Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Specialist

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

8,717Medicare Part D Prescriptions Filled, Including Refills

Rank: 35 out of 706

$968K Total Retail Price of All Prescriptions

Rank: 64 out of 706

662 Patients Receiving at Least One Drug in Part D
90% Patients 65 Years and Older

25% 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

5% of this provider’s 662 patients filled at least one prescription for an antibiotic drug, compared to an average of 16%.

More resources »

Risky Drugs for Seniors

13% of this provider’s 599 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 662 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 26%.

Prescription Price

$111 was the average price of a prescription from this provider, compared to $192 among peers.

Prescriptions per Patient

13 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

$781K

2012

$945K

2013

$999K

2014

$968K

2015

Number of Claims

7,999

2012

9,404

2013

9,253

2014

8,717

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
CLOPIDOGREL

Helps prevent stroke, heart... +

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

538

prescriptions, 6% of all prescriptions

500

prescriptions.

171

patients, 26% of all patients

1 9
LISINOPRIL

Treats high blood pressure ... +

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

449

prescriptions, 5% of all prescriptions

416

prescriptions.

134

patients, 20% of all patients

2 6
CARVEDILOL

Treats high blood pressure ... +

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

402

prescriptions, 5% of all prescriptions

359

prescriptions.

125

patients, 19% of all patients

3 12
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

394

prescriptions, 5% of all prescriptions

362

prescriptions.

116

patients, 18% of all patients

4 23
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

292

prescriptions, 3% of all prescriptions

287

prescriptions.

93

patients, 14% of all patients

5 2
SOTALOL

Treats an irregular heartbe... +

Treats an irregular heartbeat. Source: National Library of Medicine

261

prescriptions, 3% of all prescriptions

247

prescriptions.

70

patients, 11% of all patients

6 156
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

230

prescriptions, 3% of all prescriptions

213

prescriptions.

70

patients, 11% of all patients

7 74
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

222

prescriptions, 3% of all prescriptions

217

prescriptions.

68

patients, 10% of all patients

8 15
SIMVASTATIN

Treats high cholesterol and... +

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

208

prescriptions, 2% of all prescriptions

188

prescriptions.

67

patients, 10% of all patients

9 10
FUROSEMIDE

Treats fluid retention (ede... +

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

199

prescriptions, 2% of all prescriptions

174

prescriptions.

67

patients, 10% of all patients

10 7
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

195

prescriptions, 2% of all prescriptions

190

prescriptions.

69

patients, 10% of all patients

11 4
ALLOPURINOL

Treats gout and some kinds ... +

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

151

prescriptions, 2% of all prescriptions

130

prescriptions.

50

patients, 8% of all patients

12 45
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

149

prescriptions, 2% of all prescriptions

128

prescriptions.

55

patients, 8% of all patients

13 18
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

143

prescriptions, 2% of all prescriptions

143

prescriptions.

29

patients, 4% of all patients

14 57
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

138

prescriptions, 2% of all prescriptions

133

prescriptions.

38

patients, 6% of all patients

15 25
ZETIA

Lowers cholesterol in your ... +

Lowers cholesterol in your blood. Source: National Library of Medicine

126

prescriptions, 1% of all prescriptions

113

prescriptions.

30

patients, 5% of all patients

16 81
DIGOXIN

Treats certain heart rhythm... +

Treats certain heart rhythm problems (atrial fibrillation). Source: National Library of Medicine

123

prescriptions, 1% of all prescriptions

87

prescriptions.

34

patients, 5% of all patients

R 17 85
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

117

prescriptions, 1% of all prescriptions

112

prescriptions.

33

patients, 5% of all patients

18 11
ATENOLOL

Treats high blood pressure ... +

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

115

prescriptions, 1% of all prescriptions

97

prescriptions.

35

patients, 5% of all patients

19 54
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

111

prescriptions, 1% of all prescriptions

98

prescriptions.

39

patients, 6% of all patients

20 16
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

106

prescriptions, 1% of all prescriptions

92

prescriptions.

31

patients, 5% of all patients

21 61
TRIAMTERENE-HYDROCHLOROTHIAZID

Used to treat high blood pr... +

Used to treat high blood pressure and edema (fluid retention; excess fluid held in body tissues) in patients who have lower amounts of potassium in their bodies or for whom low potassium levels in the body could be dangerous. Source: National Library of Medicine

106

prescriptions, 1% of all prescriptions

101

prescriptions.

34

patients, 5% of all patients

21 169
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

104

prescriptions, 1% of all prescriptions

86

prescriptions.

33

patients, 5% of all patients

23 22
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

93

prescriptions, 1% of all prescriptions

88

prescriptions.

30

patients, 5% of all patients

24 3
FLECAINIDE ACETATE

Flecainide is used to preve... +

Flecainide is used to prevent certain types of life-threatening irregular heartbeats. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

83

prescriptions.

22

patients, 3% of all patients

25 231
ELIQUIS

Used to help prevent stroke... +

Used to help prevent strokes or blood clots in people who have atrial fibrillation (a condition in which the heart beats irregularly, increasing the chance of clots forming in the body and possibly causing strokes) that is not caused by heart valve disease. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

79

prescriptions.

18

patients, 3% of all patients

26 114
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

78

prescriptions, 1% of all prescriptions

73

prescriptions.

26

patients, 4% of all patients

27 69
GABAPENTIN

Treats certain types of sei... +

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

74

prescriptions, 1% of all prescriptions

69

prescriptions.

25

patients, 4% of all patients

28 5
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

60

prescriptions.

24

patients, 4% of all patients

28 24
AMIODARONE HCL

Amiodarone is used to treat... +

Amiodarone is used to treat and prevent certain types of serious, life-threatening ventricular arrhythmias (a certain type of abnormal heart rhythm when other medications did not help or could not be tolerated. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

66

prescriptions.

25

patients, 4% of all patients

30 75
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

69

prescriptions, 1% of all prescriptions

64

prescriptions.

27

patients, 4% of all patients

31 46
NITROSTAT

Treats or prevents angina (... +

Treats or prevents angina (chest pain). Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

63

prescriptions.

56

patients, 8% of all patients

32 186
VALSARTAN

Valsartan is used alone or ... +

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

67

prescriptions, 1% of all prescriptions

62

prescriptions.

20

patients, 3% of all patients

33 92
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

65

prescriptions, 1% of all prescriptions

50

prescriptions.

18

patients, 3% of all patients

34 8
VALSARTAN-HYDROCHLOROTHIAZIDE

Treats high blood pressure. +

Treats high blood pressure. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

65

prescriptions.

12

patients, 2% of all patients

34 79
RANEXA

Treats or prevents angina (... +

Treats or prevents angina (chest pain). Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

54

prescriptions.

19

patients, 3% of all patients

36 161
MULTAQ

Treats heart rhythm problem... +

Treats heart rhythm problems in patients who have a history of atrial fibrillation. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

56

prescriptions.

12

patients, 2% of all patients

37 242
EFFIENT

Used to prevent strokes, he... +

Used to prevent strokes, heart attacks, or other serious problems with your heart or blood vessels. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

41

prescriptions.

<11 38 257
KLOR-CON M20

Potassium is essential for ... +

Potassium is essential for the proper functioning of the heart, kidneys, muscles, nerves, and digestive system. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

47

prescriptions.

12

patients, 2% of all patients

39 208
ALPRAZOLAM

Treats anxiety, panic disor... +

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

51

prescriptions, 1% of all prescriptions

39

prescriptions.

17

patients, 3% of all patients

40 20
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 Sept. 14, 2012.
  • 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.