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 »

10,348Medicare Part D Prescriptions Filled, Including Refills

Rank: 8 out of 535

$1.42M Total Retail Price of All Prescriptions

Rank: 65 out of 535

375 Patients Receiving at Least One Drug in Part D
61% Patients 65 Years and Older

36% 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

6% of this provider’s 227 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 5%.

More resources »

Antibiotics

4% of this provider’s 375 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

21% of this provider’s 227 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

61% of this provider’s 375 patients filled at least one prescription for an opioid, compared to an average of 7%.

More resources »

Brand Name Drugs *

15% 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

$138 was the average price of a prescription from this provider, compared to $328 among peers.

Prescriptions per Patient

28 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

$903K

2012

$1.17M

2013

$1.21M

2014

$1.42M

2015

Number of Claims

6,570

2012

8,084

2013

8,618

2014

10,348

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

993

prescriptions, 10% of all prescriptions

387

prescriptions.

152

patients, 41% of all patients

O 1 9
GABAPENTIN

Treats certain types of sei... +

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

495

prescriptions, 5% of all prescriptions

262

prescriptions.

97

patients, 26% of all patients

2 1
CLONAZEPAM

Treats seizures, panic diso... +

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

309

prescriptions, 3% of all prescriptions

99

prescriptions.

43

patients, 11% of all patients

3 7
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

246

prescriptions, 2% of all prescriptions

74

prescriptions.

54

patients, 14% of all patients

4 27
OXYCODONE HCL

Oxycodone is used to reliev... +

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

245

prescriptions, 2% of all prescriptions

41

prescriptions.

25

patients, 7% of all patients

O 5 74
CARISOPRODOL

Treats pain and stiffness o... +

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

232

prescriptions, 2% of all prescriptions

44

prescriptions.

42

patients, 11% of all patients

R 6 54
ALPRAZOLAM

Treats anxiety, panic disor... +

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

225

prescriptions, 2% of all prescriptions

85

prescriptions.

46

patients, 12% of all patients

7 23
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

216

prescriptions, 2% of all prescriptions

83

prescriptions.

50

patients, 13% of all patients

8 11
OXYCONTIN

Oxycodone is used to reliev... +

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

199

prescriptions, 2% of all prescriptions

72

prescriptions.

22

patients, 6% of all patients

O 9 94
DIAZEPAM

Treats anxiety, muscle spas... +

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

198

prescriptions, 2% of all prescriptions

36

prescriptions.

35

patients, 9% of all patients

10 58
MORPHINE SULFATE ER

Morphine (extended release)... +

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

191

prescriptions, 2% of all prescriptions

68

prescriptions.

26

patients, 7% of all patients

O 11 68
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

180

prescriptions, 2% of all prescriptions

22

prescriptions.

24

patients, 6% of all patients

O 12 70
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

179

prescriptions, 2% of all prescriptions

81

prescriptions.

27

patients, 7% of all patients

R 13 45
TRAMADOL HCL

Tramadol is used to relieve... +

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

175

prescriptions, 2% of all prescriptions

108

prescriptions.

49

patients, 13% of all patients

O 14 26
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

174

prescriptions, 2% of all prescriptions

65

prescriptions.

22

patients, 6% of all patients

O 15 112
CLOPIDOGREL

Helps prevent stroke, heart... +

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

160

prescriptions, 2% of all prescriptions

155

prescriptions.

35

patients, 9% of all patients

16 19
CITALOPRAM HBR

Citalopram is used to treat... +

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

158

prescriptions, 2% of all prescriptions

118

prescriptions.

33

patients, 9% of all patients

17 29
LISINOPRIL

Treats high blood pressure ... +

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

152

prescriptions, 1% of all prescriptions

69

prescriptions.

25

patients, 7% of all patients

18 71
TRAZODONE HCL

Trazodone is used to treat ... +

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

144

prescriptions, 1% of all prescriptions

56

prescriptions.

31

patients, 8% of all patients

19 33
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

138

prescriptions, 1% of all prescriptions

54

prescriptions.

