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 »

8,351Medicare Part D Prescriptions Filled, Including Refills

Rank: 36 out of 706

$637K Total Retail Price of All Prescriptions

Rank: 119 out of 706

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

45% 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

13% of this provider’s 231 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 1%.

More resources »

Antibiotics

49% of this provider’s 257 patients filled at least one prescription for an antibiotic drug, compared to an average of 16%.

More resources »

Risky Drugs for Seniors

29% of this provider’s 231 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

29% of this provider’s 257 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

28% of this provider’s prescriptions were for brand-name drugs, compared to an average of 26%.

Prescription Price

$76 was the average price of a prescription from this provider, compared to $192 among peers.

Prescriptions per Patient

32 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

$286K

2012

$521K

2013

$547K

2014

$637K

2015

Number of Claims

3,157

2012

6,071

2013

7,508

2014

8,351

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
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

293

prescriptions, 4% of all prescriptions

236

prescriptions.

43

patients, 17% of all patients

1 3
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

258

prescriptions, 3% of all prescriptions

236

prescriptions.

35

patients, 14% of all patients

2 2
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

233

prescriptions, 3% of all prescriptions

204

prescriptions.

42

patients, 16% of all patients

3 22
FUROSEMIDE

Treats fluid retention (ede... +

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

215

prescriptions, 3% of all prescriptions

163

prescriptions.

39

patients, 15% of all patients

4 7
CRESTOR

Lowers high levels of chole... +

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

188

prescriptions, 2% of all prescriptions

174

prescriptions.

26

patients, 10% of all patients

5 24
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

176

prescriptions, 2% of all prescriptions

153

prescriptions.

34

patients, 13% of all patients

6 14
SIMVASTATIN

Treats high cholesterol and... +

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

173

prescriptions, 2% of all prescriptions

150

prescriptions.

33

patients, 13% of all patients

7 10
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

127

prescriptions, 2% of all prescriptions

115

prescriptions.

28

patients, 11% of all patients

8 101
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

123

prescriptions, 1% of all prescriptions

107

prescriptions.

33

patients, 13% of all patients

O 9 1
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

120

prescriptions, 1% of all prescriptions

100

prescriptions.

21

patients, 8% of all patients

10 48
TRAMADOL HCL

Tramadol is used to relieve... +

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

119

prescriptions, 1% of all prescriptions

96

prescriptions.

32

patients, 12% of all patients

O 11 13
GABAPENTIN

Treats certain types of sei... +

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

119

prescriptions, 1% of all prescriptions

82

prescriptions.

20

patients, 8% of all patients

11 5
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

118

prescriptions, 1% of all prescriptions

118

prescriptions.

29

patients, 11% of all patients

13 8
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

112

prescriptions, 1% of all prescriptions

107

prescriptions.

20

patients, 8% of all patients

14 16
LISINOPRIL

Treats high blood pressure ... +

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

111

prescriptions, 1% of all prescriptions

94

prescriptions.

26

patients, 10% of all patients

15 6
CARVEDILOL

Treats high blood pressure ... +

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

105

prescriptions, 1% of all prescriptions

88

prescriptions.

19

patients, 7% of all patients

16 12
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

100

prescriptions, 1% of all prescriptions

100

prescriptions.

21

patients, 8% of all patients

17 21
LORAZEPAM

Treats anxiety, anxiety wit... +

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

94

prescriptions, 1% of all prescriptions

89

prescriptions.

29

patients, 11% of all patients

18 52
NIACIN ER

Lowers cholesterol and trig... +

Lowers cholesterol and triglyceride levels in the blood and treats niacin deficiency (pellagra). Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

80

prescriptions.

12

patients, 5% of all patients

19 260
HYDROCHLOROTHIAZIDE

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). Source: National Library of Medicine

88

prescriptions, 1% of all prescriptions

83

prescriptions.

14

patients, 5% of all patients

20 29
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

86

prescriptions, 1% of all prescriptions

86

prescriptions.

21

patients, 8% of all patients

21 18
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

84

prescriptions, 1% of all prescriptions

79

prescriptions.

18

patients, 7% of all patients

22 36
CLOPIDOGREL

Helps prevent stroke, heart... +

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

83

prescriptions, 1% of all prescriptions

78

prescriptions.

26

patients, 10% of all patients

23 9
ALPRAZOLAM

Treats anxiety, panic disor... +

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

79

prescriptions, 1% of all prescriptions

62

prescriptions.

21

patients, 8% of all patients

24 20
ALENDRONATE SODIUM

Alendronate is used to trea... +

Alendronate is used to treat and prevent osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause (''change of life,'' end of menstrual periods) and to treat osteoporosis in men. Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

78

prescriptions.

14

patients, 5% of all patients

25 71
PIOGLITAZONE HCL

Pioglitazone is used to tre... +

Pioglitazone is used 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

76

prescriptions, 1% of all prescriptions

71

prescriptions.

14

patients, 5% of all patients

26 134
BENICAR

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

75

prescriptions.

12

patients, 5% of all patients

27 178
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

72

prescriptions, 1% of all prescriptions

67

prescriptions.

20

patients, 8% of all patients

R 28 41
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

72

prescriptions.

11

patients, 4% of all patients

28 32
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

71

prescriptions, 1% of all prescriptions

58

prescriptions.

<11 30 43
VESICARE

Solifenacin is used to trea... +

Solifenacin is used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

57

prescriptions.

<11 30 113
CITALOPRAM HBR

Citalopram is used to treat... +

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

71

prescriptions, 1% of all prescriptions

60

prescriptions.

12

patients, 5% of all patients

30 50
LEVEMIR

Helps control blood sugar l... +

Helps control blood sugar levels. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

69

prescriptions.

<11 33 236
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

66

prescriptions, 1% of all prescriptions

61

prescriptions.

<11 34 11
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

65

prescriptions, 1% of all prescriptions

65

prescriptions.

<11 35 78
WELCHOL

Used together with diet and... +

Used together with diet and exercise to lower cholesterol levels in the blood and to treat type 2 diabetes. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

49

prescriptions.

15

patients, 6% of all patients

36 312
BYSTOLIC

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

63

prescriptions.

<11 36 108
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

62

prescriptions, 1% of all prescriptions

57

prescriptions.

20

patients, 8% of all patients

38 4
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

61

prescriptions, 1% of all prescriptions

56

prescriptions.

19

patients, 7% of all patients

39 23
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

53

prescriptions, 1% of all prescriptions

40

prescriptions.

12

patients, 5% of all patients

40 19
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

Treats stuffy nose caused by hay fever and other allergies. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

47

prescriptions.

17

patients, 7% of all patients

41 33
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

25

prescriptions.

11

patients, 4% of all patients

O 42 30
AMOXICILLIN-CLAVULANATE POTASS

Treats infections. +

Treats infections. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

45

prescriptions.

29

patients, 11% of all patients

A 43 229
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

50

prescriptions.

<11 P 43 123
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 July 28, 2008.
  • 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.