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 »

12,662Medicare Part D Prescriptions Filled, Including Refills

Rank: 448 out of 3110

$625K Total Retail Price of All Prescriptions

Rank: 899 out of 3110

355 Patients Receiving at Least One Drug in Part D
89% Patients 65 Years and Older

68% 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

19% of this provider’s 317 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 355 patients filled at least one prescription for an antibiotic drug, compared to an average of 31%.

More resources »

Risky Drugs for Seniors

13% of this provider’s 317 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 13%.

More resources »

Opioids

21% of this provider’s 355 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

23% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$49 was the average price of a prescription from this provider, compared to $84 among peers.

Prescriptions per Patient

36 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

$185K

2012

$231K

2013

$360K

2014

$625K

2015

Number of Claims

3,837

2012

4,709

2013

7,345

2014

12,662

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
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

812

prescriptions, 6% of all prescriptions

780

prescriptions.

108

patients, 30% of all patients

1 1
LISINOPRIL

Treats high blood pressure ... +

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

415

prescriptions, 3% of all prescriptions

374

prescriptions.

80

patients, 23% of all patients

2 4
CITALOPRAM HBR

Citalopram is used to treat... +

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

406

prescriptions, 3% of all prescriptions

391

prescriptions.

83

patients, 23% of all patients

3 30
SIMVASTATIN

Treats high cholesterol and... +

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

386

prescriptions, 3% of all prescriptions

365

prescriptions.

63

patients, 18% of all patients

4 5
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

337

prescriptions, 3% of all prescriptions

317

prescriptions.

78

patients, 22% of all patients

5 8
FUROSEMIDE

Treats fluid retention (ede... +

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

306

prescriptions, 2% of all prescriptions

301

prescriptions.

44

patients, 12% of all patients

6 7
TRAMADOL HCL

Tramadol is used to relieve... +

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

271

prescriptions, 2% of all prescriptions

247

prescriptions.

59

patients, 17% of all patients

O 7 12
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

265

prescriptions, 2% of all prescriptions

260

prescriptions.

49

patients, 14% of all patients

8 9
GABAPENTIN

Treats certain types of sei... +

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

260

prescriptions, 2% of all prescriptions

240

prescriptions.

53

patients, 15% of all patients

9 10
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

256

prescriptions, 2% of all prescriptions

234

prescriptions.

42

patients, 12% of all patients

10 6
NAMENDA XR

Used to treat the symptoms ... +

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

244

prescriptions, 2% of all prescriptions

244

prescriptions.

15

patients, 4% of all patients

11 59
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

242

prescriptions, 2% of all prescriptions

229

prescriptions.

49

patients, 14% of all patients

P 12 57
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

241

prescriptions, 2% of all prescriptions

236

prescriptions.

49

patients, 14% of all patients

13 2
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

226

prescriptions, 2% of all prescriptions

226

prescriptions.

32

patients, 9% of all patients

14 26
BACLOFEN

Treats muscle spasms caused... +

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

226

prescriptions, 2% of all prescriptions

212

prescriptions.

60

patients, 17% of all patients

14 86
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

224

prescriptions, 2% of all prescriptions

219

prescriptions.

34

patients, 10% of all patients

16 14
MELOXICAM

Treats symptoms of osteoart... +

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

222

prescriptions, 2% of all prescriptions

197

prescriptions.

44

patients, 12% of all patients

17 27
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

220

prescriptions, 2% of all prescriptions

215

prescriptions.

35

patients, 10% of all patients

18 18
ALPRAZOLAM

Treats anxiety, panic disor... +

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

213

prescriptions, 2% of all prescriptions

201

prescriptions.

54

patients, 15% of all patients

19 17
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

211

prescriptions, 2% of all prescriptions

206

prescriptions.

45

patients, 13% of all patients

20 13
TRAZODONE HCL

Trazodone is used to treat ... +

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

202

prescriptions, 2% of all prescriptions

191

prescriptions.

47

patients, 13% of all patients

21 29
CARVEDILOL

Treats high blood pressure ... +

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

186

prescriptions, 1% of all prescriptions

169

prescriptions.

30

patients, 8% of all patients

22 20
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

154

prescriptions, 1% of all prescriptions

154

prescriptions.

24

patients, 7% of all patients

23 67
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

152

prescriptions, 1% of all prescriptions

147

prescriptions.

27

patients, 8% of all patients

24 15
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

145

prescriptions, 1% of all prescriptions

111

prescriptions.

21

patients, 6% of all patients

25 32
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

140

prescriptions, 1% of all prescriptions

135

prescriptions.

16

patients, 5% of all patients

26 31
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

133

prescriptions, 1% of all prescriptions

128

prescriptions.

29

patients, 8% of all patients

27 52
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

131

prescriptions, 1% of all prescriptions

126

prescriptions.

