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 »

5,335Medicare Part D Prescriptions Filled, Including Refills

Rank: 22 out of 432

$561K Total Retail Price of All Prescriptions

Rank: 16 out of 432

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

50% 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

31% of this provider’s 510 patients filled at least one prescription for an antibiotic drug, compared to an average of 31%.

More resources »

Risky Drugs for Seniors

6% of this provider’s 452 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

9% of this provider’s 510 patients filled at least one prescription for an opioid, compared to an average of 9%.

More resources »

Brand Name Drugs

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

Prescription Price

$105 was the average price of a prescription from this provider, compared to $156 among peers.

Prescriptions per Patient

10 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

$140K

2012

$298K

2013

$513K

2014

$561K

2015

Number of Claims

1,359

2012

3,117

2013

4,900

2014

5,335

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

326

prescriptions, 6% of all prescriptions

310

prescriptions.

101

patients, 20% of all patients

1 5
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

259

prescriptions, 5% of all prescriptions

245

prescriptions.

99

patients, 19% of all patients

2 3
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

214

prescriptions, 4% of all prescriptions

209

prescriptions.

60

patients, 12% of all patients

3 1
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

187

prescriptions, 4% of all prescriptions

174

prescriptions.

67

patients, 13% of all patients

4 4
LISINOPRIL

Treats high blood pressure ... +

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

174

prescriptions, 3% of all prescriptions

158

prescriptions.

69

patients, 14% of all patients

5 2
SIMVASTATIN

Treats high cholesterol and... +

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

125

prescriptions, 2% of all prescriptions

113

prescriptions.

45

patients, 9% of all patients

6 6
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

112

prescriptions, 2% of all prescriptions

107

prescriptions.

45

patients, 9% of all patients

7 20
CRESTOR

Lowers high levels of chole... +

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

103

prescriptions, 2% of all prescriptions

89

prescriptions.

37

patients, 7% of all patients

8 27
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

86

prescriptions, 2% of all prescriptions

81

prescriptions.

32

patients, 6% of all patients

9 7
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

85

prescriptions, 2% of all prescriptions

74

prescriptions.

58

patients, 11% of all patients

10 16
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

85

prescriptions, 2% of all prescriptions

80

prescriptions.

28

patients, 5% of all patients

10 23
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

81

prescriptions, 2% of all prescriptions

68

prescriptions.

29

patients, 6% of all patients

12 12
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

78

prescriptions, 1% of all prescriptions

60

prescriptions.

34

patients, 7% of all patients

13 22
VALSARTAN-HYDROCHLOROTHIAZIDE

Treats high blood pressure. +

Treats high blood pressure. Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

73

prescriptions.

28

patients, 5% of all patients

13 62
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

75

prescriptions, 1% of all prescriptions

70

prescriptions.

32

patients, 6% of all patients

15 40
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

72

prescriptions, 1% of all prescriptions

67

prescriptions.

26

patients, 5% of all patients

16 50
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

66

prescriptions.

37

patients, 7% of all patients

17 52
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

69

prescriptions, 1% of all prescriptions

64

prescriptions.

58

patients, 11% of all patients

A 18 29
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

68

prescriptions, 1% of all prescriptions

63

prescriptions.

29

patients, 6% of all patients

19 31
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

64

prescriptions, 1% of all prescriptions

59

prescriptions.

21

patients, 4% of all patients

20 11
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

64

prescriptions, 1% of all prescriptions

42

prescriptions.

22

patients, 4% of all patients

20 13
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

64

prescriptions, 1% of all prescriptions

59

prescriptions.

31

patients, 6% of all patients

20 15
TRAMADOL HCL

Tramadol is used to relieve... +

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

62

prescriptions, 1% of all prescriptions

57

prescriptions.

32

patients, 6% of all patients

O 23 9
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

59

prescriptions, 1% of all prescriptions

54

prescriptions.

21

patients, 4% of all patients

24 57
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

57

prescriptions, 1% of all prescriptions

52

prescriptions.

23

patients, 5% of all patients

25 36
VALSARTAN

Valsartan is used alone or ... +

Valsartan 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

52

prescriptions.

21

patients, 4% of all patients

25 72
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

55

prescriptions, 1% of all prescriptions

50

prescriptions.

15

patients, 3% of all patients

27 79
AMOXICILLIN-CLAVULANATE POTASS

Treats infections. +

Treats infections. Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

49

prescriptions.

47

patients, 9% of all patients

A 28 46
GABAPENTIN

Treats certain types of sei... +

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

52

prescriptions, 1% of all prescriptions

47

prescriptions.

21

patients, 4% of all patients

29 8
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

51

prescriptions, 1% of all prescriptions

51

prescriptions.

16

patients, 3% of all patients

30 122
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 Feb. 14, 2011.
  • 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.