Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

CHRISTOPHER MONTOYA PA-C

3107 TPC PARKWAY SUITE 102 TPC FAMILY MEDICINE & URGENT CARE CLINIC

San antonio | Texas | 78259

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At A Glance: This Prescriber in 2015

Physician Assistant, Medical

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

9,393Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 432

$747K Total Retail Price of All Prescriptions

Rank: 9 out of 432

757 Patients Receiving at Least One Drug in Part D
72% Patients 65 Years and Older

87% 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

4% of this provider’s 545 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

27% of this provider’s 757 patients filled at least one prescription for an antibiotic drug, compared to an average of 31%.

More resources »

Risky Drugs for Seniors

14% of this provider’s 545 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

21% of this provider’s 757 patients filled at least one prescription for an opioid, compared to an average of 9%.

More resources »

Brand Name Drugs

19% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$80 was the average price of a prescription from this provider, compared to $156 among peers.

Prescriptions per Patient

12 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

$154K

2013

$541K

2014

$747K

2015

Number of Claims

2012

2,487

2013

6,634

2014

9,393

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
LIDOCAINE-PRILOCAINE

This is used on the skin or... +

This is used on the skin or in the genital area to cause numbness or loss of feeling before certain medical procedures. Source: National Library of Medicine

508

prescriptions, 5% of all prescriptions

373

prescriptions.

134

patients, 18% of all patients

1 78
TRAMADOL HCL

Tramadol is used to relieve... +

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

350

prescriptions, 4% of all prescriptions

268

prescriptions.

130

patients, 17% of all patients

O 2 9
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

303

prescriptions, 3% of all prescriptions

205

prescriptions.

91

patients, 12% of all patients

3 4
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

260

prescriptions, 3% of all prescriptions

200

prescriptions.

68

patients, 9% of all patients

4 1
LISINOPRIL

Treats high blood pressure ... +

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

260

prescriptions, 3% of all prescriptions

169

prescriptions.

84

patients, 11% of all patients

4 2
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

233

prescriptions, 2% of all prescriptions

183

prescriptions.

72

patients, 10% of all patients

6 3
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

218

prescriptions, 2% of all prescriptions

150

prescriptions.

65

patients, 9% of all patients

7 11
SIMVASTATIN

Treats high cholesterol and... +

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

216

prescriptions, 2% of all prescriptions

170

prescriptions.

62

patients, 8% of all patients

8 6
GABAPENTIN

Treats certain types of sei... +

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

204

prescriptions, 2% of all prescriptions

146

prescriptions.

61

patients, 8% of all patients

9 8
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

185

prescriptions, 2% of all prescriptions

115

prescriptions.

53

patients, 7% of all patients

10 7
MELOXICAM

Treats symptoms of osteoart... +

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

160

prescriptions, 2% of all prescriptions

130

prescriptions.

59

patients, 8% of all patients

11 18
FUROSEMIDE

Treats fluid retention (ede... +

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

159

prescriptions, 2% of all prescriptions

132

prescriptions.

53

patients, 7% of all patients

12 10
CLONAZEPAM

Treats seizures, panic diso... +

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

156

prescriptions, 2% of all prescriptions

85

prescriptions.

40

patients, 5% of all patients

13 50
ALPRAZOLAM

Treats anxiety, panic disor... +

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

149

prescriptions, 2% of all prescriptions

90

prescriptions.

41

patients, 5% of all patients

14 21
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

143

prescriptions, 2% of all prescriptions

124

prescriptions.

50

patients, 7% of all patients

15 5
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

124

prescriptions, 1% of all prescriptions

66

prescriptions.

42

patients, 6% of all patients

16 31
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

115

prescriptions, 1% of all prescriptions

56

prescriptions.

32

patients, 4% of all patients

17 15
CARVEDILOL

Treats high blood pressure ... +

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

115

prescriptions, 1% of all prescriptions

91

prescriptions.

