of all patients

40 24
VIMPAT

Used to control partial sei... +

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

60

prescriptions, 0% of all prescriptions

11

prescriptions.

<11 42 22
RIVASTIGMINE*

Used to treat mild to moder... +

Used to treat mild to moderate dementia (memory loss and mental changes) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

58

prescriptions.

11

patients, 1% of all patients

43 65
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 July 9, 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.