Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Specialist

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,726Medicare Part D Prescriptions Filled, Including Refills

Rank: 45 out of 706

$559K Total Retail Price of All Prescriptions

Rank: 151 out of 706

966 Patients Receiving at Least One Drug in Part D
49% 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

0% of this provider’s 470 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 1%.

More resources »

Antibiotics

2% of this provider’s 966 patients filled at least one prescription for an antibiotic drug, compared to an average of 16%.

More resources »

Risky Drugs for Seniors

11% of this provider’s 470 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

90% of this provider’s 966 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 26%.

Prescription Price

$72 was the average price of a prescription from this provider, compared to $192 among peers.

Prescriptions per Patient

8 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

$503K

2012

$458K

2013

$490K

2014

$559K

2015

Number of Claims

8,916

2012

7,080

2013

6,509

2014

7,726

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.

Click to Filter by Category

Clear Filter


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

1,750

prescriptions, 23% of all prescriptions

831

prescriptions.

529

patients, 55% of all patients

O 1 1
GABAPENTIN

Treats certain types of sei... +

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

689

prescriptions, 9% of all prescriptions

331

prescriptions.

194

patients, 20% of all patients

2 5
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

472

prescriptions, 6% of all prescriptions

180

prescriptions.

144

patients, 15% of all patients

O 3 133
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

461

prescriptions, 6% of all prescriptions

159

prescriptions.

154

patients, 16% of all patients

4 35
OXYCODONE HCL

Oxycodone is used to reliev... +

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

377

prescriptions, 5% of all prescriptions

106

prescriptions.

117

patients, 12% of all patients

O 5 80
MORPHINE SULFATE ER

Morphine (extended release)... +

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

377

prescriptions, 5% of all prescriptions

122

prescriptions.

110

patients, 11% of all patients

O 5 68
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

346

prescriptions, 4% of all prescriptions

94

prescriptions.

114

patients, 12% of all patients

7 43
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

280

prescriptions, 4% of all prescriptions

99

prescriptions.

83

patients, 9% of all patients

O 8 67
TRAMADOL HCL

Tramadol is used to relieve... +

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

271

prescriptions, 4% of all prescriptions

169

prescriptions.

95

patients, 10% of all patients

O 9 13
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

249

prescriptions, 3% of all prescriptions

28

prescriptions.

92

patients, 10% of all patients

R 10 125
OXYCONTIN

Oxycodone is used to reliev... +

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

198

prescriptions, 3% of all prescriptions

72

prescriptions.

65

patients, 7% of all patients

O 11 180
MORPHINE SULFATE

Morphine is used to relieve... +

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

187

prescriptions, 2% of all prescriptions

68

prescriptions.

53

patients, 5% of all patients

O 12 173
CARISOPRODOL

Treats pain and stiffness o... +

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

179

prescriptions, 2% of all prescriptions

33

prescriptions.

43

patients, 4% of all patients

R 13 116
MELOXICAM

Treats symptoms of osteoart... +

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

161

prescriptions, 2% of all prescriptions

71

prescriptions.

65

patients, 7% of all patients

14 26
METHOCARBAMOL

Treats muscle pain and spas... +

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

137

prescriptions, 2% of all prescriptions

30

prescriptions.

50

patients, 5% of all patients

R 15 175
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

136

prescriptions, 2% of all prescriptions

37

prescriptions.

42

patients, 4% of all patients

O 16 155
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

124

prescriptions, 2% of all prescriptions

51

prescriptions.

42

patients, 4% of all patients

O 17 106
DIAZEPAM

Treats anxiety, muscle spas... +

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

100

prescriptions, 1% of all prescriptions

33

prescriptions.

22

patients, 2% of all patients

18 110
BACLOFEN

Treats muscle spasms caused... +

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

91

prescriptions, 1% of all prescriptions

20

prescriptions.

39

patients, 4% of all patients

19 53
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

23

prescriptions.

30

patients, 3% of all patients

20 98
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

65

prescriptions, 1% of all prescriptions

16

prescriptions.

27

patients, 3% of all patients

21 118
VOLTAREN

Treats pain caused by arthr... +

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

65

prescriptions, 1% of all prescriptions

33

prescriptions.

39

patients, 4% of all patients

21 141
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

62

prescriptions, 1% of all prescriptions

25

prescriptions.

11

patients, 1% of all patients

R 23 41
CELECOXIB

Treats mild to moderate pai... +

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

50

prescriptions, 1% of all prescriptions

29

prescriptions.

14

patients, 1% of all patients

24 135
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

50

prescriptions, 1% of all prescriptions

16

prescriptions.

13

patients, 1% of all patients

24 34
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 March 21, 2016.
  • 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.