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 »

9,687Medicare Part D Prescriptions Filled, Including Refills

Rank: 777 out of 3110

$493K Total Retail Price of All Prescriptions

Rank: 1211 out of 3110

255 Patients Receiving at Least One Drug in Part D
89% Patients 65 Years and Older

88% 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

14% of this provider’s 226 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

40% of this provider’s 255 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 226 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 13%.

More resources »

Opioids

37% of this provider’s 255 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs *

24% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

* This is an estimate, see our methodology.

Prescription Price

$51 was the average price of a prescription from this provider, compared to $84 among peers.

Prescriptions per Patient

38 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

$197K

2012

$196K

2013

$332K

2014

$493K

2015

Number of Claims

3,581

2012

3,746

2013

6,707

2014

9,687

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

455

prescriptions, 5% of all prescriptions

421

prescriptions.

49

patients, 19% of all patients

1 1
FUROSEMIDE

Treats fluid retention (ede... +

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

410

prescriptions, 4% of all prescriptions

333

prescriptions.

65

patients, 25% of all patients

2 7
TRAMADOL HCL

Tramadol is used to relieve... +

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

292

prescriptions, 3% of all prescriptions

275

prescriptions.

64

patients, 25% of all patients

O 3 12
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

268

prescriptions, 3% of all prescriptions

252

prescriptions.

51

patients, 20% of all patients

4 2
GABAPENTIN

Treats certain types of sei... +

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

264

prescriptions, 3% of all prescriptions

218

prescriptions.

48

patients, 19% of all patients

5 10
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

243

prescriptions, 3% of all prescriptions

211

prescriptions.

51

patients, 20% of all patients

6 3
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

170

prescriptions, 2% of all prescriptions

155

prescriptions.

34

patients, 13% of all patients

7 16
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

168

prescriptions, 2% of all prescriptions

168

prescriptions.

25

patients, 10% of all patients

8 26
LISINOPRIL

Treats high blood pressure ... +

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

164

prescriptions, 2% of all prescriptions

159

prescriptions.

42

patients, 16% of all patients

9 4
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

156

prescriptions, 2% of all prescriptions

151

prescriptions.

17

patients, 7% of all patients

10 67
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

155

prescriptions, 2% of all prescriptions

155

prescriptions.

34

patients, 13% of all patients

11 19
CLOPIDOGREL

Helps prevent stroke, heart... +

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

134

prescriptions, 1% of all prescriptions

129

prescriptions.

22

patients, 9% of all patients

12 21
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

133

prescriptions, 1% of all prescriptions

117

prescriptions.

36

patients, 14% of all patients

13 14
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

129

prescriptions, 1% of all prescriptions

113

prescriptions.

27

patients, 11% of all patients

O 14 46
CITALOPRAM HBR

Citalopram is used to treat... +

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

122

prescriptions, 1% of all prescriptions

117

prescriptions.

19

patients, 7% of all patients

15 30
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

120

prescriptions, 1% of all prescriptions

115

prescriptions.

24

patients, 9% of all patients

16 55
SIMVASTATIN

Treats high cholesterol and... +

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

119

prescriptions, 1% of all prescriptions

90

prescriptions.

22

patients, 9% of all patients

17 5
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

118

prescriptions, 1% of all prescriptions

113

prescriptions.

18

patients, 7% of all patients

18 31
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

117

prescriptions, 1% of all prescriptions

79

prescriptions.

13

patients, 5% of all patients

19 41
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

114

prescriptions, 1% of all prescriptions

84

prescriptions.

38

patients, 15% of all patients

20 118
CARVEDILOL

Treats high blood pressure ... +

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

114

prescriptions, 1% of all prescriptions

93

prescriptions.

28

patients, 11% of all patients

20 20
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

108

prescriptions, 1% of all prescriptions

103

prescriptions.

20

patients, 8% of all patients

22 52
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

108

prescriptions, 1% of all prescriptions

57

prescriptions.

23

patients, 9% of all patients

O 22 11
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

106

prescriptions, 1% of all prescriptions

79

prescriptions.

