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 »

10,685Medicare Part D Prescriptions Filled, Including Refills

Rank: 639 out of 3110

$588K Total Retail Price of All Prescriptions

Rank: 983 out of 3110

328 Patients Receiving at Least One Drug in Part D
86% Patients 65 Years and Older

77% 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

11% of this provider’s 283 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

46% of this provider’s 328 patients filled at least one prescription for an antibiotic drug, compared to an average of 31%.

More resources »

Risky Drugs for Seniors

23% of this provider’s 283 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 13%.

More resources »

Opioids

21% of this provider’s 328 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

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

Prescription Price

$55 was the average price of a prescription from this provider, compared to $84 among peers.

Prescriptions per Patient

33 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

$524K

2012

$585K

2013

$582K

2014

$588K

2015

Number of Claims

9,871

2012

11,197

2013

10,350

2014

10,685

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
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

497

prescriptions, 5% of all prescriptions

437

prescriptions.

76

patients, 23% of all patients

1 16
FUROSEMIDE

Treats fluid retention (ede... +

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

442

prescriptions, 4% of all prescriptions

381

prescriptions.

68

patients, 21% of all patients

2 7
LISINOPRIL

Treats high blood pressure ... +

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

414

prescriptions, 4% of all prescriptions

351

prescriptions.

88

patients, 27% of all patients

3 4
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

313

prescriptions, 3% of all prescriptions

298

prescriptions.

53

patients, 16% of all patients

4 1
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

236

prescriptions, 2% of all prescriptions

213

prescriptions.

48

patients, 15% of all patients

5 2
GABAPENTIN

Treats certain types of sei... +

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

231

prescriptions, 2% of all prescriptions

175

prescriptions.

46

patients, 14% of all patients

6 10
CLOPIDOGREL

Helps prevent stroke, heart... +

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

214

prescriptions, 2% of all prescriptions

181

prescriptions.

40

patients, 12% of all patients

7 21
SIMVASTATIN

Treats high cholesterol and... +

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

201

prescriptions, 2% of all prescriptions

169

prescriptions.

38

patients, 12% of all patients

8 5
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

200

prescriptions, 2% of all prescriptions

136

prescriptions.

48

patients, 15% of all patients

9 3
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

197

prescriptions, 2% of all prescriptions

197

prescriptions.

41

patients, 13% of all patients

10 55
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

189

prescriptions, 2% of all prescriptions

173

prescriptions.

50

patients, 15% of all patients

11 15
ALPRAZOLAM

Treats anxiety, panic disor... +

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

165

prescriptions, 2% of all prescriptions

160

prescriptions.

35

patients, 11% of all patients

12 17
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

156

prescriptions, 1% of all prescriptions

105

prescriptions.

15

patients, 5% of all patients

13 31
MEMANTINE HCL

Treats moderate to severe ... +

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

154

prescriptions, 1% of all prescriptions

154

prescriptions.

24

patients, 7% of all patients

14 110
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

150

prescriptions, 1% of all prescriptions

150

prescriptions.

20

patients, 6% of all patients

15 67
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

148

prescriptions, 1% of all prescriptions

125

prescriptions.

26

patients, 8% of all patients

16 24
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

142

prescriptions, 1% of all prescriptions

80

prescriptions.

25

patients, 8% of all patients

P 17 57
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

141

prescriptions, 1% of all prescriptions

141

prescriptions.

26

patients, 8% of all patients

18 26
DIGOXIN

Treats certain heart rhythm... +

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

138

prescriptions, 1% of all prescriptions

133

prescriptions.

15

patients, 5% of all patients

R 19 130
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

126

prescriptions, 1% of all prescriptions

112

prescriptions.

31

patients, 9% of all patients

20 6
CARVEDILOL

Treats high blood pressure ... +

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

121

prescriptions, 1% of all prescriptions

83

prescriptions.

20

patients, 6% of all patients

21 20
TRAMADOL HCL

Tramadol is used to relieve... +

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

120

prescriptions, 1% of all prescriptions

96

prescriptions.

32

patients, 10% of all patients

O 22 12
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

118

prescriptions, 1% of all prescriptions

113

prescriptions.

24

patients, 7% of all patients

23 47
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

107

prescriptions, 1% of all prescriptions

88

prescriptions.

19

patients, 6% of all patients

24 14
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

102

prescriptions, 1% of all prescriptions

97

prescriptions.

