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 »

9,162Medicare Part D Prescriptions Filled, Including Refills

Rank: 29 out of 706

$578K Total Retail Price of All Prescriptions

Rank: 138 out of 706

412 Patients Receiving at Least One Drug in Part D
78% Patients 65 Years and Older

53% 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

25% of this provider’s 412 patients filled at least one prescription for an antibiotic drug, compared to an average of 16%.

More resources »

Risky Drugs for Seniors

12% of this provider’s 321 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

21% of this provider’s 412 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

20% of this provider’s prescriptions were for brand-name drugs, compared to an average of 26%.

Prescription Price

$63 was the average price of a prescription from this provider, compared to $192 among peers.

Prescriptions per Patient

22 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

$528K

2012

$649K

2013

$686K

2014

$578K

2015

Number of Claims

8,581

2012

9,709

2013

10,279

2014

9,162

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
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

551

prescriptions, 6% of all prescriptions

457

prescriptions.

100

patients, 24% of all patients

1 4
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

499

prescriptions, 5% of all prescriptions

409

prescriptions.

95

patients, 23% of all patients

2 2
LISINOPRIL

Treats high blood pressure ... +

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

440

prescriptions, 5% of all prescriptions

369

prescriptions.

93

patients, 23% of all patients

3 6
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

301

prescriptions, 3% of all prescriptions

262

prescriptions.

51

patients, 12% of all patients

4 3
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

219

prescriptions, 2% of all prescriptions

170

prescriptions.

46

patients, 11% of all patients

5 8
SIMVASTATIN

Treats high cholesterol and... +

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

212

prescriptions, 2% of all prescriptions

200

prescriptions.

42

patients, 10% of all patients

6 10
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine

212

prescriptions, 2% of all prescriptions

175

prescriptions.

39

patients, 9% of all patients

6 26
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

209

prescriptions, 2% of all prescriptions

181

prescriptions.

45

patients, 11% of all patients

8 29
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

192

prescriptions, 2% of all prescriptions

165

prescriptions.

29

patients, 7% of all patients

9 34
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

163

prescriptions, 2% of all prescriptions

128

prescriptions.

39

patients, 9% of all patients

10 23
FUROSEMIDE

Treats fluid retention (ede... +

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

158

prescriptions, 2% of all prescriptions

110

prescriptions.

41

patients, 10% of all patients

11 7
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

158

prescriptions, 2% of all prescriptions

122

prescriptions.

27

patients, 7% of all patients

11 22
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

154

prescriptions, 2% of all prescriptions

106

prescriptions.

53

patients, 13% of all patients

13 33
CARVEDILOL

Treats high blood pressure ... +

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

152

prescriptions, 2% of all prescriptions

134

prescriptions.

28

patients, 7% of all patients

14 12
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

142

prescriptions, 2% of all prescriptions

137

prescriptions.

24

patients, 6% of all patients

15 15
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

139

prescriptions, 2% of all prescriptions

88

prescriptions.

30

patients, 7% of all patients

16 11
ALLOPURINOL

Treats gout and some kinds ... +

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

127

prescriptions, 1% of all prescriptions

107

prescriptions.

30

patients, 7% of all patients

17 45
CRESTOR

Lowers high levels of chole... +

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

126

prescriptions, 1% of all prescriptions

113

prescriptions.

28

patients, 7% of all patients

18 24
TRAMADOL HCL

Tramadol is used to relieve... +

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

125

prescriptions, 1% of all prescriptions

113

prescriptions.

50

patients, 12% of all patients

O 19 13
METFORMIN HCL ER

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

119

prescriptions, 1% of all prescriptions

97

prescriptions.

26

patients, 6% of all patients

20 83
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

117

prescriptions, 1% of all prescriptions

97

prescriptions.

24

patients, 6% of all patients

21 28
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

115

prescriptions, 1% of all prescriptions

91

prescriptions.

25

patients, 6% of all patients

22 74
PROAIR HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

112

prescriptions, 1% of all prescriptions

78

prescriptions.

43

patients, 10% of all patients

23 73
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

112

prescriptions, 1% of all prescriptions

100

prescriptions.

26

patients, 6% of all patients

23 62
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

109

prescriptions, 1% of all prescriptions

89

prescriptions.

21

patients, 5% of all patients

25 19
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

94

prescriptions, 1% of all prescriptions

66

prescriptions.

21

patients, 5% of all patients

26 16
TRAZODONE HCL

Trazodone is used to treat ... +

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

94

prescriptions, 1% of all prescriptions

89

prescriptions.

15

patients, 4% of all patients

26 51
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

83

prescriptions, 1% of all prescriptions

78

prescriptions.

15

patients, 4% of all patients

28 71
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

78

prescriptions.

18

patients, 4% of all patients

28 63
GABAPENTIN

Treats certain types of sei... +

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

83

prescriptions, 1% of all prescriptions

62

prescriptions.

18

patients, 4% of all patients

28 5
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

37

prescriptions.

<11 O 28 68
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

78

prescriptions, 1% of all prescriptions

46

prescriptions.

21

patients, 5% of all patients

32 31
BENAZEPRIL HCL

Benazepril is used alone or... +

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

72

prescriptions, 1% of all prescriptions

67

prescriptions.

18

patients, 4% of all patients

33 225
AZELASTINE HCL

Used to treat hay fever and... +

Used to treat hay fever and allergy symptoms including runny nose, sneezing, and itchy nose. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

51

prescriptions.

20

patients, 5% of all patients

34 189
CITALOPRAM HBR

Citalopram is used to treat... +

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

69

prescriptions, 1% of all prescriptions

51

prescriptions.

15

patients, 4% of all patients

35 50
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

68

prescriptions, 1% of all prescriptions

39

prescriptions.

21

patients, 5% of all patients

36 18
COMBIVENT RESPIMAT

Used to help control the sy... +

Used to help control the symptoms of lung diseases, such as asthma, chronic bronchitis, and emphysema. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

31

prescriptions.

<11 37 332
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

61

prescriptions, 1% of all prescriptions

56

prescriptions.

11

patients, 3% of all patients

38 77
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

60

prescriptions, 1% of all prescriptions

55

prescriptions.

12

patients, 3% of all patients

39 48
LOVASTATIN

Lowers high cholesterol and... +

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

60

prescriptions, 1% of all prescriptions

55

prescriptions.

<11 39 179
ESOMEPRAZOLE MAGNESIUM

Treats gastroesophageal ref... +

Treats gastroesophageal reflux disease (GERD) and a damaged esophagus. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

45

prescriptions.

11

patients, 3% of all patients

41 193
AMLODIPINE BESYLATE-BENAZEPRIL

The combination of amlodipi... +

The combination of amlodipine and benazepril is used to treat high blood pressure. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

55

prescriptions.

<11 42 168
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

42

prescriptions.

24

patients, 6% of all patients

43 27
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

53

prescriptions, 1% of all prescriptions

25

prescriptions.

14

patients, 3% of all patients

44 14
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. 30, 2016.
  • 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.