Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Internal Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

9,471Medicare Part D Prescriptions Filled, Including Refills

Rank: 804 out of 3110

$689K Total Retail Price of All Prescriptions

Rank: 788 out of 3110

235 Patients Receiving at Least One Drug in Part D
84% Patients 65 Years and Older

88% 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

24% of this provider’s 197 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

42% of this provider’s 235 patients filled at least one prescription for an antibiotic drug, compared to an average of 31%.

More resources »

Risky Drugs for Seniors

16% of this provider’s 197 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 13%.

More resources »

Opioids

20% of this provider’s 235 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

27% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$73 was the average price of a prescription from this provider, compared to $84 among peers.

Prescriptions per Patient

40 is the average number of prescriptions (including refills) per patient, compared to an average of 17.


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

$537K

2012

$537K

2013

$585K

2014

$689K

2015

Number of Claims

7,359

2012

8,374

2013

8,381

2014

9,471

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
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

318

prescriptions, 3% of all prescriptions

283

prescriptions.

58

patients, 25% of all patients

1 2
FUROSEMIDE

Treats fluid retention (ede... +

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

298

prescriptions, 3% of all prescriptions

250

prescriptions.

41

patients, 17% of all patients

2 7
ALPRAZOLAM

Treats anxiety, panic disor... +

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

245

prescriptions, 3% of all prescriptions

170

prescriptions.

27

patients, 11% of all patients

3 17
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

230

prescriptions, 2% of all prescriptions

202

prescriptions.

34

patients, 14% of all patients

4 3
LISINOPRIL

Treats high blood pressure ... +

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

219

prescriptions, 2% of all prescriptions

201

prescriptions.

43

patients, 18% of all patients

5 4
GABAPENTIN

Treats certain types of sei... +

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

211

prescriptions, 2% of all prescriptions

157

prescriptions.

35

patients, 15% of all patients

6 10
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

196

prescriptions, 2% of all prescriptions

184

prescriptions.

28

patients, 12% of all patients

7 26
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

181

prescriptions, 2% of all prescriptions

154

prescriptions.

37

patients, 16% of all patients

8 1
SIMVASTATIN

Treats high cholesterol and... +

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

178

prescriptions, 2% of all prescriptions

134

prescriptions.

28

patients, 12% of all patients

9 5
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

163

prescriptions, 2% of all prescriptions

158

prescriptions.

32

patients, 14% of all patients

10 14
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

158

prescriptions, 2% of all prescriptions

158

prescriptions.

18

patients, 8% of all patients

11 67
TRAMADOL HCL

Tramadol is used to relieve... +

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

157

prescriptions, 2% of all prescriptions

129

prescriptions.

35

patients, 15% of all patients

O 12 12
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

148

prescriptions, 2% of all prescriptions

143

prescriptions.

11

patients, 5% of all patients

13 50
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

146

prescriptions, 2% of all prescriptions

141

prescriptions.

18

patients, 8% of all patients

14 37
CARVEDILOL

Treats high blood pressure ... +

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

143

prescriptions, 2% of all prescriptions

138

prescriptions.

27

patients, 11% of all patients

15 20
TRAZODONE HCL

Trazodone is used to treat ... +

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

139

prescriptions, 1% of all prescriptions

134

prescriptions.

34

patients, 14% of all patients

16 29
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

136

prescriptions, 1% of all prescriptions

103

prescriptions.

21

patients, 9% of all patients

17 16
NAMENDA XR

Used to treat the symptoms ... +

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

127

prescriptions, 1% of all prescriptions

122

prescriptions.

12

patients, 5% of all patients

18 59
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

124

prescriptions, 1% of all prescriptions

107

prescriptions.

27

patients, 11% of all patients

P 19 57
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

121

prescriptions, 1% of all prescriptions

80

prescriptions.

21

patients, 9% of all patients

20 24
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

107

prescriptions, 1% of all prescriptions

93

prescriptions.

<11 21 31
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

104

prescriptions, 1% of all prescriptions

77

prescriptions.