24

patients, 6% of all patients

P 20 21
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

134

prescriptions, 1% of all prescriptions

56

prescriptions.

27

patients, 7% of all patients

21 79
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

124

prescriptions, 1% of all prescriptions

63

prescriptions.

24

patients, 6% of all patients

22 93
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

122

prescriptions, 1% of all prescriptions

66

prescriptions.

19

patients, 5% of all patients

23 127
BACLOFEN

Treats muscle spasms caused... +

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

112

prescriptions, 1% of all prescriptions

24

prescriptions.

20

patients, 5% of all patients

24 25
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

110

prescriptions, 1% of all prescriptions

57

prescriptions.

19

patients, 5% of all patients

25 61
ZONISAMIDE

Treats partial seizures in ... +

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

108

prescriptions, 1% of all prescriptions

53

prescriptions.

23

patients, 6% of all patients

26 31
LORAZEPAM

Treats anxiety, anxiety wit... +

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

108

prescriptions, 1% of all prescriptions

46

prescriptions.

18

patients, 5% of all patients

26 39
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

104

prescriptions, 1% of all prescriptions

36

prescriptions.

20

patients, 5% of all patients

28 10
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

99

prescriptions, 1% of all prescriptions

44

prescriptions.

17

patients, 5% of all patients

O 29 83
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

96

prescriptions, 1% of all prescriptions

34

prescriptions.

16

patients, 4% of all patients

30 43
TOPIRAMATE

Helps control and prevent c... +

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

91

prescriptions, 1% of all prescriptions

20

prescriptions.

20

patients, 5% of all patients

31 6
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

85

prescriptions, 1% of all prescriptions

25

prescriptions.

15

patients, 4% of all patients

R 32 20
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

85

prescriptions, 1% of all prescriptions

5

prescriptions.

28

patients, 7% of all patients

R 32 116
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

80

prescriptions, 1% of all prescriptions

60

prescriptions.

20

patients, 5% of all patients

34 88
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

78

prescriptions, 1% of all prescriptions

40

prescriptions.

12

patients, 3% of all patients

35 121
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

77

prescriptions, 1% of all prescriptions

16

prescriptions.

23

patients, 6% of all patients

R 36 57
MELOXICAM

Treats symptoms of osteoart... +

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

76

prescriptions, 1% of all prescriptions

23

prescriptions.

18

patients, 5% of all patients

37 46
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

71

prescriptions, 1% of all prescriptions

11

prescriptions.

<11 O 38 73
PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole 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

70

prescriptions, 1% of all prescriptions

65

prescriptions.

15

patients, 4% of all patients

39 14
CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

39

prescriptions.

17

patients, 5% of all patients

40 150
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

60

prescriptions, 1% of all prescriptions

55

prescriptions.

17

patients, 5% of all patients

41 2
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

60

prescriptions, 1% of all prescriptions

22

prescriptions.

12

patients, 3% of all patients

41 30
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

60

prescriptions, 1% of all prescriptions

55

prescriptions.

20

patients, 5% of all patients

41 17
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

59

prescriptions, 1% of all prescriptions

18

prescriptions.

<11 44 100
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

59

prescriptions, 1% of all prescriptions

54

prescriptions.

<11 44 3
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

36

prescriptions.

13

patients, 3% of all patients

46 62
LAMOTRIGINE

Treats certain types of sei... +

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

53

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 47 12
DEXTROAMPHETAMINE-AMPHETAMINE

The combination is used as ... +

The combination is used as part of a treatment program to control symptoms of attention deficit hyperactivity disorder (ADHD) in adults and children. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

16

prescriptions.

<11 47 131
FUROSEMIDE

Treats fluid retention (ede... +

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

52

prescriptions, 1% of all prescriptions

27

prescriptions.

14

patients, 4% of all patients

49 99
MORPHINE SULFATE

Morphine is used to relieve... +

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

52

prescriptions, 1% of all prescriptions

18

prescriptions.

<11 O 49 221
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

50

prescriptions, 0% of all prescriptions

21

prescriptions.

12

patients, 3% of all patients

O 51 48
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 Dec. 14, 2010.
  • 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.