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 »

9,954Medicare Part D Prescriptions Filled, Including Refills

Rank: 22 out of 706

$1.45M Total Retail Price of All Prescriptions

Rank: 36 out of 706

1,167 Patients Receiving at Least One Drug in Part D
76% Patients 65 Years and Older

83% 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

2% of this provider’s 882 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 1%.

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

7% of this provider’s 882 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

2% of this provider’s 1,167 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

23% of this provider’s prescriptions were for brand-name drugs, compared to an average of 26%.

Prescription Price

$146 was the average price of a prescription from this provider, compared to $192 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

$625K

2012

$794K

2013

$1.2M

2014

$1.45M

2015

Number of Claims

5,386

2012

6,837

2013

8,996

2014

9,954

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
LEVETIRACETAM

Used to help control certai... +

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

1,189

prescriptions, 12% of all prescriptions

655

prescriptions.

196

patients, 17% of all patients

1 40
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

906

prescriptions, 9% of all prescriptions

812

prescriptions.

162

patients, 14% of all patients

2 44
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

813

prescriptions, 8% of all prescriptions

743

prescriptions.

174

patients, 15% of all patients

3 21
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

627

prescriptions, 6% of all prescriptions

547

prescriptions.

129

patients, 11% of all patients

10 4 93
NAMENDA XR

Used to treat the symptoms ... +

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

532

prescriptions, 5% of all prescriptions

494

prescriptions.

102

patients, 9% of all patients

5 37
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

510

prescriptions, 5% of all prescriptions

480

prescriptions.

154

patients, 13% of all patients

6 78
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

306

prescriptions, 3% of all prescriptions

266

prescriptions.

52

patients, 4% of all patients

7 132
CARBAMAZEPINE

Treats different types of s... +

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

276

prescriptions, 3% of all prescriptions

137

prescriptions.

47

patients, 4% of all patients

8 221
MEMANTINE HCL

Treats moderate to severe ... +

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

275

prescriptions, 3% of all prescriptions

262

prescriptions.

95

patients, 8% of all patients

9 151
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

264

prescriptions, 3% of all prescriptions

158

prescriptions.

45

patients, 4% of all patients

10 176
TOPIRAMATE

Helps control and prevent c... +

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

262

prescriptions, 3% of all prescriptions

107

prescriptions.

76

patients, 7% of all patients

11 70
AZILECT

Used alone or together with... +

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

230

prescriptions, 2% of all prescriptions

202

prescriptions.

32

patients, 3% of all patients

12 243
LAMOTRIGINE

Treats certain types of sei... +

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

209

prescriptions, 2% of all prescriptions

83

prescriptions.

41

patients, 4% of all patients

13 102
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

183

prescriptions, 2% of all prescriptions

178

prescriptions.

38

patients, 3% of all patients

14 139
VIMPAT

Used to control partial sei... +

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

172

prescriptions, 2% of all prescriptions

41

prescriptions.

26

patients, 2% of all patients

15 259
CLOPIDOGREL

Helps prevent stroke, heart... +

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

144

prescriptions, 1% of all prescriptions

100

prescriptions.

22

patients, 2% of all patients

16 9
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

131

prescriptions, 1% of all prescriptions

34

prescriptions.

25

patients, 2% of all patients

17 136
CARBIDOPA-LEVODOPA-ENTACAPONE 126

prescriptions, 1% of all prescriptions

114

prescriptions.

12

patients, 1% of all patients

18 339
GABAPENTIN

Treats certain types of sei... +

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

124

prescriptions, 1% of all prescriptions

88

prescriptions.

32

patients, 3% of all patients

19 5
PHENOBARBITAL

Used to control seizures. P... +

Used to control seizures. Source: National Library of Medicine

119

prescriptions, 1% of all prescriptions

30

prescriptions.

16

patients, 1% of all patients

R 20 325
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

118

prescriptions, 1% of all prescriptions

35

prescriptions.

23

patients, 2% of all patients

21 206
CLONAZEPAM

Treats seizures, panic diso... +

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

116

prescriptions, 1% of all prescriptions

75

prescriptions.

23

patients, 2% of all patients

22 39
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

111

prescriptions, 1% of all prescriptions

83

prescriptions.

29

patients, 2% of all patients

R 23 153
LORAZEPAM

Treats anxiety, anxiety wit... +

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

103

prescriptions, 1% of all prescriptions

75

prescriptions.

19

patients, 2% of all patients

24 52
TRIHEXYPHENIDYL HCL

Trihexyphenidyl is used to ... +

Trihexyphenidyl is used to treat the symptoms of Parkinson's disease and tremors caused by other medical problems or drugs. Source: National Library of Medicine

102

prescriptions, 1% of all prescriptions

82

prescriptions.

16

patients, 1% of all patients

R 25 431
BUTALBITAL-ACETAMINOPHEN-CAFFE

This combination of drugs i... +

This combination of drugs is used to relieve tension headaches. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

53

prescriptions.

32

patients, 3% of all patients

R 26 354
ZONISAMIDE

Treats partial seizures in ... +

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

91

prescriptions, 1% of all prescriptions

28

prescriptions.

14

patients, 1% of all patients

27 251
PYRIDOSTIGMINE BROMIDE 84

prescriptions, 1% of all prescriptions

79

prescriptions.

19

patients, 2% of all patients

28 298
AMANTADINE

Treats or prevents the flu ... +

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

79

prescriptions, 1% of all prescriptions

74

prescriptions.

16

patients, 1% of all patients

29 293
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

70

prescriptions, 1% of all prescriptions

45

prescriptions.

17

patients, 1% of all patients

30 43
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

69

prescriptions, 1% of all prescriptions

64

prescriptions.

16

patients, 1% of all patients

31 35
TRAMADOL HCL

Tramadol is used to relieve... +

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

66

prescriptions, 1% of all prescriptions

38

prescriptions.

12

patients, 1% of all patients

O 32 13
DILANTIN*

Treats seizures. This medic... +

Treats seizures. Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

36

prescriptions.

<11 33 414
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

62

prescriptions, 1% of all prescriptions

49

prescriptions.

<11 33 120
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

61

prescriptions, 1% of all prescriptions

14

prescriptions.

15

patients, 1% of all patients

35 158
ALPRAZOLAM

Treats anxiety, panic disor... +

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

61

prescriptions, 1% of all prescriptions

42

prescriptions.

14

patients, 1% of all patients

35 20
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

58

prescriptions, 1% of all prescriptions

53

prescriptions.

23

patients, 2% of all patients

37 196
QUETIAPINE FUMARATE

Quetiapine is used to treat... +

Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

50

prescriptions.

12

patients, 1% of all patients

P 38 55
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 15, 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.