Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

EDITH HAWKINS-FROST PA-C

At A Glance: This Prescriber in 2015

Physician Assistant

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

12,033Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 1017

$860K Total Retail Price of All Prescriptions

Rank: 22 out of 1017

705 Patients Receiving at Least One Drug in Part D
62% Patients 65 Years and Older

76% 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 439 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.

More resources »

Antibiotics

26% of this provider’s 705 patients filled at least one prescription for an antibiotic drug, compared to an average of 29%.

More resources »

Risky Drugs for Seniors

6% of this provider’s 439 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

17% of this provider’s 705 patients filled at least one prescription for an opioid, compared to an average of 10%.

More resources »

Brand Name Drugs

21% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$71 was the average price of a prescription from this provider, compared to $136 among peers.

Prescriptions per Patient

17 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

$203K

2012

$381K

2013

$706K

2014

$860K

2015

Number of Claims

3,004

2012

5,832

2013

10,059

2014

12,033

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
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

692

prescriptions, 6% of all prescriptions

498

prescriptions.

222

patients, 31% of all patients

1 4
LISINOPRIL

Treats high blood pressure ... +

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

480

prescriptions, 4% of all prescriptions

320

prescriptions.

160

patients, 23% of all patients

2 2
FUROSEMIDE

Treats fluid retention (ede... +

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

385

prescriptions, 3% of all prescriptions

265

prescriptions.

144

patients, 20% of all patients

3 10
CARVEDILOL

Treats high blood pressure ... +

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

357

prescriptions, 3% of all prescriptions

236

prescriptions.

107

patients, 15% of all patients

4 18
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

357

prescriptions, 3% of all prescriptions

263

prescriptions.

127

patients, 18% of all patients

4 3
SIMVASTATIN

Treats high cholesterol and... +

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

354

prescriptions, 3% of all prescriptions

238

prescriptions.

122

patients, 17% of all patients

6 6
GABAPENTIN

Treats certain types of sei... +

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

341

prescriptions, 3% of all prescriptions

176

prescriptions.

119

patients, 17% of all patients

7 7
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

293

prescriptions, 2% of all prescriptions

194

prescriptions.

97

patients, 14% of all patients

8 5
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

270

prescriptions, 2% of all prescriptions

176

prescriptions.

102

patients, 14% of all patients

9 30
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

270

prescriptions, 2% of all prescriptions

162

prescriptions.

83

patients, 12% of all patients

9 28
TRAMADOL HCL

Tramadol is used to relieve... +

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

256

prescriptions, 2% of all prescriptions

167

prescriptions.

87

patients, 12% of all patients

O 11 9
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

245

prescriptions, 2% of all prescriptions

184

prescriptions.

72

patients, 10% of all patients

12 11
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

229

prescriptions, 2% of all prescriptions

173

prescriptions.

73

patients, 10% of all patients

13 13
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

222

prescriptions, 2% of all prescriptions

155

prescriptions.

73

patients, 10% of all patients

14 1
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

211

prescriptions, 2% of all prescriptions

154

prescriptions.

72

patients, 10% of all patients

15 12
ALLOPURINOL

Treats gout and some kinds ... +

Treats gout and some kinds of kidney stones. Source: National Library of Medicine

206

prescriptions, 2% of all prescriptions

160

prescriptions.

64

patients, 9% of all patients

16 77
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

202

prescriptions, 2% of all prescriptions

155

prescriptions.

58

patients, 8% of all patients

17 15
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

186

prescriptions, 2% of all prescriptions

101

prescriptions.

69

patients, 10% of all patients

18 54
NOVOLIN 70-30

Insulin injection is used t... +

Insulin injection is used to control blood sugar in people who have type 1 diabetes (condition in which the body does not make insulin and therefore cannot control the amount of sugar in the blood) or in people who have type 2 diabetes (condition in which the blood sugar is too high because the body does not produce or use insulin normally) that cannot be controlled with oral medications alone. Source: National Library of Medicine

172

prescriptions, 1% of all prescriptions

111

prescriptions.

49

patients, 7% of all patients

19 180
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

164

prescriptions, 1% of all prescriptions

124

prescriptions.

49

patients, 7% of all patients

20 43
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

161

prescriptions, 1% of all prescriptions

120

prescriptions.

51

patients, 7% of all patients

21 48
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

155

prescriptions, 1% of all prescriptions

99

prescriptions.

69

patients, 10% of all patients

22 40
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

153

prescriptions, 1% of all prescriptions

83

prescriptions.

56

patients, 8% of all patients

23 20
BACLOFEN

Treats muscle spasms caused... +

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

144

prescriptions, 1% of all prescriptions

74

prescriptions.

54

patients, 8% of all patients

24 64
MELOXICAM

Treats symptoms of osteoart... +

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

138

prescriptions, 1% of all prescriptions

75

prescriptions.

52

patients, 7% of all patients

25 22
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

128

prescriptions, 1% of all prescriptions

106

prescriptions.

45

patients, 6% of all patients

26 97
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

126

prescriptions, 1% of all prescriptions

95

prescriptions.

