Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Physician Assistant, Medical

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

8,192Medicare Part D Prescriptions Filled, Including Refills

Rank: 5 out of 432

$493K Total Retail Price of All Prescriptions

Rank: 22 out of 432

279 Patients Receiving at Least One Drug in Part D
66% Patients 65 Years and Older

61% 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

61% of this provider’s 279 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 184 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

26% of this provider’s 279 patients filled at least one prescription for an opioid, compared to an average of 9%.

More resources »

Brand Name Drugs

18% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$60 was the average price of a prescription from this provider, compared to $156 among peers.

Prescriptions per Patient

29 is the average number of prescriptions (including refills) per patient, compared to an average of 7.


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

$186K

2012

$299K

2013

$422K

2014

$493K

2015

Number of Claims

3,644

2012

5,931

2013

7,172

2014

8,192

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

343

prescriptions, 4% of all prescriptions

229

prescriptions.

57

patients, 20% of all patients

1 1
LISINOPRIL

Treats high blood pressure ... +

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

340

prescriptions, 4% of all prescriptions

201

prescriptions.

62

patients, 22% of all patients

2 2
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

242

prescriptions, 3% of all prescriptions

176

prescriptions.

55

patients, 20% of all patients

3 3
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

216

prescriptions, 3% of all prescriptions

161

prescriptions.

43

patients, 15% of all patients

4 4
SIMVASTATIN

Treats high cholesterol and... +

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

195

prescriptions, 2% of all prescriptions

121

prescriptions.

35

patients, 13% of all patients

5 6
GABAPENTIN

Treats certain types of sei... +

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

177

prescriptions, 2% of all prescriptions

85

prescriptions.

32

patients, 11% of all patients

6 8
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

175

prescriptions, 2% of all prescriptions

109

prescriptions.

42

patients, 15% of all patients

7 7
FUROSEMIDE

Treats fluid retention (ede... +

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

161

prescriptions, 2% of all prescriptions

108

prescriptions.

39

patients, 14% of all patients

8 10
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

155

prescriptions, 2% of all prescriptions

131

prescriptions.

32

patients, 11% of all patients

9 33
ALPRAZOLAM

Treats anxiety, panic disor... +

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

155

prescriptions, 2% of all prescriptions

79

prescriptions.

33

patients, 12% of all patients

9 21
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

139

prescriptions, 2% of all prescriptions

52

prescriptions.

21

patients, 8% of all patients

11 22
TRAMADOL HCL

Tramadol is used to relieve... +

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

134

prescriptions, 2% of all prescriptions

71

prescriptions.

47

patients, 17% of all patients

O 12 9
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

133

prescriptions, 2% of all prescriptions

100

prescriptions.

31

patients, 11% of all patients

13 12
CLOPIDOGREL

Helps prevent stroke, heart... +

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

130

prescriptions, 2% of all prescriptions

125

prescriptions.

26

patients, 9% of all patients

14 30
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

125

prescriptions, 2% of all prescriptions

54

prescriptions.

26

patients, 9% of all patients

15 5
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

125

prescriptions, 2% of all prescriptions

90

prescriptions.

86

patients, 31% of all patients

A 15 29
LORAZEPAM

Treats anxiety, anxiety wit... +

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

115

prescriptions, 1% of all prescriptions

75

prescriptions.

22

patients, 8% of all patients

17 83
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

104

prescriptions, 1% of all prescriptions

38

prescriptions.

21

patients, 8% of all patients

18 15
MELOXICAM

Treats symptoms of osteoart... +

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

102

prescriptions, 1% of all prescriptions

55

prescriptions.

26

patients, 9% of all patients

19 18
PREDNISONE

Treats inflammation (swelli... +

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

97

prescriptions, 1% of all prescriptions

68

prescriptions.

44

patients, 16% of all patients

20 28
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

89

prescriptions, 1% of all prescriptions

52

prescriptions.

20

patients, 7% of all patients

21 13
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

88

prescriptions, 1% of all prescriptions

64

prescriptions.

25

patients, 9% of all patients

22 24
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

85

prescriptions, 1% of all prescriptions

55

prescriptions.

28

patients, 10% of all patients

23 31
AMOXICILLIN

Treats infections. Also use... +

Treats infections. Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

62

prescriptions.

52

patients, 19% of all patients

A 24 71
CITALOPRAM HBR

Citalopram is used to treat... +

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

82

prescriptions, 1% of all prescriptions

23

prescriptions.

13

patients, 5% of all patients

25 44
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

82

prescriptions, 1% of all prescriptions

63

prescriptions.

14

patients, 5% of all patients

25 48
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

77

prescriptions, 1% of all prescriptions

57

prescriptions.

23

patients, 8% of all patients

27 39
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

45

prescriptions.

<11 27 99
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

29

prescriptions.

16

patients, 6% of all patients

29 189
TRIAMCINOLONE ACETONIDE

Triamcinolone is used to tr... +

Triamcinolone is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

44

prescriptions.

32

patients, 11% of all patients

30 67
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

67

prescriptions, 1% of all prescriptions

62

prescriptions.

19

patients, 7% of all patients

31 11
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

59

prescriptions.

33

patients, 12% of all patients

O 32 25
CARVEDILOL

Treats high blood pressure ... +

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

63

prescriptions, 1% of all prescriptions

46

prescriptions.

16

patients, 6% of all patients

33 26
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

62

prescriptions, 1% of all prescriptions

28

prescriptions.

<11 R 34 49
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

28

prescriptions.

11

patients, 4% of all patients

35 50
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

57

prescriptions, 1% of all prescriptions

37

prescriptions.

14

patients, 5% of all patients

36 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

57

prescriptions, 1% of all prescriptions

35

prescriptions.

14

patients, 5% of all patients

36 20
ENALAPRIL MALEATE

Enalapril is used alone or ... +

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

57

prescriptions, 1% of all prescriptions

43

prescriptions.

12

patients, 4% of all patients

36 53
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

56

prescriptions, 1% of all prescriptions

21

prescriptions.

12

patients, 4% of all patients

39 102
ESOMEPRAZOLE MAGNESIUM

Treats gastroesophageal ref... +

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

54

prescriptions, 1% of all prescriptions

16

prescriptions.

11

patients, 4% of all patients

40 152
AZITHROMYCIN

Treats infections caused by... +

Treats infections caused by certain bacteria. Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

25

prescriptions.

40

patients, 14% of all patients

A 40 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

54

prescriptions, 1% of all prescriptions

24

prescriptions.

<11 40 19
CLINDAMYCIN HCL

Clindamycin is used to trea... +

Clindamycin is used to treat certain types of bacterial infections, including infections of the lungs, skin, blood, female reproductive organs, and internal organs. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

28

prescriptions.

38

patients, 14% of all patients

A 43 235
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

52

prescriptions, 1% of all prescriptions

47

prescriptions.

13

patients, 5% of all patients

44 87
CLONAZEPAM

Treats seizures, panic diso... +

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

50

prescriptions, 1% of all prescriptions

5

prescriptions.

16

patients, 6% of all patients

45 50
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 June 16, 2009.
  • 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.