Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Pulmonary Disease

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

8,406Medicare Part D Prescriptions Filled, Including Refills

Rank: 12 out of 436

$2.13M Total Retail Price of All Prescriptions

Rank: 9 out of 436

279 Patients Receiving at Least One Drug in Part D
59% Patients 65 Years and Older

30% 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

71% of this provider’s 279 patients filled at least one prescription for an antibiotic drug, compared to an average of 29%.

More resources »

Risky Drugs for Seniors

10% of this provider’s 164 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 5%.

More resources »

Opioids

20% of this provider’s 279 patients filled at least one prescription for an opioid, compared to an average of 4%.

More resources »

Brand Name Drugs

14% of this provider’s prescriptions were for brand-name drugs, compared to an average of 53%. This is far fewer than peers.

Prescription Price

$254 was the average price of a prescription from this provider, compared to $291 among peers.

Prescriptions per Patient

30 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

2012

$504K

2013

$1.97M

2014

$2.13M

2015

Number of Claims

2012

1,860

2013

6,996

2014

8,406

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
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

Treating infections caused by certain bacteria. Source: National Library of Medicine

562

prescriptions, 7% of all prescriptions

351

prescriptions.

103

patients, 37% of all patients

A 1 32
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Source: National Library of Medicine

541

prescriptions, 6% of all prescriptions

314

prescriptions.

139

patients, 50% of all patients

2 2
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

449

prescriptions, 5% of all prescriptions

309

prescriptions.

84

patients, 30% of all patients

3 22
AZITHROMYCIN

Treats infections caused by... +

Treats infections caused by certain bacteria. Source: National Library of Medicine

401

prescriptions, 5% of all prescriptions

242

prescriptions.

92

patients, 33% of all patients

A 4 7
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

397

prescriptions, 5% of all prescriptions

257

prescriptions.

71

patients, 25% of all patients

5 15
TACROLIMUS 376

prescriptions, 4% of all prescriptions

182

prescriptions.

62

patients, 22% of all patients

6 85
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

322

prescriptions, 4% of all prescriptions

203

prescriptions.

69

patients, 25% of all patients

7 34
VALGANCICLOVIR HCL 234

prescriptions, 3% of all prescriptions

130

prescriptions.

63

patients, 23% of all patients

8 94
MYCOPHENOLATE MOFETIL

Used with other medications... +

Used with other medications to help prevent transplant organ rejection (attack of the transplanted organ by the immune system of the person receiving the organ) in people who have received organ transplants. Source: National Library of Medicine

224

prescriptions, 3% of all prescriptions

128

prescriptions.

45

patients, 16% of all patients

9 124
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

219

prescriptions, 3% of all prescriptions

143

prescriptions.

38

patients, 14% of all patients

10 13
GABAPENTIN

Treats certain types of sei... +

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

182

prescriptions, 2% of all prescriptions

89

prescriptions.

49

patients, 18% of all patients

11 21
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

176

prescriptions, 2% of all prescriptions

132

prescriptions.

37

patients, 13% of all patients

12 41
METOCLOPRAMIDE HCL

Metoclopramide is used to r... +

Metoclopramide is used to relieve heartburn and speed the healing of ulcers and sores in the esophagus (tube that connects the mouth to the stomach) in people who have gastroesophageal reflux disease (GERD; condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus) that did not get better with other treatments. Source: National Library of Medicine

168

prescriptions, 2% of all prescriptions

72

prescriptions.

40

patients, 14% of all patients

13 119
FUROSEMIDE

Treats fluid retention (ede... +

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

163

prescriptions, 2% of all prescriptions

108

prescriptions.

47

patients, 17% of all patients

14 9
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

133

prescriptions, 2% of all prescriptions

83

prescriptions.

23

patients, 8% of all patients

15 10
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

127

prescriptions, 2% of all prescriptions

44

prescriptions.

31

patients, 11% of all patients

R 16 35
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

126

prescriptions, 1% of all prescriptions

69

prescriptions.

20

patients, 7% of all patients

17 12
VORICONAZOLE 96

prescriptions, 1% of all prescriptions

38

prescriptions.

30

patients, 11% of all patients

10 18 170
ALPRAZOLAM

Treats anxiety, panic disor... +

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

93

prescriptions, 1% of all prescriptions

58

prescriptions.

22

patients, 8% of all patients

19 25
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

92

prescriptions, 1% of all prescriptions

67

prescriptions.

22

patients, 8% of all patients

20 98
NYSTATIN

Treats fungus infections in... +

Treats fungus infections in the mouth, throat, and intestines. Source: National Library of Medicine

85

prescriptions, 1% of all prescriptions

61

prescriptions.

39

patients, 14% of all patients

21 133
ACYCLOVIR

Treats herpes labialis (col... +

Treats herpes labialis (cold sores). Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

45

prescriptions.

17

patients, 6% of all patients

22 187
LEVOFLOXACIN

Levofloxacin is used to tre... +

Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine

80

prescriptions, 1% of all prescriptions

47

prescriptions.

61

patients, 22% of all patients

A 23 11
ITRACONAZOLE 80

prescriptions, 1% of all prescriptions

45

prescriptions.

14

patients, 5% of all patients

23 162
FAMOTIDINE*

Treats ulcers, gastroesopha... +

Treats ulcers, gastroesophageal reflux disease (GERD), and conditions that cause the stomach to produce too much stomach acid. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

55

prescriptions.

14

patients, 5% of all patients

25 89
VALCYTE 77

prescriptions, 1% of all prescriptions

60

prescriptions.

23

patients, 8% of all patients

10 26 234
DILTIAZEM HCL

Diltiazem is used to treat ... +

Diltiazem is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

51

prescriptions.

13

patients, 5% of all patients

27 153
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

72

prescriptions, 1% of all prescriptions

46

prescriptions.

14

patients, 5% of all patients

28 51
AZATHIOPRINE

Prevents your body from rej... +

Prevents your body from rejecting a kidney transplant. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

54

prescriptions.

14

patients, 5% of all patients

29 146
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

66

prescriptions, 1% of all prescriptions

24

prescriptions.

12

patients, 4% of all patients

30 54
CARVEDILOL

Treats high blood pressure ... +

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

61

prescriptions, 1% of all prescriptions

36

prescriptions.

12

patients, 4% of all patients

31 56
TRAMADOL HCL

Tramadol is used to relieve... +

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

61

prescriptions, 1% of all prescriptions

40

prescriptions.

20

patients, 7% of all patients

O 31 29
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

20

prescriptions.

12

patients, 4% of all patients

33 59
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

56

prescriptions, 1% of all prescriptions

39

prescriptions.

21

patients, 8% of all patients

34 8
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

55

prescriptions, 1% of all prescriptions

42

prescriptions.

16

patients, 6% of all patients

35 42
FLUDROCORTISONE ACETATE

Replaces certain hormones w... +

Replaces certain hormones when the body does not make enough, such as in Addison's disease. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

29

prescriptions.

16

patients, 6% of all patients

36 208
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 Sept. 10, 2014.
  • 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.