Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Neurology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

8,150Medicare Part D Prescriptions Filled, Including Refills

Rank: 14 out of 535

$3.1M Total Retail Price of All Prescriptions

Rank: 10 out of 535

641 Patients Receiving at Least One Drug in Part D
74% Patients 65 Years and Older

35% 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

4% of this provider’s 474 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 5%.

More resources »

Antibiotics

2% of this provider’s 641 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

8% of this provider’s 474 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

5% of this provider’s 641 patients filled at least one prescription for an opioid, compared to an average of 7%.

More resources »

Brand Name Drugs

25% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$381 was the average price of a prescription from this provider, compared to $328 among peers.

Prescriptions per Patient

13 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

$1.34M

2012

$1.96M

2013

$2.4M

2014

$3.1M

2015

Number of Claims

5,898

2012

7,674

2013

8,027

2014

8,150

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
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

519

prescriptions, 6% of all prescriptions

495

prescriptions.

92

patients, 14% of all patients

1 2
LAMOTRIGINE

Treats certain types of sei... +

Treats certain types of seizures and mood disorders. Source: National Library of Medicine

355

prescriptions, 4% of all prescriptions

214

prescriptions.

47

patients, 7% of all patients

2 12
NAMENDA XR

Used to treat the symptoms ... +

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

344

prescriptions, 4% of all prescriptions

339

prescriptions.

55

patients, 9% of all patients

3 5
GABAPENTIN

Treats certain types of sei... +

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

336

prescriptions, 4% of all prescriptions

257

prescriptions.

74

patients, 12% of all patients

4 1
TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Source: National Library of Medicine

333

prescriptions, 4% of all prescriptions

191

prescriptions.

66

patients, 10% of all patients

5 6
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

323

prescriptions, 4% of all prescriptions

318

prescriptions.

56

patients, 9% of all patients

6 3
CLONAZEPAM

Treats seizures, panic diso... +

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

258

prescriptions, 3% of all prescriptions

217

prescriptions.

46

patients, 7% of all patients

7 7
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

199

prescriptions, 2% of all prescriptions

99

prescriptions.

29

patients, 5% of all patients

R 8 20
LEVETIRACETAM

Used to help control certai... +

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

194

prescriptions, 2% of all prescriptions

47

prescriptions.

30

patients, 5% of all patients

9 4
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

183

prescriptions, 2% of all prescriptions

138

prescriptions.

40

patients, 6% of all patients

10 8
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

174

prescriptions, 2% of all prescriptions

103

prescriptions.

25

patients, 4% of all patients

11 34
VIMPAT

Used to control partial sei... +

Used to control partial seizures (convulsions) in the treatment of epilepsy. Source: National Library of Medicine

163

prescriptions, 2% of all prescriptions

26

prescriptions.

22

patients, 3% of all patients

12 22
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

153

prescriptions, 2% of all prescriptions

113

prescriptions.

31

patients, 5% of all patients

13 11
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

148

prescriptions, 2% of all prescriptions

148

prescriptions.

30

patients, 5% of all patients

14 17
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

140

prescriptions, 2% of all prescriptions

69

prescriptions.

32

patients, 5% of all patients

15 27
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

118

prescriptions, 1% of all prescriptions

73

prescriptions.

21

patients, 3% of all patients

16 24
ROPINIROLE ER 117

prescriptions, 1% of all prescriptions

103

prescriptions.

22

patients, 3% of all patients

17 67
BACLOFEN

Treats muscle spasms caused... +

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

114

prescriptions, 1% of all prescriptions

28

prescriptions.

24

patients, 4% of all patients

18 25
ZONISAMIDE

Treats partial seizures in ... +

Treats partial seizures in adults with epilepsy. Source: National Library of Medicine

112

prescriptions, 1% of all prescriptions

16

prescriptions.

20

patients, 3% of all patients

19 31
AZILECT

Used alone or together with... +

Used alone or together with levodopa for the treatment of Parkinson's disease. Source: National Library of Medicine

110

prescriptions, 1% of all prescriptions

105

prescriptions.

15

patients, 2% of all patients

20 13
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

107

prescriptions, 1% of all prescriptions

71

prescriptions.

19

patients, 3% of all patients

21 18
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

101

prescriptions, 1% of all prescriptions

44

prescriptions.

13

patients, 2% of all patients

22 10
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

95

prescriptions, 1% of all prescriptions

67

prescriptions.

16

patients, 2% of all patients

23 30
CARBAMAZEPINE ER

Treats certain types of se... +

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

84

prescriptions, 1% of all prescriptions

39

prescriptions.

11

patients, 2% of all patients

24 55
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

80

prescriptions, 1% of all prescriptions

45

prescriptions.

16

patients, 2% of all patients

25 102
CARBIDOPA-LEVODOPA ER

Used to treat the symptoms ... +

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

79

prescriptions, 1% of all prescriptions

74

prescriptions.

14

patients, 2% of all patients

26 16
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

78

prescriptions, 1% of all prescriptions

56

prescriptions.

12

patients, 2% of all patients

27 78
METHYLPHENIDATE HCL

Methylphenidate is used as ... +

Methylphenidate is used as part of a treatment program to control symptoms of attention deficit hyperactivity disorder (ADHD; more difficulty focusing, controlling actions, and remaining still or quiet than other people who are the same age) in adults and children. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

57

prescriptions.

13

patients, 2% of all patients

28 164
SUMATRIPTAN SUCCINATE

Sumatriptan is used to trea... +

Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light). Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

19

prescriptions.

13

patients, 2% of all patients

29 43
AMANTADINE

Treats or prevents the flu ... +

Treats or prevents the flu (influenza type A). Source: National Library of Medicine

66

prescriptions, 1% of all prescriptions

61

prescriptions.

12

patients, 2% of all patients

30 35
CITALOPRAM HBR

Citalopram is used to treat... +

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

65

prescriptions, 1% of all prescriptions

60

prescriptions.

17

patients, 3% of all patients

31 29
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

62

prescriptions, 1% of all prescriptions

43

prescriptions.

<11 32 50
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

62

prescriptions, 1% of all prescriptions

5

prescriptions.

15

patients, 2% of all patients

O 32 9
PROPRANOLOL HCL

Propranolol is used to trea... +

Propranolol is used to treat high blood pressure, abnormal heart rhythms, heart disease, pheochromocytoma (tumor on a small gland near the kidneys), and certain types of tremor. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

45

prescriptions.

13

patients, 2% of all patients

34 42
CARBAMAZEPINE

Treats different types of s... +

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

59

prescriptions, 1% of all prescriptions

21

prescriptions.

<11 34 40
PHENYTOIN SODIUM EXTENDED

Phenytoin is used to contro... +

Phenytoin is used to control certain type of seizures, and to treat and prevent seizures that may begin during or after surgery to the brain or nervous system. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

34

prescriptions.

14

patients, 2% of all patients

36 28
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

56

prescriptions, 1% of all prescriptions

20

prescriptions.

<11 37 36
PHENOBARBITAL

Used to control seizures. P... +

Used to control seizures. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

28

prescriptions.

<11 R 37 53
AUBAGIO 55

prescriptions, 1% of all prescriptions

27

prescriptions.

<11 39 91
TECFIDERA 50

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 40 56
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 15, 2014.
  • 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.