Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Physician Assistant, Medical

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

8,206Medicare Part D Prescriptions Filled, Including Refills

Rank: 4 out of 432

$621K Total Retail Price of All Prescriptions

Rank: 14 out of 432

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

61% 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

37% of this provider’s 971 patients filled at least one prescription for an antibiotic drug, compared to an average of 31%.

More resources »

Risky Drugs for Seniors

3% of this provider’s 823 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

7% of this provider’s 971 patients filled at least one prescription for an opioid, compared to an average of 9%.

More resources »

Brand Name Drugs

20% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$76 was the average price of a prescription from this provider, compared to $156 among peers.

Prescriptions per Patient

8 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

$448K

2012

$434K

2013

$512K

2014

$621K

2015

Number of Claims

6,234

2012

6,294

2013

6,862

2014

8,206

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
LISINOPRIL

Treats high blood pressure ... +

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

502

prescriptions, 6% of all prescriptions

451

prescriptions.

156

patients, 16% of all patients

1 2
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

366

prescriptions, 4% of all prescriptions

336

prescriptions.

126

patients, 13% of all patients

2 5
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

327

prescriptions, 4% of all prescriptions

287

prescriptions.

116

patients, 12% of all patients

3 1
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

298

prescriptions, 4% of all prescriptions

259

prescriptions.

104

patients, 11% of all patients

4 3
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

282

prescriptions, 3% of all prescriptions

222

prescriptions.

93

patients, 10% of all patients

5 4
SIMVASTATIN

Treats high cholesterol and... +

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

247

prescriptions, 3% of all prescriptions

227

prescriptions.

99

patients, 10% of all patients

6 6
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

182

prescriptions, 2% of all prescriptions

155

prescriptions.

76

patients, 8% of all patients

7 7
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

170

prescriptions, 2% of all prescriptions

131

prescriptions.

102

patients, 11% of all patients

8 45
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

146

prescriptions, 2% of all prescriptions

141

prescriptions.

55

patients, 6% of all patients

9 12
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

145

prescriptions, 2% of all prescriptions

140

prescriptions.

48

patients, 5% of all patients

10 15
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

127

prescriptions, 2% of all prescriptions

122

prescriptions.

44

patients, 5% of all patients

11 40
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

126

prescriptions, 2% of all prescriptions

105

prescriptions.

111

patients, 11% of all patients

A 12 59
ALPRAZOLAM

Treats anxiety, panic disor... +

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

114

prescriptions, 1% of all prescriptions

89

prescriptions.

36

patients, 4% of all patients

13 21
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

111

prescriptions, 1% of all prescriptions

95

prescriptions.

38

patients, 4% of all patients

14 41
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

107

prescriptions, 1% of all prescriptions

89

prescriptions.

36

patients, 4% of all patients

15 37
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

104

prescriptions, 1% of all prescriptions

91

prescriptions.

30

patients, 3% of all patients

16 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

104

prescriptions, 1% of all prescriptions

99

prescriptions.

39

patients, 4% of all patients

16 11
JANUMET

This is a combination drug ... +

This is a combination drug containing metformin and sitagliptin and is used to treat high blood sugar levels caused by type 2 diabetes. Source: National Library of Medicine

96

prescriptions, 1% of all prescriptions

79

prescriptions.

31

patients, 3% of all patients

18 121
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

90

prescriptions.

30

patients, 3% of all patients

19 23
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

92

prescriptions.

24

patients, 2% of all patients

20 56
CLONAZEPAM

Treats seizures, panic diso... +

Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

84

prescriptions.

39

patients, 4% of all patients

21 50
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

88

prescriptions, 1% of all prescriptions

76

prescriptions.

41

patients, 4% of all patients

22 19
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

87

prescriptions, 1% of all prescriptions

69

prescriptions.

55

patients, 6% of all patients

23 52
CEFADROXIL 87

prescriptions, 1% of all prescriptions

73

prescriptions.

74

patients, 8% of all patients

A 23 176
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

80

prescriptions, 1% of all prescriptions

75

prescriptions.

34

patients, 4% of all patients

25 17
CEFDINIR

Treats certain types of ski... +

Treats certain types of skin infections, throat infections, and lung infections, such as pneumonia, bronchitis, sinusitis, pharyngitis, or tonsillitis. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

57

prescriptions.

72

patients, 7% of all patients

A 26 69
TRAMADOL HCL

Tramadol is used to relieve... +

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

79

prescriptions, 1% of all prescriptions

74

prescriptions.

46

patients, 5% of all patients

O 26 9
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

78

prescriptions, 1% of all prescriptions

73

prescriptions.

69

patients, 7% of all patients

A 28 29
VALSARTAN-HYDROCHLOROTHIAZIDE

Treats high blood pressure. +

Treats high blood pressure. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

60

prescriptions.

21

patients, 2% of all patients

29 62
MELOXICAM

Treats symptoms of osteoart... +

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

70

prescriptions, 1% of all prescriptions

70

prescriptions.

30

patients, 3% of all patients

30 18
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

70

prescriptions, 1% of all prescriptions

53

prescriptions.

23

patients, 2% of all patients

30 133
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

67

prescriptions, 1% of all prescriptions

62

prescriptions.

23

patients, 2% of all patients

32 22
CITALOPRAM HBR

Citalopram is used to treat... +

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

65

prescriptions, 1% of all prescriptions

60

prescriptions.

23

patients, 2% of all patients

33 44
AZITHROMYCIN

Treats infections caused by... +

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

64

prescriptions, 1% of all prescriptions

59

prescriptions.

62

patients, 6% of all patients

A 34 14
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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

21

patients, 2% of all patients

35 72
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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

23

patients, 2% of all patients

35 79
CLOPIDOGREL

Helps prevent stroke, heart... +

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

61

prescriptions, 1% of all prescriptions

45

prescriptions.

19

patients, 2% of all patients

37 30
CARVEDILOL

Treats high blood pressure ... +

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

58

prescriptions, 1% of all prescriptions

53

prescriptions.

20

patients, 2% of all patients

38 26
IRBESARTAN

Used alone or in combinatio... +

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

58

prescriptions, 1% of all prescriptions

53

prescriptions.

<11 38 90
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

56

prescriptions, 1% of all prescriptions

51

prescriptions.

18

patients, 2% of all patients

40 55
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

55

prescriptions, 1% of all prescriptions

50

prescriptions.

19

patients, 2% of all patients

41 31
CRESTOR

Lowers high levels of chole... +

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

54

prescriptions, 1% of all prescriptions

49

prescriptions.

17

patients, 2% of all patients

42 27
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

53

prescriptions, 1% of all prescriptions

48

prescriptions.

50

patients, 5% of all patients

43 38
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

50

prescriptions, 1% of all prescriptions

45

prescriptions.

22

patients, 2% of all patients

44 16
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

45

prescriptions.

30

patients, 3% of all patients

44 93
GEMFIBROZIL

Lowers high triglyceride an... +

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

50

prescriptions, 1% of all prescriptions

45

prescriptions.

15

patients, 2% of all patients

44 170
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 June 13, 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.