<11 24 58
ALPRAZOLAM

Treats anxiety, panic disor... +

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

104

prescriptions, 1% of all prescriptions

99

prescriptions.

29

patients, 11% of all patients

25 17
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

102

prescriptions, 1% of all prescriptions

102

prescriptions.

17

patients, 7% of all patients

26 15
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

102

prescriptions, 1% of all prescriptions

86

prescriptions.

23

patients, 9% of all patients

26 6
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

101

prescriptions, 1% of all prescriptions

87

prescriptions.

59

patients, 23% of all patients

A 28 54
TRAZODONE HCL

Trazodone is used to treat ... +

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

94

prescriptions, 1% of all prescriptions

80

prescriptions.

17

patients, 7% of all patients

29 29
KLOR-CON M20

Potassium is essential for ... +

Potassium is essential for the proper functioning of the heart, kidneys, muscles, nerves, and digestive system. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

69

prescriptions.

16

patients, 6% of all patients

30 124
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

91

prescriptions, 1% of all prescriptions

86

prescriptions.

17

patients, 7% of all patients

31 24
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

90

prescriptions, 1% of all prescriptions

85

prescriptions.

20

patients, 8% of all patients

32 22
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

87

prescriptions, 1% of all prescriptions

63

prescriptions.

20

patients, 8% of all patients

33 37
OXYBUTYNIN CHLORIDE ER

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

61

prescriptions.

13

patients, 5% of all patients

34 119
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

79

prescriptions, 1% of all prescriptions

52

prescriptions.

13

patients, 5% of all patients

35 9
FAMOTIDINE*

Treats ulcers, gastroesopha... +

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

76

prescriptions, 1% of all prescriptions

76

prescriptions.

17

patients, 7% of all patients

36 73
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

71

prescriptions, 1% of all prescriptions

71

prescriptions.

18

patients, 7% of all patients

37 13
DIGOX

Digox (digoxin) is used to ... +

Digox (digoxin) is used to treat heart failure and abnormal heart rhythms (arrhythmias). Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

69

prescriptions.

12

patients, 5% of all patients

R 38 179
NOVOLOG

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

63

prescriptions.

14

patients, 5% of all patients

39 141
LEVETIRACETAM

Used to help control certai... +

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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

11

patients, 4% of all patients

40 87
MEMANTINE HCL

Treats moderate to severe ... +

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

62

prescriptions, 1% of all prescriptions

62

prescriptions.

13

patients, 5% of all patients

41 110
LIDOCAINE HCL*

Lidocaine viscous, a local ... +

Lidocaine viscous, a local anesthetic, is used to treat the pain of a sore or irritated mouth and throat often associated with cancer chemotherapy and certain medical procedures. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

54

prescriptions.

33

patients, 13% of all patients

42 299
VOLTAREN

Treats pain caused by arthr... +

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

57

prescriptions, 1% of all prescriptions

52

prescriptions.

14

patients, 5% of all patients

43 99
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

56

prescriptions, 1% of all prescriptions

56

prescriptions.

16

patients, 6% of all patients

44 8
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

55

prescriptions.

15

patients, 6% of all patients

45 66
MYRBETRIQ

Used to treat overactive bl... +

Used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

32

prescriptions.

<11 46 212
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

54

prescriptions, 1% of all prescriptions

35

prescriptions.

<11 46 139
NYSTATIN

Treats fungus infections in... +

Treats fungus infections in the mouth, throat, and intestines. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

32

prescriptions.

20

patients, 8% of all patients

48 150
CEFTRIAXONE*

Treats infections caused by... +

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

53

prescriptions, 1% of all prescriptions

48

prescriptions.

33

patients, 13% of all patients

A 48 291
NOVOLIN R

Treats diabetes mellitus. +

Treats diabetes mellitus. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

47

prescriptions.

16

patients, 6% of all patients

50 180
BACLOFEN

Treats muscle spasms caused... +

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

52

prescriptions, 1% of all prescriptions

30

prescriptions.

<11 50 86
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. 2, 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.