Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nephrology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

6,101Medicare Part D Prescriptions Filled, Including Refills

Rank: 19 out of 607

$792K Total Retail Price of All Prescriptions

Rank: 80 out of 607

228 Patients Receiving at Least One Drug in Part D
61% Patients 65 Years and Older

33% 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

61% of this provider’s 228 patients filled at least one prescription for an antibiotic drug, compared to an average of 18%.

More resources »

Risky Drugs for Seniors

17% of this provider’s 138 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 7%.

More resources »

Opioids

17% of this provider’s 228 patients filled at least one prescription for an opioid, compared to an average of 7%.

More resources »

Brand Name Drugs

16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 26%.

Prescription Price

$130 was the average price of a prescription from this provider, compared to $199 among peers.

Prescriptions per Patient

27 is the average number of prescriptions (including refills) per patient, compared to an average of 10.


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

$469K

2012

$586K

2013

$741K

2014

$792K

2015

Number of Claims

4,125

2012

5,416

2013

5,890

2014

6,101

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
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

592

prescriptions, 10% of all prescriptions

410

prescriptions.

119

patients, 52% of all patients

A 1 23
PREDNISONE

Treats inflammation (swelli... +

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

229

prescriptions, 4% of all prescriptions

150

prescriptions.

57

patients, 25% of all patients

2 17
SIMVASTATIN

Treats high cholesterol and... +

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

211

prescriptions, 3% of all prescriptions

144

prescriptions.

39

patients, 17% of all patients

3 19
LISINOPRIL

Treats high blood pressure ... +

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

197

prescriptions, 3% of all prescriptions

91

prescriptions.

48

patients, 21% of all patients

4 4
MYCOPHENOLATE MOFETIL

Used with other medications... +

Used with other medications to help prevent transplant organ rejection (attack of the transplanted organ by the immune system of the person receiving the organ) in people who have received organ transplants. Source: National Library of Medicine

194

prescriptions, 3% of all prescriptions

128

prescriptions.

39

patients, 17% of all patients

5 86
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

187

prescriptions, 3% of all prescriptions

137

prescriptions.

39

patients, 17% of all patients

6 15
GABAPENTIN

Treats certain types of sei... +

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

158

prescriptions, 3% of all prescriptions

123

prescriptions.

31

patients, 14% of all patients

7 20
ALPRAZOLAM

Treats anxiety, panic disor... +

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

150

prescriptions, 2% of all prescriptions

112

prescriptions.

26

patients, 11% of all patients

8 35
FUROSEMIDE

Treats fluid retention (ede... +

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

137

prescriptions, 2% of all prescriptions

105

prescriptions.

37

patients, 16% of all patients

9 1
CLONIDINE HCL

Clonidine is used alone or ... +

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

131

prescriptions, 2% of all prescriptions

81

prescriptions.

30

patients, 13% of all patients

10 13
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

124

prescriptions, 2% of all prescriptions

75

prescriptions.

25

patients, 11% of all patients

11 33
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

117

prescriptions, 2% of all prescriptions

23

prescriptions.

16

patients, 7% of all patients

12 87
LOSARTAN POTASSIUM

Losartan is used alone or i... +

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

114

prescriptions, 2% of all prescriptions

81

prescriptions.

27

patients, 12% of all patients

13 9
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

102

prescriptions, 2% of all prescriptions

49

prescriptions.

23

patients, 10% of all patients

R 14 42
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

102

prescriptions, 2% of all prescriptions

85

prescriptions.

26

patients, 11% of all patients

14 27
TACROLIMUS 100

prescriptions, 2% of all prescriptions

56

prescriptions.

23

patients, 10% of all patients

16 92
TRAMADOL HCL

Tramadol is used to relieve... +

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

97

prescriptions, 2% of all prescriptions

80

prescriptions.

24

patients, 11% of all patients

O 17 26
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

94

prescriptions, 2% of all prescriptions

67

prescriptions.

20

patients, 9% of all patients

18 24
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

89

prescriptions, 1% of all prescriptions

63

prescriptions.

18

patients, 8% of all patients

19 30
SIROLIMUS 88

prescriptions, 1% of all prescriptions

83

prescriptions.

19

patients, 8% of all patients

10 20 181
ALLOPURINOL

Treats gout and some kinds ... +

Treats gout and some kinds of kidney stones. Source: National Library of Medicine

88

prescriptions, 1% of all prescriptions

50

prescriptions.

18

patients, 8% of all patients

20 11
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

81

prescriptions, 1% of all prescriptions

58

prescriptions.

23

patients, 10% of all patients

22 22
HYDRALAZINE HCL

Hydralazine is used to trea... +

Hydralazine is used to treat high blood pressure. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

44

prescriptions.

18

patients, 8% of all patients

23 8
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

78

prescriptions, 1% of all prescriptions

57

prescriptions.

12

patients, 5% of all patients

24 48
CYCLOSPORINE MODIFIED 72

prescriptions, 1% of all prescriptions

42

prescriptions.

16

patients, 7% of all patients

25 198
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

70

prescriptions, 1% of all prescriptions

50

prescriptions.

19

patients, 8% of all patients

26 2
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

70

prescriptions, 1% of all prescriptions

39

prescriptions.

18

patients, 8% of all patients

26 16
PROGRAF 64

prescriptions, 1% of all prescriptions

25

prescriptions.

13

patients, 6% of all patients

28 160
MYCOPHENOLIC ACID 60

prescriptions, 1% of all prescriptions

48

prescriptions.

12

patients, 5% of all patients

29 212
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

19

prescriptions.

15

patients, 7% of all patients

30 6
CRESTOR

Lowers high levels of chole... +

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

52

prescriptions, 1% of all prescriptions

16

prescriptions.

12

patients, 5% of all patients

31 51
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

51

prescriptions, 1% of all prescriptions

26

prescriptions.

20

patients, 9% of all patients

O 32 54
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

32

prescriptions.

15

patients, 7% of all patients

33 25
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 Aug. 27, 2009.
  • 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.