28

patients, 8% of all patients

28 55
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

129

prescriptions, 1% of all prescriptions

129

prescriptions.

24

patients, 7% of all patients

29 16
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

128

prescriptions, 1% of all prescriptions

123

prescriptions.

27

patients, 8% of all patients

30 3
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

126

prescriptions, 1% of all prescriptions

121

prescriptions.

16

patients, 5% of all patients

31 50
TOLTERODINE TARTRATE

Tolterodine is used treat o... +

Tolterodine is used treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination) to relieve urinary difficulties, including frequent urination and inability to control urination. Source: National Library of Medicine

116

prescriptions, 1% of all prescriptions

116

prescriptions.

<11 32 403
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

113

prescriptions, 1% of all prescriptions

108

prescriptions.

27

patients, 8% of all patients

33 22
LEVETIRACETAM

Used to help control certai... +

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

109

prescriptions, 1% of all prescriptions

104

prescriptions.

14

patients, 4% of all patients

34 87
TEMAZEPAM

Treats insomnia (trouble sl... +

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

105

prescriptions, 1% of all prescriptions

85

prescriptions.

24

patients, 7% of all patients

35 68
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

105

prescriptions, 1% of all prescriptions

100

prescriptions.

21

patients, 6% of all patients

35 24
CLOPIDOGREL

Helps prevent stroke, heart... +

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

103

prescriptions, 1% of all prescriptions

103

prescriptions.

19

patients, 5% of all patients

37 21
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

99

prescriptions, 1% of all prescriptions

94

prescriptions.

17

patients, 5% of all patients

38 71
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

98

prescriptions, 1% of all prescriptions

98

prescriptions.

29

patients, 8% of all patients

39 111
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

97

prescriptions, 1% of all prescriptions

92

prescriptions.

19

patients, 5% of all patients

40 28
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

96

prescriptions, 1% of all prescriptions

91

prescriptions.

21

patients, 6% of all patients

41 19
FINASTERIDE

Treats an enlarged prostate... +

Treats an enlarged prostate (benign prostatic hyperplasia or BPH) in men and causes hair growth in male pattern baldness. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

94

prescriptions.

21

patients, 6% of all patients

42 75
CRESTOR

Lowers high levels of chole... +

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

85

prescriptions, 1% of all prescriptions

80

prescriptions.

11

patients, 3% of all patients

43 25
DICYCLOMINE HCL

Dicyclomine is used to trea... +

Dicyclomine is used to treat the symptoms of irritable bowel syndrome. Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

67

prescriptions.

22

patients, 6% of all patients

44 185
NOVOLOG

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

82

prescriptions.

17

patients, 5% of all patients

45 141
MEGESTROL ACETATE

Megestrol tablets treat bre... +

Megestrol tablets treat breast and uterine cancer. Source: National Library of Medicine

80

prescriptions, 1% of all prescriptions

75

prescriptions.

15

patients, 4% of all patients

R 46 203
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

80

prescriptions, 1% of all prescriptions

67

prescriptions.

29

patients, 8% of all patients

46 23
OXYBUTYNIN CHLORIDE

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

72

prescriptions, 1% of all prescriptions

67

prescriptions.

14

patients, 4% of all patients

48 128
IPRATROPIUM-ALBUTEROL

The combination of albutero... +

The combination of albuterol and ipratropium is used to prevent wheezing, difficulty breathing, chest tightness, and coughing in people with chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to the air sacs in the lungs). Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

67

prescriptions.

27

patients, 8% of all patients

49 118
PATANOL

Treats itching or watering ... +

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

67

prescriptions, 1% of all prescriptions

62

prescriptions.

14

patients, 4% of all patients

49 267
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

66

prescriptions, 1% of all prescriptions

61

prescriptions.

14

patients, 4% of all patients

51 47
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

66

prescriptions, 1% of all prescriptions

55

prescriptions.

25

patients, 7% of all patients

O 51 46
ESCITALOPRAM OXALATE

Escitalopram is used to tre... +

Escitalopram is used to treat depression and generalized anxiety disorder (excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

60

prescriptions.

<11 53 37
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

61

prescriptions, 0% of all prescriptions

56

prescriptions.

43

patients, 12% of all patients

A 54 56
VESICARE

Solifenacin is used to trea... +

Solifenacin is used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

59

prescriptions.

<11 55 116
MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

56

prescriptions.

16

patients, 5% of all patients

56 110
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

55

prescriptions, 0% of all prescriptions

42

prescriptions.

<11 57 58
CLONIDINE HCL

Clonidine is used alone or ... +

Clonidine is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

36

prescriptions.

20

patients, 6% of all patients

58 51
LEVEMIR

Helps control blood sugar l... +

Helps control blood sugar levels. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

47

prescriptions.

13

patients, 4% of all patients

59 131
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 July 23, 2012.
  • 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.