31

patients, 4% of all patients

17 26
CLOPIDOGREL

Helps prevent stroke, heart... +

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

113

prescriptions, 1% of all prescriptions

83

prescriptions.

30

patients, 4% of all patients

19 30
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

111

prescriptions, 1% of all prescriptions

60

prescriptions.

29

patients, 4% of all patients

20 12
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

106

prescriptions, 1% of all prescriptions

101

prescriptions.

22

patients, 3% of all patients

P 21 66
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

101

prescriptions, 1% of all prescriptions

30

prescriptions.

32

patients, 4% of all patients

R 22 49
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

97

prescriptions, 1% of all prescriptions

53

prescriptions.

25

patients, 3% of all patients

23 13
LORAZEPAM

Treats anxiety, anxiety wit... +

Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

89

prescriptions.

23

patients, 3% of all patients

24 83
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

53

prescriptions.

19

patients, 3% of all patients

25 56
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

87

prescriptions, 1% of all prescriptions

76

prescriptions.

29

patients, 4% of all patients

26 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

87

prescriptions, 1% of all prescriptions

75

prescriptions.

77

patients, 10% of all patients

A 26 29
ENALAPRIL MALEATE

Enalapril is used alone or ... +

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

87

prescriptions, 1% of all prescriptions

53

prescriptions.

25

patients, 3% of all patients

26 53
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

86

prescriptions, 1% of all prescriptions

70

prescriptions.

41

patients, 5% of all patients

29 39
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

83

prescriptions, 1% of all prescriptions

62

prescriptions.

44

patients, 6% of all patients

O 30 25
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

74

prescriptions, 1% of all prescriptions

35

prescriptions.

29

patients, 4% of all patients

31 34
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

73

prescriptions, 1% of all prescriptions

41

prescriptions.

30

patients, 4% of all patients

32 45
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

73

prescriptions, 1% of all prescriptions

73

prescriptions.

20

patients, 3% of all patients

32 36
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

73

prescriptions, 1% of all prescriptions

46

prescriptions.

18

patients, 2% of all patients

32 64
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

67

prescriptions.

22

patients, 3% of all patients

35 17
TRAZODONE HCL

Trazodone is used to treat ... +

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

71

prescriptions, 1% of all prescriptions

42

prescriptions.

26

patients, 3% of all patients

36 47
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

66

prescriptions, 1% of all prescriptions

49

prescriptions.

20

patients, 3% of all patients

37 24
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

65

prescriptions, 1% of all prescriptions

60

prescriptions.

11

patients, 1% of all patients

38 43
CRESTOR

Lowers high levels of chole... +

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

61

prescriptions, 1% of all prescriptions

36

prescriptions.

16

patients, 2% of all patients

39 27
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

59

prescriptions, 1% of all prescriptions

36

prescriptions.

21

patients, 3% of all patients

40 19
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

56

prescriptions, 1% of all prescriptions

38

prescriptions.

25

patients, 3% of all patients

41 22
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

55

prescriptions, 1% of all prescriptions

26

prescriptions.

15

patients, 2% of all patients

42 87
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

32

prescriptions.

16

patients, 2% of all patients

43 33
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

41

prescriptions.

19

patients, 3% of all patients

44 65
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

52

prescriptions, 1% of all prescriptions

34

prescriptions.

12

patients, 2% of all patients

44 32
CITALOPRAM HBR

Citalopram is used to treat... +

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

51

prescriptions, 1% of all prescriptions

46

prescriptions.

16

patients, 2% of all patients

46 44
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

51

prescriptions, 1% of all prescriptions

46

prescriptions.

13

patients, 2% of all patients

46 72
HYDROXYZINE HCL

Hydroxyzine is used to reli... +

Hydroxyzine is used to relieve the itching caused by allergies and to control the nausea and vomiting caused by various conditions, including motion sickness. Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

22

prescriptions.

12

patients, 2% of all patients

R 46 240
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 19, 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.