31

patients, 4% of all patients

27 37
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

126

prescriptions, 1% of all prescriptions

82

prescriptions.

44

patients, 6% of all patients

27 31
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

123

prescriptions, 1% of all prescriptions

53

prescriptions.

56

patients, 8% of all patients

29 58
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

116

prescriptions, 1% of all prescriptions

79

prescriptions.

64

patients, 9% of all patients

30 193
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

115

prescriptions, 1% of all prescriptions

95

prescriptions.

39

patients, 6% of all patients

O 31 25
TRIAMCINOLONE ACETONIDE

Triamcinolone is used to tr... +

Triamcinolone is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions. Source: National Library of Medicine

114

prescriptions, 1% of all prescriptions

88

prescriptions.

64

patients, 9% of all patients

32 62
CITALOPRAM HBR

Citalopram is used to treat... +

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

113

prescriptions, 1% of all prescriptions

70

prescriptions.

39

patients, 6% of all patients

33 36
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

106

prescriptions, 1% of all prescriptions

73

prescriptions.

42

patients, 6% of all patients

34 17
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

105

prescriptions, 1% of all prescriptions

42

prescriptions.

32

patients, 5% of all patients

35 35
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

99

prescriptions, 1% of all prescriptions

59

prescriptions.

27

patients, 4% of all patients

36 110
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

92

prescriptions, 1% of all prescriptions

56

prescriptions.

48

patients, 7% of all patients

37 14
PREDNISONE

Treats inflammation (swelli... +

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

89

prescriptions, 1% of all prescriptions

58

prescriptions.

71

patients, 10% of all patients

38 27
TRAZODONE HCL

Trazodone is used to treat ... +

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

86

prescriptions, 1% of all prescriptions

40

prescriptions.

32

patients, 5% of all patients

39 26
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

61

prescriptions.

24

patients, 3% of all patients

39 92
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

85

prescriptions, 1% of all prescriptions

65

prescriptions.

25

patients, 4% of all patients

41 50
CLOPIDOGREL

Helps prevent stroke, heart... +

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

83

prescriptions, 1% of all prescriptions

68

prescriptions.

27

patients, 4% of all patients

42 24
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

49

prescriptions.

31

patients, 4% of all patients

43 106
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

51

prescriptions.

26

patients, 4% of all patients

43 68
TRIAMTERENE-HYDROCHLOROTHIAZID

Used to treat high blood pr... +

Used to treat high blood pressure and edema (fluid retention; excess fluid held in body tissues) in patients who have lower amounts of potassium in their bodies or for whom low potassium levels in the body could be dangerous. Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

48

prescriptions.

24

patients, 3% of all patients

45 149
QVAR

Prevents asthma attacks. +

Prevents asthma attacks. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

48

prescriptions.

35

patients, 5% of all patients

46 279
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

42

prescriptions.

19

patients, 3% of all patients

47 101
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

66

prescriptions, 1% of all prescriptions

38

prescriptions.

20

patients, 3% of all patients

48 29
ULTRA COMFORT* 62

prescriptions, 1% of all prescriptions

32

prescriptions.

22

patients, 3% of all patients

10 49 305
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

22

prescriptions.

15

patients, 2% of all patients

50 79
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

60

prescriptions, 0% of all prescriptions

48

prescriptions.

22

patients, 3% of all patients

50 8
OXYBUTYNIN CHLORIDE ER

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

59

prescriptions, 0% of all prescriptions

54

prescriptions.

18

patients, 3% of all patients

52 135
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

28

prescriptions.

19

patients, 3% of all patients

53 156
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

58

prescriptions, 0% of all prescriptions

41

prescriptions.

23

patients, 3% of all patients

53 63
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

58

prescriptions, 0% of all prescriptions

17

prescriptions.

26

patients, 4% of all patients

53 61
VERAPAMIL ER

Verapamil is used to treat ... +

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

56

prescriptions, 0% of all prescriptions

43

prescriptions.

14

patients, 2% of all patients

56 324
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

53

prescriptions, 0% of all prescriptions

53

prescriptions.

16

patients, 2% of all patients

57 44
DOXAZOSIN MESYLATE

Doxazosin (Cardura, Cardura... +

Doxazosin (Cardura, Cardura XL) 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

53

prescriptions, 0% of all prescriptions

41

prescriptions.

14

patients, 2% of all patients

57 103
LIDOCAINE

Causes numbness or loss of ... +

Causes numbness or loss of feeling in an area of your body. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

32

prescriptions.

29

patients, 4% of all patients

59 183
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

46

prescriptions.

13

patients, 2% of all patients

60 67
FLUCONAZOLE

Prevents and treats certain... +

Prevents and treats certain fungus infections. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

24

prescriptions.

40

patients, 6% of all patients

60 237
FELODIPINE ER

Felodipine is used to treat... +

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

50

prescriptions, 0% of all prescriptions

45

prescriptions.

12

patients, 2% of all patients

62 336
CRESTOR

Lowers high levels of chole... +

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

50

prescriptions, 0% of all prescriptions

23

prescriptions.

22

patients, 3% of all patients

62 32
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 Dec. 4, 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.