Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

General Practice

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

12,482Medicare Part D Prescriptions Filled, Including Refills

Rank: 8 out of 168

$641K Total Retail Price of All Prescriptions

Rank: 24 out of 168

612 Patients Receiving at Least One Drug in Part D
83% Patients 65 Years and Older

64% 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 507 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 3%.

More resources »

Antibiotics

14% of this provider’s 612 patients filled at least one prescription for an antibiotic drug, compared to an average of 33%.

More resources »

Risky Drugs for Seniors

12% of this provider’s 507 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 13%.

More resources »

Opioids

26% of this provider’s 612 patients filled at least one prescription for an opioid, compared to an average of 21%.

More resources »

Brand Name Drugs

16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$51 was the average price of a prescription from this provider, compared to $77 among peers.

Prescriptions per Patient

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


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

$869K

2012

$920K

2013

$936K

2014

$641K

2015

Number of Claims

17,529

2012

18,406

2013

18,825

2014

12,482

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
FUROSEMIDE

Treats fluid retention (ede... +

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

511

prescriptions, 4% of all prescriptions

491

prescriptions.

90

patients, 15% of all patients

1 8
LISINOPRIL

Treats high blood pressure ... +

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

490

prescriptions, 4% of all prescriptions

420

prescriptions.

118

patients, 19% of all patients

2 2
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

452

prescriptions, 4% of all prescriptions

424

prescriptions.

101

patients, 17% of all patients

3 1
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

367

prescriptions, 3% of all prescriptions

244

prescriptions.

93

patients, 15% of all patients

O 4 6
SIMVASTATIN

Treats high cholesterol and... +

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

342

prescriptions, 3% of all prescriptions

296

prescriptions.

99

patients, 16% of all patients

5 7
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

282

prescriptions, 2% of all prescriptions

262

prescriptions.

67

patients, 11% of all patients

6 4
GABAPENTIN

Treats certain types of sei... +

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

244

prescriptions, 2% of all prescriptions

224

prescriptions.

51

patients, 8% of all patients

7 9
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

243

prescriptions, 2% of all prescriptions

195

prescriptions.

59

patients, 10% of all patients

8 5
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

240

prescriptions, 2% of all prescriptions

227

prescriptions.

34

patients, 6% of all patients

9 35
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

236

prescriptions, 2% of all prescriptions

197

prescriptions.

56

patients, 9% of all patients

10 3
TRAZODONE HCL

Trazodone is used to treat ... +

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

223

prescriptions, 2% of all prescriptions

191

prescriptions.

31

patients, 5% of all patients

11 28
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

221

prescriptions, 2% of all prescriptions

210

prescriptions.

64

patients, 10% of all patients

12 18
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

220

prescriptions, 2% of all prescriptions

206

prescriptions.

55

patients, 9% of all patients

13 16
LORAZEPAM

Treats anxiety, anxiety wit... +

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

212

prescriptions, 2% of all prescriptions

170

prescriptions.

41

patients, 7% of all patients

14 38
CARVEDILOL

Treats high blood pressure ... +

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

209

prescriptions, 2% of all prescriptions

191

prescriptions.

43

patients, 7% of all patients

15 20
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

196

prescriptions, 2% of all prescriptions

185

prescriptions.

51

patients, 8% of all patients

16 15
CLOPIDOGREL

Helps prevent stroke, heart... +

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

194

prescriptions, 2% of all prescriptions

189

prescriptions.

35

patients, 6% of all patients

17 19
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

191

prescriptions, 2% of all prescriptions

186

prescriptions.

42

patients, 7% of all patients

18 10
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

182

prescriptions, 1% of all prescriptions

164

prescriptions.

29

patients, 5% of all patients

19 52
TRAMADOL HCL

Tramadol is used to relieve... +

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

176

prescriptions, 1% of all prescriptions

136

prescriptions.

53

patients, 9% of all patients

O 20 12
MELOXICAM

Treats symptoms of osteoart... +

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

175

prescriptions, 1% of all prescriptions

155

prescriptions.

37

patients, 6% of all patients

21 26
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

173

prescriptions, 1% of all prescriptions

168

prescriptions.

44

patients, 7% of all patients

22 14
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

171

prescriptions, 1% of all prescriptions

166

prescriptions.

28

patients, 5% of all patients

23 60
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

145

prescriptions, 1% of all prescriptions

129

prescriptions.

20

patients, 3% of all patients

24 30
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

129

prescriptions, 1% of all prescriptions

118

prescriptions.

