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 »

8,391Medicare Part D Prescriptions Filled, Including Refills

Rank: 953 out of 3110

$1.61M Total Retail Price of All Prescriptions

Rank: 138 out of 3110

503 Patients Receiving at Least One Drug in Part D
85% Patients 65 Years and Older

91% 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 428 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

29% of this provider’s 503 patients filled at least one prescription for an antibiotic drug, compared to an average of 31%.

More resources »

Risky Drugs for Seniors

17% of this provider’s 428 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 13%.

More resources »

Opioids

15% of this provider’s 503 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

34% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%. This is far more than peers.

Prescription Price

$192 was the average price of a prescription from this provider, compared to $84 among peers.

Prescriptions per Patient

17 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

$1.28M

2012

$1.31M

2013

$1.64M

2014

$1.61M

2015

Number of Claims

9,925

2012

10,405

2013

9,612

2014

8,391

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
OMEGA-3 ACID ETHYL ESTERS

Omega-3 fatty acids are use... +

Omega-3 fatty acids are used together with lifestyle changes (diet, weight-loss, exercise) to reduce the amount of triglycerides (a fat-like substance) in the blood in people with very high triglycerides. Source: National Library of Medicine

492

prescriptions, 6% of all prescriptions

426

prescriptions.

203

patients, 40% of all patients

1 114
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

448

prescriptions, 5% of all prescriptions

392

prescriptions.

203

patients, 40% of all patients

2 3
CARVEDILOL

Treats high blood pressure ... +

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

303

prescriptions, 4% of all prescriptions

270

prescriptions.

128

patients, 25% of all patients

3 20
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

277

prescriptions, 3% of all prescriptions

248

prescriptions.

122

patients, 24% of all patients

4 2
CRESTOR

Lowers high levels of chole... +

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

277

prescriptions, 3% of all prescriptions

252

prescriptions.

107

patients, 21% of all patients

4 25
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

269

prescriptions, 3% of all prescriptions

228

prescriptions.

127

patients, 25% of all patients

6 32
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

267

prescriptions, 3% of all prescriptions

243

prescriptions.

110

patients, 22% of all patients

7 23
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

221

prescriptions, 3% of all prescriptions

195

prescriptions.

89

patients, 18% of all patients

8 6
ZETIA

Lowers cholesterol in your ... +

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

176

prescriptions, 2% of all prescriptions

163

prescriptions.

93

patients, 18% of all patients

9 72
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

151

prescriptions, 2% of all prescriptions

140

prescriptions.

72

patients, 14% of all patients

10 9
LISINOPRIL

Treats high blood pressure ... +

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

150

prescriptions, 2% of all prescriptions

135

prescriptions.

65

patients, 13% of all patients

11 4
GABAPENTIN

Treats certain types of sei... +

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

142

prescriptions, 2% of all prescriptions

125

prescriptions.

59

patients, 12% of all patients

12 10
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

139

prescriptions, 2% of all prescriptions

134

prescriptions.

73

patients, 15% of all patients

13 83
PATADAY

Treats itching or watering ... +

Treats itching or watering of eyes caused by allergies. Source: National Library of Medicine

135

prescriptions, 2% of all prescriptions

130

prescriptions.

54

patients, 11% of all patients

14 217
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

135

prescriptions, 2% of all prescriptions

124

prescriptions.

67

patients, 13% of all patients

14 39
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

104

prescriptions, 1% of all prescriptions

99

prescriptions.

40

patients, 8% of all patients

16 50
MELOXICAM

Treats symptoms of osteoart... +

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

98

prescriptions, 1% of all prescriptions

93

prescriptions.

67

patients, 13% of all patients

17 27
NASONEX

Treats or prevents the symp... +

Treats or prevents the symptoms of seasonal (short-term) and perennial (year-round) allergies (hay fever), such as stuffy or runny nose, sneezing, and watery eyes. Source: National Library of Medicine

97

prescriptions, 1% of all prescriptions

81

prescriptions.

45

patients, 9% of all patients

18 210
TRAMADOL HCL

Tramadol is used to relieve... +

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

94

prescriptions, 1% of all prescriptions

75

prescriptions.

55

patients, 11% of all patients

O 19 12
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

90

prescriptions, 1% of all prescriptions

76

prescriptions.

47

patients, 9% of all patients

R 20 36
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

87

prescriptions, 1% of all prescriptions

82

prescriptions.

31

patients, 6% of all patients

21 1
CLOPIDOGREL

Helps prevent stroke, heart... +

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

87

prescriptions, 1% of all prescriptions

72

prescriptions.

39

patients, 8% of all patients

21 21
SIMVASTATIN

Treats high cholesterol and... +

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

83

prescriptions, 1% of all prescriptions

78

prescriptions.

43

patients, 9% of all patients

23 5
VOLTAREN

Treats pain caused by arthr... +

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

81

prescriptions, 1% of all prescriptions

76

prescriptions.

25

patients, 5% of all patients

24 99
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

80

prescriptions, 1% of all prescriptions

75

prescriptions.

40

patients, 8% of all patients

25 28
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

78

prescriptions, 1% of all prescriptions

73

prescriptions.

34

patients, 7% of all patients

26 22
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

76

prescriptions, 1% of all prescriptions

71

prescriptions.

33

patients, 7% of all patients

27 8
INVOKANA

Used along with diet and ex... +

Used along with diet and exercise, and sometimes with other medications, to lower blood sugar levels in patients with type 2 diabetes (condition in which blood sugar is too high because the body does not produce or use insulin normally). Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

49

prescriptions.

29

patients, 6% of all patients

28 162
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

65

prescriptions, 1% of all prescriptions

60

prescriptions.

36

patients, 7% of all patients

29 58
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

61

prescriptions, 1% of all prescriptions

41

prescriptions.

20

patients, 4% of all patients

30 41
METHYLPREDNISOLONE

Treats asthma, allergic rea... +

Treats asthma, allergic reactions, inflammation, flare-ups of ongoing illnesses, and many other medical problems. Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

55

prescriptions.

49

patients, 10% of all patients

31 85
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

60

prescriptions, 1% of all prescriptions

49

prescriptions.

55

patients, 11% of all patients

A 31 56
PIOGLITAZONE HCL

Pioglitazone is used to tre... +

Pioglitazone is used 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

58

prescriptions, 1% of all prescriptions

53

prescriptions.

25

patients, 5% of all patients

33 77
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

57

prescriptions, 1% of all prescriptions

52

prescriptions.

26

patients, 5% of all patients

34 13
NIACIN ER

Lowers cholesterol and trig... +

Lowers cholesterol and triglyceride levels in the blood and treats niacin deficiency (pellagra). Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

37

prescriptions.

32

patients, 6% of all patients

35 222
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

53

prescriptions, 1% of all prescriptions

48

prescriptions.

26

patients, 5% of all patients

36 40
PIOGLITAZONE-METFORMIN 51

prescriptions, 1% of all prescriptions

46

prescriptions.

16

patients, 3% of all patients

37 408
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

50

prescriptions, 1% of all prescriptions

50

prescriptions.

22

patients, 4% of all patients

38 65
PROAIR HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

45

prescriptions.

21

patients, 4% of all patients

38 53
FENOFIBRIC ACID*

Lowers high cholesterol and... +

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

50

prescriptions, 1% of all prescriptions

45

prescriptions.

26

patients, 5% of all patients

38 209
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 27, 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.