18

patients, 8% of all patients

22 6
IPRATROPIUM-ALBUTEROL

The combination of albutero... +

The combination of albuterol and ipratropium is used to prevent wheezing, difficulty breathing, chest tightness, and coughing in people with chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to the air sacs in the lungs). Source: National Library of Medicine

101

prescriptions, 1% of all prescriptions

96

prescriptions.

15

patients, 6% of all patients

23 118
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

101

prescriptions, 1% of all prescriptions

84

prescriptions.

17

patients, 7% of all patients

23 41
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

99

prescriptions, 1% of all prescriptions

88

prescriptions.

29

patients, 12% of all patients

25 8
CITALOPRAM HBR

Citalopram is used to treat... +

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

95

prescriptions, 1% of all prescriptions

82

prescriptions.

14

patients, 6% of all patients

26 30
LORAZEPAM

Treats anxiety, anxiety wit... +

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

93

prescriptions, 1% of all prescriptions

64

prescriptions.

19

patients, 8% of all patients

27 44
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

88

prescriptions, 1% of all prescriptions

73

prescriptions.

16

patients, 7% of all patients

28 19
MEMANTINE HCL

Treats moderate to severe ... +

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

88

prescriptions, 1% of all prescriptions

88

prescriptions.

16

patients, 7% of all patients

28 110
LEVETIRACETAM

Used to help control certai... +

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

86

prescriptions, 1% of all prescriptions

54

prescriptions.

12

patients, 5% of all patients

30 87
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

85

prescriptions, 1% of all prescriptions

70

prescriptions.

16

patients, 7% of all patients

31 52
BACLOFEN

Treats muscle spasms caused... +

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

78

prescriptions, 1% of all prescriptions

46

prescriptions.

13

patients, 6% of all patients

32 86
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

77

prescriptions, 1% of all prescriptions

60

prescriptions.

<11 33 58
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

75

prescriptions, 1% of all prescriptions

75

prescriptions.

11

patients, 5% of all patients

34 22
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

74

prescriptions, 1% of all prescriptions

58

prescriptions.

13

patients, 6% of all patients

35 117
NOVOLOG FLEXPEN

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

67

prescriptions.

14

patients, 6% of all patients

36 132
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

67

prescriptions.

19

patients, 8% of all patients

36 55
PAROXETINE HCL

Paroxetine tablets, suspens... +

Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), 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

72

prescriptions, 1% of all prescriptions

72

prescriptions.

12

patients, 5% of all patients

36 80
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

68

prescriptions, 1% of all prescriptions

63

prescriptions.

15

patients, 6% of all patients

39 13
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

67

prescriptions, 1% of all prescriptions

62

prescriptions.

14

patients, 6% of all patients

40 18
RISPERIDONE

Treats schizophrenia and ce... +

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

67

prescriptions, 1% of all prescriptions

62

prescriptions.

12

patients, 5% of all patients

P 40 90
OLANZAPINE

Treats psychotic mental dis... +

Treats psychotic mental disorders, such as schizophrenia or bipolar disorder (manic-depressive illness). Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

64

prescriptions.

<11 P 42 138
NOVOLIN R

Treats diabetes mellitus. +

Treats diabetes mellitus. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

54

prescriptions.

12

patients, 5% of all patients

43 180
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

59

prescriptions, 1% of all prescriptions

46

prescriptions.

17

patients, 7% of all patients

43 51
LEVEMIR FLEXTOUCH

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

52

prescriptions.

<11 45 79
LEVEMIR

Helps control blood sugar l... +

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

56

prescriptions, 1% of all prescriptions

56

prescriptions.

<11 46 131
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

55

prescriptions, 1% of all prescriptions

44

prescriptions.

14

patients, 6% of all patients

47 9
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

51

prescriptions, 1% of all prescriptions

31

prescriptions.

<11 O 48 11
CLOPIDOGREL

Helps prevent stroke, heart... +

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

50

prescriptions, 1% of all prescriptions

45

prescriptions.

11

patients, 5% of all patients

49 21
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 12, 2013.
  • 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.