Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Rheumatology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

23,899Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 268

$11M Total Retail Price of All Prescriptions

Rank: 2 out of 268

2,385 Patients Receiving at Least One Drug in Part D
73% Patients 65 Years and Older

79% 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

5% of this provider’s 2,385 patients filled at least one prescription for an antibiotic drug, compared to an average of 6%.

More resources »

Risky Drugs for Seniors

4% of this provider’s 1,750 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

36% of this provider’s 2,385 patients filled at least one prescription for an opioid, compared to an average of 27%.

More resources »

Brand Name Drugs *

31% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

* This is an estimate, see our methodology.

Prescription Price

$462 was the average price of a prescription from this provider, compared to $317 among peers.

Prescriptions per Patient

10 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$5M

2012

$6.69M

2013

$8.71M

2014

$11M

2015

Number of Claims

16,641

2012

21,210

2013

23,507

2014

23,899

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
METHOTREXATE

Treats several kinds of can... +

Treats several kinds of cancer, including cancer of the blood, bone, lung, breast, head, or neck. Source: National Library of Medicine

1,725

prescriptions, 7% of all prescriptions

1,210

prescriptions.

413

patients, 17% of all patients

1 2
GABAPENTIN

Treats certain types of sei... +

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

1,589

prescriptions, 7% of all prescriptions

1,082

prescriptions.

489

patients, 21% of all patients

2 6
HYDROXYCHLOROQUINE SULFATE

Hydroxychloroquine is in a ... +

Hydroxychloroquine is in a class of drugs called antimalarials. Source: National Library of Medicine

1,433

prescriptions, 6% of all prescriptions

920

prescriptions.

405

patients, 17% of all patients

3 3
VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine

1,108

prescriptions, 5% of all prescriptions

840

prescriptions.

459

patients, 19% of all patients

4 16
TRAMADOL HCL

Tramadol is used to relieve... +

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

1,067

prescriptions, 4% of all prescriptions

758

prescriptions.

334

patients, 14% of all patients

O 5 4
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. Source: National Library of Medicine

1,016

prescriptions, 4% of all prescriptions

560

prescriptions.

221

patients, 9% of all patients

O 6 5
BACLOFEN

Treats muscle spasms caused... +

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

1,008

prescriptions, 4% of all prescriptions

695

prescriptions.

381

patients, 16% of all patients

7 32
PREDNISONE

Treats inflammation (swelli... +

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

1,007

prescriptions, 4% of all prescriptions

676

prescriptions.

344

patients, 14% of all patients

8 1
SULFASALAZINE DR 999

prescriptions, 4% of all prescriptions

707

prescriptions.

290

patients, 12% of all patients

10 9 22
SULFASALAZINE

Treats ulcerative colitis. ... +

Treats ulcerative colitis. Source: National Library of Medicine

801

prescriptions, 3% of all prescriptions

580

prescriptions.

275

patients, 12% of all patients

10 10 15
LEFLUNOMIDE

Treats rheumatoid arthritis... +

Treats rheumatoid arthritis in adults. Source: National Library of Medicine

713

prescriptions, 3% of all prescriptions

541

prescriptions.

198

patients, 8% of all patients

10 11 7
MELOXICAM

Treats symptoms of osteoart... +

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

701

prescriptions, 3% of all prescriptions

458

prescriptions.

245

patients, 10% of all patients

12 9
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

646

prescriptions, 3% of all prescriptions

331

prescriptions.

167

patients, 7% of all patients

13 12
TRAMADOL HCL-ACETAMINOPHEN

Treats short-term, medium t... +

Treats short-term, medium to medium-severe pain. Source: National Library of Medicine

563

prescriptions, 2% of all prescriptions

477

prescriptions.

227

patients, 10% of all patients

O 10 14 28
CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

515

prescriptions, 2% of all prescriptions

316

prescriptions.

175

patients, 7% of all patients

15 14
ORENCIA* 500

prescriptions, 2% of all prescriptions

405

prescriptions.

64

patients, 3% of all patients

10 16 29
ENBREL

Treats rheumatoid arthritis... +

Treats rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and plaque psoriasis in adults. Source: National Library of Medicine

484

prescriptions, 2% of all prescriptions

251

prescriptions.

73

patients, 3% of all patients

10 17 10
REMICADE 447

prescriptions, 2% of all prescriptions

227

prescriptions.

85

patients, 4% of all patients

10 18 67
DULOXETINE HCL

Duloxetine is used to treat... +

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

443

prescriptions, 2% of all prescriptions

254

prescriptions.

139

patients, 6% of all patients

19 8
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

432

prescriptions, 2% of all prescriptions

280

prescriptions.

157

patients, 7% of all patients

20 36
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

376

prescriptions, 2% of all prescriptions

239

prescriptions.

137

patients, 6% of all patients

21 30
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

364

prescriptions, 2% of all prescriptions

273

prescriptions.

137

patients, 6% of all patients

22 11
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

353

prescriptions, 1% of all prescriptions

211

prescriptions.

145

patients, 6% of all patients

O 23 18
ULORIC

Used to treat hyperuricemia... +

Used to treat hyperuricemia (high uric acid in the blood) in patients with gout. Source: National Library of Medicine

275

prescriptions, 1% of all prescriptions

226

prescriptions.

