Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Pain Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

16,427Medicare Part D Prescriptions Filled, Including Refills

Rank: 4 out of 177

$846K Total Retail Price of All Prescriptions

Rank: 14 out of 177

1,007 Patients Receiving at Least One Drug in Part D
37% Patients 65 Years and Older

73% 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

5% of this provider’s 1,007 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

22% of this provider’s 373 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

95% of this provider’s 1,007 patients filled at least one prescription for an opioid, compared to an average of 85%.

More resources »

Brand Name Drugs

10% of this provider’s prescriptions were for brand-name drugs, compared to an average of 12%.

Prescription Price

$52 was the average price of a prescription from this provider, compared to $92 among peers.

Prescriptions per Patient

16 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$395K

2012

$561K

2013

$733K

2014

$846K

2015

Number of Claims

9,225

2012

11,221

2013

13,946

2014

16,427

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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

3,784

prescriptions, 23% of all prescriptions

1,446

prescriptions.

605

patients, 60% of all patients

O 1 1
TRAMADOL HCL

Tramadol is used to relieve... +

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

1,246

prescriptions, 8% of all prescriptions

384

prescriptions.

224

patients, 22% of all patients

O 2 6
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

1,145

prescriptions, 7% of all prescriptions

224

prescriptions.

241

patients, 24% of all patients

3 5
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

1,084

prescriptions, 7% of all prescriptions

308

prescriptions.

252

patients, 25% of all patients

O 4 7
GABAPENTIN

Treats certain types of sei... +

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

925

prescriptions, 6% of all prescriptions

307

prescriptions.

206

patients, 20% of all patients

5 2
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

708

prescriptions, 4% of all prescriptions

192

prescriptions.

152

patients, 15% of all patients

O 6 12
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

674

prescriptions, 4% of all prescriptions

148

prescriptions.

143

patients, 14% of all patients

7 9
MORPHINE SULFATE ER

Morphine (extended release)... +

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

637

prescriptions, 4% of all prescriptions

261

prescriptions.

134

patients, 13% of all patients

O 8 3
METHADONE HCL

Methadone is used to reliev... +

Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. Source: National Library of Medicine

525

prescriptions, 3% of all prescriptions

187

prescriptions.

66

patients, 7% of all patients

O 9 10
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

508

prescriptions, 3% of all prescriptions

104

prescriptions.

101

patients, 10% of all patients

R 10 20
CHLORZOXAZONE 337

prescriptions, 2% of all prescriptions

71

prescriptions.

123

patients, 12% of all patients

R 10 11 42
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

279

prescriptions, 2% of all prescriptions

110

prescriptions.

55

patients, 5% of all patients

12 17
MELOXICAM

Treats symptoms of osteoart... +

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

273

prescriptions, 2% of all prescriptions

45

prescriptions.

69

patients, 7% of all patients

13 16
CARISOPRODOL

Treats pain and stiffness o... +

Treats pain and stiffness of muscle spasms. Source: National Library of Medicine

241

prescriptions, 1% of all prescriptions

82

prescriptions.

38

patients, 4% of all patients

R 14 19
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

241

prescriptions, 1% of all prescriptions

26

prescriptions.

61

patients, 6% of all patients

R 14 15
ALPRAZOLAM

Treats anxiety, panic disor... +

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

201

prescriptions, 1% of all prescriptions

94

prescriptions.

28

patients, 3% of all patients

16 21
PROMETHAZINE HCL

Promethazine is used to rel... +

Promethazine is used to relieve the symptoms of allergic reactions such as allergic rhinitis (runny nose and watery eyes caused by allergy to pollen, mold or dust), allergic conjunctivitis (red, watery eyes caused by allergies), allergic skin reactions, and allergic reactions to blood or plasma products. Source: National Library of Medicine

175

prescriptions, 1% of all prescriptions

11

prescriptions.

34

patients, 3% of all patients

R 17 49
OXYCONTIN

Oxycodone is used to reliev... +

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

174

prescriptions, 1% of all prescriptions

12

prescriptions.

27

patients, 3% of all patients

O 18 14
FENTANYL

Treats severe, ongoing pain... +

Treats severe, ongoing pain (during and after surgery, cancer pain) that cannot be controlled with other medicines. Source: National Library of Medicine

169

prescriptions, 1% of all prescriptions

98

prescriptions.

38

patients, 4% of all patients

O 19 4
BACLOFEN

Treats muscle spasms caused... +

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

166

prescriptions, 1% of all prescriptions

34

prescriptions.

52

patients, 5% of all patients

20 11
CITALOPRAM HBR

Citalopram is used to treat... +

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

136

prescriptions, 1% of all prescriptions

57

prescriptions.

29

patients, 3% of all patients

21 57
METHOCARBAMOL

Treats muscle pain and spas... +

Treats muscle pain and spasms. Source: National Library of Medicine

133

prescriptions, 1% of all prescriptions

26

prescriptions.

48

patients, 5% of all patients

R 22 22
DOXEPIN HCL

Doxepin is used to treat de... +

Doxepin is used to treat depression and anxiety. Source: National Library of Medicine

131

prescriptions, 1% of all prescriptions

23

prescriptions.

44

patients, 4% of all patients

R 23 43
CLONAZEPAM

Treats seizures, panic diso... +

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

121

prescriptions, 1% of all prescriptions

30

prescriptions.

20

patients, 2% of all patients

24 31
BUTALBITAL-ACETAMINOPHEN-CAFFE

This combination of drugs i... +

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

116

prescriptions, 1% of all prescriptions

20

prescriptions.

24

patients, 2% of all patients

R 25 61
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

116

prescriptions, 1% of all prescriptions

39

prescriptions.

25

patients, 2% of all patients

25 45
TRAZODONE HCL

Trazodone is used to treat ... +

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

114

prescriptions, 1% of all prescriptions

40

prescriptions.

18

patients, 2% of all patients

27 47
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

109

prescriptions, 1% of all prescriptions

35

prescriptions.

55

patients, 5% of all patients

O 28 13
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

96

prescriptions, 1% of all prescriptions

34

prescriptions.

18

patients, 2% of all patients

R 29 29
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

88

prescriptions, 1% of all prescriptions

42

prescriptions.

15

patients, 1% of all patients

30 28
OXYCODONE HCL

Oxycodone is used to reliev... +

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

86

prescriptions, 1% of all prescriptions

5

prescriptions.

17

patients, 2% of all patients

O 31 8
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

84

prescriptions, 1% of all prescriptions

33

prescriptions.

33

patients, 3% of all patients

32 78
ETODOLAC

Treats pain caused by arthr... +

Treats pain caused by arthritis and other medical problems. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

22

prescriptions.

26

patients, 3% of all patients

33 64
LISINOPRIL

Treats high blood pressure ... +

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

73

prescriptions, 0% of all prescriptions

15

prescriptions.

14

patients, 1% of all patients

34 82
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

69

prescriptions, 0% of all prescriptions

26

prescriptions.

19

patients, 2% of all patients

35 65
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

66

prescriptions, 0% of all prescriptions

12

prescriptions.

22

patients, 2% of all patients

36 38
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

62

prescriptions, 0% of all prescriptions

11

prescriptions.

12

patients, 1% of all patients

37 85
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

61

prescriptions, 0% of all prescriptions

17

prescriptions.

12

patients, 1% of all patients

P 38 86
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 39 36
VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

17

prescriptions.

27

patients, 3% of all patients

40 23
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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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 May 27, 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.