38

patients, 6% of all patients

25 33
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

125

prescriptions, 1% of all prescriptions

120

prescriptions.

16

patients, 3% of all patients

26 79
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

122

prescriptions, 1% of all prescriptions

117

prescriptions.

18

patients, 3% of all patients

27 205
CITALOPRAM HBR

Citalopram is used to treat... +

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

122

prescriptions, 1% of all prescriptions

93

prescriptions.

32

patients, 5% of all patients

27 41
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

118

prescriptions, 1% of all prescriptions

113

prescriptions.

26

patients, 4% of all patients

29 24
NAMENDA XR

Used to treat the symptoms ... +

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

114

prescriptions, 1% of all prescriptions

99

prescriptions.

<11 30 62
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

112

prescriptions, 1% of all prescriptions

99

prescriptions.

29

patients, 5% of all patients

31 22
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

110

prescriptions, 1% of all prescriptions

89

prescriptions.

37

patients, 6% of all patients

32 13
ALPRAZOLAM

Treats anxiety, panic disor... +

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

109

prescriptions, 1% of all prescriptions

79

prescriptions.

27

patients, 4% of all patients

33 11
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

106

prescriptions, 1% of all prescriptions

94

prescriptions.

18

patients, 3% of all patients

34 90
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

105

prescriptions, 1% of all prescriptions

100

prescriptions.

33

patients, 5% of all patients

35 17
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

96

prescriptions, 1% of all prescriptions

91

prescriptions.

27

patients, 4% of all patients

36 39
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

96

prescriptions, 1% of all prescriptions

70

prescriptions.

<11 P 36 67
ALLOPURINOL

Treats gout and some kinds ... +

Treats gout and some kinds of kidney stones. Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

80

prescriptions.

16

patients, 3% of all patients

38 37
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

94

prescriptions, 1% of all prescriptions

94

prescriptions.

15

patients, 2% of all patients

39 73
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

90

prescriptions, 1% of all prescriptions

77

prescriptions.

13

patients, 2% of all patients

40 91
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

80

prescriptions, 1% of all prescriptions

75

prescriptions.

13

patients, 2% of all patients

P 41 54
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

77

prescriptions, 1% of all prescriptions

63

prescriptions.

15

patients, 2% of all patients

42 45
DIAZEPAM

Treats anxiety, muscle spas... +

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

77

prescriptions, 1% of all prescriptions

46

prescriptions.

17

patients, 3% of all patients

42 70
CRESTOR

Lowers high levels of chole... +

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

75

prescriptions, 1% of all prescriptions

70

prescriptions.

16

patients, 3% of all patients

44 25
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

71

prescriptions, 1% of all prescriptions

66

prescriptions.

<11 45 102
LEVETIRACETAM

Used to help control certai... +

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

70

prescriptions, 1% of all prescriptions

44

prescriptions.

<11 46 93
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

64

prescriptions.

20

patients, 3% of all patients

47 21
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

68

prescriptions, 1% of all prescriptions

51

prescriptions.

14

patients, 2% of all patients

48 44
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

64

prescriptions, 1% of all prescriptions

29

prescriptions.

21

patients, 3% of all patients

49 23
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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

12

patients, 2% of all patients

50 115
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

61

prescriptions, 0% of all prescriptions

56

prescriptions.

11

patients, 2% of all patients

51 141
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

36

prescriptions.

15

patients, 2% of all patients

52 81
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

54

prescriptions.

20

patients, 3% of all patients

52 43
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

52

prescriptions.

12

patients, 2% of all patients

54 76
ZETIA

Lowers cholesterol in your ... +

Lowers cholesterol in your blood. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

36

prescriptions.

<11 55 94
BACLOFEN

Treats muscle spasms caused... +

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

53

prescriptions, 0% of all prescriptions

41

prescriptions.

15

patients, 2% of all patients

56 75
AGGRENOX

Used to prevent strokes in ... +

Used to prevent strokes in patients with blood flow disorders or a history of blood clots. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

26

prescriptions.

<11 57 221
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

51

prescriptions, 0% of all prescriptions

17

prescriptions.

12

patients, 2% of all patients

58 78
ONDANSETRON HCL*

Ondansetron is used to prev... +

Ondansetron is used to prevent nausea and vomiting caused by cancer chemotherapy, radiation therapy, and surgery. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 59 184
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

13

patients, 2% of all patients

59 145
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

39

prescriptions.

14

patients, 2% of all patients

59 46
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?

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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 Aug. 29, 2013.
  • 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.