69

patients, 3% of all patients

24 31
DEXAMETHASONE

Treats inflammation and man... +

Treats inflammation and many other medical problems. Source: National Library of Medicine

237

prescriptions, 1% of all prescriptions

232

prescriptions.

74

patients, 3% of all patients

25 104
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

234

prescriptions, 1% of all prescriptions

195

prescriptions.

118

patients, 5% of all patients

26 21
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

217

prescriptions, 1% of all prescriptions

140

prescriptions.

72

patients, 3% of all patients

27 19
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

204

prescriptions, 1% of all prescriptions

59

prescriptions.

78

patients, 3% of all patients

R 28 23
PIROXICAM 196

prescriptions, 1% of all prescriptions

120

prescriptions.

68

patients, 3% of all patients

29 100
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

165

prescriptions, 1% of all prescriptions

62

prescriptions.

59

patients, 2% of all patients

30 46
PROLIA 155

prescriptions, 1% of all prescriptions

135

prescriptions.

115

patients, 5% of all patients

31 59
ALLOPURINOL

Treats gout and some kinds ... +

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

155

prescriptions, 1% of all prescriptions

113

prescriptions.

52

patients, 2% of all patients

31 13
CIMZIA 152

prescriptions, 1% of all prescriptions

86

prescriptions.

27

patients, 1% of all patients

10 33 56
COLCRYS

Used to prevent gout attack... +

Used to prevent gout attacks (sudden, severe pain in one or more joints caused by abnormally high levels of a substance called uric acid in the blood) in adults, and to relieve the pain of gout attacks when they occur. Source: National Library of Medicine

149

prescriptions, 1% of all prescriptions

113

prescriptions.

52

patients, 2% of all patients

34 88
HUMIRA 128

prescriptions, 1% of all prescriptions

43

prescriptions.

27

patients, 1% of all patients

35 53
HUMIRA PEN

Treats the symptoms and pre... +

Treats the symptoms and prevent the progression of active rheumatoid arthritis and ankylosing spondylitis. Source: National Library of Medicine

125

prescriptions, 1% of all prescriptions

82

prescriptions.

30

patients, 1% of all patients

36 17
CEVIMELINE HCL 122

prescriptions, 1% of all prescriptions

117

prescriptions.

31

patients, 1% of all patients

10 37 81
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

104

prescriptions, 0% of all prescriptions

73

prescriptions.

32

patients, 1% of all patients

38 20
ALPRAZOLAM

Treats anxiety, panic disor... +

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

103

prescriptions, 0% of all prescriptions

41

prescriptions.

29

patients, 1% of all patients

39 27
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

90

prescriptions, 0% of all prescriptions

21

prescriptions.

31

patients, 1% of all patients

R 40 48
LIDOCAINE

Causes numbness or loss of ... +

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

89

prescriptions, 0% of all prescriptions

71

prescriptions.

47

patients, 2% of all patients

41 47
RITUXAN 86

prescriptions, 0% of all prescriptions

47

prescriptions.

43

patients, 2% of all patients

10 42 129
COLCHICINE

Prevent or treat attacks of... +

Prevent or treat attacks of gout. Source: National Library of Medicine

85

prescriptions, 0% of all prescriptions

47

prescriptions.

39

patients, 2% of all patients

43 75
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

82

prescriptions, 0% of all prescriptions

45

prescriptions.

26

patients, 1% of all patients

44 74
ACTEMRA 79

prescriptions, 0% of all prescriptions

52

prescriptions.

<11 45 86
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

79

prescriptions, 0% of all prescriptions

39

prescriptions.

44

patients, 2% of all patients

45 155
FUROSEMIDE

Treats fluid retention (ede... +

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

76

prescriptions, 0% of all prescriptions

52

prescriptions.

33

patients, 1% of all patients

47 52
AZATHIOPRINE

Prevents your body from rej... +

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

68

prescriptions, 0% of all prescriptions

28

prescriptions.

17

patients, 1% of all patients

48 26
PILOCARPINE HCL

Pilocarpine is used to trea... +

Pilocarpine is used to treat dry mouth caused by radiotherapy in people with head and neck cancer and to treat dry mouth in people with Sjogren's syndrome (a condition that affects the immune system and causes dryness of certain parts of the body such as the eyes and mouth). Source: National Library of Medicine

67

prescriptions, 0% of all prescriptions

48

prescriptions.

20

patients, 1% of all patients

49 43
SAVELLA 63

prescriptions, 0% of all prescriptions

20

prescriptions.

14

patients, 1% of all patients

50 70
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

58

prescriptions, 0% of all prescriptions

33

prescriptions.

15

patients, 1% of all patients

R 51 24
LIDODERM

Treats nerve pain that is c... +

Treats nerve pain that is caused by herpes zoster, or "shingles. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

45

prescriptions.

26

patients, 1% of all patients

52 78
NABUMETONE

Treats pain caused by arthr... +

Treats pain caused by arthritis. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

41

prescriptions.

15

patients, 1% of all patients

53 33
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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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 March 17, 2008.
  • 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.