23

patients, 7% of all patients

25 19
FLUOXETINE HCL

Fluoxetine is used to treat... +

Fluoxetine 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), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Source: National Library of Medicine

102

prescriptions, 1% of all prescriptions

89

prescriptions.

13

patients, 4% of all patients

25 76
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

102

prescriptions, 1% of all prescriptions

97

prescriptions.

17

patients, 5% of all patients

25 63
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

100

prescriptions, 1% of all prescriptions

95

prescriptions.

19

patients, 6% of all patients

28 22
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

100

prescriptions, 1% of all prescriptions

95

prescriptions.

24

patients, 7% of all patients

O 28 11
CITALOPRAM HBR

Citalopram is used to treat... +

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

99

prescriptions, 1% of all prescriptions

94

prescriptions.

19

patients, 6% of all patients

30 30
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

96

prescriptions, 1% of all prescriptions

85

prescriptions.

25

patients, 8% of all patients

31 8
NOVOLIN 70-30

Insulin injection is used t... +

Insulin injection is used to control blood sugar in people who have type 1 diabetes (condition in which the body does not make insulin and therefore cannot control the amount of sugar in the blood) or in people who have type 2 diabetes (condition in which the blood sugar is too high because the body does not produce or use insulin normally) that cannot be controlled with oral medications alone. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

83

prescriptions.

12

patients, 4% of all patients

32 207
LORAZEPAM

Treats anxiety, anxiety wit... +

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

90

prescriptions, 1% of all prescriptions

85

prescriptions.

18

patients, 5% of all patients

33 44
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

60

prescriptions.

21

patients, 6% of all patients

34 61
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

85

prescriptions, 1% of all prescriptions

85

prescriptions.

11

patients, 3% of all patients

35 129
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

80

prescriptions, 1% of all prescriptions

57

prescriptions.

26

patients, 8% of all patients

R 36 36
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

76

prescriptions, 1% of all prescriptions

71

prescriptions.

16

patients, 5% of all patients

37 13
NEXIUM

Treats heartburn, gastroeso... +

Treats heartburn, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

70

prescriptions.

18

patients, 5% of all patients

38 39
NOVOLIN R

Treats diabetes mellitus. +

Treats diabetes mellitus. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

49

prescriptions.

<11 39 180
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

72

prescriptions, 1% of all prescriptions

72

prescriptions.

15

patients, 5% of all patients

39 118
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

71

prescriptions, 1% of all prescriptions

66

prescriptions.

11

patients, 3% of all patients

41 9
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

68

prescriptions, 1% of all prescriptions

63

prescriptions.

12

patients, 4% of all patients

42 80
ALLOPURINOL

Treats gout and some kinds ... +

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

67

prescriptions, 1% of all prescriptions

53

prescriptions.

<11 43 38
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

65

prescriptions, 1% of all prescriptions

60

prescriptions.

16

patients, 5% of all patients

44 92
CEPHALEXIN

Treats bacterial infections... +

Treats bacterial infections. Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

56

prescriptions.

46

patients, 14% of all patients

A 45 125
ATENOLOL

Treats high blood pressure ... +

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

58

prescriptions, 1% of all prescriptions

58

prescriptions.

12

patients, 4% of all patients

46 33
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

55

prescriptions.

15

patients, 5% of all patients

47 32
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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

13

patients, 4% of all patients

48 51
LEVOFLOXACIN

Levofloxacin is used to tre... +

Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

48

prescriptions.

45

patients, 14% of all patients

A 48 54
AVODART

Treats problems with urinat... +

Treats problems with urination caused by an enlarged prostate (benign prostatic hyperplasia or BPH). Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

53

prescriptions.

<11 48 198
SINGLE USE SWAB

Single-use swabs +

Single-use swabs. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

48

prescriptions.

<11 48 465
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

52

prescriptions, 0% of all prescriptions

47

prescriptions.

<11 52 52
BUSPIRONE HCL

Buspirone is used to treat ... +

Buspirone is used to treat anxiety disorders or in the short-term treatment of symptoms of anxiety. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

47

prescriptions.

11

patients, 3% of all patients

52 113
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

52

prescriptions, 0% of all prescriptions

40

prescriptions.

17

patients, 5% of all patients

52 23
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

47

prescriptions.

14

patients, 4% of all patients

52 34
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

51

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 56 139
ENTACAPONE 51

prescriptions, 0% of all prescriptions

51

prescriptions.

<11 56 480
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 July 8, 2007.
  • 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.